SMJ // April 1974, Volume 67 - Issue 4
Editorial
DO YOU GET TOO MANY MAGAZINES?
Original Article
Medical Admissions to a Teaching Service A Six Months' Review in a Veterans Hospital
AbstractConsecutive admissions to an acute core medical service at the Lexington, Ky, Veterans Administration Hospital were studied protectively over a six-month period. A total of 604 patients were included in the study and the major problems resulting in admission were divided into eight primary categories. Almost one half of the…
Original Article
Superior Vena Cava/Right Pulmonary Artery Anastomosis (Glenn‐Robicsek Procedure) A Cause of Azygos Vein Dilatation
AbstractA case of azygos vein dilatation following superior vena cava/right pulmonary artery anastomosis (Glenn-Robicsek procedure) is presented. The azygos vein dilatation is easily detectable in a frontal chest roentgenogram by casting an ovoid shadow in the right tracheobronchial angle. Various conditions causing dilatation of the azygos vein are reviewed and…
Original Article
Mycobacterium fortuitum Abscess Related to Surgery, Malignancy, and a Tight Girdle
AbstractMycobacterium fortuitum, a rapid-growing, acid-fast bacillus of Runyan's group 4, produced a localized abscess at the site of a surgical incisional scar. Underlying malignancy and pressure from a tight girdle are discussed as factors that may have enhanced the growth of a normally soprophytic organism, probably introduced into the wound…
Original Article
Recent Advances in Mechanical Aids in the Management of Children with Brain Damage
AbstractSeveral mechanical aids useful in habilitation programs for braindamaged children have been described. They have been developed by various workers in the United States and other countries, and all have been used extensively in programs carried out at the University of Tennessee College of Medicine and its affiliated institutions. However,…
Original Article
Reconstructive Surgical Procedures in Myelodysplasia
AbstractThe description of reconstructive surgical procedures in myelodysplasia focuses on surgical management of skin closure following removal of the myelomeningacele. Skin closure procedure consists of the construction of large, wide-based, double rotation flaps of skin and subcutaneous fat on both sides of the opening which are undermined widely to permit…
Original Article
Antibiotic Susceptibility Patterns of Enteropathogenic Eschenchia coli Isolates
AbstractThe antimicrobial susceptibility patterns of enteropathogenic Escherichia coli (EPEC) are unpredictable and are important determinants of the success of treatment in diarrheal disease due to these organisms. One hundred three isolates of EPEC collected from hospitalized infants were tested against five antibiotics using the agar-plate dilution technic. Susceptibility of these…
Original Article
The Promiscuous Teenager
AbstractPromiscuous behavior appears to be connected to disturbance in the mother-daughter relationship. The mothers, themselves unhappy, frustrated women, appear unable to give affection to their daughters. Lacking any sense of worth and hungry for affection, the girls readily trade themselves for affection or its symbolic substitutes (drugs, clothes, favors, etc)….
Original Article
The Treatment of Ileocolitis with ACTH and Prednisone Immediate and Prolonged Effect
AbstractOne hundred consecutive patients with ileocolitis were treated with ACTH intravenously followed by oral prednisone. Following the initial course of treatment, 95 were either symptom-free or markedly improved. Of 90 who had subsequent courses of therapy, 80 were immediately either symptom-free or markedly improved, indicating that tolerance was not developed….
Original Article
Clinical Indication for Photocoagulation vs Cryotherapy
AbstractClinical indications for use of cryotherapy and photocoagulation in the management of certain retinal problems are presented. Results of diathermy and cryotherapy in treatment of retinal detachment vary little. For retinal tears without subretinal fluid, location of the tear in relation to the equator determines whether cryotherapy or photocoagulation is…
Original Article
Modern Management of Sickle Cell Disease in Pregnancy
AbstractSickle cell anemia in pregnancy claims 10% to 20% of afflicted patients. With improved methods and availability of medical care the reproductive life span for these patients has increased markedly. With the above in mind, the pathology and rheodynamics of sickle red blood cells were reviewed and the relationship to…
Original Article
Amniotic Fluid Lecithin/Sphingomyelin Ratio and Other Tests for Fetal Maturity
AbstractOne hundred three amniotic fluid samples from 72 patients were examined for fetal maturity by a modified technic for lecithin/sphingomyelin (L/S) ratio, Nile blue and creatinine tests, and some also by osmolality. Our modification of the L/S technic gives nearly equal staining intensities for equimolar amounts of lecithin and sphingomyelin,…
Original Article
Management of Lower Extremity Contractures Resulting from Hemophilia
AbstractThe hemophilic patient with bleeding into joints should be managed by a hemotologist and an orthopedist knowledgeable in current methods of treatment. Classic hemophilia (absent factor VllI, or antihemophilic globulin [AHG] deficiency) can be managed by using cryoprecipitate or concentrates. Acute hemophilia is managed by AHG and immobilization. Aspiration is…
Original Article
Starch Granulomatous Peritonitis
AbstractTwo cases of starch gronulomatous peritonitis, one symptomatic and one asymptomatic, are presented. Although starch glove powder is usually innocuous, the number of cases of starch peritonitis reported in the literature indicates that it is not always so. The typical syndrome consists of abdominal pain, fever, and signs of peritonitis….
Original Article
Bronchiolar-Alveolar Carcinoma of the Lung
AbstractBronchiolar-alveolar carcinoma of the lung is a well-established entity whose main radiographic presentations include: (1) nodular, (2) alveolar, (3) reticular, and (4) mixed. Patients, however, have been reported presenting with a pleural effusion or a pneumothorax. It has been well established that the solitary nodule represents the initial stage of…
Original Article
The Use of Silicone Chin Implants in Plastic Surgery A Method of Chin Augmentation
AbstractEvery patient having chin augmentation should have careful evaluation of the occlusion. Cephalometrograms and dental models must be made in those patients with class 2 malocclusion. Analysis of the cephalometrograms and dental models helps the surgeon choose the proper operation. Simple chin augmentation is contraindicated in almost all patients with…
Article
Leslie L. Lumsden, MD: Pioneer in Rural Sanitation and Early Epidemiology in the United States
Editor's NoteThe author, born in 1888 and a career medical officer of the US Public Health Service for 33 years, retired as Assistant Surgeon General in 1951. He has since published a comprehensive history of the Public Health Service, and remained a leader in state and local public health work…
