SMJ // January 1989, Volume 82 - Issue 1
Editorial
EMERGENCY CARDIAC MANEUVERS
Article
Elderly Patients Satisfaction With Care Under HMO Versus Private Systems
ABSTRACTIn one community, 100 elderly persons (25 HMO and 75 private patients) completed a 20-item scale that measured satisfaction with medical care. Data on demographics, health care utilization, and self-assessed health status also were collected to determine whether these variables would related to HMO membership. Satisfaction scores were compared between…
Article
Health Perceptions and Medical Care Opinions of Inner-City Adults With Sickle Cell Disease or Asthma Compared With Those of Their Siblings
ABSTRACTInner-city adults (n = 108) with a chronic disease (sickle cell disease or asthma) and their unaffected siblings (n = 108) with a chronic disease (sickle cell disease or asthma) and their unaffected siblings (n = 50) were interviewed and ratings of health perceptions and opinions about medical care were…
Article
Medical and Financial Implications of Discontinuing a Statewide Free Insulin Program Involving 3,720 People
ABSTRACTIn 1981 a statewide program supplying free insulin to 3,720 patients of state health clinics was discontinued. We attempted to assess whether this action had an adverse effect medically and financially on those concerned. A computer randomized sample of 351 patients (9%) was studied by personal interview and questionnaire. Information…
Article
Arteriovenous Malformations of the Small Intestine
ABSTRACTArteriovenous malformations of the small intestine are an uncommon cause of gastrointestinal hemorrhage. When we reviewed the records of 406 patients admitted to the hospital because of gastrointestinal blood loss, we found nine patients who had AVMs of the small intestine. We have developed an algorithm that presents a rational…
Article
Economics of Trauma in a Small Academic Medical Center
ABSTRACTThe recent changes in the mechanisms of health care funding have complicated trauma care and trauma center development. Hard data are needed on the current financial position of trauma care to plan for the future. To reduce the cost of trauma care without sacrificing the quality, we must know how…
Article
Injections of Papaverine and Regitine Into the Corpora Cavernosa for Erectile Dysfunction Clinical Results in 60 Patients
ABSTRACTAfter evaluating approximately 500 patients to identify the cause of erectile dysfunction. I selected 60 patients to receive a therapeutic injection of the vasoactive drugs papaverine and phentolamine mesylate (Regitine) into the corpora cavernosa. Fifty-two patients (87%) obtained erections that were adequate for sexual intercourse; these patients continued a self-injection…
Article
Clostridial Bloodstream Infections
ABSTRACTIn a ten-year review at a large community teaching hospital clostridia accounted for less than 1% of all positive bloodstream isolates (26 episodes in 25 patients). All but one of the isolates were clinically significant. Twenty-two patients (88%) had a serious underlying medical condition, and 17 of the episodes (65%)…
Article
Silent Myocardial Ischemia Improvement With Nisoldipine Therapy
ABSTRACTNisoldipine is a new calcium channel blocker of the dihydropyridine family with a high affinity for coronary vessels. We assessed the efficacy of nisoldipine in the treatment of asymptomatic ischemia in 12 patients with chronic, stable angina. Two to four weeks of daily therapy with prn nitroglycerin and placebo was…
Article
Humor and the Physician
Our Medical Heritage
Medical College of Alabama in Mobile, 1859–1920 A Legacy of Dr. Josiah Clark Nott
ABSTRACTThe first legislated orthodox medical school within Alabama was founded in Mobile in 1859, a legacy of Dr. Josiah Clark Nott. That is developed later than other Southern medical schools has been attributed to multiple factors, among them rural isolation, restricted communication, limited transportation, sparse population, cultural deprivation, and climatologic…
