Issue - Southern Medical Association

Editorial

THE LAST LEGACY, OR, SISYPHUS REVISITED

Editorial

INTO THE NINETIES AND BEYOND MEDICINE IN SHORT SUPPLY

Editorial

Symposium on Health Care Who Decides? Who Pays? Who is Responsible?

Editorial

Ethical Issues in Chronic, Severe, and Catastrophic Illnesses

Editorial

Economic Welfare Versus Social Justice

Editorial

Critical Decisions in Medical Care Birth to Death

Editorial

Seroprevalence of Human Immunodeficiency Virus Infection in a Prenatal Population at High Risk for HIV Infection

ABSTRACT: To determine the seroprevalence of human immunodeficiency virus infection in prenatal patients at high risk for HIV infection we tested 513 women from December 1985 through July 1987 at an inner-city hospital in Atlanta, Georgia. Demographic and HIV risk information was collected from all seropositive women. Twenty-nine (6%) of…

Editorial

Pneumocystis carinii Pneumonia in the Acquired Immunodeficiency Syndrome Diagnosis Using Minilavage Samples

ABSTRACT: Over a 30-month period, we evaluated 74 patients with acquired immunodeficiency syndrome (AIDS) for suspected opportunistic pulmonary infection. All had abnormal findings on chest roentgenogram. Sixty patients (81%) were found to have Pneumocystis carinii pneumonia (PCP). We assessed the yield of various diagnostic methods, and found that bronchoalveolar lavage…

Editorial

Increased Incidence of Bacteremia in Haitian Children With Sickle Cell Anemia

ABSTRACT: Children with sickle cell anemia who were less than 5 years old were observed over a three-year period. Those born to recent Haitian immigrants accounted for 108.4 patient-years. They had seven episodes of Streptococcus pneumoniae bacteremia and five due to Haemophilus influenzae for rates of 6.5 and 4.6 episodes…

Editorial

Epidemic of Restaurant-Associated Illness Due to Salmonella newport

ABSTRACT: In June and July 1982, a large outbreak of gastroenteritis associated with a barbecue restaurant involved 120 persons in central Arkansas. The illness was characterized by diarrhea, abdominal pain, and vomiting; 23 patients (19%) were hospitalized. Epidemiologic investigation showed that persons who became ill were more likely to have…

Editorial

Treatment of Carpal Tunnel Syndrome With Vitamin B6 A Double-Blind Study

ABSTRACT: We undertook a randomized, double-blind, placebo-controlled study to investigate the therapeutic effect of vitamin B6 on carpal tunnel syndrome. After ten weeks in the study, ten of 15 patients improved (this included patients given placebo and those given no treatment). Vitamin B6 seems to have no advantage over conservative…

Editorial

Severe Trauma to the Lower Extremity Long-term Sequelae

ABSTRACT: Limb salvage after major traumatic injury to the lower extremity has become commonplace in modern trauma centers. Despite initial successful limb salvage, however, long-term complications ofter occur. We present 121 patients who were treated for complications after major injuries to the lower limb at Rancho Los Amigos Medical Center….

Editorial

Combined Transurethral Resection of the Prostate and Inguinal Herniorrhaphy

ABSTRACT: From 1983 to 1985, ten men had combined transurethral resection of the prostate (TURP) and inguinal herniorrhaphy; hernia repair immediately preceded transurethral resection. Eight men had unilateral inguinal hernia repair and two had bilateral inguinal herniorrhaphy. Four men had additional procedures done concurrently. Follow-up ranged from 14 to 33…

Editorial

Atheromatous Embolism Varied Clinical Presentation and Prognosis

ABSTRACT: Microemboli composed of atheromatous debris can produce sudden failure of one or many organ systems. The soft tissues of the lower extremity are almost always involved, and may sustain the only significant injury. Atheromatous embolization occurs more commonly than is recognized, and its incidence may be increasing. We report…

Editorial

Physicians Affected by Medicare Catastrophic Coverage Act

Editorial

High Cost of Trauma Care in the Elderly

ABSTRACT: Trauma in the elderly is a significant public health problem in terms of morbidity, mortality, and expenditure of health care resources. We compared injury severity score, length of stay, hospital charges, and mortality rate in a group of 60 elderly patients and a group of 60 younger patients admitted…

Editorial

Necrotizing Gas-Forming Infections in Cancer Patients

ABSTRACT: Necrotizing gas-forming infections in cancer patients present some unique characteristics, such as nontraumatic, spontaneous clostridial gangrene and gangrene involving an ischemic tumor mass. These infections can be rapidly progressive and uniformly fatal without surgical debridement. We review ten cases of gas gangrene seen during an 18-year period. Four were…

Review Article

Disease States in Which Blood Pressure Is Lowered

ABSTRACT: Hypertension can be ameliorated by certain concomitant disease states, especially those in which serum globulin is elevated. Blood pressure has been reduced in cases of cirrhosis of the liver, chronic alcoholism, congestive heart failure, arthritis, hypothyroidism, and myeloma. These clinical findings were confirmed experimentally when animals with various models…

Current Concepts

Bronchoprovocational Challenges in the Assessment of the Efficacy of Therapeutic Agents

ABSTRACT: Bronchoprovocational challenge techniques are useful clinical and research tools for evaluating airway hyperreactivity. Not only are they useful in guiding management of patients with asthma, but also are commonly used to assess the efficacy of bronchodilating agents. The mechanisms involved in the development of bronchoconstriction are poorly defined, but…

Current Concepts

Pulmonary Function Testing Sources of Error in Measurement and Interpretation

Article

Neonatal Intensive Care Admissions Changing Profile in Georgia, 1974 to 1982

ABSTRACT: Birthweight-specific admission rates were reviewed from 1974 to 1982 for Georgias five regional perinatal centers. Analysis of birthweight-specific neonatal intensive care unit (NICU) admissions as a proportion of total live births revealed an upward trend for infants weighing 1,000 to 1,499 gm and a downward trend for those weighing…

Article

Evolution of Civil Aeromedical Helicopter Aviation

ABSTRACT: The rapid increase in the use of helicopters for hospital transport during the 1980s is the culmination of several hundred years of military medical innovation. Mass battlefield casualties spurred both technologic and medical changes necessary for todays sophisticated helicopter systems in use worldwide, particularly in the United States. The…

Medical Education

Pedigrees of Southern Surgical Chairmen

ABSTRACT: This review details the birth, medical education, surgical training, and previous academic appointments of the chairmen of departments of surgery in the medical schools in the geographic distribution of the Southern Medical Association.

Article

Dizzy Medical Writing Report on Recent Relapses

Case Report

Spontaneous Streptococcal Gangrenous Myositis Survival With Early Debridement

Case Report

Slipped Capital Femoral Epiphysis Associated With Russell-Silver Syndrome

Case Report

Early Cervical Cancer Coexistent With Idiopathic Inflammatory Bowel Disease

Case Report

Hyperthyroidism Without Elevated Levels of Thyroxine and Triiodothyronine in a Patient With Pulmonary Tuberculosis

Case Report

Empyema Associated With Pulmonary Sporotrichosis

Case Report

Intraperitoneal Chemotherapy Complicated by Erosion of a Tenckhoff Catheter Into the Colon

Case Report

Villous Tumors of the Ampulla of Vater Local Resection Versus Pancreatoduodenectomy

Case Report

Lupus Anticoagulant and Cerebrovascular Accident in a Patient With Neurofibromatosis

Case Report

Pulmonary Embolism Masquerading as Pulmonary Arteriovenous Malformation on Computerized Tomography

Case Report

Aortoesophageal Fistula Early Postoperative Complication at the Distal Anastomosis of an Aortic Graft

Letter to the Editor

Sequelae of Electrical Shock

Letter to the Editor

Mammography Screening in Women Under Age 50 (A Clinicians Viewpoint)

Letter to the Editor

Fecal Impaction Due to Geophagia

Letter to the Editor

Health Manpower. II. Physician Time Expended in Shaving

Letter to the Editor

Fluoxetine-Related Anorgasmy

Letter to the Editor

Exposure to Roundup

Letter to the Editor

Intensive Care?