Issue - Southern Medical Association

Editorial

FEWER DOCTORS SMOKE

Editorial

DRUG‐VITAMIN INTERRELATIONSHIPS

Editorial

GENERAL ANNOUNCEMENTS

Primary Article

Mothers Are Still Mortal

ABSTRACTThe origin, background, and mechanism of operation of the Maternal Mortality Study Committee in Wisconsin is outlined. Its value as a teaching vehicle is emphasized. Trends in maternal mortality in Wisconsin and the continued decline are presented, with 45 per 100,000 live births in 1953 to 9.2 per 100,000 live-births…

Primary Article

Assessing Psychologic Symptoms in Adolescents

ABSTRACTAssessing the meaning of psychologic symptoms in adolescents can be a difficult task. Pediatricians, internists, and family practitioners are often the first professionals consulted by families worried that their teen-agers may be in psychologic distress. The practitioner is faced with the difficult decision of meeting the adolescent's need himself or…

Primary Article

Childhood Enuresis A Psychologic Perspective

ABSTRACTChildhood enuresis has long been an enigmatic clinical entity. The purpose of this paper is to focus current psychologic thinking as it applies to etiology, diagnostic work-up, treatment, and follow-up. A large number of etiologic formulations are briefly mentioned, but our primary thrust is to emphasize the psychologic liabilities of…

Primary Article

Rhegmatogenous Retinal Detachment Complicating Diabetic Retinopathy

ABSTRACTRetinal detachment complicating proliferative diabetic retinopathy is being recognized with increasing frequency. Although one type of detachment is tractional and requires vitrectomy for hopeful repair, the other variety of detachment is rhegmatogenous. The rhegmatogenous form of retinal detachment does not generally require the radical surgical approach of vitrectomy. However, because…

Primary Article

Carcinoid Tumor in Retinitis Pigmentosa

ABSTRACTA carcinoid tumor was discovered by chance in a 25-year-old woman with the dominant type of retinitis pigmentosa. Although a coincidental association cannot be ruled out, there is at least a possibility that the two diseases have a common embryologic origin.

Primary Article

Interposition Mesocaval Shunt for Bleeding Esophageal Varices Clinical, Hemodynamic, and Metabolic Changes

ABSTRACTTwenty-three patients bleeding from varices had mesocaval H-grafts using Dacron prosthetic material. There were 21 men and two women with ages ranging from 37 to 60 years. There were 11 elective and 12 emergency procedures. Five patients (17%) were classified as Child's class A, seven (34%) as class B, and…

Primary Article

Emergency Operations for Crohn's Disease

ABSTRACTSeventeen patients with Crohn's disease requiring emergency operative procedures disclosed important factors leading to successful outcome. In seven of the ten patients not known to have Crohn's disease, the history strongly suggested this diagnosis. Two patients died; three others had major complications, including two anastomotic leaks and two postoperative intraperitoneal…

Primary Article

Amnesia

ABSTRACTAmnesia is a common clinical problem characterized by four features: (1) normal immediate recall, (2) impaired ability to learn, (3) relatively spared ability to retrieve previously learned material, and (4) preserved cognitive and personality characteristics. Amnesia occurs as a distinct mental disorder, and nine variations seen clinically are described here:…

Primary Article

Palliation of Inoperable Head and Neck Cancer Combined Intra‐arterial Infusion Chemotherapy and Irradiation

ABSTRACTPalliation of unresectable head and neck cancer remains a difficult problem. Because of excellent results reported by others with infusion of vinblastine, methotrexate, and 5-fluorouracil into the external carotid artery followed by irradiation before curative surgery, we applied this technic to 22 patients with advanced head and neck cancer. Fifteen…

Primary Article

Bacteriologic Examination of Autologous Blood

ABSTRACTIt is common practice in many cardiovascular surgical centers to withdraw 10% to 15% of a patient's blood volume before instituting cardiopulmonary bypass, for later transfusion. The autologous blood units are stored in the operating room at an ambient temperature of 20 to 22 C for periods of up to…

Primary Article

Serum Parathormone in the Identification and Surgical Management of Hyperparathyroidism

ABSTRACTA prospective series of 200 patients with persistent hypercalcemia had an abbreviated diagnostic work-up consisting of parathormone radioimmunoassay, chest roentgenogram, intravenous pyelography, and serum protein electrophoresis. All patients with hypercalcemia and hyperparathormonism had neck exploration if roentgenograms failed to reveal evidence of ectopic hyperparathyroidism. Serum iPTH proved to be at…

Primary Article

Pharmacologic Dilatation of the Ductus Arteriosus With Prostaglandin E1 in Infants With Congenital Heart Disease

ABSTRACTProstaglandin E1 (PGE1) has been used for successful palliation in nine infants with congenital heart disease. Seven patients had pulmonary atresia with ductal-dependent pulmonary blood flow. In this group, systemic O2 saturation increased from a mean value of 45% to 79% after infusion of PGE1, and surgical palliation was successfully…

Primary Article

Silicosis in Kaolin Workers and Firebrick Makers

ABSTRACTNine patients with disabling pneumoconiosis were selected over a three-year period for study because of a work history of kaolin exposure. All had worked in the Missouri firebrick industry. Chest roentgenograms from all nine and lung tissue from two were consistent with silicosis. Worksite analysis of airborne dust at several…

Primary Article

Primary and Membranous Dysmenorrhea

ABSTRACTOrganic, physiologic, and psychologic causes of dysmenorrhea are presented. Signs and symptoms include pelvic fullness, nausea, vomiting, diarrhea, urinary frequency, nervousness, and headaches. Primary dysmenorrhea has been treated with analgesics, diuretics, and antispasmodics. Androgen therapy was also found to be effective, but it cannot be used for women who have…

Primary Article

Improved Treatment Via Home Monitoring of Refractory Vertigo

ABSTRACTThe ubiquity of dizziness in clinical practice and the complexity of diagnosis and treatment has necessitated the development of a home monitoring procedure which assists the patient in collecting information concerning the course of his condition and his response to therapy. A case report of a patient with refractory, long-term,…

Primary Article

Frustrations in Renal Donation

ABSTRACTExtensive evaluation of a small series of potential renal donors has revealed an alarming rate of previously unsuspected disease precluding acceptability for renal donation. Of 19 patients considered for donation at the Medical University of South Carolina, 15 were unsuitable for medical reasons (diabetes mellitus, multiple sclerosis, sickle cell trait,…

Grand Rounds

Saturday Conference Non‐Hodgkin's Lymphoma

ABSTRACTThe non-Hodgkin's lymphomas represent an area of rapid medical progress. Recent studies of staging have suggested that with respect to therapy disease is either limited (stage I or II) or advanced (stage III or IV). Bone marrow biopsy is important as an initial staging tool, and retroperitoneal evaluation (lymphangiography, ultrasound)…

Review Article

Human Leukocyte Antigens (HLA)

Review Article

The Role of Hormones in Endometrial Cancer

Current Concepts

Uses and Abuses of Psychoactive Drugs

Article

Leprosy Biblical Opprobrium?

Article

Eponym William John Little and His Large Contribution to Medicine

Case Report

Angioid Streaks in Pituitary Tumor

Case Report

“Cholera Solution” in Short Bowel Syndrome

Case Report

Intramural Coronary Artery as a Cause of Unstable Angina Pectoris

Case Report

Malignant Melanoma Metastatic to the Gastrointestinal Tract From an Occult Primary Tumor

Case Report

Circulating Anticoagulant Associated With Chronic Active Hepatitis

Article

Vincristine‐Induced Quadriparesis

Article

Gram‐Negative Endocarditis Caused by Campylobacter fetus

Letter to the Editor

LETTERS TO THE EDITOR

(Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the Journal. They will be published, if found suitable, as space permits. Like other material submitted for publication, Letters must be typewritten…

Article

Veni, Vidi, Vici

Letter to the Editor

Yellow Fever and the Big Ditch

Article

Thomas B. Dameron, Jr., MD Incoming President of SMA