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Virginia Commonwealth University

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.


Management Of Acute Glomerulonephritis, Donald Oken Jan 1978

Management Of Acute Glomerulonephritis, Donald Oken

MCV/Q, Medical College of Virginia Quarterly

Glomerulonephritis is responsible for over one half of all cases of end-stage chronic renal failure and, in its most fulminant form, is a cause of acute, irreversible renal failure. Electron microscopy and immunofluorescent studies together with newly recognized clinical associations have revealed a wide variety of histologic subgroups and myriad etiologies for what was once regarded as a single, simple entity. The addition of electron microscopy has lent an entirely new dimension to the delineation of glomerulonephritis subtypes and offers a more reasonable approach to the search for treatment of these subtypes. It is, after all, not unreasonable to suppose …


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.


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 Four.


Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 4 Jan 1978

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 14 No. 4

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.


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.


Management Of Carcinoma Of The Kidney And Urinary Bladder, Warren W. Koontz Jr. Jan 1978

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 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 One.


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.


Yawslike Disease Porcesses In A Louisiana Shell Mound Population, Louise M. Robbins Jan 1978

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 Jan 1978

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 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.