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Articles 4741 - 4770 of 5384

Full-Text Articles in Medicine and Health Sciences

What Is New In Anesthesiology?, C. Paul Boyan Jan 1972

What Is New In Anesthesiology?, C. Paul Boyan

MCV/Q, Medical College of Virginia Quarterly

The 25th Annual Stoneburner Lecture Series, held at the Medical College of Virginia, February 25-26, 1972, was devoted, for the first time since its inception in 1946 to Anesthesiology. Nineteen outstanding speakers from various parts of the country covered a wide range of pertinent subjects.

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How Safe Is Halothane?, Peter J. Cohen Jan 1972

How Safe Is Halothane?, Peter J. Cohen

MCV/Q, Medical College of Virginia Quarterly

Halothane (2-bromo-2-chloro-1, 1, 1-trifluoro-ethane) is the most popular inhalation agent in today's anesthetic practice. Its desirable properties include high potency, nonflammabilty, patient acceptance, a low incidence of nausea and vomiting, ability to produce bronchodilation, and ease of maintenance. Prior to its introduction in 1956, it was subjected to an intense examination for both general and hepatic toxicity. Although these investigations disclosed no evidence of adverse effects, reports of liver dysfunction after halothane administration have appeared constantly in the literature. Thus, although the general safety of this drug continues to be excellent, the clinician is confronted with a dilemma each time …

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Health Care And The Anesthesiologist: Influence And Factors, Robert G. Hicks Jan 1972

Health Care And The Anesthesiologist: Influence And Factors, Robert G. Hicks

MCV/Q, Medical College of Virginia Quarterly

In summary, then, let us say that there are many factors influencing health care delivery of anesthesia in the United States. The people of this country expect improved delivery of medical care. The medical profession stands ready to do its part. And it expects the government to assume its liability. Simply stated, that means adequate funding.

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Body Temperature During Surgery And Anesthesia, Amir Rafil Jan 1972

Body Temperature During Surgery And Anesthesia, Amir Rafil

MCV/Q, Medical College of Virginia Quarterly

The recognition of fulminant hyperthermia and accidental hypothermia during anesthesia and surgery has given a new impetus to clinical thermometry in the operating room. It is suggested that in order to recognize and avoid these conditions in the anesthetized patient, a routine of continuous monitoring of body temperature be added to our armamentarium for patient care.

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Progress Of Congenital Heart Disease: The Team Approach As It Includes The Anesthesiologist, Carolyn M. Mccue Jan 1972

Progress Of Congenital Heart Disease: The Team Approach As It Includes The Anesthesiologist, Carolyn M. Mccue

MCV/Q, Medical College of Virginia Quarterly

Advances in cardiac surgery have been great in the last 30 years, but further progress is anticipated, especially in infants. A cooperative effort involving referring physicians, pediatric cardiologists, physiologists, anesthesiologists, surgeons, and intensive care nurses is required to continue this trend.

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Contents Jan 1972

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1972, Volume Eight, Number Three.

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 8 No. 3 Jan 1972

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 8 No. 3

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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The Psychiatric Scene: A Resident's View, Wesley B. Carter Jan 1972

The Psychiatric Scene: A Resident's View, Wesley B. Carter

MCV/Q, Medical College of Virginia Quarterly

Residents desire efficiency in their profession and agree with suggested certification by the American Board of Psychiatry and Neurology. They are troubled, however, that often the knowledge required by the American Board is not supplied in their residency programs. Perhaps the APA can intercede and provide more continuity.

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"Teddy" (The Task Force For Emotionally Disturbed And Potentially Delinquent Youth), Susan G. Malbon Jan 1972

"Teddy" (The Task Force For Emotionally Disturbed And Potentially Delinquent Youth), Susan G. Malbon

MCV/Q, Medical College of Virginia Quarterly

The Council on Correction of the National Council of Social Workers invited other Virginia organizations dealing with children to attend a meeting in December, 1969, to form a Task Force for Emotionally Disturbed and Potentially Delinquent Youth. Someone came up with the inspired acronym of TEDDY to avoid the long title while reminding people that this task force spoke for a group of children who need help.

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Cross Section Of Ophthalmology, Walter J. Geeraets Jan 1972

Cross Section Of Ophthalmology, Walter J. Geeraets

MCV/Q, Medical College of Virginia Quarterly

This issue of MCV/Q is dedicated to Dr. DuPont Guerry, III, to honor his decisive influence on the development of the Department of Ophthalmology of the Medical College of Virginia, Health Sciences Division of Virginia Commonwealth University, during his 20 years as chairman of the department. The content of this issue covers various areas in this specialty and represent contributions by former and present residents trained under Dr. Guerry, and full-time staff members.

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 8 No. 4 Jan 1972

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 8 No. 4

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Cytomegalovirus Infection Of The Eye In A Case Of Renal Homotransplantation, G. E. Madge Jan 1972

Cytomegalovirus Infection Of The Eye In A Case Of Renal Homotransplantation, G. E. Madge

MCV/Q, Medical College of Virginia Quarterly

Ocular involvement in cytomegalic inclusion disease, a viral infection usually seen in infants, is rarely seen in adults except as a terminal infection complicating diseases such as malignant lymphoma and leukemia. In infants, chorioretinitis and the frequent finding of intracranial calcification make clinical differentiation from toxoplasmosis difficult. This report presents a case of cytomegalic inclusion disease involving the eyes of an adult who had received a renal homotransplant.

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Observations Of Lens Epithelium In Cell Cultures, Walter J. Geeraets Jan 1972

Observations Of Lens Epithelium In Cell Cultures, Walter J. Geeraets

MCV/Q, Medical College of Virginia Quarterly

The following investigation had been conducted to evaluate lens epithelial cells in vitro as a potential suitable model for future studies of chronic low dose ionizing radiation effects on this cell type in vitro. Since there is a great range of dose requirements to produce in vivo radiation cataract in man, monkeys, and rabbits, and an equally wide range in time from radiation exposure until the first minimal lens changes can be biomicroscopically detected, it may be assumed that in vitro comparison of cells derived from these three species may provide some explanation for the in vivo differences.

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Genetic Counseling In Retinitis Pigmentosa, Van B. Noah Jan 1972

Genetic Counseling In Retinitis Pigmentosa, Van B. Noah

MCV/Q, Medical College of Virginia Quarterly

During his lifetime the practicing ophthalmologist will see more than a few retinitis pigmentosa cases. It is his responsibility not only to diagnose and prognosticate this eye disease, but also to set aside a little time in which to advise the patient and his family on its genetic aspects.

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Some Common And Less Common Aspects Of Orthoptics, Elizabeth E. Porter Jan 1972

Some Common And Less Common Aspects Of Orthoptics, Elizabeth E. Porter

MCV/Q, Medical College of Virginia Quarterly

Orthoptics (derived from the Greek word "orthos"--straight and "ops"--vision) has been in use for centuries at various stages of sophistication and has been applied to the treatment of visual anomalies not amenable to other medical approaches. However, today's orthoptic evaluation and treatment techniques date back only about 50 years, with continuous refinements in both knowledge and technical equipment. Orthoptic treatment is primarily directed towards restoring normal binocular vision; whereas, pleoptic treatment is aimed at regaining monocular vision. Thus, although the art of oprthoptics is in the final analysis an ancient one, its scientific application has been greatly enhanced and placed …

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Chemical Changes In Amniotic Fluid, Ajay S. Bhatnagar Jan 1972

Chemical Changes In Amniotic Fluid, Ajay S. Bhatnagar

MCV/Q, Medical College of Virginia Quarterly

An ever present dilemma in modern obstetrical management is the proper timing of delivery of the fetus in situations where complications either threaten its own life in utero or significantly affect maternal morbidity. In such situations the obstetrician is confronted with the equivocal choice between premature delivery and the high risk to the fetus of continued intrauterine existence. In addition, he is placed in a unique position where any sort of direct communication with one of his "patients," namely the fetus, is nearly impossible. In the past, the delivery of obstetrical care to the fetus and the monitoring of its …

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A Modification Of The Spectrophotometric Method For Determining Oxyhemoglobin Affinity, Jack D. Burke Jan 1972

A Modification Of The Spectrophotometric Method For Determining Oxyhemoglobin Affinity, Jack D. Burke

MCV/Q, Medical College of Virginia Quarterly

The role of hemoglobin as a carrier of oxygen in the blood was established in 1859 by Hoppe-Seyler. Bert, using whole blood, furnished experimental data whereby an oxyhemoglobin affinity curve could be plotted. In 1886, C. Bohr published data on purified hemoglobin for the second curve of oxyhemoglobin affinity. By 1903, Bohr had established that the oxyhemoglobin affinity curve was S-shaped for both whole blood and hemoglobin in solution. Since that time, various methods have been reported, or modifications thereof, to estimate oxyhemoglobin affinity.

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The Effect Of Electrical Curren On The Crystalline Lens, Herbert Wiesinger Jan 1972

The Effect Of Electrical Curren On The Crystalline Lens, Herbert Wiesinger

MCV/Q, Medical College of Virginia Quarterly

In summary, the cataractogenic properties of electric current were studies. Previous observations dealing with this subject utilized a multiple shock technique--something which is unlikely to occur in any accidental exposure. This study focused on the production of lens changes in rabbit eyes following single exposures of measured electric current.

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Hormonal Changes In Pregnancy, Michael E. Yannone Jan 1972

Hormonal Changes In Pregnancy, Michael E. Yannone

MCV/Q, Medical College of Virginia Quarterly

Because of the time factor involved, it would be an impossible task to present the vast body of biochemical information accumulated during the last decade on the endocrine aspects of pregnancy. However, certain key points can be made concerning the feto-placental unit and the hormone levels and effects in normal gestation. These concepts will be discussed not merely for their academic value, but also as a base to evaluate our present diagnostic and therapeutic endeavors in obstetrical practice. With the audience’s indulgence, an occasional personal conjecture will be interjected concerning hormonal mechanisms and clinical practices.

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Postoperative Ventilatory Care, Terring W. Heironimus Iii Jan 1972

Postoperative Ventilatory Care, Terring W. Heironimus Iii

MCV/Q, Medical College of Virginia Quarterly

Postoperative ventilatory care implies that some significant percentage of surgical patients cannot breathe adequately in the postsurgical state and need to be appropriately assisted in order to do so. It further implies that there may be some difficulty in or complication resulting from such care. Both implications are correct.

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Musculoskeletal Sarcoidosis And Rheumatoid Factor, Duncan S. Owen Jr., Marion Waller, Edward S. Ray, Elam Toone Jan 1972

Musculoskeletal Sarcoidosis And Rheumatoid Factor, Duncan S. Owen Jr., Marion Waller, Edward S. Ray, Elam Toone

MCV/Q, Medical College of Virginia Quarterly

Articular manifestations of sarcoidosis were present in 19 of our 60 patients (32%). This correlates with previously reported studies. In all of our cases but one, the articular manifestations subsided in eight weeks. This fact and the absence of hyperuricemia are in contradistinction to other studies for which we have no adequate explanation.

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Our Growing Numbers, Allan C. Barnes Jan 1972

Our Growing Numbers, Allan C. Barnes

MCV/Q, Medical College of Virginia Quarterly

According to Dr. Barnes: There is no one problem more immediately pressing or as crucial as the questionable future of man's existence of terms of our expanding population. The stress the immediacy of the problem, Dr. Barnes vividly illustrated by statistics the magnitude of the world's population growth. The exponential curve yielded by calculations of this rate of growth leads Dr. Barnes to state, unequivocally, that "...we have about six hundred years at the present rate of growth before every man, woman, and child on this globe has one square foot in which to stand. This calculation includes the polar …

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The Anesthesiologist-Anesthetist Team, Bernard A. Kuzava Jan 1972

The Anesthesiologist-Anesthetist Team, Bernard A. Kuzava

MCV/Q, Medical College of Virginia Quarterly

In summary, I call upon anesthesia educators to abandon technician-training programs and instead help us develop nurse anesthetist programs to a higher level nationally. Let us remove our finger from the panic button and begin working together as a team, acknowledging our shortcomings and limitations. The time for us to establish the strongest possible ties both in our educational systems and our service-oriented institutions is right now. Mutual respect and cooperation are the keys to a smooth, efficient operation of an anesthesiologist-anesthetist team. And finally, let us be certain that the next meeting with the format of "What is New …

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Nitrous Oxie-Curare Anesthesia: Reappraisal, Richard L. Keenan Jan 1972

Nitrous Oxie-Curare Anesthesia: Reappraisal, Richard L. Keenan

MCV/Q, Medical College of Virginia Quarterly

Of the many inhalation drugs available today, nitrous oxide is the only one which is both non-explosive and non-toxic. Although the compound is rarely listed as a primary agent, it is used on almost every patient. The usefulness of nitrous oxide tends to be dismissed because it is considered to be relatively weak. However, with the continuing trend toward lighter anesthesia seen during the past quarter century, this viewpoint is no longer reasonable. The fact that MAC for halothane can be reduced to one third by the addition of 70% nitrous oxide attests to the drug's potency.

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Pulmonary Function Testing For Preoperative Study Of Patients For Anesthesia And Surgery, Orhan Muren Jan 1972

Pulmonary Function Testing For Preoperative Study Of Patients For Anesthesia And Surgery, Orhan Muren

MCV/Q, Medical College of Virginia Quarterly

In conclusion, if history and physical examination indicate pulmonary dysfunction, simple pulmonary function tests should be obtained and proper measures taken to reduce morbidity and mortality in surgery patients, especially those with underlying chronic lung disease.

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Proper Use Of Ketamine And Innovar, Guenter Corssen Jan 1972

Proper Use Of Ketamine And Innovar, Guenter Corssen

MCV/Q, Medical College of Virginia Quarterly

Definitions of ketamine and innovar along with corresponding indications, contraindications, techniques for administration, complications, and treatment of complications.

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The Chronically Ill Child: A Challenge To Family Adaptation, Ake Mattsson Jan 1972

The Chronically Ill Child: A Challenge To Family Adaptation, Ake Mattsson

MCV/Q, Medical College of Virginia Quarterly

In conclusion, by studying the emotional stress and the coping behavior of children with chronic physical illness, we can learn considerably about how these patients and their families learned to "play a poor hand well." In this regard it is noteworthy how often adolescent patients relate their good adjustment and positive outlook on life, despite their handicap, to their parents' early and consistent attempts to raise them with realistic and minimal restrictions. As one 16-year-old boy put it, as he was lying in bed receiving plasma infusion during a hemophilic bleeding episode, "Don't worry about the kids, Doc, but help …

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Financing An Office, Personal Investments, And Money Management, James L. Keeler Jan 1972

Financing An Office, Personal Investments, And Money Management, James L. Keeler

MCV/Q, Medical College of Virginia Quarterly

Today's medical doctor is very much like today's lawyer, engineer, or accountant in that he is trained very highly in his own field, but has received very little educational background for successfully managing the office he operates. Although I am not an expert in any of the areas which I am about to discuss, I would like to pass along some observations, most of which are drawn from experiences I have had while practicing as a CPA. There is no set way to handle many of these problems, and I can only present some of the pros and cons I …

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Cogan-Guerry Microcystic Corneal Epithelial Dystrophy: A Clinical And Electron Microscopic Study, Robert G. King Jr., Ragnit Geeraets Jan 1972

Cogan-Guerry Microcystic Corneal Epithelial Dystrophy: A Clinical And Electron Microscopic Study, Robert G. King Jr., Ragnit Geeraets

MCV/Q, Medical College of Virginia Quarterly

In summary, microcystic epithelial dystrophy of the cornea as described by Cogan and Guerry has become a well documented clinical entity. In this paper, a case report and preliminary electron microscopic findings of a patient with this dystrophy were presented. This case showed a thickened, two-layered basement membrane which was completely missing in some areas. The second characteristic change was that of cystic epithelial areas containing debris. The possible significance of these findings and a diagnostic technique for detecting of these corneal changes were discussed.

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Accounting Systems And Patien Receivables: Complementary Management Areas, Richard J. Vargo Jan 1972

Accounting Systems And Patien Receivables: Complementary Management Areas, Richard J. Vargo

MCV/Q, Medical College of Virginia Quarterly

The first segment of my discussion will deal with medical accounting systems and my evaluations of those systems. The second part of the paper will deal with the topic of improving the cash flow from patient receivables. Cash flow is in many ways dependent upon the effectiveness of a doctor’s accounting system, and if the system works well and produces timely and accurate information, the cash from patient receivable will flow more efficiently.

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