Issue - Southern Medical Association

Current Concepts

Deep Venous Thrombosis

ABSTRACT: Deep venous thrombosis is a common problem in clinical medicine and the focus of research from many perspectives, including incidence, identification of risk factors, diagnosis, treatment, and sequelae. Because of their frequency and resultant morbidity and mortality, these thromboses demand our continued respect and necessitate vigilance in continuing education…

Primary Article

The Texas Breast Screening Project: Part II Demographics, Risk Profiles, and Health Practices of Participants

ABSTRACT: More than 36,000 of the 64,459 women who had $50 mammograms after a media campaign in 1987 completed a demographic and risk factor questionnaire. The screened women were young and well educated with high annual incomes. Only. 32% had had mammograms before 1987. Most women reported that high cost…

Primary Article

Doppler Ultrasonography of the Umbilical Cord in Complicated Pregnancies

ABSTRACT: Ninety-two gravid women had Doppler insonation of the umbilical cord after diagnosis of various pregnancy complications. Calculations of the systolic-diastolic (S/D) ratio were plotted against a nomogram of values developed at the Hospital of the University of Pennsylvania. An S/D ratio greater than the 95th percentile for gestational age…

Primary Article

Deficiencies in School Readiness Skills of Children With Sickle Cell Anemia: A Preliminary Report

ABSTRACT: Patients with sickle cell anemia often express myriad clinical signs and symptoms that affect their life-style and academic performance. Certain psychoeducational and psychosocial factors have been shown to influence the academic achievement of older patients with sickle cell anemia. However, studies evaluating the school readiness skills of younger children…

Primary Article

Multiple Cerebral Aneurysms in Patients With Sickle Cell Disease

ABSTRACT: Patients with sickle cell disease appear to have a high incidence of cerebral aneurysm. These aneurysms are not associated with the usual risk factors of hypertension, renal disease, or connective tissue disease. We present two recent cases of patients with sickle cell disease and multiple cerebral aneurysms, review the…

Review Article

Personality Disorders: An Overview for the Physician

ABSTRACT: Personality disorders are common clinical syndromes that often go unrecognized in medical practice. Because patients with personality disorders receive care in all clinical settings, physicians could profit from a heightened awareness of the personality psychopathology of their patients and its impact on medical practice. Personality traits are universal and…

Primary Article

Superiority of Amniotic Fluid Index Over Amniotic Fluid Pocket Measurement for Predicting Bad Fetal Outcome

ABSTRACT&colon; Semiquantitative amniotic fluid volume (AFV) determination is a component of the fetal biophysical profile (BPP). To assess decreased AFV, we did BPPs of 174 fetuses within 1 week of delivery. Two methods were used&colon; measurement of the single largest vertical pocket (oligohydramnios &equals; depth < 1 cm) and the…

Primary Article

The Texas Breast Screening Project: Part I Mammographic and Clinical Results

ABSTRACT&colon; The 1987 Texas Breast Screening Project was designed to educate women about the benefits and safety of mammographic screening. During the 2-week promotion, 109,339 women called toll-free telephone numbers to inquire about the program, and 64,459 (65&percnt;) of 99,650 eligible callers had &dollar;50 mammograms at 306 participating community radiology…

Article

Moonlighting in a University Surgical Training Program

ABSTRACT&colon; The impact of house officer moonlighting on training performance was assessed through a faculty questionnaire and house officer survey distributed in the Department of Surgery at Tulane University School of Medicine. Responses were obtained from 30 house officers and 15 faculty members. Most house officers who moonlighted did so…

Primary Article

Conservative Alternatives in the Management of Early Adenocarcinoma of the Rectum

ABSTRACT&colon; The majority of patients with adenocarcinoma of the rectum are treated with radical surgical procedures. Lesions located in the distal third of the rectum are usually treated by abdominoperineal resection, and those situated in the proximal portion of the rectum are treated by low-anterior resection. Relatively small, moderately or…

Primary Article

Expectations and Needs of Persons With Family Members in an Intensive Care Unit as Opposed to a General Ward

ABSTRACT&colon; The positive effect of family support on the outcome from serious illness that requires intensive care has been recognized by clinicians for decades. We have all seen that family visitation and an intensive care environment more similar to that of a general ward (sunlight, radio, television) can benefit patients…

Primary Article

Incentives for Physicians to Treat HIV-Seropositive Patients: Results of a Statewide Survey

ABSTRACT&colon; We asked primary care physicians in South Carolina about their knowledge, attitudes, and beliefs regarding patients with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) and the services they provide for these patients. In support of an effort to develop more effective state policies regarding HIV&sol;AIDS, the…

Primary Article

Pregnant Patients in the Intensive Care Unit: A Descriptive Analysis

ABSTRACT&colon; We present a descriptive analysis of experience with pregnant women in the intensive care units at a tertiary hospital. During the period from 1983 through 1990, 38 women were admitted to our intensive care units during their pregnancy or within 2 weeks postpartum. This was a rate of 1…

Primary Article

Management of Borderline Tumors of the Ovary

ABSTRACT&colon; We retrospectively reviewed the cases of 51 patients with borderline ovarian tumors seen over a 9-year period. Half of these tumors were manifested by abdominal distention and pain; the remainder were found incidentally at the time of surgery planned for other reasons. Overall survival is excellent, but proper surgical…

Case Report

Cicatricial Pemphigoid

Case Report

Cryptococcal Pneumonia Occurring as an Infiltrative Mass Simulating Carcinoma in an Immunocompetent Host: Plain Film, CT, and MRI Findings

Case Report

Dilated Cardiomyopathy as an Early and Rapidly Progressive Presentation in a Woman With Acquired Immunodeficiency Syndrome

Case Report

Gaucher’s Disease Associated With Chronic Lymphocytic Leukemia

Case Report

Granular Cell Myoblastoma Involving Multiple Organs

Case Report

Holt-Oram Syndrome Associated With Hypoplastic Peripheral Vasculature and Midsystolic Click

Case Report

Juvenile Laryngeal Papillomatosis: A New Complication

Editorial

ON 60 YEARS OF OBSERVATION AND INTERPRETATION IN ONE DISEASE: A COMMENT ON THE CAREER OF L. W. DIGGS, MD

Case Report

Pustulotic Arthro-osteitis: A Cause of Atypical Chest Pain and a New Arthritic Syndrome

Case Report

Severe Bruxism in a Demented Patient

Case Report

Unusual Calcified Goiter Associated With Increased Iodoprotein in Serum