SMJ // September 1963, Volume 56 - Issue 9
Original Article
Medical Grand Rounds from the University of Alabama Medical Center
Original Article
Bell’s Palsy – Prognosis and Treatment
This is a distressing condition and of great worry to the affected person. Everything possible should be done to enhance return of function. The author outlines his system of management.
Original Article
Dietary Fat and Heart Disease
Here is a penetrating analysis of a topic too publicized to the laity and inadequately evaluated by members of the profession. It provides interesting and enlightening reading.
Original Article
The Norepinephrine Stores in Adrenergic Nerve Endings
Original Article
Urethroplasty for Stricture
Severe stricture of the urethra may demand surgical reconstruction of the passage. The authors describe their modifications of established technics to reduce the number of complications and to obtain satisfactory results more often.
Original Article
The Diagnosis and Surgical Treatment of Abscess Complicating Diverticulitis
The diagnosis of an abscess complicating diverticulitis may be difficult or impossible. However, drainage of the abscess found at laparotomy and resection of the affected segment of the colon have proven most successful in the author's cases.
Original Article
Massive Hemorrhage in Fractures of the Pelvis
The author has made a valuable contribution in calling attention to the serious nature of arterial blood loss in fractures of the pelvis and the need for immediate surgical intervention. He recommends ligation of the hypogastric artery if necessary, whose safety and efficacy has been established by gynecologists.
Original Article
The Increasing Incidence of Perforated Appendicitis
Appendicitis remains a disease of high morbidity, often as a result of delayed operation and resultant complications. There is altogether too great a delay in diagnosis.
Original Article
Nephro-Urography in the Diagnosis Of Hypertension A Preliminary Study
By his method, the author believes he can demonstrate earlier changes in renal function, thereby permitting an earlier surgical attack.
Original Article
Granulomatous Lesions Occurring at Site of Injections of Vaccines and Antibiotics
The authors describe an interesting series of patients who developed granulomas due to Myco. fortuitum at the site of injections of influenza vaccine in most instances, though also following other parenteral medications. The source of contamination could not be found.
Original Article
Blow-Out Fracture of the Orbit
A fracture of this type is quite readily overlooked, particularly if part of more general trouma to the face. It may be recognized at times only by the end complications of enophthalmos and diplopia. Diagnosis and treatment have been considered.
Original Article
New Food Uses and Product Development
The doctor is constantly being queried by patients about new additives to food, caloric content and the significance of “newer” fats. Much of this information is contained in this paper.
Original Article
Bedsores
This complication, particularly of chronic illness, is extremely difficult to manage. However, it can often be avoided by proper attention to nursing procedures. The doctor too often neglects important prophylactic measures.
Original Article
The Sex of Premature Infants with Hyaline Membrane Disease
There is a preponderance of male infants having hyaline membrane disease in premature infants delivered vaginally. The frequency is the same for both sexes in normal infants delivered vaginally and in the 1,000 to 1,500 Gm. groups. The differences between the sexes may be related to survival time.
Original Article
The Lumbar Ligamentum Flavum in Low Back and Sciatic Pain
Few studies have been made upon the pathologic changes in this anatomic structure. The author has made such a study, correlating it with the clinical manifestation of pain.
Original Article
Seromucous Otitis Media in Children
This is a relatively common condition which should be recognized and treated. Only thus may the child be spared irreversible loss of hearing, to plague him in later years.
Original Article
Studies on Alkaline Phosphatase Activity of Leukocytes in Various Diseases
This hematologic technic is applicable to the clinical laboratories of hospitals. It may be of assistance particularly in the diagnosis of polycythemia vera and chronic granulocytic leukemia.
Original Article
Pastoral Counseling in an Industrial Setting
Here is an account of an interesting experience of a clergyman as a counselor in a setting of industry.
Original Article
Mental Health Problems in Industry
As in other segments of the population, industry has its share of problems in mental health among its employees. A realistic and modern approach should be taken in meeting these disturbing factors in a work force.
Original Article
The Management of Complications of Femoral Shaft Fractures in Children
The authors point to the hazards and complications which may accompany open reduction of such fractures or by the use of Bryant's traction. They strongly recommend conservative management in closed fractures of the femoral shaft in children.
Original Article
Treatment of Retinoblastoma by Fractional Intra-Arterial T.E.M. and X-Ray Therapy
The authors find that this combination of treatment not only extends life but salvages vision for the patient.
Original Article
Clinical Considerations in Segmental Renal Ischemia
Anomalous and aberrant renal arteries have been shown to be the cause of segmental ischemia. Management of such lesions is dependant upon good renal arteriography.
