Issue - Southern Medical Association

Editorial

NUTRITIONAL STATUS OF PRESCHOOL CHILDREN

Editorial

THE IMPORTED FIRE ANT HEALTH HAZARD OR NUISANCE?

Editorial

Management of Breast Cancer Past, Present, Future

ABSTRACTThe historical management of breast cancer leading up to the Halsted era is reviewed. Radical mastectomy is examined and evaluated in the light of cancer staging, and different modes of treatment are discussed. The question of what type of surgery and adjuvant therapy is best for each patient is not…

Editorial

GENERAL ANNOUNCEMENTS

Editorial

The Breast Cancer Conundrum

ABSTRACTThe rate of survival for patients with breast cancer is determined by the interaction of the tumor spread and the tissue ablated by the method. Clinical estimates of tumor spread are grossly inaccurate. Therefore the rate of survival is an unreliable index of the quality of the method, and a…

Editorial

The Southern Medical Association Cancer Information Center

Editorial

Cholesterol Crystal Microembolization A Cause of the Restless Leg Syndrome

ABSTRACTThe restless leg syndrome is characterized by unpleasant lower extremity nocturnal aching, muscle cramps, and restless shuffling. Although the cause remains unknown in the majority of cases, two instances are reported of the restless leg syndrome caused by peripheral cholesterol crystal microemboli. The syndrome caused by cholesterol microemboli and the…

Editorial

Retrospective Critical Review and Analysis of Bilateral Staged Pulmonary Resections for Treatment of Pulmonary Tuberculosis

ABSTRACTA critical retrospective analysis of 14 cases of bilateral staged pulmonary resections for the treatment of pulmonary tuberculosis is described. Lobectomies with or without segmentectomies were the preferred procedures. The four positive cases had mostly cavitary disease (85%) with positive bacteriologic culture from the specimens (75%). The ten negative cases…

Editorial

An Analysis of Practice in Georgia and South Dakota

ABSTRACTFamily practitioners in Georgia and South Dakota were surveyed in order to ascertain percentage of practice devoted to various specialty areas, daily case loads, type of diagnoses, method of handling telephone calls, and patterns of agency utilization. Questionnaires were sent to all South Dakota and Georgia family practitioners. In Georgia…

Case Report

Rupture of the Jejunum Secondary to Blunt Trauma in a Football Player

Case Report

Alveolar Soft Part Sarcoma

ABSTRACTAlveolar soft part sarcoma is a rare, highly malignant tumor. It usually arises in the skeletal muscles in the extremities of patients in their second or third decade with a female preponderance of 2:1. Three additional cases, including the angiographic findings, have been presented. The literature pertaining to this subject…

Case Report

Brain Death—Medicolegal Status

ABSTRACTThe use of the EEG, the evolution of the concept of “brain death,” and the present status of “brain death” and its medicolegal implications are reviewed.

Case Report

Blood Trace Metals in Military Recruits

ABSTRACTWhole blood samples obtained from 2,000 military recruits were analyzed for cadmium, copper, lead, and zinc by atomic absorption spectroscopy. Whole blood copper levels were symmetrically distributed and those for cadmium, lead, and zinc were positively skewed. Average whole blood levels for copper and zinc were generally comparable to published…

Case Report

Isoniazid‐lnduced Convulsions Part I—Clinical

ABSTRACTAcute isoniazid overdose and toxicity may be complicated by convulsions and death. Six patients are reported, one of whom ingested simultaneously 15 gm of isoniazid and 5 gm of pyridoxine hydrochloride (vitamin B6i); no convulsions resulted. In the light of this and other experience, suggestions are made for the use…

Case Report

Multiple Myeloma in Oklahoma Racial, Age, Sex, Geographic and Time Variations

ABSTRACTOklahoma death certificates listing multiple myeloma as the underlying cause of death during the period 1950–1970 were examined for secular trends, and geographic and demographic characteristics associated with the disease. An upward trend in the death rates for all age, sex, and race groups was found; the most dramatic Increases…

Case Report

Lymphocele Following Renal Transplantation Value of Ultrasonography in Diagnosis and Follow‐up Studies

ABSTRACTThe case of a perirenal lymphocele complicating renal homotransplantation and simulating early rejection is presented. Multiple aspirations of the lymphocele combined with open drainage resulted in cure and return of good renal function. Ultrasonography allowed identification of the lymphocele and an assessment of its response to treatment.

Case Report

Treatment of Aseptic Necrosis of the Femoral Head With Phemister‐type Bone Grafts

ABSTRACTThis study was performed in order to assess the success and failure of bone grafting in early aseptic necrosis of the hip. Ten patients (11 hips) with a minimum of two years follow-up were evaluated by radiographic and clinical parameters. Seven of the 11 hips had good or excellent results….

Case Report

A New Instrument for Uncomplicated Emergency Cricothyrotomy

ABSTRACTA new device for establishing an emergency airway provides sterility, anesthesia, control of bleeding, safe and quick entrance into the cricothyroid space, and adequate air exchange. In addition, the device is compatible with standard anesthetic and resuscitation machines, inexpensive, and small enough to be carried in a pocket.

Case Report

Sudden Unexplained Death in a Psychiatric Patient Taking Thioridazine

Case Report

Epidemiologic Aspects of Nosocomial Infections

ABSTRACTIn a currently ongoing surveillance of hospital-associated infections in two metropolitan hospitals in Oklahoma, the results over a four-month period suggest at least tentative principles of host-agent relationships in hospital-associated infections. Within the urinary tract, the site with the highest number of total isolations, Escherichia coli and Klebsiella pneumoniae were…

Case Report

Rare Tumors of the Ear, Nose and Throat Synovial Sarcoma of the Head and Neck

ABSTRACTSynovial sarcoma is a rare neoplasm of mesenchymal origin. Contrary to earlier beliefs, this tumor does not arise from the synovial lining of joints and bursae, but develops from pluripotential mesenchymal cells through abnormal differentiation into synovial neoplasms. Macroscopically there are no distinguishing features. Microscopically the tumor is characterized by…

Case Report

Electroencephalographic Findings in Patients With Mild Parkinson's Disease Treated With L‐dopa and Placebo

ABSTRACTThe prognostic value of electroencephalograms in patients with early or mild Parkinson's disease treated with L-dopa is discussed. Fifteen patients with early or mild Parkinson's disease were studied clinically and electroencephalographically while receiving L-dopa or placebo treatment. Only a low incidence (four patients, 27%) of EEG abnormality was found. These…

Book Review

Major Problems in Childhood Cancer

Book Review

Minimal Brain Dysfunction

Book Review

Cast‐Bracing for Femoral Shaft Fractures

ABSTRACTThe femoral cast-brace offers a new method of treatment for femoral shaft fractures. The cast-brace is especially well suited to fractures below the isthmus, although it can be used to treat those more proximal by giving special attention to detail. The method allows early knee motion without prolonged bed rest….

Book Review

Barrett's Esophagus A Multifaceted Condition

ABSTRACTFive patients with Barrett's esophagus, each with a differing presentation, serve as the basis of this report. Hiatal hernia is noted to be frequently present in Barrett's esophagus, and the incidence of adenocarcinoma is thought to be distinctly increased. The condition is easily diagnosed by fiberoptic endoscopy and verified by…

Book Review

Conservative Management of Low Back Pain

ABSTRACTWith the apparent indefinite postponement of the release of chymopapain for lumbar disk disorders, it seems appropriate to review critically the proliferation of proposed methods of management of this common complaint, particularly the numerous exercise regimens which have been set forth as helpful. A critical review of these regimens quickly…

Case Report

Staphylococcal Septicemia Successful Treatment of Complications in a Child

Case Report

Arteriomesenteric Duodenal Compression Syndrome Comparison of Methods of Treatment

ABSTRACTA group of 80 patients with arteriomesenteric duodenal compression syndrome was reviewed, 48 from the general population and 32 from the Hines, Illinois, VA Hospital. Differences in the patient populations are pointed out, as are differences in the therapeutic results. An additional series is reported. Duodenojejunostomy is a safe and…

Book Review

Monocytes, Monocytosis and Monocytic Leukemia

Book Review

Hospital Pharmacy Journal Articles

Book Review

Index of Paramedical Vocabulary

Case Report

Early Bilateral Eighth Nerve Involvement in Meningococcal Meningitis

Review Article

The Variant Form of Angina Pectoris

ABSTRACTVariant angina pectoris, usually not precipitated by exertion or emotional stress, often is more severe and lasts longer than classic angina. The pain tends to recur at about the same time each day. Arrhythmias, usually ventricular, occur in about 50% of cases during the peak of pain. Electrocardiograms show a…

Current Concepts

Immunization Against Influenza

Current Concepts

Assessment of Immunocompetence in the Routine Evaluation of the Cancer Patient

Article

Thomas Jefferson The Scholarly Politician and His Influence on Medicine

Article

Problem‐Oriented Clinicopathologic Conference Aortic Insufficiency and Coma in a 39‐Year-Old Woman

Case Report

Clindamycin‐Associated Pseudomembranous Colitis Treated With Prednisone

Case Report

The Unexpected Pheochromocytoma

Case Report

Liver Hernia Diagnosed by Liver Scan and Confirmed by Angiography

Case Report

Polysplenic Syndrome in Association With a Rudimentary Spleen

Letter to the Editor

COMMENTS FROM THE READERS

Letter to the Editor

To the Editor