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Management Of Carcinoma Of The Kidney And Urinary Bladder, Warren W. Koontz Jr.

MCV/Q, Medical College of Virginia Quarterly

Tumors of the upper urinary tract constitute 1% to 2% of all cancers, and each year 11,000 new cases are diagnosed in the United States. Approximately half of these patients have metastatic disease at the time of diagnosis. Hypernephroma, or renal cell carcinoma, was first described in 1863 by Grawitz. These tumors arise from tubular epithelial cells and are correctly termed renal cell carcinoma or renal cell adenocarcinoma. There is evidence that further identifies the cell of origin as being from the proximal convoluted tubular epithelium. There does not appear to be a specific racial or ethnic incidence although it …

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1978, Volume Fourteen, Number One.

Book Review, Frederick J. Spencer

MCV/Q, Medical College of Virginia Quarterly

Book review for New Words for Old, Philip Howard, Oxford University Press, 1977.

Yawslike Disease Porcesses In A Louisiana Shell Mound Population, Louise M. Robbins

MCV/Q, Medical College of Virginia Quarterly

Human skeletal remains have been recovered from prehistoric and early historic sites in Louisiana with some degree of regularity for the past 75 years and on an irregular basis for the last 300 years. During his explorations of aboriginal sites throughout the Lower Mississippi River Valley, Moore made a special effort to collect skeletal specimens for shipment to the US National Museum at the Smithsonian Institution. A less well-known fact is that he also collected pathological specimens for shipment to the Army Medical Museum at Walter Reed Hospital in Washington, DC. An unfortunate aspect of the Moore recovery technique, however, …

Paleoepidemiology Of Degerative Joint Disease, Robert D. Jurmain

MCV/Q, Medical College of Virginia Quarterly

In order to contribute significantly to the description and understanding of human disease, paleoepidemiology must first recognize requirements which epidemiologists have long considered essential: 1) that the populations sampled are relevant to a set of specific hypotheses concerning a particular set of diseases: 2) that an adequate sample is employed to accurately represent the whole population: and 3) that wherever possible, sex and age parameters are accurately controlled. Given a specific set of hypotheses worthy of being tested, paleoepidemiology can be used not only to describe the distribution of significant human diseases, but also to help untangle and explain their …

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1978, Volume Fourteen, Number Three.

Common Pediatric Problems: Hypospadias, Enuresis, And Circumcision, John H. Texter

MCV/Q, Medical College of Virginia Quarterly

Three topics of common pediatric interest from the urologist’s viewpoint are congenital hypospadias, persistent enuresis, and complications of elective circumcision. None of these are usually life-threatening in severity, yet each problem can be of profound psychological importance and play an extremely important role in the child’s subsequent development.

Introduction, Donald E. Oken

MCV/Q, Medical College of Virginia Quarterly

The 31st Stoneburner Lecture Series was planned to present an overview of some important aspects of clinical nephrology that we hope are of interest to a wide audience. The faculty for this symposium was drawn largely from the Medical College of Virginia Nephrology Division, and we were fortunate to have Dr. George E. Schreiner, Professor of Medicine at Georgetown University and a long-time friend, as our Stoneburner Lecturer.

Testicular Carcinomas And Carcinoma Of The Prostate, Paul F. Schellhammer

MCV/Q, Medical College of Virginia Quarterly

Testicular neoplasms are relatively rare with approximately two new cases per 100,000 male population occurring per year. The peak occurrence is between the ages of 20 and 40. Because of their highly malignant characteristics testicular neoplasms must be treated aggressively if cure is to be achieved.

Male Infertility: The Clinical Aspects Of Evaluation And Management, J. William Mcroberts

MCV/Q, Medical College of Virginia Quarterly

At a time when limiting family size has become of national interest, increasing numbers of married couples are moving in a different direction – to overcome infertility and conceive children. Reasonably reliable statistics indicate that approximately 3.5 million couples, or nearly 15% of those of childrearing age are subfertile. If one adds the cases of secondary infertility, in which a pregnancy or a miscarriage has already occurred in the marriage but is followed by years of difficulty conceiving another child, the magnitude of the infertility problem is indeed impressive. At the personal level, involuntary childless couples may suffer doubts about …

Bedside Flow-Directed Balloon Catheterization In The Critically Ill Patient, J. Eugene Millen

MCV/Q, Medical College of Virginia Quarterly

Prior to 1970, catheterization of the right heart and pulmonary artery required the use of fluoroscopic guidance and was only performed in specialized research units and/or the cardiac catheterization laboratory. The need to assess the hemodynamic status of the left atrium and ventricle on a continuing basis brought about the development of the flow-directed balloon-tipped catheter. With the availability of this tool, routine bedside right heart catheterization has become a reality in the critical care units of many community hospitals. This technique provides the physician with the means for indirectly appraising left heart hemodynamics and to gauge the effects of …

Maxillary And Mandibular Jaw Size In Pre-Columbian Peru, Danny R. Sawyer, Marvin J. Allison, Richard P. Elzay, Dennis G. Page, Alejandro Pezzia

MCV/Q, Medical College of Virginia Quarterly

Varying techniques of measurement coupled with lack of sufficient data have presented great difficulties in the comparison of dental arch dimensions obtained by different workers. Several authors have attempted to delineate the arches. Lavelle et al measured the dental arches of adults from several different ethnic groups and found little difference between the modern British Caucasian, Australian aborigines, and North American Indians. They did, however, see considerable differences between these modern populations and a group of Anglo-Saxons and a group of West Africans.

Introduction

MCV/Q, Medical College of Virginia Quarterly

The winter issue of the MCV Quarterly presents a departure from our usual symposium proceeding. We offer, instead, five full-length articles and two case reports that range from respiratory failure and the dental health of pre-Columbian Peruvians to a report of a rare clinical entity, an intrapulmonary lymph node presenting as a ‘coin’ lesion. We hope that our readers will find these papers interesting and informative.

Intrapulmonary Lymph Node Presenting As A 'Coin' Lesion: A Case Report, Sibu P. Saha, Porter Mayo

MCV/Q, Medical College of Virginia Quarterly

Intrapulmonary lymph node seldom presents as a solitary pulmonary nodule. This rare clinical entity is reported in the following case.

Screening Pulmonary Function Tests, George W. Burke Iii

MCV/Q, Medical College of Virginia Quarterly

The role of the Pulmonary Function Laboratory has been expanded in recent years by the commercial development and marketing of equipment capable of measuring accurately and easily static lung volumes, diffusing capacity, and arterial blood gases. These sophisticated measurements, which were once the purview of research physiologists, are now readily attainable as screening measurements in most community hospitals. This review is intended not as a summary of the entire field or as a technical guide for performance of pulmonary function tests but as a survey of some clinical applications and pitfalls of screening tests and a statement of guidelines for …

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 3

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

The Effect Of The Interviewer's Status Upon The Linguistic Style And Impact Messages Cenerated By The "Obsessive Personality", Vincent B. Greenwood

Theses and Dissertations

The present study addressed some of the peripheral statements emanating from Kiesler’s (Kiesler, Bernstein & Anchin, 1976) core communications theory by examining (1) a specific component of the communication style of the obsessive personality, (2) the distinctive emotional engagements the obsessive personality elicits when interacting with others, and (3) a situational determinant that is hypothesized to trigger relatively intense expression of the obsessive’s self-defeating communication style, as well as a higher level of state anxiety.

Specifically, the study examined the effects of a high or low status interviewer upon one expressive measure of speech and upon relationship consequences for groups …

Changes In Serum Osmolality And The Clinical Manifestations Of The Dialysis Disequilibrium Syndrome, Donna L. Young

Theses and Dissertations

The purpose of this study was to determine if a relationship existed between the change in serum osmolality in the chronic renal failure patient on hemodialysis and the number of clinical symptoms of the dialysis disequilibrium syndrome experienced during hemodialysis. The study was conducted at the Renal Dialysis Unit of an urban medical center located in a southeastern city. Data were collected from May 25, 1978 to June 30, 1978. Data were obtained during 28 hemodialysis procedures performed on 11 subjects. Serum osmolality measurements were collected prior to initiation of the dialysis procedure, at half-hour intervals during dialysis, and prior …

Virginia Dental Journal (Vol. 55, No. 4, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 1, 1978)

Virginia Dental Journal

No abstract provided.

Management Of The Nephrotic Syndrome, Douglas M. Landwehr

MCV/Q, Medical College of Virginia Quarterly

The nephrotic syndrome represents one of the major clinical problems in nephrology. It is usually defined as the constellation of clinical findings which includes edema, massive proteinuria, low serum albumin, high serum cholesterol, and the presence of oval fat bodies in the urine. However, if we focus on the primary disturbance in the patient, that is, massive proteinuria, the nephrotic syndrome may be defined more simply as the clinical and metabolic consequences of persistent and massive proteinuria. The other manifestations listed in the classic definition are all inconstant and secondary to this loss of protein and may be found in …

Pre-Columbian Tuberculosis: An Epidemiological Approach, Jane E. Buikstra, Della C. Cook

MCV/Q, Medical College of Virginia Quarterly

In this study we have combined both biological and cultural data in the investigation of resorptive pathology in Woodland and Mississippian skeletal series from west-central Illinois. Information concerning the types of lesions and their distribution confirms the presence of a previously unknown disease in Mississippian populations. Adults and adolescents from Yokem and Schild Mississippian components clearly display cystic vertebral pathology, which in association with other peripheral osseous lesions distinguishes them from earlier groups. This idea is supported indirectly by evidence from both infants and children of the Schild sample.

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1978, Volume Fourteen, Number Two.

Paleoepidemiology Of Infectious Disease In The Dickson Mounds Population, John Lallo, George J. Armelagos, Jerome C. Rose

MCV/Q, Medical College of Virginia Quarterly

The major focus of paleopathology has been the delimiting of disease in time and space. Information about the history of specific diseases is the objective of many of these studies. While the chronological and geographical dimensions of paleopathology contribute significantly to our knowledge of disease, there are limits to this approach, which often fails to consider the interaction of biology and culture in the disease of prehistoric populations.

Virginia Dental Journal (Vol. 55, No. 5, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 3, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 6, 1978)

Virginia Dental Journal

No abstract provided.

Adenocarcinoma Of The Prostate: The Rationale And Role For Radiotherapy In Its Management, Tapan A. Hazra

MCV/Q, Medical College of Virginia Quarterly

Until recently the treatment of carcinoma of the prostate was limited either to radical prostatectomy by the perineal or retropubic route, or to hormonal manipulation. Approximately 5% of all patients with this disease are suitable candidates for radical surgery. Hormonal manipulation is palliative in nature and is generally used when there is evidence of metastatic disease (in about 50% of patients). There thus remains a group of patients (40% to 45%) in whom the disease is localized, yet too extensive for surgical treatment, for whom definitive radiotherapy can play a major role.

Diabetic Nephropathy, Barry B. Kirschbaum

MCV/Q, Medical College of Virginia Quarterly

Any discussion of morbid events in diabetes is going to emphasize cardiovascular and peripheral vascular problems. Renal disease accounts for a relatively small percentage of the mortality in diabetes; yet the overall incidence of diabetes mellitus in the population so greatly exceeds that of the various types of glomerulonephritis that it has become one of the most common causes of end-stage renal failure in this country. It is difficult to assign exact numbers because the figures in the medical literature vary considerably; however, it is estimated that in the United States today there are some 10 million people who are …

Respiratory Therapy Modalities In The Treatment Of Acute Respiratory Failure, James A. L. Mathers Jr.

MCV/Q, Medical College of Virginia Quarterly

Rapid advances have been made in the field of respiratory therapy in the past several years, resulting in an increasing sophistication and range of application. Properly applied, these modalities have led to significantly increased survival in patients with acute respiratory failure and a decreased morbidity among individuals with chronic pulmonary insufficiency. It is the purpose of this article to put into perspective respiratory therapy techniques and their application in the treatment of acute respiratory failure. To this end, we may divide respiratory therapy into five categories: 1) oxygen delivery, 2) airway hygiene, 3) expansion therapy (lung inflation), 4) artificial airways, …