SMJ // June 1969, Volume 62 - Issue 6
Article
Recognition of Suicidal Risk: The Physician’s Responsibility
It is known now that talk of suicide is not idle talk, as has been accepted too often in the past. A high proportion of suicides have consulted a doctor during the psychiatric illness, often with quite overt signs and symptoms actually “begging” for a diagnosis! The depressed person, the…
Article
Pulmonary Dysfunction in Shock
Article
Clinical Study of Chagas’ Disease (Trypanosomiasis cruzi)
Though only two indigenous cases of this disease of the Latin American countries have been reported in the United States, the insect vector lives in a number of southern states. Some inhabitants of the South have been found to have complement fixing antibodies against the infecting agent, indicating they may…
Article
The Revolution in Fluid Therapy
The authors describe the changes they have made in the use of fluids pre- and postoperatively. These have been accomplished by the judicious use of Ringer's solution to attain balance in fluids and electrolytes.
Article
Evoked Seizure Phenomena in Electroconvulsive Treatment
From their study of electroencephalographic tracings made during electroconvulsive treatment, the authors postulate that shock therapy stimulates an inhibitory mechanism akin to that of the sleep pattern and a dampening of alerting responses.
Article
Epistaxis: Current Management
The authors divide epistaxis into two groups anatomically. Though the anterior type is quite readily managed, arterial ligation may be needed upon occasion in the posterior type.
Article
The Dangers of Therapeutic Agents Used in the Treatment of Asthma
The author offers a careful review of the untoward and even fatal by-effects of medications employed not uncommonly in asthma. A most valuable paper for one who treats asthma.
Article
Control of Mass Spasms in Paraplegia
This complication of paraplegia is most distressing and can lead to troublesome decubiti difficult of management. The authors review the several surgical procedures which have been used in treatment, and their advantages and disadvantages.
Article
Transverse Repair for Rectocele
The author has had excellent results in the repair of midrectocele by an operation which he has developed.
Article
Acute Injuries of Major Peripheral Arteries
The importance of prompt, accurate management in cases of acute arterial trauma is emphasized. The liberal use of arteriography in this group of patients is recommended.
Article
Superficial Pyodermas and Acute Glomerulonephritis
Four of 96 patients with acute glomerulonephritis had a preexisting streptococcal pyoderma. In 9 additional cases, including an elderly male, a possible relationship existed.
Article
Ocular Microsurgery with Special Reference to Traumatic and Senile Cataract
The authors are enthusiastic in the use of the operating microscope in ocular surgery. They describe, as an example, the advantages in the usual cataract extraction permitting more accurate technical procedures.
Article
Immediate Postpartum Use of Sequential Oral Contraceptive Therapy
Beginning the use of oral contraceptives on the fifth day postpartum is effective in allaying anxiety in regard to pregnancy. Their use does not interfere with lactation, and pituitary-ovarian function is reestablished promptly on discontinuance of the therapy.
Article
Office Approach to the Management of Primary Amenorrhea
The author has described the basic observations which should aid the family physician in evaluating primary amenorrhea before embarking upon expensive and extensive endocrinologic investigations.
Article
Compere Irrigation-Suction Method in Orthopedic Infections
Irrigation and suction with Ringer's solution containing an antibiotic and detergent is very effective in many instances of both acute and chronic infections as met in orthopedic practice. The success of such management has been documented in case reports in this paper.
Book Review
The Voice and Its Disorders
Book Review
Alcoholism. Mechanism and Management
Book Review
Infant Nutrition
Case Report
Carcinoma Developing in Lupus Erythematosus Scar
Clinical Brief
Amniotic Fluid and Fetal Maturity
Article
Shock The Hemodynamic Diagnosis and Treatment
This series of three papers deals in depth with modern day concepts and innovations in the diagnosis and treatment of various types of shock. A detailed discussion of the hemodynamic aspects of shock, diagnosis, treatment and the pathologic changes occurring in the lungs of patients suffering from shock or major…