Medicine and Health Sciences Commons^™

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.

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 …

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 …

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

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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, …

Virginia Dental Journal (Vol. 55, No. 6, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 3, 1978)

Virginia Dental Journal

No abstract provided.

Early Sibling Relationships, Patricia Mccook Rager

Theses and Dissertations

Most of the richness and beauty of life is derived from the close relationship that each individual has with a small number of other human beings--mother, father, brother, sister, husband, wife, son, daughter, and a small cadre of close friends. With each person in this small group, the individual has a uniquely close attachment or bond. Much of the joy and sorrow of life revolves around attachments or affectional relationships--making them, breaking them, preparing for them, and adjusting to their loss.

This study dealt with one of those special attachments, the relationship a child formed with his newborn brother or …

Virginia Dental Journal (Vol. 55, No. 4, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 2, 1978)

Virginia Dental Journal

No abstract provided.

Virginia Dental Journal (Vol. 55, No. 1, 1978)

Virginia Dental Journal

No abstract provided.

A Historical Bulletin Of The Saint Philip School Of Nursing And Alumnae

VCU University History Books

During the first quarter of the twentieth century, when southern law and social practice demanded segregated facilities, the Medical College of Virginia established a separate school of nursing for African American women to provide trained personnel for the St. Philip Hospital. The Saint Philip School of Nursing opened with the hospital in the fall of 1920 and graduated 791 nurses during its 42-year history. The story of the school is told in A Historical Bulletin of the Saint Philip School of Nursing and Alumnae Association. It includes a general history, information on the curriculum, listing of the faculty, rosters of …

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 …

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1977, Volume Thirteen, Number One.

Introduction, H. St. George Tucker

MCV/Q, Medical College of Virginia Quarterly

A Symposium on Diabetes was presented at the Medical College of Virginia on September 23, 1976, sponsored jointly by the Division of Endocrinology and Metabolism of the Department of Medicine, and by the Department of Continuing Education. The symposium was also sponsored in part by a grant-in-aid for continuing medical education from the Upjohn Company.

Insulin Receptors, William G. Blackard

MCV/Q, Medical College of Virginia Quarterly

Much of the emphasis in the pathogenesis of diabetes mellitus has justifiably been placed on the endocrine gland, the pancreas. Extensive studies on the biosynthesis and release of insulin from the beta cell, bihormonal control of metabolism by insulin and glucagon, and more recently the role of somatostatin have attracted the attention of students of the subject; but considerable evidence exists to suggest at least some role of tissue resistance to insulin in the pathogenesis of this disorder. There have been many advocates for extra pancreatic factors causing diabetes. One of the first was Mirsky, who proposed that diabetes might …

Insulin Treatment Of Diabetes Mellitus, H. St. George Tucker

MCV/Q, Medical College of Virginia Quarterly

In summary, I believe in aiming for the best possible control for each patient through an empirical approach which seeks to arrive at the best schedule for the individual patient. We want especially tight control for the pregnant diabetic, and for this patient it is likely that multiple insulin injections are needed. If further experience confirms the benefits of multiple injections for juvenile patients, this type of treatment may also be indicated for these patients.

Oral Hypoglycemic Agents, Harold Rifkin

MCV/Q, Medical College of Virginia Quarterly

In conclusion, comment is made on the findings of the University Group Diabetes Program (UGDP). The purpose of the UGDP was to determine whether or not control of blood glucose levels would help to prevent or delay vascular disease in non-insulin-requiring diabetics. After 8 1/2 years of follow-up at 12 university-affiliated treatment centers, "The findings of the study indicate that the combination of diet and tolbutamide therapy is no more effective than diet alone in prolonging life. Moreover, the findings suggest that tolbutamide and diet may be less effective than diet alone or diet and insulin, at least insofar as …

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1977, Volume Thirteen, Number Two.

The Emerging Clinical Usefulness Of Complement Measurements, Shaun Ruddy

MCV/Q, Medical College of Virginia Quarterly

Not many years ago the main purpose of “complement” seemed to be to drill holes in sheep erythrocytes. In the classic experiment which was part of every medical student’s microbiology laboratory experience, a magic stuff called complement, somewhat mysteriously obtained from guinea pigs, was either “fixed” or not “fixed” and the sheep cells either not lysed or lysed accordingly. That was about all there was to know about complement, and all one needed to know. Today the term "complement" embodies a group of plasma proteins which react in a complex sequence to mediate a variety of inflammatory effects, including changes …

Immunology And Disease Of Connective Tissue, Robert Irby

MCV/Q, Medical College of Virginia Quarterly

Since immune responses play a major role in the development of connective tissue diseases, it is not surprising that a number of laboratory studies reflect these responses. Prior to the 1940s when rheumatoid and LE factors became widely known, one relied mainly on erythrocyte sedimentation rate and serum electrophoresis to identify protein abnormality. Elevated sedimentation rate depends on rouleaux formation, and rouleaux formation is dependent upon large asymmetric molecules of fibrinogen and gamma globulin in plasma. The demonstration of gamma globulin has become the cornerstone of the immunologist’s edifice. It is amazing to see how the subspecialty of immunology has …

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1977, Volume Thirteen, Number Three.

Introduction, John R. Taylor

MCV/Q, Medical College of Virginia Quarterly

This issue of the MCV Quarterly is devoted to a review of some of the problems in clinical neurology that present soon after onset and often require urgent evaluation and care. Problems such as seizures and headache are regular features of many types of practice. Others such as acute ophthalmoplegias are infrequently seen outside the field of neurology. Still others, for instance, head injury, are commonly seen but often require the attention of physicians with specialized training, such as Dr. Miller of the MCV Division of Neurosurgery. While every acute neurologic problem cannot be reviewed in a single issue, the …

Acute Bilateral Ophthalmoplegias, John B. Selhorst

MCV/Q, Medical College of Virginia Quarterly

Bilateral ophthalmoplegia is that condition of weakness or paralysis involving one or more ocular muscles in each eye. Its sudden appearance due to an acute ocular myopathy is indeed unusual. Swash reported a single patient with acute necrotizing orbital myositis and carcinomatosis neuromyopathy. The more common bilateral ocular muscle diseases, such as dysthyroid exophthalmopathy, orbital myositis, and progressive external ophthalmoplegia, develop insidiously and are restricted to the orbit.

Indications For Antenatal Genetic Diagnosis, Fay Redwine, Robert E. Petres

MCV/Q, Medical College of Virginia Quarterly

The future of antenatal genetic diagnosis is an exciting one. Recent advances include the application of chromosal banding techniques to identify subtle abnormalities and rearrangements; ultrasonography, using high resolution gray scale equipment to permit delineation of fetal soft tissue and skeletal anomalies; and fetoscopy, using a small fiberoptic instrument to view the fetus directly and observe its development. With these advances in technology, it should be possible to enable even more women at high risk for genetically diseased offspring to bear healthy children.

Recent Advances In Cytogenetic Technology For Antenatal Genetic Testing, Judith A. Brown, Anna Carr, Elizabeth S. Cooper, Deborah W. Heritage

MCV/Q, Medical College of Virginia Quarterly

The examination of human chromosomes has been a part of the physician’s laboratory armamentarium since the correct diploid number of human chromosomes was established and a method was developed for the in vitro growth of peripheral blood leukocytes to yield metaphase chromosomes. The discovery that on ultraviolet microscopy (UV), metaphase chromosomes stained with fluorochrome dyes displayed a characteristic pattern of bright and dull bands unique for a given pair of homologous chromosomes, was a major technological breakthrough in human cytogenetics; for the first time, every chromosome in the karyotype could be unequivocally identified. Although the short storage life of fluorochrome-stained …

The Genetic Counseling Program At Mcv, Phyllis Winter, Peter Mamunes, Walter E. Nance

MCV/Q, Medical College of Virginia Quarterly

The Genetic Counseling Clinic at the Medical College of Virginia, established by Drs. Peter Mamunes and R.B. Young in 1973, has been supported since its inception by a clinical service grant from the National Foundation – March of Dimes; it is one of 83 genetic counseling programs in the United States and one of three in Virginia that receive support from the Foundation. The Clinic provides counseling and diagnostic services for a variety of genetic disease and is the focus of clinical teaching and research activities of the Department of Human Genetics. The Clinic is staffed by member of the …

The Virginia Sickle Cell Anemia Awareness Program: Education, Screening, And Counseling, Florence N. Cooper, Robert B. Scott

MCV/Q, Medical College of Virginia Quarterly

In 1968, a program of screening for sickle trait carriers was begun as part of the work of the Hematology Division, Department of Medicine, at the Medical College of Virginia. It was felt that sickle cell anemia was more of a public health problem than was generally recognized, and in addition to instituting screening and education programs, data were collected to document the relative neglect of the problem.