Issue - Southern Medical Association

Primary Article

Perioperative Complications of Long-term Central Venous Catheters in High-Risk Patients: Predictors Versus Myths

ABSTRACT: A prospective cohort of 126 patients having long-term central venous catheterization was collected over a 10-month period. The patients were preoperatively assessed for the following risk factors: previous catheter placement, an absolute neutrophil count less than 500 /mm3, a platelet count less than 50 000/mm3, a BUN value greater…

Primary Article

Health Status of the Aged: Medical Profile of a Group of Functional Elderly

ABSTRACT: By studying a group of very elderly but generally functional people, we have compiled a medical profile that helps describe health-related characteristics of effective aging. We obtained functional, nutritional, and biochemical information regarding 61 men and women (mean age 86.8 years) attending a veterans' convention. Twenty-three out of 60…

Primary Article

Anesthetic Considerations for Electroconvulsive Therapy

ABSTRACT: Electrically induced seizures have been used widely to treat psychiatric disease since their introduction in 1938. Seizure activity is the therapeutic aspect of this form of treatment, but it is accompanied by untoward physiologic consequences. Cardiovascular responses consist of generalized autonomic nervous system stimulation with initial parasympathetic outflow, followed…

Current Concepts

Erythromycin Therapy for Gastroparesis

ABSTRACT: Gastroparesis from numerous causes has been treated with a number of prokinetic agents. We report the successful use of erythromycin as a prokinetic agent in the treatment of two cases of idiopathic gastroparesis in which treatment with metoclopramide or domperidone or both had failed. We also review information about…

Primary Article

Seroprevalence of Human Immunodeficiency Virus Among Adolescent Attendees of Mississippi Sexually Transmitted Disease Clinics: A Rural Epidemic

ABSTRACT: Human immunodeficiency virus (HIV) infection among adolescents is causing increasing concern, and teenagers attending sexually transmitted disease (STD) clinics run a high risk of contracting it. To determine the status of HIV infection in a Mississippi adolescent population, we evaluated seroprevalence rates for adolescents attending Mississippi State Department of…

Article

Humanism and Values in the Medical Short Stories of Arthur Conan Doyle

ABSTRACT: In 1894 Arthur Conan Doyle published 15 medical short stories under the title of Round the Red Lamp, a red lamp being the symbol for a physician's office in Victorian England. These 19th-century vignettes do not indulge in scientific descriptions of diseases, their processes, or their treatment. Instead, they…

Review Article

Comprehensive Surgical Management of Mandibular Fractures

ABSTRACT: Mandibular fractures are common facial injuries. Classifications are combined and correlated with specific treatment modalities. Combined classification of fractures indicates the difficulty of treatment required. Many surgical techniques have been used and accepted as proper methods for reduction and fixation of mandibular fractures. Most studies advocate one technique as…

Primary Article

Attitudes and Education of Pediatric House Staff Concerning Breast-Feeding

ABSTRACT: Pediatricians are expected to offer information and advice on breast-feeding to expectant and lactating mothers, but the educational experience for pediatric residents may not adequately prepare them for this responsibility. To examine knowledge and confidence regarding breast-feeding gained by pediatric house staff during their residency, a survey was administered…

Review Article

Alternative Cancer Treatments: Impact of Unorthodox Therapy on the Patient With Cancer

ABSTRACT: So-called unorthodox methods of cancer treatment are readily available to patients and families. They are frequently claimed to be “harmless” or “nontoxic” or “painless” alternatives to more standard treatment regimens. The Congress of the United States has estimated that $2 billion is spent annually on cancer quackery. Many physicians…

Primary Article

Integrating the Cognitive Mental Status Examination into the Medical Interview

ABSTRACT: The frequency of cognitive deficits in medical patients makes the cognitive mental status evaluation an important component of the medical interview. This paper helps delineate the clinical situations in which formal cognitive mental status questioning is indicated. We address the critical issues involving the doctor-patient interaction in order to…

Primary Article

Adolescent Blood Pressure Survey: Tulsa, Oklahoma, 1987 to 1989

ABSTRACT: The study goals were to document the incidence of elevated blood pressure (BP) values in public high school students in Tulsa, Oklahoma; to determine whether age and sex are risk factors; and to encourage adolescents with abnormal screening BP values to seek medical care. Over a 2-year period, 5537…

Primary Article

Analysis of Local Recurrence of Midrectal Cancer After Low Anterior Resection and Stapled Anastomosis

ABSTRACT: We evaluated local recurrences of midrectal cancer in 33 patients treated with low anterior resection and stapled end-to-end anastomosis. All patients had follow-up for at least 2 years or until death. There were 21 men and 12 women. Data were analyzed with attention to Astler-Coller modified Dukes' stage, distal…

Case Report

Cholangiocarcinoma Developing After Simple Excision of a Type II Choledochal Cyst

Case Report

Correction of HIV-Associated Thrombocytopenia With Low Doses of Interferon Alfa

Case Report

Courvoisier’s Sign Revisited: Two Patients With Palpable Gallbladder

Editorial

FROM SOW’S EAR TO DOCTOR

Case Report

Listerial Brain Abscess in Long-standing Sarcoidosis

Editorial

MAGIC LESSONS: RATED R

Letter to the Editor

Octreotide Acetate in the Treatment of Hypercalcemia Accompanying Small Cell Carcinoma

Case Report

Single Lung Transplantation for Eosinophilic Granulomatosis

Case Report

Sirenomelia Accompanying Exposure of the Embryo to Cocaine

Evagations

SOME MUSINGS ON THE PASSAGE OF WORDS

Letter to the Editor

Subungual Epithelioid Leiomyosarcoma