SMJ // May 1982, Volume 75 - Issue 5
Primary Article
Reconstructive Surgery After Jejunoileal Bypass or Gastric Partition Operations
ABSTRACTTwenty-five morbidly obese patients had plastic operations to remove redundant tissue after either Jejunoileal bypass or gastric partition. The average weight loss in this group of patients was 79.9 kg (176 Ib) and the average age was 32 years. Abdominoplasty was the most common operation, and, although there was no…
Primary Article
Prescribed and Nonprescribed Drug Use in an Ambulatory Elderly Population
ABSTRACTDrug usage was studied in an ambulatory geriatric population. Prescription and nonprescription drug use is described for 3,192 participants in a geriatric screening program (the Dunedin Program). Average drug use by these participants was found to be 3.2 medications. The use of both prescription and nonprescription drugs was higher for…
Primary Article
Coordinated System for Comprehensive Newborn Metabolic Screening
ABSTRACTIn September 1978 phenylketonuria (PKU) screening in the state of Georgia was expanded to include testing for five additional metabolic disorders. Our goal was to begin therapy within the first three weeks of an infants life. During the first 22 months, 167,458 specimens were received; 151,250 from infants ≤ 1…
Primary Article
Adenomyomatous Hyperplasia of the Human Gallbladder
ABSTRACTAdenomyomatous hyperplasia of the human gallbladder, an infrequently observed alteration, has a controversial pathogenesis and clinical significance. In the nine gallbladders and patient profiles discussed, the morphologic alterations and associated clinical phenomena are compared to other mucosal-stromal reactions of the gastrointestinal tract. It is suggested that adenomyomatous hyperplasia represents a…
Primary Article
Aspiration of Thoracic Masses and Fluid Collections Under Guidance of Ultrasonography
ABSTRACTSuccessful ultrasonic detection and fine needle aspiration of pleural effusions, loculated fluid, and peripheral lung masses were done in 115 patients. No complications, eg, pneumothorax or hematoma, were caused by the fine needle aspirations. There was no false-negative or false-positive cytology because of excellent localization by ultrasound and adequate tissue…
Primary Article
Noninvasive Studies of the Carotid Bifurcation
ABSTRACTThe accuracy of the noninvasive carotid system studies done in our laboratory during an 18-month period were reviewed. The usefulness of these procedures was found to be limited when used as a “blind” screen for extracranial vascular disease. The overall correlation with angiography was good, with few false-negatives and an…
Primary Article
Unusual Presentations of Anastomotic Aneurysms The Need for Continued Vigilance
ABSTRACTTwo patients are reported in whom lethal abdominal aortic anastomotic aneurysms developed. The first presented as exsanguinating hematuria of unknown cause 1½ years after graft replacement of a dissecting aortic aneurysm while the other presented with fever due to an infected aortic graft two years after correction of aortoiliac occlusive…
Primary Article
Cinoxacin Therapy for Urinary Tract Infections Therapeutic Safety and Efficacy
ABSTRACTWe gave cinoxacin to 125 patients with initial and recurrent urinary tract infections to investigate the safety and efficacy of this new antimicrobial agent. Patients ranging in age from 18 to 92 were treated with 500 mg twice daily for nine days. Analysis showed a satisfactory symptomatic response rate of…
Primary Article
Acute Pyelonephritis in the Elderly
ABSTRACTWe did a prospective study of the clinical, laboratory, radiologic, and therapeutic features of acute, symptomatic, bacterial pyelonephritis in 35 consecutive elderly, noncatheterized patients who required hospitalization. Pyelonephritis had been identified as the most common cause of gram-negative bacteremia in elderly patients admitted to a community hospital. Appropriate antibiotic therapy…
Primary Article
Fascial Sling for Stress Urinary Incontinence
ABSTRACTPubovaginal fascial sling operation was done on 15 women with severe stress urinary incontinence who either had had previous unsatisfactory retropubic procedures or had markedly abnormal urethral function determined by extensive urodynamic evaluation. Overall success was 93%, the only failure being in a woman with total loss of bladder and…
Primary Article
Endocarditis Caused by Actinobacillus actinomycetemcomitans
ABSTRACTActinobacillus actinomycetemcomitans, a small, gram-negative bacillus with fastidious growth requirements, is a rare cause of endocarditis. The clinical course of this disease is characterized by long duration of symptoms before diagnosis (average of three months), prolonged incubation before growth (average of six days), and a high embolic rate. The optimal…
Primary Article
Efficacy of Phenylephrine-Phenylpropanolamine in the Treatment of Rhinitis
ABSTRACTA double-blind placebo-controlled crossover study was done to evaluate the efficacy of an oral decongestant preparation in the treatment of rhinitis. The preparation consisted of 5 mg of phenylephrine hydrochloride, 45 mg of phenylpropanolamine hydrochloride, and 200 mg of guaifenesin (Rymed). Subjects were selected for participation in the study on…
Primary Article
Acute Cardiogenic Pulmonary Edema in the Elderly Factors Predicting In-Hospital and One-Year Mortality
ABSTRACTThis prospective evaluation of 55 consecutive patients, aged 60 years or older, admitted in 1977–1978 to a community hospital coronary care unit for treatment of cardiogenic pulmonary edema, examines mortality during hospitalization and during the subsequent one-year follow-up. Their treatment was based on clinical criteria, without the “advantage” of Swan-Ganz…
Primary Article
Numbers of T-Cell Rosettes in the Peripheral Blood of Patients Receiving Maintenance Hemodialysis
ABSTRACTWe evaluated 21 maintenance hemodialysis (MHD) patients and 23 healthy control subjects quantitatively for levels of peripheral blood T-cells. Mononuclear cells isolated from peripheral blood by the Ficoll-Hypaque gradient technic were used to determine the percentage of T-cells that formed E-rosettes (%RFC) in each group. Total blood lymphocytes were also…
Primary Article
Lessons From Roseto 20 Years Later A Community Study of Heart Disease
ABSTRACTThe findings of a community study of coronary artery disease were reviewed retrospectively to highlight applications to current research and clinical practice. Roseto, Pennsylvania, an ethnically homogenous county, was studied in the 1960s by an interdisciplinary team of researchers. Twenty years later the findings are being confirmed in the studies…
Review Article
Hyponatremia in Adrenal Insufficiency Review of Pathogenetic Mechanisms
ABSTRACTThe pathophysiology of hyponatremia in adrenal insufficiency has been a subject of intense controversy. The controversy centers on whether the inability of the kidney to maximally dilute the urine is secondary to increased levels of antidiuretic hormone (ADH) or is independent of ADH. Review of the pertinent studies allows us…
Article
The Charles Henderson Child Health Center RANDOLPH BATSON, MD, Troy, Ala
ABSTRACTWould it be possible to develop an outstanding child health center in a rural area such as Troy, Alabama—one that, in quality and usefulness, would be second to none? Governor Charles Henderson extended the challenge through a trust that supported the establishment of such a center within six miles of…
Medical Education
Importance of Work Rounds
Our Medical Heritage
Poisoning by Antimony A Case Report
ABSTRACTPoisoning by antimony led to the death of a great individual in English literature. This case report gives as much of the history of the illness as can be found and tells a little about the individual.
