Medicine and Health Sciences Commons^™

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, …

Maxillary Periapical Actinomycosis: A Case With An Unusual Roentgenographic Appearance, Danny R. Sawyer, Dennis G. Page

MCV/Q, Medical College of Virginia Quarterly

Actinomycosis was once a fairly common disease and one that has a long history. “It was undoubtedly observed early in the 19th Century, as actinomycotic lesions were described erroneously in 1826 by LeBlanc as osteosarcomas and later in the 1800s Bollinger (1876) first recognized it as a specific entity which he named ‘lumpy jaw.’” The most frequent clinical form of actinomycosis is the cervicofacial type which is seen in 60% of reported cases, the other forms being abdominal (20%), pulmonary (15%) and cutaneous (5%). Young adult males are most frequently affected with actinomycosis. The actinomycetes, the so-called “higher” bacteria, are …

Cancer And The Kidney, Donald E. Oken

MCV/Q, Medical College of Virginia Quarterly

Cancer of the kidney is associated with a bewildering array of extrarenal symptoms, and conversely, tumors far removed from the kidney produce intriguing renal functional abnormalities. A variety of extrarenal complications are seen with hypernephromas, most of which rarely accompany Wilms tumors which grow rapidly and generally occur before the age of 7. Wilms tumors are quite susceptible to radiation therapy and surgery, and are to be strongly suspected when hypertension and an abdominal mass are found in a small child. Unless treated, they rapidly cause death and usually leave little opportunity for the patient to develop the striking extrarenal …

The Management Of End-Stage Renal Disease (Esrd), William F. Falls Jr.

MCV/Q, Medical College of Virginia Quarterly

End-stage renal disease (ESRD) may be defined as a state of renal insufficiency of such severity that the affected individual is unable to carry out his usual activities because of symptoms usually attributed to the uremic syndrome. This state has been reached, or is imminent, when the serum creatinine concentration rises above 10 mg/100 ml and/or the creatinine clearance falls below 5 to 10 ml/min and reversible causes of renal failure such as obstructive uropathy, bilateral renal vascular disease, severe accelerated hypertension, hypercalcemic nephropathy, uric acid nephropathy, and certain immunologic diseases such as Wegener granulomatosis have been excluded. Prospective analysis …

The End-Stage Renal Disease Program, William K. Stacy

MCV/Q, Medical College of Virginia Quarterly

By the mid 1960's it had been clearly demonstrated that the lives of people with total, permanent kidney failure could be indefinitely prolonged with the artificial kidney and that an acceptable proportion of kidney transplants would be successful. The extraordinary cost of this form of therapy, however, prohibited its application to the majority of patients. A strong lobby of health care providers and consumers sought government assistance and in the spring of 1972 Congress passed Public Law 92-603 (Section 2991) which provided for payment of 80% of costs for management of end-stage renal disease (ESRD) for all persons eligible for …

Glomerulonephritis, William F. Falls Jr.

MCV/Q, Medical College of Virginia Quarterly

In this paper the histologic picture of the most common disorders usually classified under the heading of glomerulonephritis will be reviewed, and the subject of angiitis will be briefly addressed. A special effort will be made to relate renal biopsy findings to the immunologically mediated pathogenetic process which is thought to be operative in each case. Where it seems appropriate, a few comments will also be made on clinical and pathological correlations. The specific entities to be covered include: diffuse proliferative glomerulonephritis; focal proliferative glomerulonephritis; membranous glomerulonephritis; antibasement membrane antibody disease; rapidly progressive glomerulonephritis (crescentic disease); membranoproliferative glomerulonephritis; lipoid nephrosis …

Walter J. Geeraets, M.S. 1922-1977

MCV/Q, Medical College of Virginia Quarterly

Obituary for Walter J. Geeraets, M.D., 1922-1977, Professor of Ophthalmology at the Medical College of Virginia, who died September 14, 1977.

Introduction, Frederick J. Spencer, Mary-Parke Johnson

MCV/Q, Medical College of Virginia Quarterly

For many years the pathology department at the Medical College of Virginia has been an important center for studies in paleopathology. Over the past ten years members of the department have collaborated with numerous investigators both in the United States and abroad, giving seminars and training to physicians, anthropologists, and archaeologists. In the spring of 1977, a symposium was organized at the annual meeting of the American Association of Physical Anthropologists in Seattle, Washington, to bring together investigators in the area of paleoepidemiology. At this meeting researchers from MCV and other institutions attempted to correlate data from a variety of …