SMJ // September 1978, Volume 71 - Issue 9
Editorial
DRUGS—AND HOW TO USE THEM
Editorial
THE CASE AGAINST THE FETAL MONITOR
Editorial
GENERAL ANNOUNCEMENTS
Editorial
Acoustic Neuroma Results of Brain Stem Evoked Response Audiometry
ABSTRACTBrain stem evoked response (BER) audiometry presents abnormal findings in patients with acoustic neuromas. The test involves averaging of recordings at the vertex as sound-triggered nerve impulses travel from the cochlea to the brain stem. From the time the sound stimulus arrives at the cochlea until it reaches the first…
Editorial
Saline Lavage A Rapid, Safe, Effective Method of Whole‐Gut Irrigation for Bowel Preparation
ABSTRACTThe standard preparation for cleansing the colon usually involves dietary restrictions, purgatives, and enemas. This is time-consuming, often uncomfortable, and at times unsuccessful. This study of 37 patients examines the efficacy of saline lavage as an alternative method for cleansing the bowel. Isotonic sodium chloride solution is pased into the…
Editorial
Arthroscopic Teaching Technics
ABSTRACTArthroscopy has benefited greatly by the development of the miniaturized television camera. Not only is televised arthroscopy a valuable teaching aid, but it also promises to shorten and make more efficient many of the necessary operative procedures on the knee. A method for accomplishing this is presented.
Editorial
Thoracic Outlet Syndrome A Comprehensive Evaluation
ABSTRACTUsing various modalities, we analyzed 110 patients with thoracic outlet compression syndrome who had extensive evaluation. Nerve conduction velocities and Directional Doppler studies are the most useful adjuncts in diagnosis. Diagnosis and selection of the proper treatment of these patients will be outlined.
Editorial
Malignant Melanoma in Children and Young Adults Effect of Diagnostic Criteria on Staging and End Results
ABSTRACTSince the entity of “juvenile melanoma” was first described, many pathologists have been reluctant to diagnose malignant melanoma in childhood by pathologic criteria alone. In this series of 125 cases, pathologic criteria are used to distinguish malignant melanoma of childhood from spindle and epithelioid nevus. Among the patients reviewed, 110…
Editorial
Small Airway Disease Comparison of Tests in Young Smokers Versus Nonsmokers
ABSTRACTA number of new tests for detection of small airway disease have been developed in the past several years. It is hoped that these will prove valuable as screening tests to detect those at risk of developing obstructive airway disease. We obtained data on the degree of discrimination of single…
Editorial
Value of Routine Flow Studies in Nuclide Brain Scanning
ABSTRACTNuclide brain scanning offers a noninvasive means of obtaining dynamic information about intracranial disease. Lesions which could be missed without the flow study are described, and other instances in which the differential diagnosis is greatly improved by the use of the vascular sequence are demonstrated. We recommend the routine use…
Editorial
Management of Low‐Velocity Gunshot Wounds of the Hand
ABSTRACTOf 41 consecutive patients with low-velocity gunshot wounds to the hand, 28 were treated by superficial debridement of wound edges and 13 were treated by meticulous debridement and exploration under operating room conditions. All patients received antibiotics. All wounds were closed primarily. Some had small drains for 24 to 48…
Editorial
Annotated Contract Technic Special Adolescent Groups
ABSTRACTFifty-six consecutive adolescent inpatients at the Adolescent Center of Houston International Hospital were subjects of a prospective study reviewing the efficacy of the Annotated Contract technic. Three primary diagnostic groups evolved: adjustment reaction of adolescence (ARA); borderline schizophrenia (BL-S); and antisocial personality (A-P). Follow-up of 6 to 20 months showed…
Editorial
Recent Experience With Tetanus in Alabama
ABSTRACTIn recent years, all cases of tetanus reported in the United States have occurred either in unimmunized persons, partially immunized persons, or persons whose immunization history was uncertain. We present our experience with three unimmunized individuals who acquired this disease. One patient became ill after a “clean, minor wound.” Present…
Editorial
Rational Management of Alcohol Withdrawal Seizures
ABSTRACTPhenytoin has traditionally been used for both prophylaxis and acute treatment of alcohol withdrawal seizures. With the exception of a well defined subgroup of withdrawing patients, this may not be appropriate. Chronic anticonvulsant therapy is not indicated without evidence of another underlying seizure diathesis.
Editorial
Combined Use of Lithium and Diuretics
ABSTRACTThree cases demonstrating the effects of the combined use of lithium carbonate and a diuretic are reported. In each case, the serum lithium level rose, or the daily dose was decreased, or both. No clinical problems were noted because of careful monitoring and patient education. The renal excretion of lithium…
Editorial
Blood Transfusion Practices in Surgery An Approach to Intrahospital Analysis
ABSTRACTThis study presents a two-year experience with the use of methods for the intrahospital analysis of surgical blood transfusion practices. Statistical and graphic methods were used to classify 21 types of operations (comprising 2,261 surgical procedures) by patterns of blood requests and usage. Surgical procedures were separated into three groups…
Editorial
Vigorous Intrathoracic Needle Aspiration Biopsy A Micropathologic Technic
ABSTRACTModification of intrathoracic needle aspiration using a vigorous technic consisting of multiple short, plunging, and rotating movements of the needle tip allows retrieval of a micropathologic rather than a cytologic specimen. This often facilitates more specific diagnosis and allows pathologists not expert in cytology to interpret the results. Increased incidence…
Editorial
Serum Lysozyme Activity in Inflammatory Bowel Disease
ABSTRACTSerum lysozyme activity was determined in the sera of 70 patients with inflammatory bowel disease by the lysoplate method. Serum lysozyme levels were significantly elevated only in patients with Crohn's disease of the small bowel. Patients with either granulomatous or ulcerative colitis had serum lysozyme values not different from normals,…
Editorial
Total Hip Replacement in Patients With Rheumatoid Arthritis
ABSTRACTIn this prospective study, 50 patients with a confirmed diagnosis of rheumatoid arthritis had total hip replacement. Preoperatively and at regular intervals postoperatively, all patients had evaluation of pain, ambulation, and range of motion according to the scale of d'Aubigne and Postel. Follow-up ranged from three to seven years, with…
Current Concepts
Current Status of Antiviral Chemotherapy
Current Concepts
BOOKS RECEIVED
Current Concepts
The Isolated Case of Legionnaires' Disease
Article
Sir John Harington, Thomas Crapper, and the Flush Toilet
ABSTRACTWith the population explosion of the last century, major changes in sewage removal and sanitation were necessary. Two men offered important designs for the modern flush toilet. Sir John Harington was a poet in 16th Century England, while Thomas Crapper was a plumber and businessman in the same country 300…
