SMJ // April 1975, Volume 68 - Issue 4
Primary Article
Orthopedic Infections A Prospective Study of 378 Clean Procedures
Six hundred twenty orthopedic surgery patients were evaluated in a prospective study of postoperative infection. The wound infection rate among the 378 elective clean procedures was 5.8% (3.2% major plus 2.6% minor infections). Staphylococcus aureus was the single most common pathogen recovered in both major and minor infections. Gram-negative rods…
Primary Article
Single Image Pericardial Effusion Evaluation With Technetium Compounds
Three cases of suspected pericardial effusion were evaluated with rapid, noninvasive procedure, combined use of macroaggregated albumin technetium 99m and human serum albumin technetium 99m to produce a single radiograph showing the heart, liver, and lung perfusion simultaneously. This technic confirmed the diagnosis of pericardial effusion in two cases and…
Primary Article
An Educational Strategy for Teaching Psychosocial Pediatrics*
The functions and operation of two outpatient clinics, the Pediatric Family Clinic and the Child Psychiatric Consultative Service, are described to illustrate an approach to teaching residents and medical students how to diagnose and deal with the psychosocial problems frequently encountered in children. Learning experiences in this busy ambulatory setting…
Primary Article
Physiologic Consequences of Hepatic Lobectomy in Man
Replacement of glucose and albumin in ten patients after hepatic lobectomy shows that hypoglycemia and hypoalbuminemia, the two most common consequences of lobectomy in animals, can be prevented in man. Biosynthesis of protein, cholesterol, and prothrombin are reduced temporarily. In patients having emergency lobectomy, the serum bilirubin and glutamic oxaloacetic…
Primary Article
Cardiorespiratory Changes Associated With Intracranial Pressure Waves Evaluation of These Changes in 27 Patients With Head Injuries
Alteration in heart rate and respiratory rate and depth occurred in association with intracranial pressure (ICP) waves in 27 patients with head injuries. Usually the ICP wave was preceded by a transient increase in end-alveolar CO2 levels. Thereafter, the ICP gradually increased and was accompanied by simultaneous decreases in heart…
Primary Article
Primary Peritonitis in Adults
Infection within the peritoneal cavity without an identifiable source of contamination is rare. The diagnosis is one of exclusion, and can be made with certainty only after a thorough laparotomy. The response to antibiotic therapy is usually prompt and gratifying.
Primary Article
Surgical Treatment of Nonunion of the Scaphoid
Fracture of the scaphoid is the most common injury of the carpal bones. Most scaphoid fracturs heal after immobilization. When the fracture does not unite, degenerative arthritic changes and disability may occur. Twenty-four symptomatic nonunions treated surgically were reviewed. Based on presence of union, percent of normal motion, and patients'…
Primary Article
Sexual Function After Abdominoperineal Resection
A survey of the sexual changes in patients having abdominoperineal resection for ulcerative colitis was made at the Medical College of Georgia. The incidence of impotence in our series is zero. Only one of our female patients had a successful pregnancy. The other women seemed to be hampered by anatomic…
Primary Article
Prestenotic Enteritis and Enterocolitis in Children Description of a Syndrome and Review of Five Cases
A clinical syndrome of prestenotic enteritis and enterocolitis consisting of abdominal distention and pain, intermittent diarrhea and constipation, failure to thrive, fever and in some patients, extreme prostration and death is described. The pathogenesis of this enteritis and enterocolitis apparently is related to partial mechanical obstruction of the bowel with…
Primary Article
Aggression in Adolescents Use of the Buss‐Durkee Inventory
The Buss-Durkee Inventory (BDI) is a 75-item true-false design to measure hostility and aggression. Norms have been established for adult populations, and data are available for adult psychiatric populations. Adolescent norms have not been establishe, nor are data available for adolescent psychiatric populations. This study provides BDI data on 438…
Primary Article
Thalamotomy for Psychopathic Behavior
Six patients characterized by psychopathic behavior were treated with lesions placed in the center median nucleus of the thalamus. There was marked improvement of the psychopathic behavior in five patients. One patient with unilateral thalamotomy was partially improved. Four of the six patients have been productive and earn a living….
Primary Article
Physicians' Attitudes Toward Organ Donation
Primary Article
Scalded Skin Syndrome Diagnosis, Differential Diagnosis, and Management of 42 Children
The bacteriologic, epidemiologic, clinical, and diagnostic findings and management of the scalded skin syndrome (SSS) in 42 children are reported. SSS may present in one of three ways: (1) Ritter's disease in infants, characterized by an acute, generalized bullous dermatitis simulating the appearance of scalded skin, followed by exfoliation; (2)…
Primary Article
Upper Extremity Arteriovenous Fistulas for Hemodialysis and Administration of Chemotherapeutic Agents
The arteriovenous fistula (AVF) is the choice mode of access to the circulation in patients having chronic hemodialysis. AVFs are also used in patients having repeated courses of intravenous chemotherapy. This relatively simple operation can result in considerable morbidity if improperly done. The technics used in our center, which result…
Primary Article
Gender Identification and the Female Impersonator
Primary Article
Rupture of the Intestine in Patients With Hernia
Two cases of perforation of the small intestine associated with minor abdominal trauma and right inguinal hernia are presented along with a review of 104 cases in the literature. The condition is treacherous because this minimal injury can produce catastrophic intraabdominal perforation. The most reliable signs and symptoms are abdominal…
Primary Article
Depression in Elderly Patients
Depression is a common reaction to the vicissitudes of life among elderly people. Aged persons are physiologically and psychologically less able to adapt, yet they are required to change their life styles because of retirement, lowered financial resources, death of family and friends, and illness. Although many mental health professionals…
Primary Article
Carcinoma of Seminal Vesicle
Primary Article
In‐Hospital Mortality After Acute Myocardial Infarction
In order to determine if the risk factors contributing to mortality from acute myocardial infarction (MI) during the period of coronary care unit (CCU) observation are different from those in patients dying in the hospital after CCU discharge, the hospital records of 172 acute MI patients seen over an 18-month…
