Issue - Southern Medical Association

Editorial

A WORD TO THE WISE: ALL THAT GLITTERS IS NOT GOLD

Primary Article

Quality of Life Six Months After Coronary Artery Bypass Surgery: A Preliminary Report

ABSTRACT: Ninety-six patients who had coronary artery bypass grafting showed improvement on the Psychosocial Adjustment to Illness Scale at six months postoperatively. Findings of improved sexual function and vocational status were unexpected in light of previous studies. Older patients showed less psychologic distress than younger ones after coronary artery bypass…

Primary Article

Postpanic Anxiety Disorder: Diagnosis and Treatment

ABSTRACT: Patients with a postpanic anxiety disorder (PPAD) have panic attacks less frequently than patients with a panic disorder. A PPAD must be suspected when a physician notes the following: (1) persistent somatic complaints despite repeatedly normal results of physical examinations and laboratory tests, (2) reluctance to engage in certain…

Primary Article

Fragile-X Mental Retardation Syndrome Transmitted Through Intellectually Normal Males: Implications for Genetic Counseling

ABSTRACT: The fragile-X mental retardation syndrome is the second most common identifiable cause of mental retardation in man. This condition violates many of the expectations for X-linked disorders, including the transmission of the syndrome through men who carry the gene but, for unknown reasons, do not express it. Two new…

Primary Article

Bowens Disease, Pagets Disease, and Malignant Melanoma in Situ

ABSTRACT: The histologic differential diagnosis of skin lesions characterized by large, atypical, clear cells in the epidermis includes Bowens disease, Pagets disease (mammary and extramammary), malignant melanoma in situ (pagetoid precancerous melanosis), mycosis fungoides, Spitz nevus, and artifact. Our experience with these lesions indicates that these diseases can be differentiated…

Primary Article

Myocardial Damage and Electrical Injuries Significance of Early Elevation of CPK-MB Isoenzymes

ABSTRACT: Significant cardiac complications among immediate survivors of high-voltage electrical injuries are less common than previously suspected. Transient arrhythmias predominate. The MB isoenzyme of serum creatine phosphokinase may be factitiously elevated within the first 48 hours after injury. In the absence of clinical symptoms or electrocardiographic signs of ischemia, early…

Primary Article

Prospective Study of Pneumonia: Unexpected Incidence of Legionellosis

ABSTRACT: In a prospective study of the etiology of pneumonia in patients hospitalized at a university hospital, all respiratory secretions were tested for routine pathogens as well as Legionella. A diagnosis was established in 60 of 87 patients studied. Of the 37 nosocomial infections, six were caused by L micdadei….

Primary Article

Outbreak of Penicillinase-Producing Neisseria gonorrhoeae With an African Connection

ABSTRACT: Previous outbreaks of penicillinase-producing gonococcal infection in the United States have generally been attributed to importation of Southeast Asian strains. During July 1982 through July 1983, 110 cases of gonorrhea caused by penicillinase-producing strains were reported in metropolitan Atlanta, Georgia. Among the 53 infected women, 14 (26%) had pelvic…

Primary Article

Freestanding Emergency Centers and the Patient Population of Internists

ABSTRACT:To compare the characteristics of patients seeking care in freestanding emergency centers with the patients seen by internists, we studied the adult populations of two freestanding emergency centers (FECs) through an audit of medical records for 20 days randomly selected throughout 1983. We recorded the age, sex, time of visit,…

Primary Article

Correlation of the One-Minute Apgar Score and Umbilical Cord Acid-Base Status

ABSTRACT: The one-minute Apgar score has proven useful by ensuring rapid assessment of the neonate, but is often poorly correlated with other indicators of intrauterine well-being. Since fetal asphyxia is directly associated with neonatal acidosis, a low Apgar score in the face of normal pH and base deficit does not…

Primary Article

Tissue Expansion in the Treatment of Hypertrophic Scars and Scar Contractures

ABSTRACT: The temporary tissue expander can generate an excess of full-thickness skin that can be recruited into an adjacent area of tissue deficiency caused by scar contracture. The creation of a pseudobursa enhances the functional improvement gained by this technique. Now in its developmental stage, tissue expansion carries an alarming…

Primary Article

Use of a Medical Facility by Christian Scientists

ABSTRACT: Our study, unique in its use of medical records as well as self-report data, was conducted to ascertain the extent to which Christian Scientists used a medical facility and whether or not such use was related to the experience of psychologic stress. Their use of medical facilities was found…

Primary Article

Physicians Opinions of the Accuracy, Accessibility, and Frequency of Use of Ten Sources of New Drug Information

ABSTRACT: We surveyed internists, surgeons, and general practitioners in a six-county area of North Carolina to determine how accurate and accessible they believed ten sources of new drug information to be and how frequently they used each of the sources. Evaluable questionnaires were returned by 119 of the 336 physicians….

Primary Article

Infant Mortality in a Rural Health District in Georgia, 1974 to 1981

ABSTRACT: In 1979 the infant mortality rate (IMR) dropped nearly 50% in a rural health district in southeast Georgia, and this lower rate continued during the next two years. For infants born during 1979 to 1981, the IMR was 12.4 as compared with 21.6 for those born from 1974 to…

Primary Article

Microcomputers, Interactive Videodisks, and Psychodynamic Simulations

ABSTRACT: Recent endeavors have applied microcomputers and interactive laser/optical videodisks to create simulations of psychodynamic processes. This paper briefly describes the technical aspects of microcomputers and videodisks, explores attributes and drawbacks of these simulation systems, and outlines future directions toward the ideal psychodynamic simulation.

Review Article

Genitourinary Fungal Infections

ABSTRACT: Genitourinary fungal infections have become increasingly common in clinical practice. We review the literature on such infections, emphasizing recognition of fungal disease, predisposing factors, pathogenesis, and approaches to therapy.

Grand Rounds

Saturday Conference Hilar Adenopathy

Article

The Physicians Role in Alternative Health Care Systems

Our Medical Heritage

Decline of Bloodletting: A Study in 19th-Century Ratiocinations

Case Report

Thrombotic Thrombocytopenic Purpura Associated With Metastatic Gastric Adenocarcinoma: Successful Management With Plasmapheresis

Case Report

Haemophilus paraphrophilus Endocarditis

Case Report

Thyrotoxicosis Associated With Distant Metastatic Follicular Carcinoma of the Thyroid

Case Report

Unsuspected “Isolated” Dislocation of the Radial Head in an Adult

Case Report

Coexistence of Neurofibromatosis and Marfans Syndrome

Case Report

Culture-Negative Endocarditis With Purpura and Arterial Emboli

Case Report

Fate of Retained Foreign Bodies in the Peritoneal Cavity

Case Report

Ruptured Right Atrium From Nonpenetrating Trauma of the Chest

Case Report

Survival in Cerebro-rhino-orbital Zygomycosis and Cavernous Sinus Thrombosis With Combined Therapy

Case Report

Progressive Pulmonary Disease Caused by Mycobacterium gordonae

Case Report

Hypercalcemia and Reversible Renal Failure in Heavy-Chain Disease

Case Report

Chronic Tension Pneumothorax Presumably Due to a “Ball Valve” Bronchopleural Fistula

Breif Report

Disseminated Fusarium moniliforme Infection After Allogeneic Marrow Transplantation

Breif Report

Active Lupus in a Patient Receiving Long-Term Hemodialysis

Breif Report

Sepsis From Flavobacterium meningosepticum, an Uncommon Pathogen With Unusual Susceptibility Patterns

Breif Report

Necrotizing Arteritis Associated With Blastomycosis

Letter to the Editor

Postbellum—Postmortem

Letter to the Editor

Death and the Elderly

Letter to the Editor

Who Should Do Colonoscopies?

Letter to the Editor

Septic Arthritis Due to Bacillus