SMJ // February 1978, Volume 71 - Issue 2
Editorial
UNDESCENDED TESTES
Editorial
GENERAL ANNOUNCEMENTS
Editorial
Bronchial Carcinoids and Hormonal Disorder
ABSTRACTThe relationship between bronchial carcinoids and hormonal disorder is reviewed in the light of a study of 24 patients with carcinoid tumors of the bronchus. In this series, two patients presented with manifestations of the polyendocrine disorder. The common origin of carcinoid tumors and other APUD cells from neural crest…
Editorial
Exercise‐Induced Asthma
Editorial
Supraglottic Laryngectomy
ABSTRACTThis paper describes the experience with subtotal supraglottic laryngectomy for laryngeal carcinoma at the Department of Otolaryngology of the Tulane University School of Medicine. Of 36 patients, 32 (89%) had local control of disease at one year. Of 27 patients followed up for at least three years, 22 (81%) are…
Editorial
Growth and Development in Children Receiving Hemodialysis
ABSTRACTFive children, aged 12 to 18 years, received intermittent hemodialysis for as long as 60 months. Linear growth and development progressed in all children. Growth rate was 60% to 260% of the expected increment. Four of the children developed secondary sexual characteristics. Prolonged hemodialysis combined with good nutrition may promote…
Editorial
Meningomyelocele Skin Defects
ABSTRACTMeningomyelcele skin defects in ten newborn infants were closed with bilateral lumbar transposition flaps and split-thickness skin grafts. Eight repairs healed promptly without incident. The superficial layer of the flaps in one patient necrosed and were replaced by skin grafts. One patient died of pneumonia and overwhelming sepsis, though the…
Editorial
Nasal Masses in Infants and Children
ABSTRACTNasal or perinasal masses in children may be classified as congential or developmental masses, inflammatory lesions, or benign or malignant neoplasms. Because of a possible connection with the central nervous system, nasal masses may be difficult to manage. A premature biopsy, or even a noninvasive palpation, may precipitate intracranial infection,…
Editorial
Bronchoscopy in the Community Hospital
ABSTRACTA new Pulmonary Medicine–Thoracic Surgery service was established in a community hospital in July 1974. This report details the experience of 409 bronchoscopies performed from July 1, 1974 through Dec 31, 1976. There were no deaths and four complications—one aspiration and three pneumothoraces resulting from transbronchial lung biopsy. Final diagnoses…
Editorial
Gastroscopy in Surgical Practice
ABSTRACTWe reviewed the records of 100 consecutive patients who had gastroscopy. All endoscopic work was done by our four-man surgical group. Roentgenographic and endoscopic diagnoses are compared with reference to degree of accuracy. The expanded uses of gastroscopy in surgical practice are illustrated and a plea is made for increased…
Editorial
Approach to the Management of Pleural Effusion in Malignancy
ABSTRACTThe diagnostic and therapeutic approaches to malignant pleural effusions are reviewed, and data on the retrospective study of 37 patients are presented with respect to diagnosis and management. All patients with stable effusions should be managed with systemic therapy for the primary tumor when an effective agent is available. When…
Editorial
An Evaluation of Levamisole for Treatment of Ascariasis
ABSTRACTLevamisole (Decaris, Belgium) was tested in Iran, Brazil, and in Mississippi and Louisiana for its efficacy as a single-dose oral treatment for Ascaris infections. Subjects were children ages 2 to 15 years, and numbers treated with levamisole and comparative anthelminitics are as follows: 453 with levamisole; 461 with piperazine citrate;…
Vignette on Medical Writing
Medical Writing at the M*A*S*H 4077
Article
Seven‐Day Clotrimazole Therapy for Vulvovaginal Candidiasis
ABSTRACTThere were 150 patients with mycologically proven vulvovaginal candidiasis in a randomized, non-cross-over study which compared seven- and 14-day treatment courses of clotrimazole vaginal tablets (Gyne-Lotrimin) with a 14-day treatment course of miconazole nitrate 2% vaginal cream (Monistat). Adequate data for analyses were obtained for 117 patients. When patients were…
Article
Carpal Tunnel Syndrome in Pregnancy
ABSTRACTOccurrence of the carpal tunnel syndrome in pregnancy was studied by examining 100 consecutive obstetric admissions. Twenty-one patients reported paresthesias or hypesthesia in the median nerve sensory distribution of the hand during the pregnancy; eight of these had decreased sensation subjectively at the time of examination one to three days…
Article
Zickel Nail A Retrospective Study of Subtrochanteric Fractures
ABSTRACTNineteen subtrochanteric fractures were treated at Charlotte Memorial Hospital and Medical Center between March 1973 and March 1976 by open reduction and internal fixation using the Zickel nail. Postoperative roentgenograms showed the cross-nail exiting the femoral neck in three of the cases, but this later proved not to be significant….
Article
On Defining Microcardia Application in Pulmonary Emphysema
ABSTRACTPulmonary emphysema was the disease entity from which we derived a definition for microcardia in males. After the fourth decade, a cardiothoracic ratio of 38% or less is considered to represent a small heart. Among male Veterans Hospital patients between the ages of 41 and 83, the probability of an…
Article
Intraoperative Patient Monitoring A Method of Analyzing Esophageal Phonocardiograms
ABSTRACTThe value of esophageal phonocardiography as a noninvasive monitor during anesthesia was studied in dogs. Esophageal phonocardiograms were analyzed using fast Fourier transform and least squares linear regression technics. This method has demonstrated that it is feasible to estimate two parameters of cardiac contractility—1/(PEP)2 and stroke power—and one parameter that…
Article
Hypertension and Anesthesia Cause for Concern
ABSTRACTOur clinical experience and the literature regarding anesthetic management of the hypertensive patient are reviewed. Preoperative evaluation and treatment of all hypertensive patients, regardless of their degree of lability, is recommended. For emergency surgery on an untreated hypertensive patient, control of blood pressure with nitroprusside should be attempted before an…
Article
Hair Transplantation Using Local Hypothermia
ABSTRACTThe frequency of hair transplantation for treatment of male alopecia is increasing, and much time is consumed in free scalp plug removal and implantation. The amount of time depends upon the number of grafts required. Plugs ranging in diameter from 2 to 4 mm are recommended since larger sizes have…
Article
Oxygen Concentrations Received From Commonly Used Delivery Systems
ABSTRACTThe mean inhaled oxygen concentrations received from five devices commonly used for delivering supplemental oxygen to spontaneously breathing patients were determined. The ideal technic for the determination would required direct measurement of mean alveolar oxygen concentration. Since this is not feasible, we plotted arterial oxygen tensions against known inhaled oxygen…
Article
Angiography of the Pancreas
ABSTRACTThe diagnostic potentials of pancreatic angiography are discussed on the basis of four illustrative cases and a review of the pertinent literature. It is concluded that selective visceral angiography properly applied is of great value in diagnosing carcinoma of the pancreas and in determining resectability of pancreatic tumors.
Article
Preoperative Oral Antacid Therapy for Patients Requiring Emergency Surgery
ABSTRACTPreoperative oral antacid therapy has been used effectively to reduce the number of emergency obstetric patients “at risk” of developing acid-aspiration syndrome. Thirty-three nonobstetric adult patients requiring emergency surgery were selected to determine whether the protective effects of antacid therapy could also be derived in this highrisk group. Maalox-treated patients…
Review Article
Role of Cell‐Wall-Defective Microbial Variants in Human Infections
ABSTRACTFor more than 40 years microbiologists have known that bacteria with absent or defective cell walls could survive and even multiply. Such pleomorphic or spherical variants of bacteria have been commonly called protoplasts, spheroplasts, and L-forms. Although these terms have been used interchangeably, a more precise definition of each, based…
