Issue - Southern Medical Association

Editorial

LEAKY PIPELINES

Editorial

PASSING THE BUCK

Primary Article

Religious Life of Narcotic Addicts

ABSTRACTBecause of the unstructured life-style of most narcotic addicts, we have inquired into the religious and social backgrounds and experiences of a group of narcotic addicts. It was observed that the subjects parents were far less involved in religious practices than were a group of parents of nonaddicts. The addicts…

Primary Article

Chronic Back Pain Does Elective Surgery Benefit Patients With Evidence of Psychologic Disturbance?

ABSTRACTThirty-five patients with chronic low back pain responded to a follow-up survey 18 months after being discharged from the hospital. All patients had objective (MMPI) evidence of psychologic disturbance during hospitalization. Seven patients subsequently obtained additional elective back surgery; the remaining 28 did not. Follow-up data indicated that patients who…

Primary Article

Attitudes of Postpartum Mothers Concerning Children and Child Rearing

ABSTRACTTo assess contemporary maternal attitudes about children, child rearing, and family life, a 32-item attitude scale—the Parent Attitude Scale (PAS)—was developed and given to 523 postpartum mothers. The PAS was shown to be a highly reliable attitude assessment instrument. Maternal attitudes generally were pro-child in nature. Variations in total and…

Primary Article

Heart Disease in a Total Population of Children The Bogalusa Heart Study

ABSTRACTA cross-sectional survey of a total semirural biracial population of children was conducted to determine the prevalence and types of cardiac disease. Of 4,074 children examined, 146 were thought to have significant cardiac murmurs. One hundred thirteen of these participated in a follow-up study in which they received a physical…

Primary Article

Natural History of Sinus Node Dysfunction After Permanent Pacemaker Implantation

ABSTRACTTo explore the natural history of symptomatic sinus node dysfunction after permanent pacemaker implantation, we followed up 71 patients (27 with sinus arrest, 27 with unexplained sinus bradycardia, 14 with the bradycardia/tachycardia syndrome, and three with sinoatrial block) for four to 14 years after placement of a permanent ventricular pacemaker….

Article

Catheterization Diagnosis, Treatment, and Prevention

ABSTRACTAir embolism associated with central venous catheterization carries with it a significant morbidity and mortality. The diagnosis should be suggested by sudden alterations in cardiovascular, respiratory, or central nervous system function in a patient with a central venous catheter. A “mill wheel” cardiac murmur is characteristic. Placing the patient in…

Article

Diagnosis of Aortic Insufficiency Comparison of Auscultation and M-Mode Echocardiography to Angiography

ABSTRACTWe compared auscultation and M-mode echocardiography to supravalvular aortography in 75 patients with chronic aortic insufficiency. Angiographic evidence of aortic insufficiency was present in 66 patients and absent in nine. Auscultation had a sensitivity of 72.7% (48/66) and a specificity of 77.8% (7/9). Echocardiography had a sensitivity of 75.8% (50/66)…

Article

Sexual Function After Surgical and Radiation Therapy for Cervical Carcinoma

ABSTRACTOne hundred women treated for carcinoma of the cervix were interviewed more than one year later to establish the effects of radiation or surgical therapy on sexual function. Forty-three had received irradiation, 44 nonradical surgery, six combined surgery and irradiation, and seven radical surgery. The irradiation and nonradical surgery groups…

Article

Postmenopausal Breast Abscess

ABSTRACTEighteen postmenopausal women with breast abscess were treated at Grady Hospital between 1975 and 1978. Breast abscess was remarkable for its characteristic lack of inflammation, as well as its rarity, in this age group (median, 59 years). Only 17% of patients reported fever and/or breast pain. On initial examination, 33%…

Article

Endoscopic Cytology and Biopsy Diagnosis of Esophageal Carcinoma

ABSTRACTWe examined 107 cytology and biopsy specimens taken simultaneously from 103 patients to determine the efficacy of cytologic esophageal brushing in the diagnosis of esophageal carcinoma. After review of all material, cytology was positive in 84% of cases, biopsy in 86%, and combined specimens (cytology and biopsy) in 94%. However,…

Article

Spur Cell Anemia

ABSTRACTThe clinical and laboratory findings in eight patients with spur cell anemia are presented and compared with other cases gathered from the literature. Although there is no specific clinical or laboratory abnormality, the condition can be recognized by a constellation of findings. The majority of patients have a long history…

Article

Questionable Value of Renal Arterial Embolization Before Radical Nephrectomy

ABSTRACTExperience with arterial embolization in six patients has shown little substantive benefit, a major complication, and few measurable advantages in a variety of patients with hypernephroma.

Article

Choledochal Cysts in Children Radiologic Features

ABSTRACTCholedochal cysts, although uncommon, are found most frequently in children. Radiologic studies have always played an important role in diagnosis because of the nonspecific clinical features. The abdominal roentgenogram may show in the right upper abdomen a mass, the cystic nature of which can be demonstrated by intravenous urography, hepatic…

Article

Osteogenesis Imperfecta and Associated Hearing Loss in Five Kindreds

ABSTRACTWe examined audiometric data of 30 medically confirmed cases of osteogenesis imperfecta, evaluating pure tone threshold and impedance data to determine the prevalence, type, and degree of hearing loss in five kindreds. Nineteen of the 30 individuals evaluated had normal hearing bilaterally, while 11 had hearing losses of various types…

Article

The Middle Ear in Long-term Dialysis

ABSTRACTWhen fluctuating middle ear fluid was observed in patients receiving long-term dialysis, the dialysis was suspected as the potentiating factor. In a statewide survey, a significant number of ear, nose, and throat specialists were undecided about etiology. They were also uncertain about treatment choice and delivering services without consulting the…

Article

Lidocaine Analgesia in Peripheral Angiography A Confirmation of Effectiveness

ABSTRACTA prospective double-blind randomized study of 34 patients, using both subjective and objective evaluation, showed lidocaine to be effective for analgesia in peripheral angiography. The methods, materials, and results of this study are compared to previous studies, with the differences noted.

Article

Pyogenic Arthritis Emphasis on the Need for Surgical Drainage of the Infected Joint

ABSTRACTA ten-year retrospective review of patients with acute hematogenous pyogenic arthritis at the Duke University Medical Center yielded 14 affected joints in the pediatric group and 32 in adults. Follow-up ranged from six months to eight years. Analysis of factors possibly affecting end results included the joint involved, organism, duration…

Article

Treated Maternal Gonorrhea Without Adverse Effect on Outcome of Pregnancy

ABSTRACTInfants born to mothers with gonorrhea are at risk for neonatal gonococcal infection, primarily ophthalmitis. To determine whether gonorrhea during pregnancy may have other adverse effects, we compared the outcome of pregnancy to gonorrheal status for all women who were delivered of infants at Grady Memorial Hospital in 1976 and…

Review Article

Analgesics and Asthma

ABSTRACTAspirin and many other analgesics may be hazardous for some patients with asthma. These patients, numbering approximately 10% to 15% of all asthmatics, have a clinical course that has been well characterized. The diagnosis is usually made from the history, but sometimes it requires analgesic challenge tests. The pathogenesis remains…

Article

Law and the Minor Patient

Our Medical Heritage

Primary Cardiac Tumors Historically Elusive Lesions

Medical Education

Evaluation of Educational Methods in a Comprehensive Cost-Containment Project in Ambulatory Care

ABSTRACTThe cost of medical care in the United States is a matter of great concern to many health policy makers and physicians as well as to the seekers of care. At the University of New Mexico, a comprehensive cost-containment education program was devised and put into effect with residents from…

Case Report

Pneumocystis carinii Pneumonia in an Apparently Nonimmunocompromised Patient

Case Report

Treatment of Digoxin Intoxication With Colestipol

Case Report

Multifocal Brain Abscesses Combined Medical and Neurosurgical Therapy

Case Report

Metastatic Melanoma Complicated by Disseminated BCG

Case Report

Mucinous Cystadenocarcinoma in a Premenarchal Girl

Case Report

Bronchogenic Cyst and Intralobar Sequestration Mimicking Thoracic Aortic Aneurysm

Case Report

Fatal Podophyllin Ingestion

Case Report

Surgical Management of Multiple Hepatic Abscesses Using Ultrasonography for Sequential Evaluation

Case Report

Calcified Parotid Carcinoma Masquerading as Benign Calculus With Acute Parotitis

Case Report

Exogastric Leiomyoblastoma Diagnosis by CT and Ultrasonography

Case Report

Plasmapheresis in the Treatment of Resistant Thrombocytopenia in Systemic Lupus Erythematosus

Case Report

Pseudomembranous Colitis Unresponsive to Oral Vancomycin Therapy

Case Report

Malignant Fibrous Histiocytoma of the Breast

Case Report

Cimetidine-Induced, Immune-Mediated Leukopenia and Thrombocytopenia

Case Report

Use of a Fibrinolytic Agent to Restore Function in a Clotted LeVeen Shunt

Case Report

Recurrent Jejunogastric Intussusception Requiring Reoperation

Case Report

Gas in the Portal Vein After Air-Contrast Barium Enema in a Patient With Inflammatory Colitis

Case Report

Reversible Ischemia of the Spinal Cord

Case Report

Massive Renal Angiomyolipoma

Case Report

Propylthiouracil-Induced Vasculitis A Fatal Case

Case Report

Clostridia in Urinary Tract Infections

Case Report

Resurrection

Case Report

Colorectal Perforation by Barium Enema After Biopsy

Announcement

M. Pinson Neal—Incoming President of SMA