Issue - Southern Medical Association

Article

Reduction of Caregiver Stress by Respite Care: A Pilot Study

ABSTEACT: The purpose of this study was to determine whether providing respite care to persons with Alzheimer's disease and other dementias decreased stress and mood disturbances in caregivers. Caregivers of persons receiving respite care (n = 7), and not receiving respite care (n =8) were tested at entry into the…

Article

Wedge Resection for Bronchogenic Carcinoma in High-Risk Patients

ABSTRACTAt the Veterans Administration Medical Center in Washington, DC, 73 patients with bronchogeic carcinoma had pulmonary wedge resection from February 1967 to March 1988, with a 1.4% perioperative mortality and a 4.1% morbidity. Mean age of the patients was 63 years. Patients were considered poor risk with a mean Goldman…

Article

Clindamycin Vaginal Cream Versus Oral Metronidazole in the Treatment of Bacterial Vaginosis: A Prospective Double-Blind Clinical Trial

ABSTRACTBacterial vaginosis is common among patients seen by gynecologists. Several types of therapy have been proposed. The purpose of this prospective, randomized, double-blind clinical trial was to examine the efficacy of clindamycin vaginal cream for the treatment of bacterial vaginosis. Sixty patients with symptoms of bacterial vaginosis were randomized into…

Article

Hereditary Angioedema

ABSTRACTHereditary angioedema is a rare disease resulting from a lack of functional C1 esterase inhibitor (C1 INH). Several genetic defects can cause decreased production of the protein or the synthesis of a biologically inactive form. A similar, acquired condition is occasionally seen, associated with malignancies or as an autoimmune process….

Article

Effect of Aeromedical Aircraft on Care of Trauma Patients: Evaluation Using the Revised Trauma Score

ABSTRACTRotor wing aircraft used in transport of the trauma victim have not been subject to objective means of evaluating their contribution to patient care. A retrospective evaluation of a Bell 206 L-1 and an Aerospatiale 365 N-1 using the Revised Trauma Score Triage (RTS) as an indicator of status in…

Article

Physicians’ Negative Perception of Sclerotherapy for Venous Disorders: Review of a 7-Year Experience With Modern Sclerotherapy

ABSTRACTSclerotherapy is the injection of a sclerosing substance directly into a varicosity or telangiectasia to cause damage, fibrosis, and eventual obliteration of the vessel. Although sclerotherapy has been shown to be effective with a low incidence of side effects, many physicians in the United States are unaware of the technique…

Article

Hypercholesterolemia: Case Finding in Family Practice

ABSTRACTThe recommendations of the expert panel of he National Cholesterol Education Program (NCEP) have been endorsed by national medical organizations as standards for the detection and treatment of hypercholesterolemia, yet information on how these recommendations are being followed in primary care settings is limited. This study was done to determine…

Current Concepts

Pharmacologic Treatment Strategies for the Depressed, Poorly Responsive Patient

ABSTRACTTreatment-resistant depression implies a failure of response to an ample dose of antidepressant medicine, prescribed over a sufficient length of time. Assessing drug levels in the blood is often helpful in confirming the adequacy of antidepressant dosages. Augmentation of the pharmaceutical activity can be achieved by coadministration of lithium, triiodothyronine,…

Article

Gunshot Wounds of the Female Breast: A Risk for Intra-abdominal Injury

ABSTRACTWe report the results of a clinical study of female patients sustaining gunshot wounds to a breast. Thirteen homicides were reviewed by the Fulton County Medical Examiner. A prospective series of patients treated by the Grady Memorial Hospital Trauma Service included eight additional cases. Ten (48%) of the combined series…

Article

Water Sanitation Practices on the Texas-Mexico Border: Implications for Physicians on Both Sides

ABSTRACTWith the epidemic of cholera in South and Central America and reports of cholera in the Northern Hemisphere in Mexico, increasing concern focuses on sanitation problems along the border between the United States and Mexico, It is feared that binationally shared water supplies are threatened or contaminated by sewage and…

Editorial

‘NEW AND IMPROVED,’ AND OTHER MEDICAL NON SEQUITURS

Letter to the Editor

Contarini’s Condition: Paradise Regained

Case Report

Deceptive Liver Histology Delays Diagnosis of Cardiac Ascites

Case Report

Disseminated Infection Due to Mycobacterium chelonei

Case Report

Double Meckel’s Diverticulum

Letter to the Editor

Endometriosis in Teenagers

Article

Geriatric Assessment and General Medical Practice

Case Report

Hereditary Angioedema Associated With Pancreatitis

Case Report

Hypercalcemia Due to Hard Water Used for Home Hemodialysis

Case Report

Invasive Pituitary Adenoma Coexisting With Infiltrating Temporal Lobe Glioma

Editorial

IT ONLY TAKES A MOMENT

Letter to the Editor

Magic Lessons

Letter to the Editor

Magic Lessons Rated R

Case Report

Metastatic Adenocarcinoma of the Prostate Manifested as a Sellar Tumor

Letter to the Editor

Multiple Metastatic Carcinomas Along the Course of Axillobifemoral Bypass Graft: Unusual Complication of Extra-anatomic Bypass Graft

Case Report

New-Onset Ascites in a Young Black Woman

Review Article

Nutritional Concerns in the Elderly

Case Report

Recurrent Meningitis Associated With Intragastric Migration of a Ventriculoperitoneal Shunt Catheter in a Patient With Normal-Pressure Hydrocephalus