Issue - Southern Medical Association

Review Article

Chemotherapy-Induced Alopecia New Developments

ABSTRACT: Alopecia (hair loss) is one of the most physically and psychologically distressing side effects of cancer chemotherapeutic drugs. Since its first recognition as a common outcome to most chemotherapeutic agents, only a few trials have been reported, using either a method to temporarily reduce the scalp blood flow (scalp…

Primary Article

Emphasis on High-Density Lipoprotein Cholesterol in Patients With Coronary Artery Disease

ABSTRACT: Although numerous epidemiologic and lipid intervention studies clearly demonstrate the pivotal role of high-density lipoprotein cholesterol (HDL-C) on risk of coronary artery disease (CAD), the National Cholesterol Education Program (NCEP) has emphasized only total cholesterol and low-density lipoprotein cholesterol (LDL-C), and has underemphasized the role of HDL-C in their…

Primary Article

Effect of Hemodialysis on Left Ventricular Contractility in Pediatric Patients With End-Stage Renal Disease

ABSTRACT: Assessment of the effect of hemodialysis on myocardial contractility is complicated by variations in loading conditions that can occur during hemodialysis and by the prevalence of coronary artery disease among patients with chronic renal failure. Therefore, we used a load-independent index of left ventricular contractility, derived from analyses of…

Primary Article

STAR Complexes Febrile Illnesses Associated With Sore Throat, Arthritis, and Rash

ABSTRACT: Between January 1990 and February 1991 we evaluated the cases of 20 patients for a symptom complex consisting of Sore throat, elevated Temperature, migratory Arthritis, and a pruritic urticarialR ash (STAR). The patients ranged in age from 3½ to 48 years; most were from central Texas. Duration of illness…

Primary Article

Conservative Surgery and Radiation Therapy in Early Breast Cancer Ten-Year Experience at the West Florida Cancer Institute

ABSTRACT: Between July 1981 and December 1989, 143 patients received conservative surgery and radiation for 147 primary breast tumors. Ten lesions were staged as Tis, 122 as Tl, and 15 as T2. N stages were NX in 15 cases, N0 in 93, and N1 in 39. All patients had lumpectomy,…

Primary Article

Factors Predicting Reluctance to Seek Treatment in Patients With Eating Disorders

ABSTRACT: Eating disorders, including anorexia nervosa and bulimia nervosa, are common problems in young women, yet many delay or never seek treatment for them. A semistructured telephone interview that addressed various eating problems was conducted with 78 consecutive patients referred to a university hospital eating disorders clinic. It was hypothesized…

Primary Article

Treatment of Acute Intestinal Ischemia With Hyperbaric Oxygen

ABSTRACT: Hyperbaric oxygen has been shown to improve oxygen tension and promote wound healing. We did a pilot study in which we created ischemic jejunal segments measuring 3, 6, and 9 cm, 10 of each length, in 30 rats. Half of the rats were given hyperbaric oxygen at 100%, 30…

Primary Article

Cerebral Monitoring During Implantation of Automatic Internal Cardiac Defibrillators

ABSTRACT: Implantation of automatic internal cardiac defibrillators (AICD) for management of arrhythmias necessitates the induction of ventricular fibrillation (VF) to test the device adequately. The profound hypotension associated with induced arrhythmia and subsequent circulatory arrest may result in cerebral ischemia. To characterize cerebral ischemia, we used a five-lead Lifescan brain…

Current Concepts

Ondansetron A Novel Antiemetic Agent

ABSTRACT: Ondansetron hydrochloride is a new serotonin receptor antagonist that is effective in preventing emesis associated with cancer chemotherapy. The antiemetic effect appears to be exerted through a peripheral vagal blocking within the gastrointestinal tract, as well as an inhibitory effect within the chemoreceptor trigger zone (CTZ). Plasma concentrations of…

Article

More Short-term Volunteer Staffing for Public Health An Independent Policy Statement

ABSTRACT: This paper is an independent policy statement recommending more shortterm volunteer staffing for the US Public Health Service. I propose a Public Health survey of all physicians to determine their willingness to serve short-term, so that those available can be mobilized. Public Health should redirect its recruitment efforts, eliminate…

Primary Article

Open Trial of Fluoxetine Therapy for Premenstrual Syndrome

ABSTRACT: To assess the possible efficacy of fluoxetine hydrochloride in severe PMS (premenstrual syndrome, luteal phase dysphoric disorder), an open trial of this medication was undertaken on women with severe PMS. Of 38 patients seeking evaluation of PMS, 35 met the criteria for diagnosis, and 21 had mild symptoms and…

Primary Article

Human Immunodeficiency Virus Infection Knowledge of the Disease and Attitudes Toward Related Issues and Policies Among Health Care Workers in a Low-Incidence Nonurban Hospital

ABSTRACT: We compared the knowledge and attitudes regarding human immunodeficiency virus (HIV) infection among employees in a tertiary care teaching hospital in a nonurban southeastern city with a relatively low incidence of acquired immunodeficiency syndrome (AIDS). All 260 physicians and a random sample of 240 other employees were asked to…

Correspondence

“Mister Christopher Columbus”

Case Report

Acute Page Kidney Phenomenon A Cause of Reversible Renal Allograft Failure

Correspondence

Correspondence

Case Report

External Iliac Artery Occlusion Due to Pelvic Fracture Management With a Gross-Femoral Bypass Graft

Editorial

MINIMALISM IN SURGERY

Case Report

Multiple Myeloma and AL Amyloidosis Mimicking SjÖgren’s Syndrome

Case Report

Peritonitis Due to Moraxella (Branhamella) catarrhalis in a Diabetic Patient Receiving Peritoneal Dialysis

Case Report

Pylephiebitis Associated With Diverticulitis

Case Report

Pyoderma Gangrenosum as a Cutaneous Manifestation of Diverticular Disease

Case Report

Respiratory Insufficiency in Adult-Type Acid Maltase Deficiency

Case Report

Silicone Pleural Effusion Due to Iatrogenic Breast Implant Rupture

Case Report

Spontaneous Migration of an Intracranial Bullet into the Cervical Canal

Case Report

Symptomatic Pleural Effusion After Coronary Artery Revascularization Unsuspected Pleural Injury From Internal Mammary Artery Resection

Case Report

Tetanus, Pseudotetanus, or Conversion Disorder: A Diagnostic Dilemma?

Our Medical Heritage

Trauma Surgery During the Civil War

Correspondence

Use of Ketorolac (Toradol) to Inhibit Perioperative Platelet Aggregation