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Family Tension And Psychophysiological Illness, Milton Rosenbaum Jan 1969

Family Tension And Psychophysiological Illness, Milton Rosenbaum

MCV/Q, Medical College of Virginia Quarterly

The title of this talk, "Family Tension and Psychophysiological Illness," in itself implies that physiological changes may result from psychological forces connected with interpersonal as well as intrapersonal factors. This I firmly believe. For the most part, people do not become ill solely as the result of physiological changes. Illness usually occurs within the context of difficulties in interpersonal relations which, in the majority of instances, means the family. This does not mean that, once the patient becomes ill, he cannot be treated individually, or that, once the illness starts, the intrapsychic conflicts unleashed by it will not run their …

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Fortieth Annual Mcguire Lecture Series: Transplantation Jan 1969

Fortieth Annual Mcguire Lecture Series: Transplantation

MCV/Q, Medical College of Virginia Quarterly

October 31-November 1, 1968. Program: New Techniques; Clinical Aspects; Problems; New Directions.

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Laboratory And Clinical Studies Of Cardiac Transplantation, Richard R. Lower, V. Eric Kemp, Walter H. Graham, David H. Sewell, Hermes A. Kontos, George M. Williams Jan 1969

Laboratory And Clinical Studies Of Cardiac Transplantation, Richard R. Lower, V. Eric Kemp, Walter H. Graham, David H. Sewell, Hermes A. Kontos, George M. Williams

MCV/Q, Medical College of Virginia Quarterly

Cardiac transplantation was carried out on four patients at the Medical College of Virginia between May and October of 1968, in an effort to salvage them from the terminal stages of otherwise uncorrectable heart disease. Despite a strikingly good early recovery from operation in each case, three of the patients died of acute homograft rejection in one to three weeks; our second case is living and well, ten months after operation, and is at this writing the world's third longest survivor. The world experience to June of 1969 includes about 130 cardiac transplants. Of the first 100 patients operated on …

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Induction Of Immunological Tolerance To Tissue Allografts With Antilymphocyte Serum, Anthony P. Monaco, Mark A. Hardy Jan 1969

Induction Of Immunological Tolerance To Tissue Allografts With Antilymphocyte Serum, Anthony P. Monaco, Mark A. Hardy

MCV/Q, Medical College of Virginia Quarterly

Our interest in the problem of tolerance induction is directly concerned with clinical organ transplantation. ALS is highly effective in depressing cellular immunities. Since at least initial allograft rejection is predominantly a cellular phenomenon, one would expect ALS to be highly effective clinically. Our initial observations in this regard support this concept. However, non-specific depression of cellular immunity may also lead to an increased number or viral, fungal, and protozoan infections. Experiments, such as these presented, strongly suggest that a specific state of tolerance to organ grafts in man should be attainable with the aid of ALS followed by introduction …

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Tissue Typing, Ronald T. Rolley Jan 1969

Tissue Typing, Ronald T. Rolley

MCV/Q, Medical College of Virginia Quarterly

At present, histocompatibility matching is an inexact science, and there are undoubtedly many histocompatibility antigens either poorly defined or undefined. With further definition of such antigens, improvement can be expected in the correlation of tissue typing with homograft function and survival. Further work also needs to be done to determine which method of tissue typing is best.

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Volume Five Subject Index Jan 1969

Volume Five Subject Index

MCV/Q, Medical College of Virginia Quarterly

Subject index for MCV/Q, Medical College of Virginia Quarterly, Volume Five.

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Noise As A Factor In Urban Health, Eric Bauer Jan 1969

Noise As A Factor In Urban Health, Eric Bauer

Journal of the Minnesota Academy of Science

The hazards to general health from excessive noise are recognized, but along with studies of the sources and increase in community noise, measures should be taken to reduce the possible widespread damage to hearing by means which are known and available.

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Contents Jan 1969

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1969, Volume Five, Number One.

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Psychopharmacological Procedures, Heinz E. Lehmann Jan 1969

Psychopharmacological Procedures, Heinz E. Lehmann

MCV/Q, Medical College of Virginia Quarterly

Psychopharmacology has opened the door to many previously blocked parts of psychiatric therapy. It has been a welcome catalyst for a long awaited rapprochement between psychiatry and the rest of medicine. Even if psychopharmacological research is not likely to produce another revolutionary "breakthrough" type of drug in the near future, there is good reason to expect many more useful therapeutic tools to issue from such research in the years to come.

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Onset Of The Immune Response, S. G. Bradley Jan 1969

Onset Of The Immune Response, S. G. Bradley

MCV/Q, Medical College of Virginia Quarterly

In our studies on the primary immune response, we have used germfree, colostrum-deprived swine taken three to five days prematurely by hysterectomy. These piglets lack gamma globulin until they are immunized. Upon antigenic stimulation, early macroglobulin antibody is produced within 48 hours; subsequently late euglobulin antibody is produced. Our results have led me to formulate a new instructive model for the onset of antibody formation.

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Psychiatry In Medical Practice, George Kriegman Jan 1969

Psychiatry In Medical Practice, George Kriegman

MCV/Q, Medical College of Virginia Quarterly

The Twenty-Second Annual Stoneburner Lecture Series was designed to share with our medical colleagues some of the psychological knowledge applicable to their own medical interests which the field of psychiatry has accumulated.

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Current Concepts In The Field Of Neurochemical Mediation, Berta Scharrer Jan 1969

Current Concepts In The Field Of Neurochemical Mediation, Berta Scharrer

MCV/Q, Medical College of Virginia Quarterly

Chemical mediators involved in the integrative activities of the nervous system operate either at close range as neurohumors or over some distance as neurohormones. As will become evident, the distinction between neurohumoral and neurohormonal activities is not always clear-cut.

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The Interplay Of Defense Mechanisms Against Infectious Diseases, Quentin N. Myrvik Jan 1969

The Interplay Of Defense Mechanisms Against Infectious Diseases, Quentin N. Myrvik

MCV/Q, Medical College of Virginia Quarterly

The total complex of immune expression is an interplay between nonspecific antimicrobial humoral systems plus specific antibodies and accessory factors. These systems are backstopped by the phagocytic functions of PMNs. If these fail, mononuclear phagocytes respond as a second line of defense to carry out chronic engagements. In addition to a direct activation process by "substrate," macrophages may be activated and mobilized by a lymphocyte-mediated immunologic reaction which probably involves either a "lymphotoxin" and/or a specific antibody cytophilic for macrophages. Immunologically activated lymphocytes appear to be the primary effector cells of anti-tissue (transplantation) cellular immunity, whereas immunologically activated macrophages appear …

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Recognition And Management Of Psychiatric Emergencies, John A. Ewing Jan 1969

Recognition And Management Of Psychiatric Emergencies, John A. Ewing

MCV/Q, Medical College of Virginia Quarterly

Emergencies are simply unforeseen occurrences which present themselves to physicians in a variety of ways. Indeed, a physician is not the first person on hand for most emergencies but may merely be called upon for appropriate intervention. Any of us can be presented with an emergency, psychiatric or otherwise, at any moment. However, each of us has his own particular probability of sampling psychiatric emergencies, depending upon who he is and what he does. In actual fact, psychiatric emergencies more often confront people other than psychiatrists, for example, the policeman, the social worker, and the general practitioner (Ewing, 1965). As …

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Physical Illness: The Family And The Physician, Marc H. Hollender Jan 1969

Physical Illness: The Family And The Physician, Marc H. Hollender

MCV/Q, Medical College of Virginia Quarterly

When confronted by the specific stress of a close relative's illness, the family members' reactions may be schematically divided into three stages: 1) disorganization; 2) reintegration; and 3) adjustment. Either disorganization can be intensified or adjustment can be fostered, depending on the physician's understanding of the feelings the family members experience and his willingness and ability to be helpful. The family members' responses, in turn, will influence the patient's reaction to illness or his recovery and rehabilitation. Accordingly, good medical practice requires that the physician include the family in his total treatment plan whenever possible.

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The Older Population And The Aged Patient, Ewald W. Busse Jan 1969

The Older Population And The Aged Patient, Ewald W. Busse

MCV/Q, Medical College of Virginia Quarterly

Modern medical practice requires that the physician and other members of the health team have full appreciation of the impact of disease and disability upon identifiable groups of patients and recognize how nonmedical factors affect treatment and prognosis. It is important for the physician to have some idea of the patient's socioeconomic status and the actual and potential number of patients with not only a common diagnosis, but also similarities in their living conditions. With such knowledge, the physician can be much more realistic and efficient in his therapeutic efforts. Persons 65 years of age and over are commonly referred …

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Anxiety, Defense And Cognition: A Theoretical Basis For Practical Handling Of The Surgical Patient, Stanley L. Block Jan 1969

Anxiety, Defense And Cognition: A Theoretical Basis For Practical Handling Of The Surgical Patient, Stanley L. Block

MCV/Q, Medical College of Virginia Quarterly

Both the anxiety-defense model and the cognitive model provide a scientific basis for practical handling of the surgical patient. Emerging from both models is a humanistic approach to the patient based on understanding and a nonjudgmental attitude as well as on a knowledge of where the patient is psychologically and a willingness to meet him on his ground. The rewards in terms of a reduction of anxiety, depression, and human suffering can be enormous.

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Sexual Counseling In Medical Practice, George Kriegman Jan 1969

Sexual Counseling In Medical Practice, George Kriegman

MCV/Q, Medical College of Virginia Quarterly

In summary, sexual relationships involve two factors: lustful gratification and emotional and physical closeness. Lustful gratification involves sexual identity which is determined by: 1) biological sex; 2) gender identity; 3) child-parent relationships; 4) cultural value systems; and 5) sexological knowledge. Sexual problems are due to ignorance of the sexual facts of life and/or to contamination of the sexual area by other needs, wishes, or fears. A detailed understanding of the presenting complaints and the sexual history of the patient will enable the physician to make a differential diagnosis. The physician can then clarify the problem and assist the patient in …

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Volume Five Author Index Jan 1969

Volume Five Author Index

MCV/Q, Medical College of Virginia Quarterly

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

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Isolated Organ Perfusion: Physiology And Application, William E. Gayle Jr. Jan 1969

Isolated Organ Perfusion: Physiology And Application, William E. Gayle Jr.

MCV/Q, Medical College of Virginia Quarterly

Isolated organ perfusion provides us with an excellent tool for investigating the physiology and the function of a variety of individual organs. It enables us to explore these organs, their pharmacologic reactions, their ability to withstand various stresses, their pathology after stress and their suitability for preservation and transplantation. Isolated perfusion has allowed us to better understand hemodynamics, effects of various perfusates, and toxicity of drugs on individual organs. We have recently been enlightened about the vital role of platelets and endothelial integrity. We now have a model for assessing individual hormonal systems and qualitative and quantitative endocrine and exocrine …

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Contributors To This Issue Jan 1969

Contributors To This Issue

MCV/Q, Medical College of Virginia Quarterly

List of contributors to this issue includes Sterling G. Bradley, William S. C. Copeman, Berta Scharrer, N. Herbert Spector, and Donald G. Walker.

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Unilateral Aphakia And Contact Lenses, Herbert Wiesinger Jan 1969

Unilateral Aphakia And Contact Lenses, Herbert Wiesinger

MCV/Q, Medical College of Virginia Quarterly

The binocular functions of a group of 60 patients with unilateral aphakia were tested after fitting with a contact lens. Results showed a high degree of extramacular fusion in the group. However, only 50% of these patients obtained satisfactory stereoacuity levels. There was no relation between the time elapsed from cataract extraction to contact lens fitting and the amount of ultimate stereoacuity obtained. Some factors presenting common obstacles to successful fitting of aphakic contact lenses are discussed.

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Contents Jan 1969

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1969, Volume Five, Number Four.

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Contributors To This Issue Jan 1969

Contributors To This Issue

MCV/Q, Medical College of Virginia Quarterly

List of contributors to this issue includes Folkert O. Belzer, William E. Gayle, Jr., Walter H. Graham, Mark A. Hardy, V. Eric Kemp, Hermes A. Kontos, Hyung M. Lee, Richard R. Lower, Anthony P. Monaco, Ronald T. Rolley, David Sewell, G. Melville Williams, and James S. Wolf.

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The Role Of Preservation In Transplantation, Folkert O. Belzer Jan 1969

The Role Of Preservation In Transplantation, Folkert O. Belzer

MCV/Q, Medical College of Virginia Quarterly

Although it is too early to draw any definite conclusions from these results, as a period of two years is probably necessary to evaluate cadaver kidney transplantation in humans, it appears that our well-matched patients have much fewer problems than our poorly matched patients. It is hoped that by preservation methods such as those discussed, improved methods of tissue typing, and better immunosuppressive therapy, we will be able to raise the survival level of cadaver kidney transplantations to the level between 80 and 85% presently being obtained in transplantations using living, related donors.

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Ada Constitution And Bylaws Amendments (1969), American Dental Association Jan 1969

Ada Constitution And Bylaws Amendments (1969), American Dental Association

Constitution & Bylaws

The ADA Commons Constitution & Bylaws archival collection comprises printed issues of the American Dental Association's Constitution and Bylaws. The collection also includes the ADA Charter and the ADA Code of Ethics issued 1924-1946.

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Histamine And Thyroid Hormone Function, Richard W. Schayer Jan 1969

Histamine And Thyroid Hormone Function, Richard W. Schayer

MCV/Q, Medical College of Virginia Quarterly

Briefly, it will be postulated that a major function of thyroid hormone is for slowly developing adaptations of the circulatory system to environmental changes, and that many thyroid hormone effects are secondary to altered perfusion of tissues. There is no known in vitro effect of thyroid hormone which can reasonably explain any major number of the in vivo effects (Tata, 1964).

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Carbon Monoxide Poisoning: Some Aspects Of The Problem In Great Britain, Keith A. Mant Jan 1969

Carbon Monoxide Poisoning: Some Aspects Of The Problem In Great Britain, Keith A. Mant

MCV/Q, Medical College of Virginia Quarterly

In Great Britain, until recently, domestic gas was made from coal and was always referred to as "coal gas." Today we are beginning to use natural gas, and the term coal gas is being replaced by "town gas." Most of the domestic supply, however, is still coal gas, which has a high though variable percentage of carbon monoxide (Mant, 1964). In any event it is always present in a highly lethal concentration. As coal gas is so readily available, it has been the most popular suicidal poison for many years, although the recent figures show that barbiturates are overtaking it …

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What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins Jan 1969

What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins

MCV/Q, Medical College of Virginia Quarterly

I hope that I have persuaded you that the psychiatrist can be a very useful colleague to non-psychiatric physicians. He can be most useful if the referring physician works at developing a mutual learning relationship with him and keeping all lines of communication open.

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Psychiatric Issues In Therapeutic Abortion, Henry D. Lederer Jan 1969

Psychiatric Issues In Therapeutic Abortion, Henry D. Lederer

MCV/Q, Medical College of Virginia Quarterly

For the purpose of this discussion I should like to focus your attention on the psychiatric involvement, questions, dilemmas, and opinions concerning therapeutic abortion. Under most of the existing statutes, therapeutic abortion is only permitted to preserve the life of the mother. Therefore, within the context of strict interpretation, the sole psychiatric indication is a high probability of suicide by the pregnant patient.

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