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Articles 1 - 30 of 828
Full-Text Articles in Medicine and Health Sciences
The Gay Nineties: Oscar Wilde Reconsidered, Frederick J. Spencer
The Gay Nineties: Oscar Wilde Reconsidered, Frederick J. Spencer
MCV/Q, Medical College of Virginia Quarterly
Sex and hypocrisy have always been bedmates, but never more than in Victorian England. In the “Gay Nineties” promiscuity was widely accepted in all social classes, although the aristocracy hid its lust behind a strict code of propriety. Country house parties catered to infidelities with the approval of the Prince of Wales, himself a notorious womanizer.
Recent Advances In Cancer Chemotherapy, Robert B. Diasio
Recent Advances In Cancer Chemotherapy, Robert B. Diasio
MCV/Q, Medical College of Virginia Quarterly
The present state of cancer chemotherapy can be reviewed in light of selected basic principles with an acknowledgement of the role of established chemotherapeutic agents. Four chemotherapeutic agents recently approved for clinical use and their impact when used in combination regimens should be examined. Several important concepts influencing chemotherapy in the 1980s include the use of chemotherapy in the adjuvant setting, the use of hormonal receptor data in planning therapy, and the use of in vitro tests on tumor specimens to predict tumor sensitivity to cancer chemotherapy drugs (prior to administration of these potentially toxic drugs to a particular patient). …
Changing Concepts Of Cancer Biology, Diagnosis And Treatment, Robert N. Taub
Changing Concepts Of Cancer Biology, Diagnosis And Treatment, Robert N. Taub
MCV/Q, Medical College of Virginia Quarterly
Cancer is the number two killer in the United State and will probably account for some 400,000 deaths in 1982. The lung has now achieved the dubious distinction of being the most common site of cancer in men and causes the most deaths. Cancer of the colon and rectum is the second most common cancer in both males and females combined, whereas carcinoma of the breast and uterus predominate in women.
Breast Cancer: An Update, Wade K. Smith
Breast Cancer: An Update, Wade K. Smith
MCV/Q, Medical College of Virginia Quarterly
Breast cancer comprises approximately 13.9% of all cases of malignancy in both sexes and 19% in women, in whom it is the commonest form of cancer. The American Cancer Society estimates that 110,000 women developed breast cancer in 1981, and some 37,100 deaths from the disease occurred. The five-year survival rate has been improving over the past 40 years as shown in Table 1, but patients remain in risk of recurrence indefinitely and survival for ten years is generally accepted as the minimal time period necessary to establish the validity of new therapies.
Tapping The Tube, Sara Kaltreider
Tapping The Tube, Sara Kaltreider
MCV/Q, Medical College of Virginia Quarterly
Before percussion and mediate auscultation were discovered, methods of physical examination – in particular chest examination – were limited. Only observation was used with any regularity. From the time of Hippocrates, palpation and direct auscultation had been used sporadically to detect heartbeats but had not proved to be of practical value because clinicopathological correlation had not yet been established. At last, when a new method called percussion was conceived by Auenbrugger in 1761, it was ignored for almost forty years. Not until the French School evolved did percussion become established, largely through Corvisart, Napoleon’s private physician. Coincident with the revival …
Volume Sixteen Author Index
MCV/Q, Medical College of Virginia Quarterly
Author Index for MCV/Q, Medical College of Virginia Quarterly, 1981, Volume Sixteen.
Volume Sixteen Subject Index
MCV/Q, Medical College of Virginia Quarterly
Subject Index for MCV/Q, Medical College of Virginia Quarterly, 1981, Volume Sixteen.
Colonial Cultivation And Concoctions, Sara Jones Gomberg
Colonial Cultivation And Concoctions, Sara Jones Gomberg
MCV/Q, Medical College of Virginia Quarterly
Have you ever wondered how to increase the value of your property? One way would be to include a well-cultivated herb garden, that is if you were a seventeenth-century colonist. Not only were the herbs much sought after for their culinary uses but also for their medicinal properties. Today’s medical library may not include a collection of botany books, yet botanical knowledge was a large part of early medical training and the mainstay of the “cavalier concoctions” used by colonists for medical treatment.
[Note From The Editor], Frederick J. Spencer
[Note From The Editor], Frederick J. Spencer
MCV/Q, Medical College of Virginia Quarterly
The MCV Quarterly ceases publication with this issue. No journal of this type can be self-supporting and we bow to the inevitable reality of inflation. The idea of the Quarterly came from Sami Said. Almost single handed he cajoled and coerced the Dean of the School of Medicine into finding the money for publication. Throughout its existence MCV/Q has remained true to its stated purpose of disseminating “scientific information from all sources”, resisting several attempts to convert it into a “house journal” or popular newssheet. In essence, it has been the printed pivot of continuing education in the medical school.
Recent Advances In Gastorintestinal Cancer, Galen L. Wampler
Recent Advances In Gastorintestinal Cancer, Galen L. Wampler
MCV/Q, Medical College of Virginia Quarterly
Colorectal carcinoma accounts for the majority of all gastrointestinal cancers and is the second leading site of cancer, excluding skin cancers, in overall incidence in the United States. Cancer of the stomach, although decreasing in frequency is still an important cause of morbidity and mortality. Unfortunately, data from large numbers of patients such as can be found in Cancer Patient Survival Report No. 5 show only very modest increases in survival for patients with these diseases in recent years.
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3
MCV/Q, Medical College of Virginia Quarterly
No abstract provided.
Medicine In Retrospect
MCV/Q, Medical College of Virginia Quarterly
The following is a transcript of an informal talk by Drs. Kinloch Nelson and Charles M. Caravati, presented in 1974 to the School of Medicine of the Medical College of Virginia, Health Sciences Division of Virginia Commonwealth University, Richmond, Virginia.
Contents
MCV/Q, Medical College of Virginia Quarterly
Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1981, Volume Sixteen, Numbers Three and Four.
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 4
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 4
MCV/Q, Medical College of Virginia Quarterly
No abstract provided.
Antenatal Genetic Studies, Fay Redwine
Antenatal Genetic Studies, Fay Redwine
MCV/Q, Medical College of Virginia Quarterly
The Antenatal Genetic Testing Program at MCV began in 1973. The standard scheme for antenatal genetic testing involves counseling, the methods of carrier detection available, ultrasound, amniocentesis, and laboratory evaluation. Patients are referred because of a family or personal history of a genetic abnormality or because they have been evaluated in a carrier detection program like those for Tay-Sachs disease or Sickle Cell disease and are known carriers. After referral, patients are given genetic counseling by me and members of the Department of Human Genetics; if antenatal genetic testing is deemed appropriate, we obtain informed consent and proceed with an …
Relaxation Of The Supporting Structures Of The Female Pelvis, David H. Nichols
Relaxation Of The Supporting Structures Of The Female Pelvis, David H. Nichols
MCV/Q, Medical College of Virginia Quarterly
The purpose of this discussion is to share with you some thoughts about pelvic relaxation, its mysteries, some technical minutiae helpful in identifying them and some of the surgical problems involved. Thus, by looking at a number of these diagnostic challenges, you may be stimulated to some diagnostic thinking in an office setting.
Cervical Cytology And Colposcopy, W. Glenn Hurt
Cervical Cytology And Colposcopy, W. Glenn Hurt
MCV/Q, Medical College of Virginia Quarterly
Colposcopy was first described by Hinselmann of Hamburg in 1925. The colposcope is a binocular microscope of low power (10x to 25x) which contains a light source and is mounted on a stand to permit its use in the study of the surface of the uterine cervix. Using the colposcope, the physician can identify and evaluate cervical epithelial abnormalities.
Evaluation And Management Of Adnexal Masses, Dean R. Goplerud
Evaluation And Management Of Adnexal Masses, Dean R. Goplerud
MCV/Q, Medical College of Virginia Quarterly
The adnexa are those structures which lie along the uterus, the most important of which are the tubes and ovaries. The portions of the broad ligaments and mesosalpinx which contain embryonic remnant may also, at times, be palpable and therefore must be considered in any differential diagnosis.
Some Psychological Aspects Of Dealing With Cancer, Joel J. Silverman
Some Psychological Aspects Of Dealing With Cancer, Joel J. Silverman
MCV/Q, Medical College of Virginia Quarterly
Cancer has a potentially profound affect upon the emotional and physical life of the patient and his or her family. For most people the word “cancer” has a fearsome connotation. This discussion explores the areas of self-image, body-image, and personal relationships that are often altered in cancer patients, as well as the emotional and cognitive states which can result from malignancy and its treatment. We will also review some techniques for helping the patient. It is important to remember that the psychological responses to any illness are individual and largely determined by the patient’s past experience, psychological strengths, weaknesses and …
Menstrual Abnormalities, Leo J. Dunn
Menstrual Abnormalities, Leo J. Dunn
MCV/Q, Medical College of Virginia Quarterly
Any physician involved in primary care will encounter patients with menstrual dysfunction. Mismanagement of this disorder is not usually the result of its complexity but rather the lack of an orderly approach. In unusual circumstances one may encounter a patient with a menstrual disorder of sufficient complexity to require referral. This decision should be based on a work-up indicating such a need rather than frustration after unsuccessful empiric therapeutic trials.
Contraception Versus Sterilization, Thampu Kumarasamy
Contraception Versus Sterilization, Thampu Kumarasamy
MCV/Q, Medical College of Virginia Quarterly
The World Health Organization reported that 40% of the pregnancies in the world in 1977 were unplanned and 20% were unwanted; in the United States in 1978 there were 1,300,000 teenage pregnancies, of which one million ended in abortions. To prevent these unwanted pregnancies and also to abolish the cost in terms of money, time and lives, conception control is very important. Contraception is as old as the human race. In ancient times Chinese women swallowed live tadpoles three days after their menses for this purpose. North African women mixed gunpowder solution and foam from a camel’s mouth and drank …
Identification Of The High-Risk Gravida, Robert E. Petres, Emily M. Coogan
Identification Of The High-Risk Gravida, Robert E. Petres, Emily M. Coogan
MCV/Q, Medical College of Virginia Quarterly
In the past, there has been considerable pessimism about our ability to identify the pregnant patient at risk. However, with the development of sophisticated diagnostic techniques these patients can be identified and with appropriate treatment their outcome can be improved. This paper presents the overall benefit of categorizing obstetrical patients, the method that has been developed at the Medical College of Virginia (MCV), and certain categories of high-risk obstetrical patients who continue to present problems and have unacceptably high complication rates.
Endometriosis, W. Glenn Hurt, Ray A. Wetheim
Endometriosis, W. Glenn Hurt, Ray A. Wetheim
MCV/Q, Medical College of Virginia Quarterly
Endometriosis is diagnosed when tissue which resembles the endometrial lining exists outside the endometrial cavity. Although first described as a pathological entity in the late 1800s, the term “endometriosis” was not introduced until the early 1920s by Sampson. The great volume of literature which has accumulated on this topic is, by and large, a product of the 20th century.
Office Endometrial Sampling, Stephen A. Cohen, W. Glenn Hurt
Office Endometrial Sampling, Stephen A. Cohen, W. Glenn Hurt
MCV/Q, Medical College of Virginia Quarterly
The concept of office endometrial sampling is not new. Kelly recommended its use in 1925. More recently, the procedure has received increased attention as physicians and the public have sought ways to curb the spiraling cost of medical care. Uterine curettage is the operation most commonly performed on women throughout the world. As an inpatient procedure, it costs $500 to $600. The same procedure performed in an outpatient surgical center costs $350 to $400. In over 90% of cases, an adequate endometrial sample may be obtained in the office at a cost of $50 to $60. For office endometrial sampling …
Urinary Incontinence In Women, J. Andrew Fantl
Urinary Incontinence In Women, J. Andrew Fantl
MCV/Q, Medical College of Virginia Quarterly
The adult bladder and urethra acting as a unit allow for the voluntary dual function of urine collection and evacuation. Urinary continence is an acquired, “learned” state, and normal anatomy and function of the nervous and genitourinary systems are necessary to maintain it. Urinary incontinence is defined as “a condition where involuntary loss of urine is a social or hygienic problem and is objectively demonstrable.” This definition takes into account both sociocultural aspects and the need for objective clinical assessment of urinary leakage. Marked individual variations in physical activity, occupation and hygienic standards call for appropriate clinical judgment when evaluation …
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 16 No. 1
Mcv/Q, Medical College Of Virginia Quarterly, Vol. 16 No. 1
MCV/Q, Medical College of Virginia Quarterly
No abstract provided.
Introduction, W. Glenn Hurt
Introduction, W. Glenn Hurt
MCV/Q, Medical College of Virginia Quarterly
The Department of Obstetrics and Gynecology welcomed the opportunity to present the 51st Annual McGuire Lecture Series. The lectures were designed to provide the primary care physician with information which is clinically useful and applicable to the daily practice of obstetrics and gynecology. An effort was made to achieve a balance between those health problems that have been known for some time but whose understanding has changed and those problems that have been recognized more recently and whose solutions are still evolving.
Contents
MCV/Q, Medical College of Virginia Quarterly
Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1980, Volume Sixteen, Numbers One and Two.
Management Of High-Risk Gravida, Shelby Jarrell
Management Of High-Risk Gravida, Shelby Jarrell
MCV/Q, Medical College of Virginia Quarterly
Comprehensive prenatal care has become the hallmark of modern obstetrical practice. Awareness by both physicians and patients that such care is necessary for satisfactory perinatal outcome has led to the establishment of an obstetrical subspecialty, Maternal Fetal Medicine, to provide a higher level of prenatal care and to increase our knowledge of perinatal events. Many of the management techniques currently being used for high-risk pregnancies can be readily applied to the routine obstetrical population. The additional physician time and laboratory tests required are minimal, and the early identification and prevention of perinatal complications will eliminate the need for “crisis” medicine.
Introduction, David W. Richardson
Introduction, David W. Richardson
MCV/Q, Medical College of Virginia Quarterly
The 50th McGuire Lecture Series presented current reviews in clinical cardiology and hypertension for practicing physicians and medical students. Speakers were members of the faculty of the Divisions of Cardiology and Cardiovascular Surgery at the Medical College of Virginia and Dean T. Mason, M.D., Chief of the Cardiovascular Section at the University of California at Davis. Dr. Mason, who is the outstanding authority on the management of congestive heart failure by reduction of the load against which the heart must pump, was the McGuire Lecturer.