After emphasizing that progress in surgical and radiotherapeutic methods of treatment of breast cancer has reduced its gloomy outlook not at all, the author points out that improvement can only be anticipated through earlier diagnosis. He describes diagnostic adjuncts available today whose increased usage can lead to the finding of…
The increasing recognition of the pulmonary diseases due to hypersensitivity as occupational hazards, points up the role of fungi in some of these. This review of the part the aspergilli may play in these diseases should be of great interest to our readers.
In the last issue of the Journal the author described the parmacologic action of the tranquilizers and described the indications for and the use of the “Minor Tranquilizers.” This paper considers the major group in the management of the more serious psychoses.
Such hyperpyrexia is an uncommon but clear-cut and serious entity. Prognosis is gloomy. It is an unpredictable entity occurring generally in healthy patients and attempted prophylactic management has been unsuccessful. The authors explain this reaction in clinical and animal studies.
This is a timely study. It appears that a goodly number of physicians are willing to, and many do, delegate a significant degree of patient care to an allied health professional in the office. The responsibility permitted such employees naturally varies greatly. The authors speculate upon reasons for the overwhelming…
The authors review a recently recognized syndrome of what superficially may appear clinically to be the usual form of emphysema, but upon analysis reveals familial disease and a deficiency in alpha-1-antitrypsin. They report a case of this entity.
The author discusses the possible difficulties in the diagnosis of hereditary spherocytosis during a hypoplastic crisis. He records the rare simultaneous occurrence of crisis in a mother and daughter.
The authors compare the management and outcome in patients with myocardial infarction who were treated on a coronary care unit with those treated on the general medical wards. Almost all patients died either of congestive heart failure or of cardiogenic shock, influenced little by a coronary care unit. Of paramount…
This survey indicates that the legalization of therapeutic abortion in North Carolina has not led to any increase in this maneuver. It seems rather to make legal what doctors have been doing in their own good judgment.
The authors analyze the factors which led to success or accounted for failure in the operation of arthrodesis for a variety of clinical conditions.
Recently attention has been directed to apparent inotropic and chronotropic effects of this substance upon the heart muscle. The explanation for such action is not clear at the moment. Further studies will be needed in this area.
The authors point to the evidence of disturbed hepatic function, long recognized in some instances of hyperthyroidism. Though congestive heart failure may seem to be the cause in some, in others there is no explanation as yet for such dysfunction.
This is an important contribution in the area of diagnosis of coronary artery disease. It reemphasizes the importance and accuracy of a well taken history in the evaluation of chest pain. Additionally it points up the neurotic chest complaints in those of the “type A” personality.
Many recent advances have changed the approach to surgery. At the same time many forget the routine procedures and percautions.
Though santonin in the management of ascariasis was discarded several decades ago, it apparently is still available as a proprietary for purchase over the counter. This paper calls attention to its toxicity, a drug which should no longer be purchasable.
In recent years, there has been a sharp increase in interest in immunologic disorders. This paper presents a practical approach to investigation of children suspected of having an immune deficiency syndrome.
The authors have analyzed the disorders underlying the development of secondary amyloidosis in 100 cases. No unitary factor has been found to explain the development of secondary systemic amyloidosis.
By questionnaire, to which 80% of the recipients responded, the authors were able to deduce interesting facts about the attitudes and perceptions of the practicing profession. The questionnaire tested attitudes and thoughts concerning contraception, sterilization and sex education.
The authors show that the history and physical examination can identify in almost all instances the patients who should be subjected to carotid arteriography, which in itself carries some morbidity.
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