SMJ // January 1982, Volume 75 - Issue 1
Primary Article
Rocky Mountain Spotted Fever in the United States Use of Age-Specific Incidence to Determine Public Health Policy for a Vector-Borne Disease
ABSTRACTThe increasing national and regional incidence of Rocky Mountain spotted fever (RMSF) during the past two decades led us to look at nationally collected epidemiologic data on reported cases of RMSF for 1975 through 1978, paying special attention to age-specific incidence in the states where the disease is most common….
Primary Article
Reliability of Histopathologic Diagnosis of Cervical Intraepithelial Neoplasia
ABSTRACTA study was designed to measure the inter-pathologist consistency of histopathologic diagnosis of cervical intraepithelial neoplasia (CIN) among four pathologists. Intra-pathologist reliability over time was also determined. Between-pathologist comparisons resulted in agreement only 50% of the time; however, 81% of pairs were within one CIN grade of each other. Seventy-one…
Primary Article
“Early” Carcinoma of the Breast Evaluation of Regional Therapy and Features Influencing Prognosis
ABSTRACTBetween 1944 and 1969, 192 women with carcinoma of the breast were treated at The University of Texas System Cancer Center M. D. Anderson Hospital and Tumor Institute by standard radical mastectomy for small outer quadrant lesions and pathologically negative axillary lymph nodes. Twenty percent of these patients with “localized…
Primary Article
Immunodeficiency in Children With Severe Craniofacial Anomalies
ABSTRACTIn immunologic studies of 20 children with severe facial birth defects, all were evaluated for quantity of T and B cells, immunoglobulins, and the third component of complement. Only 18 patients could be evaluated for blastogenesis and 16 for chemotaxis. Forty percent of the children had a decreased quantity of…
Primary Article
Causes of Refusal to Walk in Childhood
ABSTRACTRefusal to walk is a common complaint in childhood. Its etiology was investigated by reviewing the charts of children who were admitted to the hospital with this problem in a one-year period. Bacterial infections produced 22 of the 55 episodes and were more likely to be associated with fever than…
Primary Article
Pulmonary Function Changes After Acute Inhalation of Chlorine Gas
ABSTRACTFour young healthy adults were studied physiologically after accidental inhalation of chlorine gas. All patients were symptomatic with cough, tightness in the chest, and shortness of breath. All had restrictive ventilatory defect with impaired diffusing capacity. There was evidence of some obstruction in small airways. There was inconsistent evidence of…
Primary Article
Ventricular Cardiac Arrhythmias During Anesthesia Feasibility of Preoperative Recognition
ABSTRACTWe investigated the occurrence of anesthetic ventricular cardiac arrhythmia (CA) in 104 systemically healthy consecutive patients undergoing general anesthesia, to evaluate the possibility of recognizing preoperatively those patients prone to CA. In 19 (18%) patients, control strips taken before anesthesia showed CA. During anesthesia CA developed in 34 (33%), including…
Primary Article
Radiation Therapy for Renal Transplant Rejection Reactions
ABSTRACTForty-four renal transplant patients were given radiation therapy for severe rejection phenomena. The 29 patients who had only one course of irradiation had a 52.3% successful function rate. Fifteen patients received from two to four courses of irradiation with an ultimate 60% rate of sustained function. Fifty patients who received…
Primary Article
Declining Mortality From Hypertension and Stroke
ABSTRACTRecorded mortality from hypertension and stroke has decreased dramatically in most countries during the last 50 to 75 years. The reported reduction in mortality may be due to changes in diagnostic fashions or coding procedures. However, the magnitude and consistency of the decline suggests the occurrence of a true decrease….
Review Article
Sleep Apnea Syndromes
ABSTRACTThe sleep apnea syndromes have been recognized clinically in the United States only within the past ten years. The true extent of the problem is not known, but it seems certain that these syndromes are much more common than was generally assumed five years ago. Every clinician should be aware…
Current Concepts
The Double Contrast Barium Enema Why Bother?
ABSTRACTDespite a wealth of publications extolling the virtues of the double contrast barium enema (DCBE), it is clear that change is only gradual and that in many institutions the single contrast, full column barium enema (BE) is still the routine method of colonic investigation.1 Much of this may be due…
Article
Genetic Misconceptions
ABSTRACTClinical genetics is becoming an increasingly important part of general medical practice. Much of what most physicians know about this relatively new field has been learned informally. Unfortunately, this has resulted in some erroneous information being accepted as empirical fact. We have compiled this list of “genetic misconceptions” to prevent…
