Issue - Southern Medical Association

Current Concepts

Gamma Knife Radiosurgery: Current Status and Review

ABSTRACT“Radiosurgery” is stereotactic neurosurgery in which the usual rigid needles or probes are replaced with beams of ionizing radiation directed toward an intracranial target so as to achieve local tissue destruction. No skin incision or skull opening is required. Lars Leksell originally defined the concept and over a prolonged research…

Primary Article

Spinal Cord Compression Due to Metastatic Neoplasm

ABSTRACTA retrospective study of 73 assessable patients with spinal cord compression due to metastatic tumor was conducted. Fifty-five patients had paraparesis and 18 were paraplegic. Treatment consisted of surgical decompression in 22 patients, radiotherapy in 31 patients, and a combination of both modalities in 20 patients. The three groups were…

Primary Article

Electrocardiographic Abnormalities During Ritodrine Administration

ABSTRACTElectrocardiographic abnormalities have been reported during ritodrine tocolysis. No previous studies, however, have included controls. The purpose of this study is to evaluate the electrocardiographic tracings of patients receiving ritodrine tocolysis and compare them with those of matched controls. Holter monitors were placed on eight patients receiving ritodrine tocolysis and…

Primary Article

Neurologic Approach to Drug-Induced Movement Disorders A Study of 125 Patients

ABSTRACTOf 125 patients with neuroleptic (dopamine blocking) drug-induced movement disorders who had been referred to a specialized clinic to differentiate the predominant movement disorder, 63% had tardive dyskinesia, 30% had parkinsonism, 24% had dystonia, 7% had akathisia, and 2% had isolated tremor. Two or more movement disorders coexisted in 31…

Primary Article

Photoelectric Plethysmography in Monitoring Skin Circulation

ABSTRACTPhotoelectric plethysmography is not new, but is a simple noninvasive technique to determine erythrocyte volume and oxygen saturation. The data are immediately available, accurate, repeatable, and recordable. Methods currently used for estimating microcirculation and oxygen saturation include clinical tests such as observation of skin color, temperature changes, capillary refill, and…

Primary Article

Reduced Axial Bone Mineral Content in Patients Taking an Oral Anticoagulant

ABSTRACTRecent literature indicates that the vitamin K cycle plays a role in the calcification process, presumably via its intervention on γ-carboxylation of the noncollagenous proteins of bone osteocalcin and matrix γ-carboxyglutamic acid protein. The major clinical evidence of this interference is fetal bone defect caused by oral anticoagulants given to…

Primary Article

Ocular Sensitivity to Thimerosal: A Problem With Hepatitis B Vaccine?

ABSTRACTStrict interpretation of the package insert for hepatitis B vaccine (Heptavax-B and Recombivax HB) would preclude its administration to anyone with a history of ocular sensitivity to thimerosal, but data to support this are hard to find. Given the large number of vaccinees, many of whom wear contact lenses, reported…

Primary Article

Posttraumatic Stress Disorder in the Police Officer Paradigm of Occupational Stress

ABSTRACTThe police officer is exposed to stress outside the range of usual human experience, which often leads to his demoralization and brutalization, and predisposes him to a posttraumatic stress disorder similar to that found in the Vietnam veteran. With posttraumatic stress disorder comes functional deterioration that can lead to significant…

Primary Article

Anterior Staple Capsulorrhaphy for Recurrent Dislocation of the Shoulder: A Clinical and Biomechanical Study

ABSTRACTThirty-three anterior staple capsulorrhaphies of the shoulder were reviewed at an average 49.7 months postoperatively (range 12 to 127 months); one postoperative dislocation occurred. The patients' quality of athletic participation improved with surgical therapy in 50%, remained the same in 38%, and was lowered in 12%. Average loss of external…

Primary Article

Patterns of Multiple Substance Abuse During Pregnancy: Implications for Mother and Fetus

ABSTRACTThis paper describes patterns of drug use such as choice of drug, other substances abused, and route of administration in 174 women who reported methamphetamine, cocaine, heroin, or “Ts and blues” abuse during pregnancy. Seventy-five percent (130/174) reported using more than one drug. Other than tobacco, alcohol and cocaine were…

Primary Article

Fatalities Associated With Vibrio parahaemolyticus and Vibrio cholerae non-O1 Infections in Florida (1981 to 1988)

ABSTRACTVibrio infections constitute a continuing source of morbidity and mortality in Florida. Seven fatal infections caused by Vibrio parahaemolyticus or V cholerae non-O1 were reported in Florida between 1981 and 1988. Review of those seven medical records and Vibrio case investigation forms showed that although all patients died of sepsis,…

Primary Article

Functional Status and Financial Barriers to Medical Care Among the Poor

ABSTRACTWe compared the functional status of 94 poor patients with financial barriers to recommended medical care with that of 94 poor control patients without such barriers in a university-affiliated community clinic. Financial barriers existed when an insured patient's health insurance failed to cover recommended care or when an uninsured patient…

Article

The Two Sides of Worry

ABSTRACTWorry is commonly viewed as synonymous with anxiety. The majority of references to worry describe its adverse effects on health. Worry is useful as a way of coping, but has its limits.

Editorial

“ YOU OUGHT TO WRITE THAT UP”

Case Report

Autoimmune Hemolytic Anemia and Rheumatoid Arthritis

Letter to the Editor

Bedside Tracheostomy in the ICU

Case Report

Candidal Meningitis Following Bacterial Meningitis

Case Report

Combined Computerized Tomography and Angiography in the Diagnosis of Insulinoma

Letter to the Editor

Conversation During Surgery

Errata

Correction

Case Report

Diabetes Mellitus and Lipoatrophy

Our Medical Heritage

Did the Romans Know About the Use of Forceps?

Case Report

Does the Presence of Hepatic Portal Venous Gas Mandate an Operation?: A Reassessment

Evagations

FOUR-LETTER WORDS

Case Report

Invasive Aspergillus Infections Complicating Coronary Artery Bypass Grafting

Letter to the Editor

Local Anesthesia With TAC

Case Report

Management of Blunt Hepatic Duct Transection by Ligation

Editorial

MEDICINE’S STAKE IN PRESERVING THE TROPICAL RAIN FOREST

Case Report

Peripheral Adenoid Cystic Carcinoma of the Lung

Letter to the Editor

Reply

Case Report

Reversible Leukopenia Related to Ciprofloxacin Therapy

Case Report

Septic Sacroiliitis Due to Proteus mirabilis

Letter to the Editor

Spinal Cord Infarction After Cocaine Use

Case Report

The Femur as Lance

Editorial

THE PRICE OF SAFETY

Letter to the Editor

Treatment of Thiamine Deficiency Neuropathy with Phenytoin

Case Report

Wernicke’s Encephalopathy Manifested as Korsakoff’s Syndrome in a Patient With Promyelocytic Leukemia