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MCV/Q, Medical College of Virginia Quarterly

1978

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Full-Text Articles in Medicine and Health Sciences

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 1 Jan 1978

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 1

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Introduction Jan 1978

Introduction

MCV/Q, Medical College of Virginia Quarterly

The purpose of this group of papers is to present an up-to-date review of common urologic problems that confront the primary care physician. Two papers are presented on urinary tract infections, the most common complaint faced by physicians in their offices. Another paper covers congenital anomalies of the urinary tract which represent an important part of pediatric diseases. Dr. William McRoberts, one of the McGuire Lecturers, reviews aspects of male infertility, a significant concern in today’s society. Other topics discussed in this issue are parenchymal kidney disease, the management of the patient with end-stage renal disease, and urinary tract cancer. …


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 2 Jan 1978

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 2

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Intrascrotal Masses: Differentiation, Diagnosis, And Management, Stephen N. Rous Jan 1978

Intrascrotal Masses: Differentiation, Diagnosis, And Management, Stephen N. Rous

MCV/Q, Medical College of Virginia Quarterly

Abstract of the lecture given by Dr. Rous at the 49th Annual McGuire Lecture Series, December 3, 1977, at the Medical College of Virginia, Richmond, Virginia.


Pyelonephritis, William F. Falls Jr. Jan 1978

Pyelonephritis, William F. Falls Jr.

MCV/Q, Medical College of Virginia Quarterly

The purpose of this paper is to review current thinking about pyelonephritis. Pyelonephritis may be defined as a "bacterial infection of the kidney which affects the parenchyma, the pelvis, and the calyces. It occurs in two forms, acute and chronic."


Evaluation Of An Abnormal Urinalysis In The Asymptomatic Patient, Douglas M. Landwehr Jan 1978

Evaluation Of An Abnormal Urinalysis In The Asymptomatic Patient, Douglas M. Landwehr

MCV/Q, Medical College of Virginia Quarterly

Physicians are occasionally presented with the problem of evaluating a patient who has an abnormal urinalysis but who has no other sign or symptom of genitourinary (GU) tract disease. For example, patients may present with hematuria, pyuria or slight proteinuria, but they may have no other clinical or laboratory abnormality to suggest glomerulonephritis, renal failure, urinary tract infection, obstruction, hypertension, or stones. There are a wide variety of lesions which may produce such isolated abnormalities, and a rational approach is indispensable in preparing an efficient and definitive diagnostic plan.


The Dental Health Status Of Pre-Columbian Peruvians: A Study Of Dental Caries, Missing Teeth, Attrition, Osteitis, Calculus, And Bone Loss, Danny R. Sawyer, Marvin J. Allison, Richard P. Elzay, Alejandro Pezzia Jan 1978

The Dental Health Status Of Pre-Columbian Peruvians: A Study Of Dental Caries, Missing Teeth, Attrition, Osteitis, Calculus, And Bone Loss, Danny R. Sawyer, Marvin J. Allison, Richard P. Elzay, Alejandro Pezzia

MCV/Q, Medical College of Virginia Quarterly

Prior to the recent reports of Sawyer et al and Elzay et al on the characteristics and dental health status of ancient Peruvian cultures, only Stewart, Leigh, and Goaz and Miller had reported on the dental morphology and pathology of the pre-Columbian Peruvian Indians. The purpose of this study is to evaluate the dental health of these ancient peoples to further our understanding of the development of dental diseases. This paper follows up and expands the report of Elzay et al to include another culture and completely new specimens, with a look at primary dentitions not previously available for study.


Volume Fourteen Author Index Jan 1978

Volume Fourteen Author Index

MCV/Q, Medical College of Virginia Quarterly

Author Index for MCV/Q, Medical College of Virginia Quarterly, 1978, Volume Fourteen.


Volume Fourteen Subject Index Jan 1978

Volume Fourteen Subject Index

MCV/Q, Medical College of Virginia Quarterly

Subject index for MCV/Q, Medical College of Virginia Quarterly, 1978, Volume Fourteen.


Appropriate Antibiotic Therapy For Urinary Tract Infections, Sheldon M. Markowitz Jan 1978

Appropriate Antibiotic Therapy For Urinary Tract Infections, Sheldon M. Markowitz

MCV/Q, Medical College of Virginia Quarterly

It was stated years ago that physicians pour medicines about which they know little, for diseases about which they know less, into human beings about whom they know nothing. Although as a prophet this wag may have overstated the case as it concerns the therapy of urinary tract infections (UTI), the character of contemporary infectious diseases is, in part, due to the use and abuse of anti-infective agents. One has only to look at the rising incidence of gram-negative bacteremia and the emergence of multiple antibiotic-resistant organisms over the past several decades to appreciate the impact physicians have made with …


Flexible Fiberoptic Bronchoscopy, Orhan Muren Jan 1978

Flexible Fiberoptic Bronchoscopy, Orhan Muren

MCV/Q, Medical College of Virginia Quarterly

The flexible fiberoptic bronchoscope was introduced in Japan by Dr. Shigeto Ikeda in the mid-1960s and became available for clinical use in the United States around 1970. The application of this technique represents one fo the most significant advances for the diagnosis and management of chest diseases as it enables the physician to directly visualize the tracheobronchial tree and obtain diagnostic specimens from regions of the lung previously inaccessible to the rigid bronchoscope. Except for suppleural lesions, fiberoptic bronchoscopy is the surgical procedure of choice in the evaluation of many pulmonary lesions. In addition, fiberoptic bronchoscopy plays a major therapeutic …


Porotic Hyperostosis In The Eastern Mediterranean, J. Lawrence Angel Jan 1978

Porotic Hyperostosis In The Eastern Mediterranean, J. Lawrence Angel

MCV/Q, Medical College of Virginia Quarterly

Porotic hyperostosis is bone expansion caused by hypertrophy of blood-forming marrow. It usually affects the skull diploë in adults and the long bones, face, skull vault, and sometimes the trunk in children, often with some thinning and porosity in the cortex and even the formation of a double cortex (bone-in-bone) in severe infections. Excess formation of red cells in hematogenous marrow can come from sicklemia or thalassemia (especially in the homozygous form), from other hemolytic anemias including unusual blood defects like spherocytosis, and from iron deficiency anemia. Presumably hookworm, amebiasis and other dysenteries, endemic malaria, and even high-altitude anoxia can …


Patterns Of Prehistoric Epidemiology And Human Paleopathology, Mahmoud Y. El-Najjar Jan 1978

Patterns Of Prehistoric Epidemiology And Human Paleopathology, Mahmoud Y. El-Najjar

MCV/Q, Medical College of Virginia Quarterly

Human paleopathologists are interested in the visible marks of diagnosable disease that reflect various aspects of human biocultural interaction. Whether infectious, nutritional, or a combination of both, pathological characteristics in the dry bone provide some insight into the health of past human populations. Paleoepidemiology and human paleopathology are important parts of ecology in that they deal directly with a major aspect of man's relationship to his environment. The significance of this relationship has, to a large extent, been neglected by human skeletal biologists. The purpose of this study is to examine one of the most important aspects of human biocultural …


The Female Urethral Syndrome And Urethritis And Prostatitis In The Male, Stephen N. Rous Jan 1978

The Female Urethral Syndrome And Urethritis And Prostatitis In The Male, Stephen N. Rous

MCV/Q, Medical College of Virginia Quarterly

Two common urological problems frequently encountered by the primary care physician are the female urethral syndrome and urethritis in the male. Although I will touch on chronic prostatitis in this discussion, I question whether it is anything but a relatively uncommon entity.


Book Review, Frederick J. Spencer Jan 1978

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.


Contents Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


Management Of The Nephrotic Syndrome, Douglas M. Landwehr Jan 1978

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 Jan 1978

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 Jan 1978

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 Jan 1978

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.