Issue - Southern Medical Association

Primary Article

Profile of Trauma Due to Violence in a Statewide Prison Population

ABSTRACT: Acts of violence within a statewide prison population were reviewed to determine the incidence, types of injuries, surgical procedures required, persons involved in the trauma, and weapons used to inflict the injuries. The objective was to identify trends to aid in developing methods of prevention. Over a 3-year period,…

Primary Article

Left-Sided Endocarditis in Parenteral Drug Abusers: Recent Experience at a Large Community Hospital

ABSTRACT: Endocarditis in IV drug abusers involves the right side of the heart with much higher incidence than in the general population, being limited to the left in 30% to 40% of cases. The infecting organism is Staphylococcus aureus approximately 50% of the time, followed by Streptococcus (all groups), which…

Primary Article

Pediatric Analgesia With Epidural Fentanyl Citrate Administered by Nursing Staff

ABSTRACT: Even though epidural analgesia is effective and has advantages over conventional postoperative analgesia, it is also labor intensive, requiring 24-hour supervision by an anesthesiologist. In an effort to decrease the manpower requirements, some hospitals allow the nursing staff to administer epidural narcotics to adult patients. In children, however, this…

Primary Article

Echocardiography for Evaluating Anatomic Repair of Transposition of the Great Arteries

ABSTRACT: Fifteen survivors of a single-stage anatomic correction of complete transposition of the great arteries performed at a mean age of 1 month were studied by cross-sectional echocardiography, conventional Doppler echocardiography, Doppler color flow mapping, and catheterization at mean of 10 months after surgery. Small aortic regurgitant jets were documented…

Primary Article

Node-Negative Breast Carcinoma Treated Without Adjuvant Systemic Therapy

ABSTRACT: In this prospective study, 167 consecutive patients with node-negative invasive breast cancer were treated without adjuvant systemic therapy in a community hospital from 1974 through 1984. The median follow-up for living patients was 84 months. Ninety-three percent of patients had disease classified as T1, N0, M0 or T2, N0,…

Primary Article

Low Body Weight in Parkinson’s Disease

ABSTRACT: Low body weight is a characteristic symptom of Parkinson's disease (PD), but the mechanism is unknown. To determine whether bulbar involvement is responsible for the weight loss, we compared the mean body weight (MBW), height, and body mass index (BMI) of 281 patients with PD and 86 patients with…

Primary Article

Polyarticular Pseudosepsis in Rheumatoid Arthritis

ABSTRACT: Three patients with longstanding seropositive rheumatoid arthritis had fever and marked synovial fluid leukocytosis in multiple joints. No infectious agents were found in synovial fluid or blood, and the patients recovered uneventfully without prolonged antibiotic therapy. Acute, severe exacerbations of synovitis in patients with rheumatoid arthritis may simulate a…

Primary Article

Intracranial Abnormalities Requiring Emergency Treatment: Identification by a Single Midline Tomographic Slice Versus Complete CT of the Head

ABSTRACT: We retrospectively reviewed 89 noncontrast computerized tomographic scans of the head in trauma patients to determine whether a single midline image could reliably identify intracranial lesions significant enough to warrant emergency surgery. We found that a midline cut was able to detect 92% of all lesions for which emergency…

Primary Article

Major Vascular Injuries of the Torso

ABSTRACT: We reviewed autopsy data from 802 trauma deaths in northwestern Louisiana from January 1983 to March 1988 and found that 18% of all such deaths involved noncardiac major vascular injuries of the torso. Ninety-four percent of all deaths from blunt trauma and 45% of all deaths from penetrating trauma…

Case Report

Acute Pancreatitis Associated With Ketoprofen

Case Report

Bacteremia Due to Pasteurella multocida

Case Report

Central Pontine Myelinolysis as a Manifestation of the Paraneoplastic Syndrome

Case Report

Diagnosis of Pulmonary Tuberculosis Complicating HIV Infection: Superiority of Sputum Smear Over Bronchoalveolar Lavage

Editorial

DOING NOTHING

Article

Gift of Attention

Editorial

HOW MANY AUTHORS DOES IT TAKE TO WRITE A JOURNAL ARTICLE?

Article

Innovative Civil War Surgeon

Commentary

INTRACRANIAL ABNORMALITIES REQUIRING EMERGENCY TREATMENT

Case Report

Invasive Sinusitis Due to Pseudallescheria boydii in an Immunocompetent Host

Letter to the Editor

Liver Function in Heroin Abusers

Case Report

Pediatric Primary Gastric Lymphoma

Article

Prohibition, 1920 to 1933: An Overview of Its Effects on Public Health and the Economy

Letter to the Editor

Proper Use of Nasal Cromolyn Sodium

Letter to the Editor

Proper Use of Nasal Cromolyn Sodium Reply

Review Article

Psychoimmunology: Implications for Future Research

Case Report

Renal Acidosis, Thyroiditis, Hemolytic Anemia: An Autoimmune Link?

Case Report

Residual Abdominal Masses After Therapy for Large Cell Lymphoma

Our Medical Heritage

Sir Ronald Ross, FRS, KCMG, KGB, and the Conquest of Malaria

Case Report

Thoracic Disk Herniation and Recurrent Dislocation of Total Hip Prosthesis

Case Report

Traumatic Neuroma of the Bile Duct Causing Cholangitis and Atrophy of the Right Hepatic Lobe

Case Report

Trichinosis: Common Source Outbreak Related to Commercial Pork

Case Report

Variable Vocal Cord Dysfunction: An Asthma Variant