Issue - Southern Medical Association

Letter to the Editor

Suicide in Elderly

(Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the Journal. They will be published, if found suitable, as space permits. Like other material submitted for publication, Letters must be typewritten…

Primary Article

Stress and Suicide in Police Officers: Paradigm of Occupational Stress

ABSTRACTAll occupations are associated with stress, but certain occupations are significantly more stressful than others. Stress is not always harmful. It is the individual's reaction to stress that determines the outcome, ie, whether the individual will adapt or become maladaptive. Individuals who feel they can control events or are in…

Review Article

Ocular Safety of Hydroxychloroquine Sulfate (Plaquenil)

ABSTRACTAnalysis of all published cases and Food and Drug Administration (FDA) reports of retinopathy attributed to hydroxychloroquine sulfate (Plaquenil) does not reveal any evidence of permanent visual field scotoma occurring when the daily dose is related to body weight and does not exceed 6.5 mg/kg for maintenance therapy. Risk factors…

Review Article

Barrett’s Esophagus: Observations on Diagnosis and Management

ABSTRACTBarrett's esophagus is a premalignant condition that may often pass unrecognized in clinical practice. In adults, this condition is generally believed to be caused by chronic gastroesophageal reflux resulting in a metaplastic change in the epithelium of the esophagus. Diagnosis of Barrett's esophagus is established by careful biopsy of the…

Primary Article

Cost of Screening for Colorectal Cancer: Results of a Community Mass Screening Program and Review of the Literature

ABSTRACTColorectal cancer is the second most common form of cancer in the United States, but controversy exists over the feasibility, benefits, and methods of screening. We conducted a large-scale, community-based screening program to determine the cost of screening for colorectal cancer. Based on detailed cost analysis, we arrived at a…

Current Concepts

Gastroesophageal Reflux in Neurologically Impaired Children: Perioperative Evaluation and Management

ABSTRACTGastroesophageal reflux and malnutrition are major determinants of perioperative morbidity and mortality in neurologically impaired children. The incidence of these risk factors can be reduced through careful preoperative evaluation and nutritional rehabilitation combined with the use of perioperative techniques intended to control the acid aspiration syndrome. In this article, we…

Primary Article

Hex Death: Voodoo Magic or Persuasion?

ABSTRACTHex death is one that follows a ritualized pronouncement of death by a powerful authority, a phenomenon not widely accepted by the Western medical community, despite scattered accounts witnessed by reputable observers. Case histories of two patients are presented. The first patient, a poorly educated man near death after a…

Article

Ambulatory Monitoring of Silent Myocardial Ischemia: What Is Its Utility?

ABSTRACTIn patients with angina pectoris, ambulatory ST segment monitoring has documented that asymptomatic myocardial ischemic episodes occur with greater frequency than previously suspected. During such episodes, ischemia has been verified by nuclear, echocardiographic, and biochemical techniques. Painless ST segment depression is consistent with severe coronary artery disease when detected by…

Primary Article

Radiotherapeutic Palliation of Spinal Epidural Compression in Small-Cell Lung Cancer

ABSTRACTSixteen patients with spinal epidural compression by metastatic small-cell lung cancer were given radiotherapy for palliation. Lower limb motor deficit was the most prominent clinical manifestation. Neurologic dysfunction was commonly present for more than 48 hours before the diagnosis of compression. Median interval between diagnosis of lung cancer and epidural…

Primary Article

Estradiol Gel in the Treatment of Menopausal Symptoms: A Placebo-Controlled Double-Blind Case Study of Efficacy and Safety

ABSTRACTThirty-nine postmenopausal women were randomized to treatment with either percutaneous estradiol or a placebo. Those taking the estradiol had an increase in serum estradiol to follicular phase levels and a concomitant fall in serum follicle-stimulating hormone (FSH) levels. Atrophic vaginal epithelium became well estrogenized, and the frequency and severity of…

Primary Article

Resurgence of Acute Rheumatic Fever in West Alabama

ABSTRACTThis study was done to ascertain whether there was an increased incidence of acute rheumatic fever (ARF) in west Alabama, similar to that reported elsewhere within the United States. Hospital records for the previous 10 years were reviewed and 5-year intervals were compared (1980 through 1984 vs 1985 through 1989)….

Primary Article

Continuous Subcutaneous Terbutaline Pump Therapy for Premature Labor: Safety and Efficacy

ABSTRACTTo assess the usefulness of a continuous subcutaneous pump infusion of terbutaline for long-term tocolysis, we used this modality in 13 patients in whom other tocolytic regimens had failed. The mean ( $$ standard deviation) maternal age was 29.9 $$ 3.8 years. The study population included 10 singleton gestations, two…

Our Medical Heritage

Treatment of Infected Wounds During the Great War, 1914 to 1918

The man who has on open mind can always learn something from discussion. In dealing with complicated subject matters such as that of the proper treatment of wounds, trustworthy conclusions are ereached only when we have been compelled to look at the facts from opposite points of view. And when…

Case Report

Acneiform Eruption Due to Eruptive Vellus Hair Cysts

Case Report

Adenocarcinoma of the Cecum Manifested as Acute Appendicitis

Letter to the Editor

And Justice for All

Case Report

Bacteremia Due to Erysipelothrix rhusiopathiae

Case Report

Bubonic Plague

Case Report

Colonoscopy Preparation Complicated by Mallory-Weiss Tear

Article

Futility

Editorial

IS THERE A HEALTH CARE PROVIDER IN THE HOUSE?

Case Report

Large Soft Tissue Tumor of the Chest Occurring After Trauma

Case Report

Metastasis From Adenocarcinoma of the Lung Producing Acute Appendicitis

Case Report

Septic Arthritis Due to Pasteurella multocida

Editorial

SOME MUSINGS ON THE RELIABILITY OF STATISTICS

Evagations

THE LIGHT OF COAL OIL LAMP