SMJ // May 1975, Volume 68 - Issue 5
Commentary
The Role of the Local Health Officer
Commentary
The Role of the Local Health Officer‐Why Not a Nurse?
Abstract: Examination of the role of the public health officer indicates that registered nurses with a master's degree in public health have, in many cases, more training and experience than physicians to function effectively in this role. It is suggested that, given the current physician shortage, the changes in scope…
Primary Article
The Evaluation of Fetal Lung Maturity by Amniotic Fluid Analysis
AbstractThe frequent necessity for termination of pregnancy before the spontaneous onset of labor requires that we be able to accurately predict fetal lung maturity. We have used amniotic fluid studies for evaluation of fetal lung maturity and have found that (1) a “fat” cell concentration of 30% or more, or…
Clinical Brief
Endoscopic Evaluation of the Gastric Antrum
Primary Article
Breast Cancer A Critical Review of a Patient Sample With a Ten‐Year Follow‐Up
Abstract: Records of 407 patients with primary breast cancer treated at the M. D. Anderson Hospital in 1958 and 1959 were reviewed with regard to patient characteristics, treatment, and results. These patients presented with relatively advanced disease (42% were inoperable on initial evaluation). Black and Chicano patients had significantly more…
Primary Article
Diagnosis of Scabies
Abstract: Mineral oil scrapings from an infant with a persistent, puzzling, generalized eruption revealed the mite, Sarcoptes scabiei. Various diagnostic technics and treatment for scabies are discussed.
Primary Article
Some Marital‐Sexual Concomitants of Carcinoma of the Cervix
Abstract: The responses of 50 cervical cancer patients to questions about marital and sexual adjustment are discussed. The subjects were predominantly poor, white women from rural areas or small towns. They had to travel 50 to 150 miles to a hospital where half were treated by radiotherapy and half by…
Primary Article
Stress Polycythemia—A Pathophysiologic Study
Abstract: Two patients with “Gaisböck syndrome” (stress polycythemia) were found to have been under chronic “stress” with REM sleep decrease, decreased nocturnal ADH-like activity and consequent nocturnal water loss. The role of REM decrease with chronic “stress” in causing secondary decrease in nocturnal ADH-like activity was emphasized as the means…
Primary Article
Snuff Dippers Keratosis (Snuff‐Induced Leukoplakia)
Abstract: Patients with chronic snuff-induced keratosis associated with mucosal ulcerations were treated with topically applied vitamin A acid. In each case, after a marked, local inflammatory response initially, topical vitamin A acid showed a definite beneficial effect in promoting healing and involution of the precancerous snuff-induced leukoplakic keratosis. In one…
Primary Article
Flexible Fiberoptic Bronchoscopy With General Anesthesia in the Poor‐Risk Patient
Abstract: A study is presented of seven poor-risk patients who had bronchoscopy with a flexible fiberoptic bronchoscope and balanced general anesthesia. The cardiorespiratory status, as evidenced by arterial blood gas determinations, electrocardiographic findings, and blood pressure measurements, was improved and stabilized in all patients. Flexible fiberoptic bronchoscopy, combined with general…
Primary Article
Experience With Total Hip Replacement at Ochsner Clinic
Abstract: Eighty-four patients had 97 total hip replacement procedures. Standard Müller components were used in the first 40 operations; the Aufranc-Turner acetabulor component was used with the Müller-femoral component in the final 57 procedures. The trochanter was detached only in exceptional circumstances. Seventy-six patients with 87 replacements were followed up…
Primary Article
Evaluation and Management of the Dizzy Patient
Abstract: Evaluation and management of the dizzy patient remains frustrating to both the patient and physician. Numerous disorders may induce dizziness; these include not only inner ear disorders but also various central nervous system, ocular, and general systemic disturbances. Since dizziness has many variations, the subtle nuances the symptom may…
Primary Article
Removal of Nonmagnetic and Magnetic Intraocular Foreign Bodies With Constant Visualization
Abstract: A method of removing intraocular foreign bodies, magnetic or nonmagnetic, that are invisible to ordinary viewing procedures is presented. Intraocular foreign bodies are associated with media which is opaque from the blood and debris of trauma. Early removal of nonmagnetic particles usually is impossible, while localization of magnetic foreign…
Primary Article
Hammertoe Surgery Waist Resection of the Proximal Phalanx, a More Simplified Procedure
Abstract: A technic for correcting hammertoe and other toe deformities by waist resection of the proximal phalanges of the toes effectively corrected these conditions in 95 patients and 466 toes. This procedure can be done quickly and easily with low morbidity. Through a very short incision over the waist of…
Primary Article
131I Rose Bengal Liver Scanning in the Differential Diagnosis of Neonatal Jaundice
Abstract: Results of a series of 22 liver scans with 131I rose bengal in 21 patients who developed progressive jaundice in the neonatal period are described. Using the 131I rose bengal scan alone, an attempt was made to separate the patients into two groups, the first with total bile obstruction…
Primary Article
Goals and Teaching Methods of the Urologic Core Curriculum at the University of Missouri, Columbia
Abstract: Urology is a highly specialized surgical subspecialty, but most urologic patients present to the primary physician with variable signs and symptoms. As medical school educators, we are obligated to furnish the students with the knowledge and skills required to handle the patient's initial problem, and refer the patient to…
Primary Article
Practical Approach to Pediatric Hearing Problems
Abstract: The identification and measurement of suspected hearing loss in pediatric patients presents a formidable challenge to the physician. Since he is responsible not only for determining the nature and extent of the hearing deficit, but also for overall management throughout the patient's learning life, an early and accurate diagnosis…
Primary Article
Obstructive Uropathy Secondary to a False Aneurysm 12 Years After Abdominal Aneurysmectomy
Abstract: Long-term follow-up of patients having abdominal aneurysmectomy and graft replacement will show that a considerable number develop false aneurysms at the anastomotic sites. This is particularly true in situations in which silk suture was used for the vascular anastomoses. Successful management of this problem necessitates an awareness that unsuspected,…
Primary Article
Shunt Surgery in Meniere's Disease
Abstract: This is a clinical study of the results of endolymphatic sac shunt surgery for Meniere's disease in 28 patients. Postoperative audiometric results and clinical evaluation of vertigo and tinnitus were analyzed to determine the effectiveness of this form of treatment. Although this is a small study and the time…
Review Article
Immunologic Reconstitution in Man—Present Status
Current Concepts
The Prevention of Iron Deficiency Anemia in Infants
Current Concepts
Use of Blood and Blood Components
Article
Eponym Goodpasture's Syndrome
Case Report
Meningococcal Arthritis Simulating Gonococcemia
Case Report
Spontaneous Pyeloduodenal and Renocolic Fistulas
Case Report
Interstitial Lung Disease in Neurofibromatosis
Case Report
Renocolic Fistula
Case Report
Retinal Sparing in Diabetic Retinopathy
Case Report
COMMENTS FROM THE READERS
Letters and comments are welcomed. They should be typed in double-space, and of no greater length than two pages. Acceptance and shortening remain the prerogative of the Editors.
