SMJ // September 1976, Volume 69 - Issue 9
Editorial
PROBLEMS IN THE ERADICATION OF MEASLES
Commentary
The Newer Forms of Insulin
Primary Article
Insulin Allergy An Approach to Therapy
ABSTRACT: &NA; Insulin can evoke local and systemic hypersensitivity responses after injection. Many individuals receiving commercial insulin preparations experience local reactions, usually of short duration. A case of severe, persistent insulin‐induced skin allergy and the use of therapy, including hyposensitization, to alleviate symptoms are discussed.
Primary Article
St. Louis Encephalitis Clinical and Epidemiologic Aspects, Mississippi, 1974
ABSTRACT: &NA; During July, August, and September 1974, 23 confirmed or presumptive cases of St. Louis encephalitis occurred in Mississippi. Attack rates were highest in the northwest corner of the state and among persons over 70 years of age. Rural and urban residents had similar attack rates. Nine persons have…
Primary Article
Mohs' Chemosurgery and Skin Cancer
ABSTRACT: &NA; Experience in treating 1,275 skin cancers with Mohs' chemosurgery is presented. The Mohs technic uses microscopic examination to avoid excision of normal tissue and assure complete removal of the tumor. Chemosurgery is indicated for tumors which are poorly demarcated or which arise in areas known to have a…
Primary Article
Clinical Comparison of Isoflurane and Halothane Anesthetics*
ABSTRACT: &NA; Isoflurane and halothane were compared in two similar groups of 100 patients each. Isoflurane compared favorably with halothane in producing adequate anesthesia in all our patients. Induction period was a little stormy when there was direct induction with isoflurane. Maintenance was excellent and recovery was good. Mean concentration…
Primary Article
Pancreatic Ascites
ABSTRACT: &NA; Two patients with pancreatic ascites secondary to acute pancreatitis are presented. Successful drainage was carried out in one patient with distal pancreatectomy and Roux‐en‐Y pancreaticojejunostomy and in the other by cystoduodenostomy. Most cases of pancreatic ascites are due to a mild peritoneal reaction caused by inactivated pancreatic enzymes…
Primary Article
Adolescent Genital Dermatoses
ABSTRACT: &NA; The female adolescent period rivals the menopausal years as a most tumultuous interval. Hormonal changes account for many dermatoses not seen in older women. Vulvar problems that commonly affect the adolescent are discussed in reference to the pathophysiology which may induce these changes. The hormonal milium at this…
Primary Article
Protective Effects of Ileal Bypass Versus Administration of Clofibrate on Experimental Hypercholesterolemia and Atherosclerosis in Monkeys*
ABSTRACT: &NA; This study was designed to compare the ability of distal intestinal bypass versus clofibrate administration to prevent the development of atherosclerosis and hypercholesterolemia in monkeys on a standardized atherogenic regimen. Three groups of monkeys were studied: one group was submitted to intestinal bypass, one group was fed clofibrate,…
Primary Article
Which Colonic Polyps Should Be Excised Endoscopically?*
ABSTRACT: &NA; A review of 464 consecutive polypoid lesions of the colon reveals that virtually all pedunculated polyps and over 80% of 218 sessile polyps were removed colonoscopically. Although size or location of the lesion occasionally precludes colonoscopic excision, the endoscopic appearance of a sessile polyp is the most important…
Primary Article
Pyogenic Granuloma of the Hand*
ABSTRACT: &NA; Pyogenic granuloma is a benign, vascular lesion occasionally seen on the hand. It may be quite alarming to the patient. Adequate surgical excision is advocated as the treatment of choice.
Primary Article
Infective Endocarditis as a Complication of Heroin Use
ABSTRACT: &NA; Infective endocarditis in heroin addicts has been reported to have a mortality as high as 85% and reports have varied widely regarding predominant valvular involvement and infecting microorganisms. A retrospective study was done and 61 cases of heroin‐associated infective endocarditis were identified at Freedmen's Hospital and the District…
Primary Article
Culture, Adaptation, and Patterns of Disease
ABSTRACT: &NA; The sick patient, rather than the disease process itself, should occupy the central focus of the physician's attention. Such an approach recognizes the interaction of physiologic and emotional forces in the occurrence of disease. It allows for a consideration of the contributory role of emotions in the precipitation…
Case Report
Congenital Tuberculosis
Primary Article
Acute Leukemia in Adults Comparison of Survival Between a Treated and an Untreated Group
ABSTRACT: &NA; Survival and response to chemotherapy were evaluated in 84 adults with acute granulocytic leukemia (AGL) and 22 with acute lymphocytic leukemia (ALL). Twenty‐two of the 84 patients with AGL received no chemotherapy (untreated group). The median survival for patients with AGL who achieved a complete remission (CR) was…
Primary Article
Appendicitis in Pregnancy*
ABSTRACT: &NA; Twenty‐nine cases of acute appendicitis during pregnancy are presented, and the recent literature is reviewed. Occurring once in 1,600 gestations, appendicitis carries a pregnancy loss of 10.8%. Difficulties in diagnosis and delays in treatment increase with advancing gestational age. Aggressive management may minimize the resultant maternal morbidity and…
Primary Article
Reconstruction of the Oral Cavity After Obliterative Surgery for Cancer*
ABSTRACT: &NA; Simple and reliable methods for reconstruction of the oral cavity after obliterative surgery for carcinoma include (1) nasolabial cheek flaps, (2) hemiforehead and total forehead flaps, and (3) temporal island flaps. In general, the nasolabial flap is sufficient for resurfacing areas of the oral cavity anterior to the…
Primary Article
Brief Treatment of Sexual Problems*
ABSTRACT: &NA; Brief, behaviorally oriented treatment of sexual dysfunction is gaining increasing acceptance in medicine and psychiatry. However, relatively few clinics have published their treatment results. During a 2½‐year period, 36 couples with diagnoses of sexual dysfunction were treated with a modified Masters and Johnson protocol. The initial success rate…
Primary Article
Cardiac Valve Replacement in the First 21 Years of Life*
ABSTRACT: &NA; From 1969 through 1974, 25 patients under age 21 years had prosthetic cardiac valve replacement at the Emory University Hospital. Twenty‐nine valves were replaced in this group. Patients ranged in age from 2 to 21 years, with a mean of 14 years. Concomitant correction of associated cardiac lesions…
Primary Article
Histologic Factors Affecting Prognosis of Pure Seminoma of the Testis*
ABSTRACT: &NA; The histologic features of 92 cases of pure seminoma of the testis were reviewed in relation to the presence and degree of fibrosis, necrosis, granulomatous and lymphocytic reactions, interstitial cell hyperplasia, and lymphatic and/or vascular invasion associated with the primary tumor. No relationship between any of the histologic…
Announcement
CLASSIFIED ADVERTISEMENTS
Primary Article
Early Surgical Management of Penetrating Ocular Injuries Involving the Posterior Segment*
ABSTRACT: &NA; Pars plana vitrectomy technic can be used in the early management of certain penetrating ocular injuries involving the posterior segment, including selected intraocular foreign bodies. This study reports the results of ten consecutive cases of intraocular foreign bodies in the posterior segment treated by a combination of vitrectomy…
Review Article
Anaerobic Infections Diagnosis and Treatment
ABSTRACT: &NA; Anaerobic bacteria outnumber aerobic bacteria in normal flora in the oropharynx and gastrointestinal tract. They are important and frequent causes of infection, although they often go unrecognized except in the classic and very distinctive clostridial infections and intoxications—gas gangrene, botulism, and tetanus. Although anaerobic infections often originate close…
Current Concepts
Immunology of the Lung
Current Concepts
Serologic Diagnosis of Syphilis An Update*
ABSTRACT: &NA; Tests used in the serologic diagnosis of syphilis can be divided into two main groups: nontreponemal (reagin) tests and treponemal tests. The most widely used nontreponemal test is the Venereal Disease Research Laboratory (VDRL) slide test, and the standard treponemal test is the manual fluorescent treponemal antibody‐absorption (FTA‐ABS)…
