Issue - Southern Medical Association

Editorial

ENZYMATIC TRANSPLANTATION

Original Article

Follow‐Up of Epileptic Outpatients

This is a very revealing study. It is probable that the doctor who treats only casually a few patients haying seizures has little concept of the epileptic's role in society. Many misconceptions regarding employability, activity and control of seizures are dispelled by this study. Light is thrown onto the topic…

Original Article

Concepts in Management of Burns of the Respiratory Tract

The author reviews the pathophysiology of burns of the respiratory tract and their clinical manifestations. He emphasizes the need for adequate evaluation of the patient's clinical condition and management in improving the prognosis for survival.

Original Article

Operating Microscope for Vasovasostomy

Though vasectomy for contraceptive purposes is entered upon with an understanding of permanency, circumstances in some instances make reanastomosis of the vas desirable. Successful operations were in the minority. However, by use of the operating microscope the likelihood of successful results has been moved to the majority of instances.

Original Article

Modification of the Ureteral Advancement Procedure for Vesicoureteral Reflux*

Clinical Brief

Treatment of High Velocity Paint Gun Injury of the Hand*

Paint guns which force paint through small openings at high pressures (from 1,500 lb to 3,000 lb per square inch) have been in use for several years. Many cases in which careless workers have accidentally sprayed paint at high velocity into their hands have been documented by Stark and associates,1…

Original Article

Experiences of an Otolaryngologist in Vietnam*

The author reviews the types of battle injuries which may tax the otolaryngologist in the field, as well as certain diseases indigenous to the population in a tropical environment.

Original Article

Cushing's Syndrome Diagnosis and Surgical Management*

The diagnosis and treatment of Cushing's syndrome is presented. A series of 19 patients is reviewed.

Original Article

Influence of Staging on the Selection of Therapy for Carcinomas of the True Pelvis*

This is a review of staging and therapy of practically all pelvic tumors.

Original Article

Neuroleptics and Neurologic Reactions

Though much has been written concerning the untoward motor reactions which may accompany the uses of phenothiazines, at times even in small doses, they continue to be overlooked by some physicians. The author reviews these and offers case reports as examples.

Original Article

Desonide, A Potent Nonfluorinated Topical Steroid, Vasoconstriction Assay and Clinical Trial*

By use of acceptable methods of evaluating the effectiveness of steroids topically, the authors have found this new steroid effective though it does not contain the fluoride radicals thought essential in steroids for topical use.

Original Article

The Pathogenesis of Acute Renal Failure in Heat Stroke

The authors review the theories of the pathogenesis of this manifestation of heat stroke and give attention to the part myoglobinuria may play in this. The case of an athlete is documented in this regard.

Original Article

Psychiatric Problems of Promiscuity

The author approaches the behavioral problem of promiscuity from an emotional rather than from a sociologic or anthropologic viewpoint. He believes it to be a manifestation of alienation—a desire for love but inability to return it.

Original Article

Scleral Buckling of Nontraumatic Retinal Dialysis with an Absorbable Gelatin Implant*

The author has found the gelatin implant to offer a satisfactory means in the management of retinal dialysis.

Original Article

Fluorescent Male Sex Chromatin in White Blood Cells

By applying their technic to identify the Y male fluorescent body in white blood cells, the authors have shown that the screening of a small number of cells is sufficient to permit an accurate diagnosis of the Y sex chromatin in blood smears. Obviously this is an important observation for…

Original Article

The Cast‐Brace Walking Treatment of Open and Closed Femoral Fractures*

The walking treatment of femoral fractures by a cast-brace applied with a casting jig demonstrates decisively that a physiologic method of treatment is available without risk of infection, with minimal chance of pulmonary embolism and no anesthetic risk. Regular roentgenograms taken after the cast is applied will aid in the…

Case Report

Recurrent Endocarditis Due to Streptococcus viridans in an “Edentulous” Man

Original Article

A Complication of the Pereyra Procedure for Stress Incontinence*

The author describes three instances in which the use of nonabsorbable suture material required cystoscopy and its removal to relieve the complicating postoperative symptoms.

Original Article

Prophylactic Teflon Clip Plication of the Inferior Vena Cava for Prevention of Pulmonary Embolism*

In a small uncontrolled series the author suggests the prophylactic use of the Moretz clip in high-risk patients undergoing laparotomy.

Original Article

More Aggressive Mediastinal Exploration Before Thoracotomy for Lung Carcinoma*

The authors stress a more aggressive approach to mediastinal evaluation in patients with lung cancer. Based on a very small series of cases they have improved their resectability rate from 28% to 88%.

Grand Rounds

Inflammatory Bowel Disease*

Current Concepts

Current Concepts in Diagnosis The Diagnosis and Management of Ovarian Cancer*

Case Report

Bilateral Tubal Pregnancy with an Unusual Complication

BILATERAL ECTOPIC PREGNANCY is a rare occurrence. Abrams and Kanter1 reported one case of bilateral ectopic pregnancy in 1,580 extra-uterine pregnancies over a 22 year period. Stewart2 reported one bilateral ectopic pregnancy in 725 ectopic pregnancies. In his review of the literature, he found 139 additional his-tologically documented cases. With…

Case Report

Myocardial Infarction During Pregnancy With Associated Myocardial Bacteroides Abscess

Myocardial infarction is more common in men than women.1 When myocardial infarction occurs in women, there frequently are predisposing causes as, after menopause, with diastolic hypertension, diabetes mellitus, and elevated serum cholesterol.2 Although these factors increase the possibility of myocardial infarction in women, coronary artery disease can occur in younger…

Case Report

Myocardial Infarction and Oral Contraceptives

It has been established that oral contraceptives play a significant role in the causation of thromboembolic disorders in women.1 The risk of admission for venous ihroraboentbolism is 9 times higher in women on oral contraceptives than those who are not.1 “The preliminary results of the investigation by the Committee on…

Case Report

Chronic Myelogenous Leukemia Presenting as Myeloid Metaplasia

In a recent comprehensive review, it was concluded that agnogenic myeloid metaplasia is not related to chronic myelogenous leukemia.’ It was stated that separation of these two disorders by standard clinical and laboratory methods is relatively easy in the majority of cases, and in the few difficult cases determination of…

Case Report

Cryptococcal Peritonitis

The isolation of Cryptococcus neoformans from peritoneal Quid is rare. A patient is reported in whom peritoneal infection was the sole manifestation of cryptococcosis.Cryptococcosis is a pulmonary disease with or without hematogenous dissemination to other organs. Several cases of disseminated cryptococcal disease have yielded C neoformans on culture of ascitic…

Clinical Brief

Incidence of Hepatitis‐Associated Antigen Among Patients in a Methadone Clinic*

The Australian antigen or hepatitis-associated antigen (HAA) is of value in detecting so-called long incubation, or MS-2 bepatitis.1–3 The increasing availability of methods for testing for HAA provides us with an important routine laboratory method. This is particularly important because of current evidence that the so-called serum hepatitis (MS-2 hepatitis)…

Original Article

In Memariam

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