SMJ // January 1978, Volume 71 - Issue 1
Editorial
CURRENT KNOWLEDGE OF MULTIPLE SCLEROSIS
Primary Article
Influenza, Respiratory Distress and Clear Chest Films Report of Four Cases
ABSTRACT: &NA; Four patients developed severe wheezing and dyspnea with clear chest films during the course of an influenza epidemic. A variety of factors appeared to play a role in the pathogenesis of the respiratory distress. Standard bronchodilator therapy produced no appreciable response. All patients did well with supportive care.
Primary Article
Nursery Exposure of 528 Newborns to a Nurse With Pulmonary Tuberculosis
ABSTRACT: &NA; Newborn infants are thought to be particularly susceptible to infection with Mycobacterium tuberculosis, and the possibility of exposure to unrecognized clinical tuberculosis in nursery and hospital personnel is ever present. To reduce this possibility, periodic skin testing of hospital personnel is often carried out, and tuberculin‐positive personnel are…
Primary Article
Recent Developments in the Prevention of Rabies
Primary Article
Pelvic Displacement Osteotomy in Young Myelodysplastic Patients With Dislocatable Hips*
ABSTRACT &NA; This prospective study of the role that pelvic displacement osteotomy may have in the management of dislocatable hips in patients with myelomeningocele defines the technical points to be considered and gives preliminary results for ten hips in eight children. The procedure may salvage failed posterior iliopsoas transfers or,…
Primary Article
Immediate Spica Cast System for Femoral Shaft Fractures in Infants and Children*
ABSTRACT &NA; From August 1973 through August 1976, 55 femoral shaft fractures in children were treated by manipulative reduction and immediate application of a double hip spica cast. All had satisfactory results and none had serious complications. Data from the study support our opinion that the immediate spica system is…
Primary Article
Pyrah Technic for Ileal Conduit Diversion A 16‐Year Experience*
ABSTRACT &NA; At our institution, 100 patients had ileal conduit diversion using the Pyrah technic between 1959 and 1975. The results of this technic compare favorably with those of other ileal conduit diversions, and it has the advantage of being somewhat shorter than the standard Bricker procedure. Sixty‐seven were done…
Primary Article
Studies of Vesicoureteral Reflux A Review of Work in a Primate Model*
ABSTRACT &NA; Studies of vesicoureteral reflux in a primate model were reviewed. Reflux was found to be uncommon in adults but frequent in infants, suggesting that maturation of the ureterovesical junction occurs. Repeated bladder infections did not prevent this maturation. Infection did not cause reflux unless the junction was only…
Primary Article
Management of Patients With Glaucoma and Cataract*
ABSTRACT &NA; The recent rise in the number of patients with both glaucoma and cataracts has increased the controversy over the management of these concurrent problems. Visual acuity, strength of medication, and previous surgery must be considered when determining whether to do cataract extraction alone, glaucoma surgery alone, or a…
Primary Article
Comparison of Morphine and Ketamine Anesthetic Technics for Coronary Surgery A Randomized Study*
ABSTRACT: &NA; Thirty consecutive patients with angiographically demonstrated coronary artery disease randomly received anesthesia either with morphine, diazepam, nitrous oxide in oxygen, and pancuronium (group 1—16 patients), or with ketamine, nitrous oxide in oxygen, and pancuronium (group 2—14 patients). The incidence of intraoperative complications was the same in both groups:…
Primary Article
Coordinated Metabolic and Obstetric Management of Diabetic Pregnancy*
ABSTRACT: &NA; Diabetes during pregnancy is associated with insulin resistance, an increase in insulin requirement, and a greater tendency to ketosis and ketoacidosis. Increased perinatal mortality is related to maternal hyperglycemia and can be decreased dramatically with strict control of plasma glucose during pregnancy and a smooth‐working obstetrician‐internist‐neonatologist team. Bad…
Primary Article
Role of Sodium Intake in the Antihypertensive Effect of Propranolol*
ABSTRACT: &NA; Twelve hypertensive patients had measurements of body weight, blood pressure, plasma renin activity, and plasma volume during periods of normal sodium intake and acute sodium depletion. After receiving propranolol orally for four to 14 weeks, repeat measurements were obtained under identical conditions of sodium intake. During normal sodium…
Primary Article
Normal Hematologic Values Obtained With a Coulter Counter, Model S
ABSTRACT: &NA; A survey was made of hematologic values obtained with the Coulter Counter, Model S, at American Medical Laboratories, Inc. Blood specimens from 6,887 outpatient men, women, and children were analyzed according to age and sex. Patients being seen by nephrologists, hematologists, and oncologists were excluded from the study….
Review Article
Fetal and Maternal Indications for Considering Abortion
ABSTRACT: &NA; Medical indications for abortion rest on estimating the risk of an abnormal outcome of pregnancy. Recent advances have greatly increased our ability to predict the outcome for both mother and child. Given the safety of aminocentesis and the many disorders now diagnosable prenatally, genetic counseling has evolved from…
