SMJ // March 1978, Volume 71 - Issue 3
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British Health Care Lessons for the USA
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Correction
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Moyamoya Disease in Children
A review of the recent Mayo Clinic experience with stroke in children having cerebral angiography revealed five patients with moyamoya disease. The disease commonly presents as recurrent strokes and only rarely as a seizure disorder. The angiographic pattern suggests that the telangiectasia characteristic of this condition represents normally present dilated…
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Significance of Hemolytic Streptococci for Nashville School Children Clinical and Serologic Observations
The results of this study (1969–1971) confirm previous findings that incidence rates for hemolytic and group A streptococci in Nashville school children fluctuate sporadically. During these two years, there was a significant decrease in streptococcal incidence and in typability of group A streptococci. A positive throat culture was not associated…
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GENERAL ANNOUNCEMENTS
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Radiographic Evaluation of Treatment of Advanced Carcinoma of the Prostate
Radiographic evaluation of 65 patients with disseminated carcinoma of the prostate shows that 8% demonstrated resolution of metastatic deposits after palliative transurethral resection and/or estrogen or castration therapy. The increased effectiveness of therapy and the improved management of patients are reflected in longer survival. Roentgenographic evidence of increasing sclerosis of…
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Prophylactic Antibiotics in Vaginal and Abdominal Hysterectomy
A double-blind, prospective study over a 12-month period evaluated the effectiveness of cefazolin and cephalexin in reducing infection and morbidity in private patients undergoing vaginal and abdominal hysterectomy. Prophylactic antibiotics reduced febrile morbidity from 74.4% to 20.8% in the vaginal group and from 46.2% to 24.0% in the abdominal group….
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Gray Scale Ultrasound in Obstetrics and Gynecology
Ultrasound can provide significant information in the fields of obstetrics and gynecology. Fetal presentation, presence of multiple gestation, and gross fetal abnormalities are easily determined. Measurement of the biparietal diameter correlates more closely with gestational age than does use of the fetogram. In addition, there is no evidence of fetal…
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New Copyright Law
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Diagnostic Compound B‐Mode Ultrasound Scanning in Gynecology
Diagnostic compound B-mode ultrasound scans done on gynecologic patients during the past three years were reviewed and compared with surgical findings or clinical follow-up. The 190 scans were analyzed and categorized as diagnostic, compatible (or confirmatory), equivocal, misleading, or negative. Although only 6.4% were diagnostic, the majority (66.3%) were compatible…
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Progress in Hemostasis and Thrombosis
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The Clinical Features of Sickle Cell Disease
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The Musculoskeletal System Structure and Function in Disease
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A Renal Failure Diet Manual Utilizing the Food Exchange System
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The Mitral Valve A Pluridisciplinary Approach
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Perinatal Medicine
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School Health Problems
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Request for Sex Change
Five patients who presented at the Veterans Administration Mental Hygiene Clinic, Brentwood Hospital, Los Angeles, California, are described. All claimed to be transsexuals and requested estrogens and sex reassignment surgery on admission. They created great difficulty at the time of their admission and follow-up because of the lack of precedents…
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Disorders of Taste and Smell
Symptoms of disorders in taste and smell range from loss of the sensations to an increased sensitivity. Causes include infections, metabolic disorders, and central nervous system disturbances. In many instances, the diagnosis for these disorders is obvious, such as an upper respiratory tract infection. In some cases, the diagnosis eludes…
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Immunologic Studies of Colonic Cancer Evaluation of Immunocompetence
Detailed immunologic studies were done on 29 patients with colorectal cancer. The plasma level of circulating carcinoembryonic antigen, the in vitro reactivity of the peripheral blood leukocytes (PBL) to colorectal-tumor-associated antigens (CTAA), and the competence of the T cell population were determined. The in vitro reactivity of the PBL to…
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Otolaryngologic Manifestations of Acute Leukemia and Lymphoma
This paper reviews the otolaryngologic manifestations of acute leukemia and lymphoma. Our experience includes 50 patients with acute leukemia and 61 patients with lymphoma of the head and neck. Acute leukemia was manifested by infection, bleeding, tissue infiltration, and complications of chemotherapy. Lymphoma manifestations were usually head and neck masses….
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Multiple Flap Coverage for Degloving Hand Injuries
A technic incorporating the simultaneous elevation of multiple adjacent thoracoabdominal pedicle flaps, based in opposite directions, has been successfully used on four patients with extensive degloving injuries of the hand. In all cases, the hand was later divided into individual digits. A five-year follow-up of three patients is presented, illustrating…
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New Arterial Hypertension During Myocardial Infarction
To define the incidence and possible significance of new arterial hypertension during myocardial infarction, the records of 87 consecutive infarct patients were examined. Forty-two patients had a history of previous sustained hypertension and were deleted from the study. Of the remaining 45 patients, one was omitted from consideration because of…
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Functional Status Evaluation Form Development and Implications
A medical audit revealed marked deficiency in the quality of functional evaluations in a rehabilitation hospital. Routine staff educational programs and an optional, simple functional evaluation form failed to correct this deficiency. The functional evaluations of the patients never reached 100% completion and the quality of the evaluations varied widely….
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The New National Center for Health Statistics Growth Charts
Review Article
Medical Treatment of Epilepsy Part I
Current Concepts
Outpatient Surgery Present Status and Future Projections
Case Report
Atopic Dermatitis, Eczema Herpeticum, Infectious Mononucleosis, and Depressed Cell‐Mediated Immunity
An immunologic investigation was undertaken in a patient with atopic dermatitis and infectious mononucleosis complicated by eczema herpeticum. Humoral immunity was normal. The cell-mediated immune (CMI) response was temporarily depressed during the acute phase of the illness as measured by in vivo skin tests, and in vitro tests using T-lymphocyte…
