SMJ // May 1974, Volume 67 - Issue 5
Commentary
Neonatal Intensive Care
Primary Article
Use and Impact of Neonatal Intensive Care in a Nonreferral Hospital
Abstract:Neonatal intensive care was instituted at a nonreferral US Army hospital with more than 2,200 deliveries per year. In the first two years, 10.8% of all live births were admitted to the intensive care unit. Details of age on admission, length of hospitalization, and primary discharge diagnoses are presented. Analysis…
Primary Article
Use of Pelvic Pneumoperitoneum A Critical Assessment of 12 Years' Experience
Abstract:Pelvic pneumoperitoneum has been acclaimed widely for its diagnostic value in the assessment of ovarian enlargement associated with polycystic ovarian disease. Various authors have made use of diverse parameters to estimate ovarian enlargement roentgenologically. Experience at this institution and two other institutions with over 1,000 pelvic pneumoperitoneums in adults and…
Primary Article
Obstetric Use of Enflurane (Ethrane)
Abstract:Enflurane was used as the primary anesthetic agent in 30 vaginal deliveries. Its effect on maternal blood pressure, blood loss, uterine tone, and neonatal Apgar scores was examined. Three patients were monitored by use of the Corometrics fetal monitor while receiving enflurane. For comparison, similar monitoring was used on a…
Primary Article
Recurrent Lateral Dislocation of the Patella Preliminary Results of Pes Anserinus Transfer
Abstract:Over the years the management of the recurrent dislocating patella has varied from conservative measures to patellar excision. Accepting these occasionally indicated extremes, the need for a highly successful surgical method of management still exists. Transfer of the pes anserinus to the patellar tendon may meet this need. Use of…
Primary Article
Carcinoma of the Cervix Complicated by a Ruptured Pelvic Abscess
Abstract:A small series of five cases of carcinoma of the cervix complicated by a ruptured pelvic abscess is presented and the literature reviewed. Staging is quite inaccurate in these patients. Treatment must be highly individualized and consists of a combination of operation and irradiation. Prognosis appears to be related primarily…
Primary Article
Stimulation at 50 Pulses Per Second in the Normal Person Its Implication in the Differential Diagnosis from Myasthcnia Gravis and Myasthcnic syndroime
ABSTRACT:We found that stimulating the ulnar nerve below the elbow at 50 pulses per second (pps) and recording from the abductor digiti minimi in the normal subject produced facilitation first and then rapid fatigue. The peak facilitation occurred at an average of 4.2 seconds and there was an averageof 25.9%…
Primary Article
Penetrating Wounds of the Esophagogastric Junction
Abstract:Five cases of penetrating injuries to the esophagogastric junction are reviewed. There was one death postoperatively from a complication unrelated to the esophagogastric junction injury. In two cases, fundoplication was done. It appears that primary closure followed by fundoplication is the preferred method for treating penetrating wounds to the esophagogastric…
Primary Article
Irritant Reaction in Negro and Caucasian Skin
Abstract:The belief that Negro skin resists irritants better than Caucasian skin was tested by quantitative patch test exposure to dinitrochlorobenzene (DNCB) in acetone. With concentration as the variable, the minimal perceptible erythema (MPE) dose of DNCB was determined on the backs of Caucasians and light and dark Negroes, on both…
Primary Article
“Febrile” Proteinuria
Abstract:Although it commonly is assumed by clinical teachers that acute febrile illness may result in increased proteinuria, documentation is meager. In six adults with acute febrile illness, daily urinary protein was measured by a biuret method modified to read concentrations as low as 5 mg/ 100 ml. The initially elevated…
Primary Article
Medical, Economic, and Social Impact of a Home Therapy Program for Hemophilia A on Selected Patients
Abstract:To study the medical, economic, and social impact of a home therapy program for hemophilia A on five selected patients, before and after home therapy medical records were reviewed, physical examinations and laboratory studies were conducted, and social histories and patients' opinions were solicited. The program involved teaching the patients…
Primary Article
Medical Complications of Induced Abortions
Abstract:Methods of abortion include dilatation and curettage, vacuum aspiration, intra-amniotic or extra-amniotic hypertonic saline, intra-amniotic hypertonic glucose, and abdominal hysterotomy. Each procedure is associated with its own type of medical complication. In addition, there are other medical complications that can be associated with every induced abortion: transplacental hemorrhage, fetal homografts,…
Primary Article
special Considerations in Resurfacing Hand Injuries with the Groin Flap
Abstract:Use of the groin flap has permitted the reconstructive surgeon to resurface major avulsive injuries of the upper extremity with an ease not previously possible. Careful attention to details of design, elevation, delay, and transection of the flap must be exercised, however, if a well-conceived reconstruction is not to end…
Primary Article
The Pathologic Findings in Diffuse Interstitial Fibrosis of the Lungs
Abstract:Twenty-three cases of diffuse interstitial fibrosis of the lungs were reviewed. The initial symptom was dyspnea. Chest roentgenograms showed progressive, bilateral, reticular, diffuse pulmonary infiltrates most marked in the lower lobes. Four patients had proven collagen disease, and four had features suggestive of collagen disease. Diffuse interstitial fibrosis apparently is…
Primary Article
The Treatment of Drug Abuse in the Rural South Application of the Core‐Shell Treatment System Model
Abstract:In spite of a tendency to view rural areas generally and the rural South particularly as comparatively free of the social problems which beset urban areas, there is both historic and contemporary evidence that rural areas have a significant drug abuse problem. They also tend to lack treatment facilities, finding…
Primary Article
Out–State Charity Neurology Clinics Appraisal and Follow‐up of a Comprehensive Neurology Project in a Thinly Populated Area
Abstract:For a three-year period, neurology clinics were conducted in outstate areas where no neurologic services were otherwise available. Neurologic consultation, screening, and diagnostic services were provided to patients of the Mississippi Department of Public Health. The clinics were organized and staffed under the joint auspices of the Mississippi State Board…
Primary Article
Lactic Dehydrobenase, Leucine Aminopeptidase, Alpha1, Globulin, and Azotemia in Circulatory Stress
Abstract:Some 215 disease categories, each comprising 25 to 1,355 patients, represented 97.6% of 23,714 patients who had an admission metabolic profile of 28 serum chemistries. Almost every disease had a unique chemical template. Twenty-one circulatory diseases, representing 3,853 patients, were separated out from the other illnesses by a syndrome consisting…
Case Report
Duplication Cysts of the Esophagus
Abstract:A case is presented in which the duplication cyst of the esophagus in an infant produced severe respiratory distress due to tracheal compression. Surgical intervention is recommended to cure the symptoms and prevent subsequent complications such as infection, hemorrhage, perforation, and malignancy.
