Issue - Southern Medical Association

Editorial

EDITORIALS

Editor's NoteOnce before, the Journal departed from its policy of not putting the likeness of a living person on its cover. It was to mark a Festschrift honoring its retiring editor, Rudolph H. Kampmeier, MD. We have not abandoned our policy—only violated it by again putting on the cover a…

Editorial

PORTRAIT OF A PHYSICIAN

Commentary

The Medium is the Message?

Original Article

Comparison of Media for Dissemination of Information About Cancer in Rural Communities

ABSTRACT:A study was done in Orangeburg County, South Carolina, to compare the effectiveness of the various mass media—television, radio, and newspaper—for the dissemination of educational material about cancer. Effectiveness of these media in reaching certain subpopulations defined by race, sex, income, and population density was also examined. The newspaper was…

Original Article

Caustic Burns of the Esophagus Ten‐Year Results of Aggressive Care

ABSTRACT:In 1967, care of esophageal burns from caustic substances was altered to include immediate esophagoscopy, high doses of steroid, and follow-up dilatations plus cine-esophagograms as needed. Previously, this area averaged six repairs of esophageal stricture each year. Since 1967, there have been no esophageal strictures in 100 patients.

Original Article

GENERAL ANNOUNCEMENTS

(Notices of meetings must be received by the Publications Office four months before the meeting date.)

Original Article

Traumatic Rupture of the Thoracic Aorta

ABSTRACT:Aortic transection secondary to blunt trauma is not an uncommon injury. Prompt recognition and treatment of the injury is required to salvage patients with this type of injury. Ten patients with transection of the thoracic aorta at the isthmus have been treated in the past two years at our institution….

Original Article

Treatment of Metabolic Alkalosis With Intravenous Hydrochloric Acid

ABSTRACT:Severe alkalosis requires aggressive treatment. Twenty patients at the Talmadge Memorial Hospital have been treated for metabolic alkalosis by infusion of dilute hydrochloric acid through a central venous line. The treatment was effective and there were no major complications. Intravenous hydrochloric acid is preferred to other modes of therapy for…

Original Article

Effect of Lidocaine Anesthesia on Pattern of Ventilation and Pulmonary Function Tests

ABSTRACT:The pattern of ventilation (consisting of tidal volume, frequency of breathing, minute ventilation, peak inspiratory flow rate, inspiratory time, mean inspiratory flow rate, and inspiratory time ratio) and pulmonary function tests (consisting of spirometry, lung volumes, and airway resistance) were measured in ten conscious, healthy subjects before and after anesthesia…

Original Article

Mallory‐Weiss Syndrome Retrospective Review of Eight Years' Experience

ABSTRACT:Retrospective review of eight years' experience with the Mallory-Weiss syndrome emphatically supports the need for accurate, early localization of the site of upper gastrointestinal hemorrhage. Pertinent aspects of the history and physical and laboratory evaluation of this group of patients were analyzed to determine the relative merits of each in…

Original Article

Safety and Efficacy of Micronized Estradiol Vaginal Cream

ABSTRACT:Fifty-four postmenopausal patients with atrophic vaginitis satisfactorily completed one to two months' therapy with daily intravaginal application of 0.2 mg of 17β-estradiol in a cream base. No significant alterations were noted in the hematologic, biochemical, and urine analyses. A number of response criteria showed significant improvement (P < .01), including…

Original Article

Major Venous Anomalies Complicating Retroperitoneal Surgery

ABSTRACT:Transposition of the inferior vena cava, duplication of the inferior vena cava, circumaortic renal collar, and retroaortic renal vein constitute the four most common major venous anomalies occurring in the retroperitoneum. Recent clinical cases are presented to review the embryogenesis, incidence, and clinical importance of these anomalies and to alert…

Original Article

Amenorrhea Secondary to Voluntary Weight Loss

ABSTRACT:Obese patients who voluntarily reduce to a normal weight may develop secondary amenorrhea. Six young women who dieted to lose from 13 to 50 pounds, including four from an obese weight, were evaluated because of absent cervical mucus ferning, hypoestrogenic vaginal smears, and failure to have withdrawal menses from a…

Original Article

Incidence of Sepsis in Neonates With Clinical Respiratory Distress

ABSTRACT:Respiratory distress is the most frequent symptom initiating referral to neonatal intensive care centers. Previous reports have indicated that 40&percnt; of infants with sepsis proved by blood culture had respiratory symptoms as their clinical presentation. In this prospective study there were 145 consecutive infants referred because of respiratory distress. Two-site…

Original Article

Use of Transverse Kirschner Wires in Comminuted Facial Fractures

ABSTRACT:Although most facial fractures can be well managed with open reduction and direct wiring of the fracture sites, this treatment is inadequate for some comminuted fractures and further fixation is required. At Charity Hospital in New Orleans transverse Kirschner wires have been routinely used to stabilize the zygoma in these…

Original Article

Penetrating Keratoplasty Using McCarey&hyphen;Kaufman Preserved Corneal Tissue

ABSTRACT:Two hundred consecutive penetrating keratoplasties, using suitable donor corneas stored in modified tissue culture medium (M-K medium), were performed by a single surgeon over a 21-month period. Two hundred consecutive cultures of the donor corneoscleral rims for aerobic and anaerobic bacteria and fungi, done immediately after surgery, yielded 25 positive…

Original Article

Biochemistry and the Schizophrenias

ABSTRACT:This paper reviews the present status of the transmethylation and the dopamine hypotheses of schizophrenia and presents recent data on the definitive identification and measurement of the endogenous hallucinogen, dimethyltryptamine (DMT) in human cerebrospinal fluid and urine. Elevated levels are found in some cases of schizophrenia and of liver disease….

Original Article

Cerebral Bypass Present State of the Art

Original Article

Fungus Balls of the Urinary Tract

ABSTRACT:Fungus balls of the urinary tract are rare and usually associated with infection by Candida albicans. Since 1968 five patients seen at the Medical College of Virginia Hospitals presented with this peculiar manifestation of candidiasis. Summaries of their epidemiologic, clinical, pathologic, and mycologic data are presented. All Candida fungus balls…

Original Article

Evaluation of the Gallbladder by Gray Scale Ultrasonography

ABSTRACT:A review of the results of the evaluation of the gallbladder by gray scale ultrasonography in 52 patients is presented. When the gallbladder was successfully identified by ultrasound (46 patients) the detection of stones was 98&percnt; accurate. When the gallbladder was not identified (four patients), a contracted gallbladder containing numerous…

Original Article

Treatment of Goodpasture's Syndrome With Immunosuppression and Plasmapheresis

ABSTRACT:A 14-year-old boy with Goodpasture's syndrome induced by anti-glomerular-basement-membrane (GBM) antibody exhibited declining renal function, in association with a progressive increase in the level of serum anti-GBM antibody. Treatment with prednisone, cyclophosphamide, and plasmapheresis was associated with rapid disappearance of the serum anti-GBM antibody and temporary stabilization of renal function.

Original Article

Simultaneous Open Prostatectomy and Inguinal Herniorrhaphy

ABSTRACT:We report our results in 18 patients who had simultaneous open prostatectomy and inguinal herniorrhaphy between 1969 and 1976, and present our criteria for patient selection, operative technic, and postoperative results. The incidence of postoperative wound infection and recurrent hernia was 5.6&percnt; and 0 respectively, which compares favorably to results…

Original Article

Chronic Recurrent Variant Angina

ABSTRACT:The natural history of variant angina is described in a patient with multiple exacerbations and remissions over a period of several years. Constant in-hospital electrocardiographic monitoring for 26 days documented 569 episodes of ST elevation, 89&percnt; of which were asymptomatic. Episodes ranged in duration from 15 seconds to 11 1/2…

Original Article

Health and Nutritional Status of Vietnamese Refugees

ABSTRACT:There are presently more than 7,000 Vietnamese refugees living in the greater New Orleans area. This paper summarizes the health and information on nutrition now available regarding Vietnamese refugees living in the United States. It is hoped that this effort will add to the documentation, of the health changes occurring…

Review Article

Nutrition in Pregnancy—1978

ABSTRACT:Nutrition in pregnancy is receiving increased emphasis with the reports of adverse effects of alcohol, tobacco, and drugs on the outcome of pregnancy. Numerous articles concerning nutrition in pregnancy have appeared in the lay press. Almost daily a new method of weight reduction appears as a panacea for a weight…

Current Concepts

Antibiotics in Pregnancy

Article

The Importance of the Doctor to the Dying Patient

ABSTRACT:The physician plays a central role in the emotional as well as the physical care of the dying patient. The concerns of the terminally ill cancer patient include (1) emotional response to the physical limitations of illness, (2) communication with significant others, (3) self-concept, and (4) resolution regarding impending death….

Article

Eponym John Abernethy Fame Forgotten

Case Report

Simultaneous Disseminated Aspergillosis and Zygomycosis in a Leukemic Patient

Case Report

Idiopathic Arterial Calcification of Infancy

Case Report

Familial Gynecomastia Without Hypogonadism

Case Report

Noncirrhotic Portal Hypertension After Arsenic Ingestion

Original Article

Urticaria Subsequent to Administration of Influenza Vaccine

Case Report

Parathyroid Adenoma in a Patient With Multiple Myeloma

Case Report

Extravasation of Contrast Medium From Traumatic Laceration of the Intracerebral Internal Carotid Artery

Original Article

Isolated Bronchial Capillary Hemangioma A Rare Benign Cause of Hemoptysis

Case Report

Stercoraceous Perforation of the Colon

Case Report

Primary Mucus&hyphen;Secreting Adenocarcinoma of the Renal Pelvis

Article

Treatment of Thrombotic Thrombocytopenic Purpura With Plasma Infusions and Cyclophosphamide

Article

Alcohol&hyphen;Induced Cushingoid Syndrome

Article

Hernia of Morgagni's Foramen Presenting as Asymptomatic Pleural Mass

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…

Letter to the Editor

Popular Barbarisms—Home to Roost

Letter to the Editor

George Dock&comma; MD

Letter to the Editor

Hair and the Tourniquet Syndrome

Letter to the Editor

Tobacco Consumption and Human Hair Lead Levels

Letter to the Editor

G&period; Baker Hubbard&comma; Sr&period;&comma; MD Incoming President of SMA