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Articles 4321 - 4350 of 5384

Full-Text Articles in Medicine and Health Sciences

Newer Drugs And Their Use In The Treatment Of Bronchial Asthma, Orhan Muren Jan 1979

Newer Drugs And Their Use In The Treatment Of Bronchial Asthma, Orhan Muren

MCV/Q, Medical College of Virginia Quarterly

The current knowledge of pathophysiology and new medications, as well as the better use of old ones, has significantly improved the therapy and prognosis of patients with bronchial asthma. However, it should be understood that drug therapy is beneficial only when aggravating or precipitating agents have been eliminated from the patient’s environment; these include allergens, such as dust, mold, pollens and other irritants, infection, exercise, psychological disturbances, certain drugs (aspirin), and stimulation of irritant receptors in the respiratory tract. There are five major classes of drugs used in treating bronchial asthma: (1) adrenergic agents, (2) xanthines, (3) corticosteroids, (4) cromolyn …

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The Guild For Infant Survival, Joanne Hesbach Jan 1979

The Guild For Infant Survival, Joanne Hesbach

MCV/Q, Medical College of Virginia Quarterly

The Central Virginia Guild was started in 1976 by three families who did not know each other. We had one family who had lost a child to SIDS and two families who had babies on monitors. We all shared the same goal – we wanted to see an end to SIDS some day. We joined together and started a guild here with tremendous cooperation from the medical community. We worked mostly with Dr. David Draper and Dr. Edwin Myer.

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The Role Of The Exercise Stress Test In The Adult, Donald W. Romhilt Jan 1979

The Role Of The Exercise Stress Test In The Adult, Donald W. Romhilt

MCV/Q, Medical College of Virginia Quarterly

The use, limitations, and value of the exercise stress test have been under debate in the recent cardiology literature. The purpose of this discussion is to examine the current role of the stress test.

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Medical Management Of Angina, Andrea Hastillo Jan 1979

Medical Management Of Angina, Andrea Hastillo

MCV/Q, Medical College of Virginia Quarterly

Evaluation of medical therapy of angina pectoris can be approached in many ways, but the objectives remain the same: (1) to relieve the acute attack of angina pectoris, (2) to prevent its recurrence, (3) to allow the patient to lead a normal lifestyle or, at least, one that is acceptable to him or her, and (4) to prevent myocardial infarction.

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The Management Of Patients With Premature Ventricular Contractions, Donald W. Romhilt Jan 1979

The Management Of Patients With Premature Ventricular Contractions, Donald W. Romhilt

MCV/Q, Medical College of Virginia Quarterly

Premature ventricular contractions (PVCs) occur frequently in patients with virtually all types of cardiac disease and in persons without evidence of cardiac disease. Since PVCs and advanced grades of PVCs are known to be predictors for ventricular fibrillation, increased mortality, and sudden death in certain clinical settings, the management of patients with PVCs is frequently based on the clinical setting in which they occur. For the purpose of this talk we will discuss the treatment of PVCs in the following three instances: acute myocardial infarction in the coronary care unit, post-myocardial infarction patients, and persons without any evidence of organic …

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Surgical Treatment Of Mitral Valve Disease, Zubair Ul Hassan Jan 1979

Surgical Treatment Of Mitral Valve Disease, Zubair Ul Hassan

MCV/Q, Medical College of Virginia Quarterly

This paper discusses the indications for surgery in mitral valve disease by comparing the natural history of the disease, as it can best be determined from the literature, with the results of various surgical procedures. It may be stated at the outset, however, that there are no controlled studies comparing medical and surgical treatment nor are they likely to be carried out in the near future.

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Scripta Medica: Hyperuricemic Nephropathy: A Complication Of Acute Leukemia In Children, James C. M. Chan Jan 1979

Scripta Medica: Hyperuricemic Nephropathy: A Complication Of Acute Leukemia In Children, James C. M. Chan

MCV/Q, Medical College of Virginia Quarterly

In order to provide a point of reference for a rational approach to the therapy of acute uricemic nephropathy, the metabolic pathways leading to the production of uric acid will be briefly reviewed. Uric acid is the end-product of adenine and guanine metabolism. Relevant to this discussion is the xanthine oxidase enzyme which catalyzes the conversion of hypoxanthine to xanthine and xanthine to uric acid. In children with acute leukemia the increasing production and subsequent destruction of white blood cells result in the rapid elevation of uric acid concentration in the plasma, especially during treatment with antineoplastic drugs. This in …

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Management Of The Difficult Hypertensive Patient, A. Jarrell Raper Jan 1979

Management Of The Difficult Hypertensive Patient, A. Jarrell Raper

MCV/Q, Medical College of Virginia Quarterly

Hypertension, while usually easily handled, can in certain patients present difficult problems in management. A history of stroke sometimes creates doubt as to the advisability of lowering the blood pressure as this might reduce flow to the brain, causing the patient to have another stroke. It is recognized that severe hypertensives clearly do better if they are treated, but the mild-to-moderate hypertensive patient with a history of stoke is a more difficult problem, and uncertainty about proper management has been so great that a large multicenter clinical trial – randomized, double-blind, and placebo-controlled – of 452 patients was done by …

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Legal Aspects Of Sids, T. S. Ellis Iii, J. D. Harvard, D. L. Oxford Jan 1979

Legal Aspects Of Sids, T. S. Ellis Iii, J. D. Harvard, D. L. Oxford

MCV/Q, Medical College of Virginia Quarterly

My remarks today focus on four legal aspects of SIDS; the first three are problems of long standing and the fourth is less well recognized, an immediate problem to some but more of a cloud on the horizon to others. At the outset, I want to emphasize that I bring you no certain solutions. Rather my more modest objective is to provide a focus and framework for further discussions.

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The Grief Reaction, Eloise Haun Jan 1979

The Grief Reaction, Eloise Haun

MCV/Q, Medical College of Virginia Quarterly

For most parents the death of their infant is the first serious crisis in their lives. This event is regarded by all young parents as more stressful than previous deaths in the family, divorce, separation, alcoholism, or suicide. The infant death may be the first death in the family. The grief reaction is not stereotyped; it is as varied as the individuals experiencing it and the families of which they are a part. Several patterns of grief will be treated here.

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Contents Jan 1979

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1979, Volume Fifteen, Number Four.

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Volume Fifteen Subject Index Jan 1979

Volume Fifteen Subject Index

MCV/Q, Medical College of Virginia Quarterly

Subject Index for MCV/Q, Medical College of Virginia Quarterly, 1979, Volume Fifteen.

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Pre- And Postoperative Care Of Pulmonary Patients Undergoing Nonthoracic Surgery, R. Paul Fairman Jan 1979

Pre- And Postoperative Care Of Pulmonary Patients Undergoing Nonthoracic Surgery, R. Paul Fairman

MCV/Q, Medical College of Virginia Quarterly

A variety of pulmonary complications occur in patients during and following nonthoracic surgery. These may include hypoxemia, atelectasis, bronchitis, pneumonia, and respiratory failure. The incidence of these complications is high and remains a major cause of morbidity and mortality in the postoperative state. Even so, this morbidity may be underestimated since hypoxemia, the most common pulmonary complication, exerts its influence throughout many organ systems through inadequate tissue oxygenation.

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 2 Jan 1979

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 2

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Recognition Of The At-Risk Child, Dorothy Kelly Jan 1979

Recognition Of The At-Risk Child, Dorothy Kelly

MCV/Q, Medical College of Virginia Quarterly

From 1959 to 1966, Dr. Richard Naeye, a pathologist at Hershey Medical School, participated in the Collaborative Perinatal Project which studied 53,518 pregnancies. Of the infants subsequently born, 125 died of the Sudden Infant Death Syndrome (SIDS). Through the mass of information gleaned from looking at the pregnancies, labor, delivery, examination of the placenta and subsequent events in the infants’ lives, Dr. Naeye was able to determine nine historical factors that increase an infant’s risk of dying of SIDS. According to his statistical analyses, these are additive factors so that the presence of a number of them increase the risk …

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Pulmonary Rehabilitation In A Community Hospital, Raymond J. Casciari, Patricia Ferguson Jan 1979

Pulmonary Rehabilitation In A Community Hospital, Raymond J. Casciari, Patricia Ferguson

MCV/Q, Medical College of Virginia Quarterly

Pulmonary rehabilitation programs seem to have come into vogue along with the national craze for exercise. This paper will discuss the feasibility of a rehabilitation program in a community hospital. In order to do that, we will first address several questions: “Does pulmonary rehabilitation really work?”; “If so, how?”; and “Is it safe?” Having answered these questions, we will discuss some of the details of setting up a rehabilitation program.

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Assessment For Surgery For Aortic Valve Replacement, John Quinn Jan 1979

Assessment For Surgery For Aortic Valve Replacement, John Quinn

MCV/Q, Medical College of Virginia Quarterly

Surgical management of symptomatic aortic valve disease has been successful in improving both survival and function. Data reported from the literature suggest an operative mortality of from 5% to 8%, with a lower risk for elective replacement, and a 65% to 75% five-year survival rate as opposed to 50% to 60% in non-surgical patients with symptomatic aortic valve disease.

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Recent Techniques In Echocardiography: Two-Dimensional Echocardiography, Kiran B. Sagar Jan 1979

Recent Techniques In Echocardiography: Two-Dimensional Echocardiography, Kiran B. Sagar

MCV/Q, Medical College of Virginia Quarterly

Conventional M-mode echocardiography is a widely used noninvasive diagnostic technique. It allows bedside assessment of cardiac chamber dimensions, valve motion and left ventricular function. The limitations of this technique are that it (1) provides only a one-dimensional (icepick) view of the heart, (2) displays cardiac structures in an unfamiliar form that bears no resemblance to cardiac anatomy, and (3) does not provide information regarding spatial orientation of cardiac structures. These limitations led to the development of two-dimensional (2-D) real-time echocardiography in the last decade. The 2-D echo allows simultaneous visualization of cardiac structures in real time through multiple planes.

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Chronic Obstructive Pulmonary Disease: Outpatient Management, James P. Baker Jan 1979

Chronic Obstructive Pulmonary Disease: Outpatient Management, James P. Baker

MCV/Q, Medical College of Virginia Quarterly

Chronic obstructive pulmonary disease has become one of the more common problems which face physicians both in inpatient and outpatient settings. The incidence of the disease and increase in mortality have been documented in a number of studies as have other lung diseases, indicating a general rise in pulmonary disorders over the past several decades. Two types of disease are classified under the heading of chronic pulmonary disease: chronic bronchitis and pulmonary emphysema. Chronic bronchitis is defined as a clinical syndrome of cough and sputum production for three consecutive months over two consecutive years, and pulmonary emphysema is defined as …

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Thallium 201 Myocardial Imaging, Michael J. Cowley Jan 1979

Thallium 201 Myocardial Imaging, Michael J. Cowley

MCV/Q, Medical College of Virginia Quarterly

In recent years technological advancements in nuclear medicine have resulted in increasing interest in the use of radioisotope techniques in the evaluation of cardiac disease, and cardiovascular nuclear medicine has developed into a useful noninvasive tool in clinical cardiology. Myocardial infarct imaging with technetium-99m pyrophosphate has been demonstrated to be a reliable method in the diagnosis of suspected myocardial infarction. Radioisotope cardiac flow studies are useful in the diagnosis and follow-up of congenital heart disease, and gated cardiac blood pool imaging is emerging as an important technique in the evaluation of left ventricular function and ejection fraction. One of the …

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Introduction, The Editors Jan 1979

Introduction, The Editors

MCV/Q, Medical College of Virginia Quarterly

With this issue we continue the proceedings of the 50th Annual McGuire Lecture Series on Cardiology in Primary Care. In Our Scripta Medica section we present a paper by Dr. James C. M. Chan on hyperuricemic nephropathy.

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Results Of Aortocoronary Bypass Surgery For Angina Pectoris, Richard R. Lower, Szabolcs Szentpetery, Timothy Wolfgang, V. Eric Kemp Jan 1979

Results Of Aortocoronary Bypass Surgery For Angina Pectoris, Richard R. Lower, Szabolcs Szentpetery, Timothy Wolfgang, V. Eric Kemp

MCV/Q, Medical College of Virginia Quarterly

To determine the relative risks and benefits of coronary bypass surgery for angina pectoris, we examined the results in our first consecutive 360 patients operated upon between May 1970 and December 1975. The age range was 27 to 75 years; there were 309 males and 51 females. The patients were classified clinically as having stable angina in 119 cases (33%), unstable angina in 205 cases (57%) and preinfarction angina in 36 cases (10%). Unstable angina was defined as a definite recent increase in severity or frequency of chest pain, angina at rest or nocturnal angina. Preinfarction angina was defined as …

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Introduction, Frederick L. Glauser Jan 1979

Introduction, Frederick L. Glauser

MCV/Q, Medical College of Virginia Quarterly

The 32nd Stoneburner Lecture Series, “New Concepts in the Outpatient Management of Chronic Obstructive Pulmonary Disease and Asthma,” was presented on April 6 and 7, 1979, to an audience consisting principally of family practitioners and internists. The conference explored new concepts about COPD and asthma which have emerged from basic and clinical research during the last decade. In particular, practical management related to drug treatment, pulmonary rehabilitation, pulmonary function testing, pre-and postoperative care, and the use of oxygen were emphasized.

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Contents Jan 1979

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1979, Volume Fifteen, Number Three.

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Community Involvement, Margaret Dalby Jan 1979

Community Involvement, Margaret Dalby

MCV/Q, Medical College of Virginia Quarterly

As a health care professional I want to remind you that we have come a long way in making the community aware of the Sudden Infant Death Syndrome, and we should be very proud of the State of Virginia. Part of our success is due to the cooperation we have had from the medical examiner system and to Dr. Marcella Fierro, who has really supported our programs. We are also lucky to have such people as Dr. Dorothy Kelly, who is working so hard toward the prevention and cure of SIDS, and the dedication of Dr. Ed Myer in getting …

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 1 Jan 1979

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 1

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Contents Jan 1979

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1979, Volume Fifteen, Number Two.

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3 Jan 1979

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 15 No. 3

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Pathophysiology Of Asthma And Chronic Obstuctive Pulmonary Disease (Copd), Robert A. Fasoli, Frederick L. Glauser Jan 1979

Pathophysiology Of Asthma And Chronic Obstuctive Pulmonary Disease (Copd), Robert A. Fasoli, Frederick L. Glauser

MCV/Q, Medical College of Virginia Quarterly

“Asthma is a disease characterized by an increased responsiveness of the trachea and bronchi to various stimuli and manifested by a widespread narrowing of the airways that changes in severity either spontaneously or in response to therapy.” The airway narrowing is the end result of some combination of bronchial muscle contraction, tissue inflammation, mucosal edema, and luminal occlusion by cellular debris and thickened secretions. During the last decade, basic and applied research has shed light on the physiology of the above changes and has led to breakthroughs in therapy and the more rational use of older and newer therapeutic agents, …

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The Nature Of The Problem: Sudden Infant Death Syndrome, David W. Marsland Jan 1979

The Nature Of The Problem: Sudden Infant Death Syndrome, David W. Marsland

MCV/Q, Medical College of Virginia Quarterly

The following is an overview of the Sudden Infant Death Syndrome (SIDS) and emphasizes salient features of its epidemiology, pathology, pathophysiology and management. Controversial points are not discussed.

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