SMJ // June 1961, Volume 54 - Issue 6
Acknowledgement
State News Items
Article
Complications of Hemiplegia in Cerebrovascular Disease
Much can be done in retraining and in controlling, at least in part, some of the complications of hemiplegia. The attending physician’s real work begins at the end of the acute phase of the cerebrovascular accident.
Article
Silicone Embolization
This hazard of “open-heart” surgery has not been described before. Silicone used as an antifoaming agent in some oxygenators may act as a foreign body resulting in emboli.
Article
Asymptomatic Enlargement of the Parotid Glands in Alcoholic Cirrhosis
Not only may enlargement of the parotid glands, of unknown etiology, accompany alcoholic hepatic cirrhosis rather frequently, but it may actually appear before clinical evidence of cirrhosis. Diagnostic features are described.
Article
Clinical Pharmacologic Observations with Long-Term Use of Trichlormethiazide
As new drugs appear the synthetic chemists, in altering their structure, search for new variations which may be more effective and possibly less toxic or unpleasant. This paper offers an early appraisal of such a variant stimulated by the demonstrated effectiveness of chlorothiazide.
Article
Achondroplasia: The Clubfoot Problem in Achondroplasia
Achondroplasia is a rare disease of the skeleton, and the author has had a rather wide experience with the disease. The clubfoot deformity is of especial interest.
Article
The Clinician’s Dilemma: Conization for Evaluation of Carcinoma In Situ of the Cervix in Pregnancy
Because of histologic changes which may occur in the cervix during pregnancy, there has been much controversy regarding the diagnosis of carcinoma in situ under such circumstances. The situation is being clarified with more liberality in conization for correct diagnosis.
Article
Ovarian Cysts and Myomas of the Uterus in Pregnancy
The author discusses the indications for operation upon ovarian cysts and myomas during pregnancy. He believes the operations may be undertaken with safety in the first trimester of pregnancy.
Article
Rehabilitation of the Chronically Ill in the State of Maryland
Efforts at rehabilitation represent money well spent over and above the psychotherapeutic results in the patient-results which cannot be measured but may make the difference between happy years of life or years of boredom, and anxiety and depression. Maryland has shown the way other states must travel sooner or later.
Article
Prolonged Use of Cortisone and Its Ill Effects
That the use of corticosteroids is not without danger is generally recognized. The author points up the untoward effects upon the cerebral functions. He also emphasizes the need for accurate diagnosis before the exhibition of steroids in treatment.
Article
The Rehabilitation of the Paraplegic Patient
The management of not only the musculoskeletal disabilities of the paraplegic patient but the associated complications as well offer the attending physicians a real challenge. However, the accomplishments in the rehabilitation of such patients may be most satisfying.
Article
The Use of Guanethidine in the Control of Hypertension
The search for antihypertensive drugs continues unabated, and at a rate which leaves the physician in private practice in a constant state of confusion. With a limited number of patients he never establishes confidence in his use of a given drug before he is bombarded with literature on a new…
Article
Abnormal Uterine Bleeding Subsequent to Pelvic Surgery
Functional uterine bleeding has been recognized as a possible tate complication of operations upon tubes or uterus. The pathogenesis of this complication is not clear. The authors, in their analysis of cases of functional uterine bleeding, have found the history of tubal ligation to be ten times more frequent in…
Article
New and Expanded Uses of Gastric Irradiation Therapy
Here is suggested an approach to control gastric acidity when needed for palliative or symptomatic relief and when other measures are contraindicated or unsuccessful.
Article
The Lumbar Spine in the Workman
It is good prophylaxis to have a roentgenologic examination of the lumbar spine as part of the physical examination to employment in industry.
Article
Treatment of a Septic Joint
The management of the septic joint has been altered since the introduction of antibiotics. Much is still to be learned relative to their use systemically and their diffusion into the joint. Aspiration of pus and instillation of the antibiotic seems highly successful. In their review the authors indicate the less…
Article
Function of the Placenta as It Applies to the Practice of Obstetrics
This is a beautiful review of the physiologic attributes of the placenta, pathologic alterations and their effects in terms of fetal morbidity or mortality, as well as maternal effects.
Article
Immediate Reconstruction of the Mandible in Tumor Surgery
From his experience with this approach to the problem, the author pleads for immediate bone graft at the time of resection for tumor of the mandible. Thereby, the functional and cosmetic end results will be more satisfactory.
