Issue - Southern Medical Association

Editorial

PROFESSOR CARTWRIGHT LAUGHED

Editorial

BEEPER MEDICINE

Commentary

RELIGION IN HEALING

Primary Article

Adult Burn Patients: The Role of Religion in Recovery

ABSTRACT: Patients who have had a severe physical injury, such as a burn, show wide variations in their abilities to cope with the stress of hospitalization and recovery. Clinical experience has consistently shown that some of these patients have remarkable emotional resilience, while others are more seriously affected. Many researchers…

Primary Article

Positive Therapeutic Effects of Intercessory Prayer in a Coronary Care Unit Population

ABSTRACT: The therapeutic effects of intercessory prayer (IP) to the Judeo-Christian God, one of the oldest forms of therapy, has had little attention in the medical literature. To evaluate the effects of IP in a coronary care unit (CCU) population, a prospective randomized double-blind protocol was followed. Over ten months,…

Primary Article

Alprazolam Dependency: Use of Clonazepam for Withdrawal

ABSTRACT: Ten alprazolam-dependent patients were studied with clinical and biologic variables after equal doses of clonazepam were substituted for alprazolam. Withdrawal was accomplished over a seven-day period. Anxiety and plasma cortisol levels were measured and found not to be significantly different between the withdrawal period and the postwithdrawal medication-free period.

Primary Article

Sphenopalatine Ganglion Blocks for the Treatment of Nicotine Addiction

ABSTRACT: The purpose of this study was to investigate the effects of sphenopalatine ganglion block upon the physical symptoms of nicotine withdrawal in a double-blind placebo-controlled study. Seventeen patients completed a course of treatment which involved daily intranasal application of local anesthetic (bupivacaine or cocaine) or saline over the sphenopalatine…

Primary Article

Abnormal Urine Color: Differential Diagnosis

ABSTRACT: An unusual urine color can occasionally be alarming to patient or physician. Abnormal urine color may indicate a range of normal or pathologic conditions. Variables that affect urine color include concentration, pH, ingested substances, and various metabolic abnormalities. Most causes can be determined by a careful history focusing on…

Primary Article

Altered Sensorium, Confusion, and Vertical Gaze Paresis: The Top of the Basilar Syndrome

ABSTRACT: The term “top of the basilar” has been used in reference to a group of signs and symptoms of midbrain, diencephalic, and posteroinferior hemispheric dysfunction. It has been attributed to ischemia in the territory of second- and third-order vessels that arise from the uppermost portion of the basilar artery….

Primary Article

Benign Mucor Colonization (Fungus Ball) Associated With Chronic Sinusitis

ABSTRACT: Mucormycosis of the nasal cavity and paranasal sinuses is an aggressive, life-threatening condition characterized by fulminant destruction of soft tissues and bone, vascular invasion, and thrombosis. Patients who have this infection generally are immunosuppressed or diabetic. The most effective treatment is immediate surgical debridement of all involved tissue, along…

Primary Article

Gonococcal Infections in Women Attending the Venereal Disease Clinic of the Nashville Davidson County Metropolitan Health Department, 1984

ABSTRACT: During the first six months of 1984, slightly more than a third (34.1%) of the 1,549 women who attended the Venereal Disease Clinic of the Nashville Davidson County Health Department in this study were found to be infected with Neisseria gonorrhoeae. Infection prevalence was 36.7% for black women and…

Primary Article

Multiple Myeloma: Infectious Complications

ABSTRACT: We review a ten-year experience in treating 60 patients with multiple myeloma. Infectious episodes occurred in 33 patients. Urinary tract infections caused by gram-negative organisms were the most frequent infections, and most of these were the result of catheterization. Pneumonia due to Streptococcus pneumoniae was encountered infrequently. This series…

Primary Article

Campylobacter Gastritis and Associated Disorders

ABSTRACT: Our review of evidence that Campylobacter pylori is an important factor in gastritis, peptic ulcer disease, and “nonulcer dyspepsia” suggests that C pylori is the most common cause of chronic active gastritis. The association between C pylori gastritis and duodenal ulcer, which approaches 100%, leads to the suggestion that…

Primary Article

Insufficiency Fractures of the Femoral Neck in Association With Chronic Renal Failure

ABSTRACT: The femoral neck is a relatively uncommon location for stress fractures. As with other stress fractures, those occurring in the femoral neck can be divided into fatigue and insufficiency fractures. Chronic renal failure (CRF) is an underlying condition that can predispose patients to insufficiency fractures of the femoral neck….

Primary Article

Conventional Immunosuppressive Therapy in Modern Renal Transplantation

ABSTRACT: Conventional immunosuppression has been replaced by cyclosporine protocols for renal transplantation in most centers. Some centers have continued using conventional immunosuppression in certain instances. In our series, 104 patients received 105 kidney allografts (58 cadaver, 47 living donor) in 1983 and 1984. No patient was treated with cyclosporine. Patient…

Primary Article

Distal Tuboplasty:Is It Appropriate?

ABSTRACT: We retrospectively analyzed the results of distal tuboplasty (fimbrioplasty, salpingostomy, and salpingoneostomy) in 64 patients who had 70 operations from 1974 to 1984. The postoperative pregnancy rate was 19%, and the ectopic pregnancy rate 21%. It is difficult to compare results obtained in this study with those reported in…

Review Article

Cancer of the Esophagus:The Environmental Connection

ABSTRACT: Cancer of the esophagus poses a unique challenge for students of cancer prevention. The role of nutritional determinants and other environmental factors in modulating esophageal cancer has received increasing support from data collected during the last decades. Ecologic, geograhic, economic, and cultural variables appear to be collectively operational in…

Article

Sine Qua Nons for the Compleat Physician

Article

Acupuncture Today

Current Concepts

Neuroleptic Malignant Syndrome:Guidelines for Treatment and Reinstitution of Neuroleptics

ABSTRACT: The neuroleptic malignant syndrome (NMS) is a dangerous, often fatal, idiosyncratic disorder presumably of the basal ganglia and hypothalamus. It is usually associated with neuroleptic medications, and it is believed to be related to blockage of dopamine receptors in the brain. The NMS has also been reported in patients…

Current Concepts

Current Management of the Poisoned Patient

ABSTRACT: Management of the poisoned patient is a common and difficult problem for many practitioners. I present a clinical approach to the management of these patients, with emphasis on recent advances and controversies. Efficacy of gastric emptying, activated charcoal, manipulation of urinary pH, and indications for dialysis are discussed. Poisonings…

Medical Education

Improving and Sustaining Outpatient Cancer Screening by Medicine Residents

ABSTRACT: The sustained effectiveness in improving resident performance of breast, cervical, and colorectal cancer screening examinations in the medicine outpatient department (OPD) was studied. Residents were divided into two groups: an intervention group, which received lectures presenting cancer screening rationale and recommendations, followed by chart reminders for three months, and…

Article

Old Parr: Or How Old Is Old?

ABSTRACT: In 1635, the noted physician Sir William Harvey performed an autopsy on the body of Thomas Parr who was reported to have been 152 years old. Although there is little evidence to support Parrs age, historians agree that he had indeed reached an advanced age and was probably a…

Evagations

SCHOLARLY

Case Report

Pancreatic Pseudocyst With Splenic Involvement: An Uncommon Complication of Pancreatitis

Case Report

Tamponade Due to Hemopericardium After Streptokinase Therapy for Pulmonary Embolism

Abstract

82NDANNUAL SCIENTIFIC ASSEMBLY OF THE SOUTHERN MEDICAL ASSOCIATION

Case Report

Meningoencephalitis as a Major Manifestation of Rocky Mountain Spotted Fever

Case Report

Unusual Cause of Gastric Outlet Obstruction CT Findings in Bouverets Syndrome

Case Report

Spinal Osteoblastoma in an 11-Year-Old Boy

Case Report

Virilization Due to a Leydig Cell Adrenal Adenoma

Case Report

Uterine Hemangioma Associated With Infertility

Case Report

Herpes Zoster Causing Acute Urinary Retention

Case Report

Successful Single Lung Transplantation

Case Report

Procainamide-Induced Lupus Anticoagulant

Clinical Brief

Prevention of Postoperative Thrombophlebitis

Breif Report

Delusions of Parasitosis

Breif Report

Severe Cervical Stenosis With the Twin-to-Twin Transfusion Syndrome

Breif Report

Tell-Tale Diaper Rash in Kawasaki Syndrome

Letter to the Editor

To Be an Army Doc

Letter to the Editor

Curvularia Infection Complicating Peritoneal Dialysis

Letter to the Editor

Sudden Death Associated With Anomalous Origin of Left Coronary Artery