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Solar Retinopathy Following The Eclipse Of March 7, 1970, Walter J. Geeraets, Thomas W. Nooney, Joseph R. Svoboda, Florencia C. Ching Jan 1970

Solar Retinopathy Following The Eclipse Of March 7, 1970, Walter J. Geeraets, Thomas W. Nooney, Joseph R. Svoboda, Florencia C. Ching

MCV/Q, Medical College of Virginia Quarterly

A case of unilateral retinal burn injury of the fovea and two cases of binocular injuries have been reported, in connection with the viewing of the eclipse of March 7, 1970. Some calculations of energy densities involved have also been presented.


Rheumatoid Arthritis And Malignancy, Duncan S. Owen Jr., Marion Waller, Elam C. Toone Jr. Jan 1970

Rheumatoid Arthritis And Malignancy, Duncan S. Owen Jr., Marion Waller, Elam C. Toone Jr.

MCV/Q, Medical College of Virginia Quarterly

A retrospective study of the incidence of rheumatoid arthritis and systemic malignancy was performed using the records of 196 older age patients with classic or definite rheumatoid arthritis. The results were compared to 125 patients in the same age group who had arthritis of a non-rheumatoid type. There was no difference in the incidence of malignancy in the two groups of patients. However, there was a positive correlation between the incidence of malignancy and the use of long term adrenocorticosteroid therapy.


The Effect Of Ruby Laser, Xenon-Light Coagulator And Diathermy On Vitreous Proteins, Ira R. Lederman, Edward R. Berry, Walter J. Geeraets Jan 1970

The Effect Of Ruby Laser, Xenon-Light Coagulator And Diathermy On Vitreous Proteins, Ira R. Lederman, Edward R. Berry, Walter J. Geeraets

MCV/Q, Medical College of Virginia Quarterly

Vitreous haze produced by excessive energy delivered during clinical photocoagulation has been reported. The introduction of the ruby laser and the continued use of diathermy to produce therapeutic lesions lead to a comparison of the three modalities in respect to their possible effect on the proteins of the vitreous for an acceptable clinical retinal lesion.


Abstracts Of Theses For Graduate Degrees Jan 1970

Abstracts Of Theses For Graduate Degrees

MCV/Q, Medical College of Virginia Quarterly

Medical College of Virginia, June, 1969. Summary includes: Anticholinergic Agents Based on Ariens' Dual Receptor Site Theory by Archie Jay Beebe; The Relationship Between Emotionality and Behavioral Performance in a Random Population of Male Charles River Rats by Stanley F. Bernstein; Fetal Development and Functional Significance of the Epiphysis Cerebri in Rats and Hamsters: A Light and Electron Microscopic Investigation by Jeanne W. Clabough; Separation and Partial Characterization of Components Derived from Human Erythrocyte Membranes by Roy Frederick J. Davis; Free Amino Acid Release from Isolated Rat Liver Cells by Gerald Irwin Drury; Passer Domesticus by William W. Farrar; The …


Contributors Jan 1970

Contributors

MCV/Q, Medical College of Virginia Quarterly

List of contributors to this issue includes Edward R. Berry, Florencio C. Ching, Walter J. Geeraets, Fred T. Given, Jr., Roger A. Glover, Jr., Ira R. Lederman, Arthur Kent Mant, Thomas W. Nooney, Duncan S. Owen, Jr., Chan Hee Park, Joseph R. Svoboda, Elam C. Toone, Jr., and Marion Waller.


Paroxysmal Nocturnal Hemoglobinuria: New Thoughts, Wendell F. Rosse Jan 1970

Paroxysmal Nocturnal Hemoglobinuria: New Thoughts, Wendell F. Rosse

MCV/Q, Medical College of Virginia Quarterly

I have tried to summarize some of the facts we know, and some questions we need to ask in a disease which, although it is not common, probably is not as rare as we once thought. Once the diagnosis is made, one must be very careful in tending to the patients, since there are instances in which they react much differently than would normal people--either by the hemolytic episode or with other complications. This is especially true with regard to surgery, which may be extremely dangerous in these patients. The post-operative course may be complicated by thrombosis, infections, and other …


New Concepts In The Management Of Neonatal Jaundice: Use Of Enzyme Induction And Phototherapy, Harold M. Maurer Jan 1970

New Concepts In The Management Of Neonatal Jaundice: Use Of Enzyme Induction And Phototherapy, Harold M. Maurer

MCV/Q, Medical College of Virginia Quarterly

All the observations suggest that phenobarbital and light may be of therapeutic value in controlling neonatal hyperbilirubinemia. In pregnancies in which one might anticipate increased bilirubin formation by the newborn baby, the use of phenobarbital during pregnancy and in the neonatal period, and exposure of the infant to light may provide methods other than exchange transfusion to reduce the concentration of serum bilirubin in the infant. Clinical trials should proceed cautiously, however, since phenobarbital is known to stimulate the activity of liver microsomal enzymes that metabolize, steroids, hormones, and other normal body substrates. It is not known whether this effect …


Transfusion Problems In Hemolytic Anemias, Ali A. Hossaini Jan 1970

Transfusion Problems In Hemolytic Anemias, Ali A. Hossaini

MCV/Q, Medical College of Virginia Quarterly

In this presentation I have attempted to present some of the transfusion problems that face the Blood Bank and the physician treating the patient. I have briefly discussed methods of recognizing the complicating factors, interpretation of their clinical significance, and the proper hemotherapeutic management of such cases. Finally, I hope that this presentation is a convincing thesis for a better understanding of the Blood Bank and its problems, since the patient's welfare is better served when there is a rapport between the clinician and the Blood Bank staff.


Immune Suppression In Auto-Immune Hemolytic Anemia, John H. Moon Jan 1970

Immune Suppression In Auto-Immune Hemolytic Anemia, John H. Moon

MCV/Q, Medical College of Virginia Quarterly

The acquired auto-immune hemolytic anemias represent a diversity of disease states in which the most constant immunologic finding is a positive direct anti-human globulin test (van Loghem, 1965; Swisher et al, 1965). This is true of the symptomatic variety of acquired hemolytic anemia as well as the idiopathic form. The positive Coomb's test has been seen in association with primary atypical pneumonias, occasionally in favism, in some bacterial and drug induced hemolytic anemias, in patients with malignancies of the lymphoid tissues, and in collagen-vascular disorders--chiefly SLE.


Contents Jan 1970

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1970, Volume Six, Number Three.


Better Care At Less Cost Without Miracles, Edmund K. Faltermayer Jan 1970

Better Care At Less Cost Without Miracles, Edmund K. Faltermayer

MCV/Q, Medical College of Virginia Quarterly

Our present system of medical care is not a system at all. The majority of physicians, operating alone as private entrepreneurs, constitute an army of pushcart vendors in an age of supermarkets. Most patients pay by the cumbersome "fee-for-service" or piecework method, which involves separate billing for visits to doctors, shots, x-rays, laboratory tests, surgery, anesthesia, hospital room and board, etc., etc. The American hospital system, as Herman M. and Anne R. Somers of Princeton University said in their book, Medicare and the Hospitals, "is largely a figure of speech," the result of a haphazard growth of isolated, uncoordinated institutions.


Multiphasic Health Screening, Robert W. Jessee Jan 1970

Multiphasic Health Screening, Robert W. Jessee

MCV/Q, Medical College of Virginia Quarterly

Although scientifically unproven, general empirical agreement supports the notion that the early detection of disease is beneficial in the control of the disease process. The aim is to discover and cure conditions which have already produced cellular or biochemical change but which have not so far reached a stage associated with symptoms for which medical aid is sought spontaneously (Wilson and Jungner, 1968). The various methods of early disease detection have evolved along with contemporary philosophical and technological developments.


Current Trends And Issues In Emergency Medical Care, Gabriel Hilkovitz Jan 1970

Current Trends And Issues In Emergency Medical Care, Gabriel Hilkovitz

MCV/Q, Medical College of Virginia Quarterly

In the last 20 years, we have witnessed the growing importance of emergency rooms in community health care, particularly in large metropolitan areas. Almost imperceptibly at first, and then with incredible momentum, public demand for urgent and emergency medical services expanded with population growth and disappearance, maldistribution or unavailability of family physicians.


Pre-Hospital Management Of Acute Myocardial Infarction, Charles L. Baird Jr. Jan 1970

Pre-Hospital Management Of Acute Myocardial Infarction, Charles L. Baird Jr.

MCV/Q, Medical College of Virginia Quarterly

Atherosclerosis of the coronary arteries is recognized today as a major health problem in the United States, since 600,000 deaths are attributed to it annually (Vital Statistics 1966). The medical profession and the general public are well aware of the important studies of its pathogenesis and prevention. However, the profession has been so preoccupied with these phases of investigation that the mechanism of death and possible modes of correction have remained obscured until recently.


British Medical Practice - Some Recent Innovations, Maurice Wood Jan 1970

British Medical Practice - Some Recent Innovations, Maurice Wood

MCV/Q, Medical College of Virginia Quarterly

This presentation might be better labelled "A worm's eye view of the National Health Service" (NHS) as it covers of necessity only a limited spectrum of that program. General practice as a discipline is infinitely variable in its application; and factors of geography, practical size, social classifications of population, and employment patterns can produce enormous differences in the details of practice organization.


Elective Mutism In Childhood, Gilbert Silverman, Douglas F. Powers Jan 1970

Elective Mutism In Childhood, Gilbert Silverman, Douglas F. Powers

MCV/Q, Medical College of Virginia Quarterly

Five cases of elective mutism seen in the Treatment Center over the past eight years have been reported. Fairly strict diagnostic criteria have been laid down and a comparison of the cases in the literature has been done.


Variations On The Theme Of Depression, Ann Stewart Jan 1970

Variations On The Theme Of Depression, Ann Stewart

MCV/Q, Medical College of Virginia Quarterly

Freud in 1917 published his classic paper on mourning and melancholia describing the essential features of melancholia (depression) as "profoundly painful dejection, cessation of interest in the outside world, loss of the capacity to love, inhibition of all activity and a lowering of the self-regarding feelings to a degree that culminate in a delusional expectation of punishment." Much has developed in the knowledge of depression since 1917, but even more has become known about the development of personality and its various stages as well as the psychic structures involved.


Book Review Jan 1970

Book Review

MCV/Q, Medical College of Virginia Quarterly

Book review of Ocular Syndromes, Walter J. Geeraets, 2nd. Ed. Philadelphia, 1969.


Author Index, Volume Six, 1970 Jan 1970

Author Index, Volume Six, 1970

MCV/Q, Medical College of Virginia Quarterly

Author index for MCV/Q, Medical College of Virginia Quarterly, 1970, Volume Six.


Table Of Contents, Volume Six, 1970 Jan 1970

Table Of Contents, Volume Six, 1970

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1970, Volume Six.


Contents Jan 1970

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1970, Volume Six, Number Two. 23rd Annual Stoneburner Lecture Series: Symposium on Hematologic Disorders.


Virginia Dental Journal (Vol. 47, No. 5, 1970) Jan 1970

Virginia Dental Journal (Vol. 47, No. 5, 1970)

Virginia Dental Journal

No abstract provided.


Physician Assistants: New Positions And Expanding Roles In U.S. Medical Care, F. J. Spencer Jan 1970

Physician Assistants: New Positions And Expanding Roles In U.S. Medical Care, F. J. Spencer

MCV/Q, Medical College of Virginia Quarterly

There are now 20 operating programs for physician assistants in the United States (Kadish and Long, 1970). Many people agree that the physician assistant is a reality and will be a component of American medicine in the future. Acceptance of the physician assistant by the medical profession has been variable but a recent survey in Wisconsin reveals that, of the physicians surveyed, 61 percent believe that a physician assistant of some type is needed and 42 percent would use him in practice. There is, therefore, indication that the physician assistant will become and established member of the health practice team. …


Contents Jan 1970

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1970, Volume Six, Number One.


The Effects Of Hypothermia In Pregnant Rats: A Preliminary Report, Roger A. Glover Jr., Chan H. Park, Fred T. Given Jr. Jan 1970

The Effects Of Hypothermia In Pregnant Rats: A Preliminary Report, Roger A. Glover Jr., Chan H. Park, Fred T. Given Jr.

MCV/Q, Medical College of Virginia Quarterly

We have evaluated the effects of varying degrees and durations of hypothermia, combined with anesthesia, on pregnant rats of the Sherin Wistar Strain. Moderate (surgical) and intermediate hypothermia, with ether anesthesia, were safe for both fetus and mother. With pentobarbital anesthesia, however, there were harmful effects, depending on the depth and duration of hypothermia; moderate hypothermia increased fetal and maternal mortality. The combination of CO₂ narcosis and deep hypothermia induced no ill effects.


An Incomplete Diagnosis, Wall Street Journal Editorial Jan 1970

An Incomplete Diagnosis, Wall Street Journal Editorial

MCV/Q, Medical College of Virginia Quarterly

The Administration and Congress are understandably disturbed by the soaring costs of Medicare and Medicaid, the programs that provide health care for the aged and for others adjudged unable to pay medical and hospital bills. Costs of the programs have doubled since they went into effect four years ago.


Contributors Jan 1970

Contributors

MCV/Q, Medical College of Virginia Quarterly

List of contributors to this issue includes Ali A. Hossaini, Harold M. Maurer, Daniel N. Mohler, John H. Moon, Robert I. Weed, Wendell F. Rosse, M. Robert Cooper, and Walter J. Geeraets.


Solar Retinopathy Following The Eclipse Of March 7, 1970: A Follow-Up, Walter J. Geeraets Jan 1970

Solar Retinopathy Following The Eclipse Of March 7, 1970: A Follow-Up, Walter J. Geeraets

MCV/Q, Medical College of Virginia Quarterly

In the last issue of this journal (Medical College of Virginia Quarterly 6: 3, 1970) Thomas W. Nooney, Joseph R. Svoboda, Florencio Ching and I reported two cases of binocular injury and one case of unilateral retinal burn of the fovea caused by watching the recent solar eclipse in the Richmond, Virginia area. Since reporting our local cases, a survey has been completed through other Virginia ophthalmologists of the occurrence of solar retinopathy throughout the state. Nine additional cases of ocular involvement were revealed in the survey and are reported here in table form. The cases are listed in order …


Contributors Jan 1970

Contributors

MCV/Q, Medical College of Virginia Quarterly

List of contributors to this issue includes: Charles L. Baird, Jr., George M. Bright, Grace G. Eddison, Barbara M. Farmer, Gabriel Hilkovitz, Robert W. Jessee, D.J.R. Snow, F.J. Spencer, Maurice Wood.


A New Climate, Alan Pifer Jan 1970

A New Climate, Alan Pifer

MCV/Q, Medical College of Virginia Quarterly

One of the more striking changes taking place in American medicine these days is the increasing disposition of laymen to sound off about it in public. Whether this is also one of the more important changes, you will have the opportunity to judge by the conclusion of this morning's program. Certainly no one could say that the AAMC, in planning this year's annual meeting, tried to shield itself from exposure to this kind of change.