SMJ // January 1976, Volume 69 - Issue 1
Editorial
EDITOR'S NOTE
Primary Article
Neurotic Rachialgia
After a discussio of the term “benign dorsalgia,” and a description of the clinical picture of the syndrome, the term “neurotic rachialgia” is proposed as being more exact. In fact, pain is not always referred to the dorsal tract of the spine but to other areas as well. Furthermore, the…
Primary Article
Removal of the Normal Uterus
The uterus is often justifiably removed when anatomically it is a normal organ. Unfortunately, such surgery often is viewed with suspicion because there is failure to communicate the justification to patients and uninformed critics. An effort is made in this manuscript to categorize procedures and thus more clearly delineate the…
Primary Article
Head and Neck Radioangiography
An analysis of one year's experience at our institution with 781 cerebral radioangiograms is reported. In patients who had follow-up radioangiographic evaluation, an overall accuracy of 88% was achieved using the anterior method. Accuracy in detecting carotid occlusive lesions alone was 83%. Detection of subdural hematomas by radioangiography was exceptional….
Primary Article
Attitudinal Changes in Medical Students Taking a Course in Human Values
A semantic differential test was used to find out whether a course in human values in medicine produced changes in the attitudes of students who took the course as compared with the attitudes of those who did not. The results showed that students taking the course retained certain positive values…
Primary Article
Adenocarcinoma of the Colon and Rectum in Young Adults
A retrospective analysis was made in 47 young adults (20 to 40 years of age) with adenocarcinoma of the colon and rectum. Rectal bleeding was the most frequent presenting symptom. Tumor grade had no correlation with survival. Smaller tumors were associated with better prognosis. Depth of invasion was a most…
Primary Article
Lymphangiography as an Aid in Staging Bladder Carcinoma
Eighty patients with historically proven carcinoma of the urinary bladder had pedal lymphangiography as part of their assessment for metastatic disease. Results were correlated with surgical findings within three months of the lymphangiographic interpretation in 49 patients. There were no false-positive lymphangiograms, and only five (10%) false-negative readings were recorded….
Primary Article
Displaced Tibial Shaft Fractures A Comparison of Treatment Methods
Eighty-five overriding tibial shaft fractures (46 open, 39 closed) were treated at Ochsner Foundation Hospital between 1960 and 1972. Nine different treatment methods were employed by seven orthopedic surgeons. The best results were obtained in the nine patients treated by open reduction and either compression plating or external skeletal fixation…
Primary Article
Surgical Treatment of Colovesical Fistula The Value of a One‐Stage Procedure
The records of all patients (43) with colovesical fistulas at Ochsner Clinic were reviewed retrospectively. The presenting symptoms are more often related to the bladder and not to the colon; fecaluria and pneumaturia are almost pathognomonic. The diagnosis may be difficult to obtain on proctoscopy, cystography, or intravenous pyelograms. Roentgenograms…
Primary Article
Familial Occurrence of Multiple Myeloma
Two brothers with multiple myeloma, both with immunoglobulin IgGk, are described. Although the cause and pathogenesis of this disease in instances of familial occurrence are uncertain, genetic predisposition and environmental factors may play a significant role.
Primary Article
Contraception With Norethindrone 0.35 mg Administered Continuously
Microdose norethindrone (0.35 mg taken each day without interruption) was used as an oral contraceptive agent by 168 women for 4,264 months over a five-year span. Seven pregnancies occurred with regular use and two with irregular use, resulting in a drug-effectiveness rate of 1.9 and a use-effectiveness rate of 2.5…
Primary Article
Office and Emergency Room Care of the Injured Hand
A careful initial evaluation and proper treatment of the injured hand can minimize morbidity and assure early recovery. Various hand injuries encountered and their appropriate treatment are discussed. Emphasis is placed on the initial care, and in some instances the definitive treatment, which can be given in the physician's office…
Primary Article
Partial Laryngectomy as Therapy for Cancer of the Larynx After Irradiation Failure
The evolution of therapy for recurrences of cancer of the larynx after radiation therapy is presented. Four case histories of patients having partial laryngectomies after receiving radiation therapy are reported.
