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Articles 59041 - 59070 of 62536

Full-Text Articles in Medicine and Health Sciences

Introduction, Robert Irby Jan 1974

Introduction, Robert Irby

MCV/Q, Medical College of Virginia Quarterly

The 45th Annual McGuire Lecture Series has been devoted to the subject of Immunology and the Rheumatic Diseases. In this two-day period, 22 outstanding physicians in the field of immunology and rheumatology brought an up-to-date overall concept in the field of rheumatic diseases. Subjects included not only aspects of pathogenesis but also modern laboratory methods in the diagnosis of various connective tissues diseases. The remedial surgical approaches for prevention of pain and disability in rheumatoid arthritis were discussed from a practical viewpoint.

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Recent Advances In Synovial Fluid Analysis, Duncan S. Owen Jr. Jan 1974

Recent Advances In Synovial Fluid Analysis, Duncan S. Owen Jr.

MCV/Q, Medical College of Virginia Quarterly

Synovial fluid analysis is a frequently ignored examination except in suspected cases of septic conditions. It has been shown that it is an extremely valuable procedure in making rapid and accurate diagnoses in many types of joint diseases.

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A Review Of Some Aspects Of L-Forms And Gonococci, Charles L. Cooke, Bernard Germain, Bonnie Balducci, Harry P. Dalton Jan 1974

A Review Of Some Aspects Of L-Forms And Gonococci, Charles L. Cooke, Bernard Germain, Bonnie Balducci, Harry P. Dalton

MCV/Q, Medical College of Virginia Quarterly

Systemic manifestations of gonococcal disease, such as arthritis, are often sterile on the usual culture methods used to grow gonococci. Allergic mechanisms have been invoked to explain this but with little evidence to support the concept. With the report by Holmes et al., that L-forms of gonococci were isolated from joint fluid of a patient with gonococcal arthritis, we decided to investigate the possible role of L-forms in gonococcal disease.

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Introduction, Donald P. Becker Jan 1974

Introduction, Donald P. Becker

MCV/Q, Medical College of Virginia Quarterly

Recently, important strides have been made in clinical neurology and clinical neurosurgery, culminating in improved patient care. The last ten years have witnessed a new sophistication in neuroradiology, and the clear development of neuroophthalmology as a subspecialty. It is to these areas that the speakers at the 27th Stoneburner Lecture Series addressed themselves. The first part of the program emphasized cerebral vascular disease, and is presented in this issue. The second part of the program related primarily to the clinical care of patients with mechanical brain injury, brain tumors, and seizures, and will be presented in the following issue of …

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Immune Complex Reactions In Systemic Lupus Erythematosus, John Staige Davis Iv Jan 1974

Immune Complex Reactions In Systemic Lupus Erythematosus, John Staige Davis Iv

MCV/Q, Medical College of Virginia Quarterly

We should first try to define systemic lupus erythematosus (SLE). Table 1 lists criteria proposed by a committee of the American Rheumatism Association. If four of these 14 major criteria are positive, then there should be about 98% specificity for SLE. There are clearly many facets to this disorder. Let us consider mechanisms that might account for a multisystem disease such as this.

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Anklylosing Spondylitis, John Baum Jan 1974

Anklylosing Spondylitis, John Baum

MCV/Q, Medical College of Virginia Quarterly

Within the last few years, the study of ankylosing spondylitis has produced some of the more remarkable new developments in the field of the rheumatic diseases. In modern days the disease has been described in Germany by Strümpell and in France by Marie. As a result, in Germany it is known as Strümpell's disease and in France as Marie's disease. Physicians in the United States and England, to be fair, call it Marie-Strümpell disease. It should be emphasized at this point that ankylosing spondylitis is not a variant of rheumatoid arthritis as it had been considered for a number of …

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The Interrelationship Of Intracranial Pressure, Cerebral Blood Flow, And Brain Metabolism In Experimental Brain Injury, Thomas W. Langfitt Jan 1974

The Interrelationship Of Intracranial Pressure, Cerebral Blood Flow, And Brain Metabolism In Experimental Brain Injury, Thomas W. Langfitt

MCV/Q, Medical College of Virginia Quarterly

This presentation will be concerned with some of the relationships between intracranial pressure, cerebral blood flow, and brain metabolism as defined in animal models. We will also be concerned with the pathophysiological changes that occur among these numerous variables.

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Chromosome Abnormalities And Repeated Abortion: A Preliminary Report, Susan English, Deborah W. Heritage, Andrew T. L. Chen, Reuben B. Young Jan 1974

Chromosome Abnormalities And Repeated Abortion: A Preliminary Report, Susan English, Deborah W. Heritage, Andrew T. L. Chen, Reuben B. Young

MCV/Q, Medical College of Virginia Quarterly

In view of the increased frequency of chromosome rearrangements demonstrated in these couples and the importance of counseling for future pregnancies, it would be wise to consider cytogenetic evaluation when all other probable causes for recurrent abortion have been ruled out.

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Reconstructive Intracranial Vascular Surgery, John M. Tew Jr. Jan 1974

Reconstructive Intracranial Vascular Surgery, John M. Tew Jr.

MCV/Q, Medical College of Virginia Quarterly

It is scarcely less than two decades since the initial cautious explorations of reconstructive surgery for the prevention of cerebral infarction caused by extracranial vascular disease began. The next years recorded an accumulative experience in the field of vascular surgery. Early clinical investigations led to the discovery that extracranial vascular disease is a major cause of cerebral infarction or stroke. Estimates indicate, however, that only 30-40% of the patients with cerebrovascular insufficiency have significant extracranial occlusive disease. For this larger group of patients, previous surgical methods offer no hope. It is the purpose of this report to review the current …

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Advances In The Management Of Pituitary Tumors, Charles B. Wilson Jan 1974

Advances In The Management Of Pituitary Tumors, Charles B. Wilson

MCV/Q, Medical College of Virginia Quarterly

A new development in the management of pituitary tumors is the transsphenoidal technique. It will be my purpose to show that it provides an elegant way of handling the great majority of pituitary problems, at least the ones that I have encountered, although it has its shortcomings as well as its advantages.

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Advances In The Medical And Surgical Management Of Intractable Partial Complex Seizures, Hooshang Hooshmand Jan 1974

Advances In The Medical And Surgical Management Of Intractable Partial Complex Seizures, Hooshang Hooshmand

MCV/Q, Medical College of Virginia Quarterly

Seizures can be due to a variety of acute, subacute, or chronic diseases with different etiologies. Clinically, they may manifest as focal or generalized phenomena. Whereas the majority of the patients suffering from partial seizures are easily controlled with medications, in a small number of patients treatment may fail. The failure may be due to incorrect diagnosis or incorrect therapy. The efficacy of medical treatment for seizure disorder depends upon six factors: 1) dosage; 2) the size of the patient; 3) drug interaction; 4) drug specificity for the disease; 5) the nature of the disease for which the drug is …

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Advances In The Treatment Of Patients With Benign Brain Tumors, Harold F. Young Jan 1974

Advances In The Treatment Of Patients With Benign Brain Tumors, Harold F. Young

MCV/Q, Medical College of Virginia Quarterly

Reliable ICP measurement allows an exact quantitation and management of intracranial pressure. This precise assessment of ICP is a valuable adjunct in the management of anesthesia for brain tumor patients. The proper combination of ICP and anesthesia management enables the surgeon to use the operating microscope to approach previously inaccessible areas of the brain and to perform meticulous surgery with a better prognosis for the brain tumor patient.

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Progress And Problems In The Rehabilitation Of Patients With Central Nervous System Injuries, L.D. Amick Jan 1974

Progress And Problems In The Rehabilitation Of Patients With Central Nervous System Injuries, L.D. Amick

MCV/Q, Medical College of Virginia Quarterly

Let us briefly consider the general nature of contemporary rehabilitation with highlights of its progress and problems. Paraplegia and hemiparesis may be thought of as the models of neurologic impairment.

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Advances In Neuroradiology, Frederick S. Vines, Charles Bonstelle Jan 1974

Advances In Neuroradiology, Frederick S. Vines, Charles Bonstelle

MCV/Q, Medical College of Virginia Quarterly

The development of two new radiological techniques has significantly enhanced the performance of neuroradiological diagnostic procedures. The first of these was installed as the prototype unit at the Medical College of Virginia in November of 1972 and has marked advantages for the performance of encephalography, angiography, and air myelography. The present communication will relate the experiences of the author during the initial 15 months of clinical evaluation. The second technique is an entirely new concept of obtaining further information from the data provided by the penetration of x-ray photons. Each of these units will be discussed briefly with an outline …

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Cerebral Blood Flow Studies In Stroke, John Stirling Meyer Jan 1974

Cerebral Blood Flow Studies In Stroke, John Stirling Meyer

MCV/Q, Medical College of Virginia Quarterly

This consideration of the relationship of neuro-transmitters not only to cerebral infarction but also to subarachnoid hemorrhage is, to my mind, the most promising area of investigation over the next decade. There is also a quantity of evidence that neurotransmitters play a large part in spasm following subarachnoid hemorrhage and in the disturbance of neurological function in that situation. Following subarachnoid hemorrhage, some remediable medical problems arise. Apart from clipping of the aneurysm, which the neurosurgeons are able to do, there is the problem of communicating hydrocephalus, which is extremely common in about 40% of patients. It can be discerned …

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Contents Jan 1974

Contents

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1974, Volume Ten, Number Two.

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Clinical Advances In The Diagnosis Of Cerebral Vascular Disease, John Stirling Meyer Jan 1974

Clinical Advances In The Diagnosis Of Cerebral Vascular Disease, John Stirling Meyer

MCV/Q, Medical College of Virginia Quarterly

I have chosen some thoughts about recent clinical advances in the diagnosis of cerebral vascular disease, which I feel are appropriate for this paper, confining my discussion to the signs, symptoms, natural history, and risk factors of cerebral vascular disease.

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Table Of Contents, Volume Ten, 1974. Jan 1974

Table Of Contents, Volume Ten, 1974.

MCV/Q, Medical College of Virginia Quarterly

Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1974, Volume Ten.

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Genetic-Metabolic News Jan 1974

Genetic-Metabolic News

MCV/Q, Medical College of Virginia Quarterly

One of the primary aims of the genetic counselor is the reduction in the number of children born with either lethal disorders or severe CNS dysfunction (eg. Mongolism and midline neural defects). Generally, this goal is accomplished in one of four major ways.

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Front Matter, Vol. 19 No. 1 Jan 1974

Front Matter, Vol. 19 No. 1

Brigham Young University Science Bulletin, Biological Series

No abstract provided.

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Surgery In Rheumatoid Arthritis: General Indications And Philosophic Considerations, R. S. Bryan Jan 1974

Surgery In Rheumatoid Arthritis: General Indications And Philosophic Considerations, R. S. Bryan

MCV/Q, Medical College of Virginia Quarterly

In summary, orthopedic surgery has much to offer the rheumatoid patient, particularly if the proper patient is chosen at the proper time. The advent of the total joint replacements, now in its infancy, gives renewed hope for the salvage of many derelicts and for the prevention of the severe disabilities and deformities which were all too frequent in the past.

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Introduction, Robert Irby Jan 1974

Introduction, Robert Irby

MCV/Q, Medical College of Virginia Quarterly

This issue of the MCV/Q is a continuation of the first issue of this year, which was devoted to the subject of Immunology and the Rheumatic Diseases. Many of the papers presented at the 45th Annual McGuire Lecture Series were published in the first issue and this will complete those papers which were submitted for publication.

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Histocompatibility Antigens And Spondylitis, Robert Irby, William Edwards, James Pierce, Roderick Macdonald Jan 1974

Histocompatibility Antigens And Spondylitis, Robert Irby, William Edwards, James Pierce, Roderick Macdonald

MCV/Q, Medical College of Virginia Quarterly

This is a transcript of a discussion about HL-A antigens and spondylitis at Medical Grand Rounds by the Department of Medicine, Surgery, and Ophthalmology on January 29, 1974, at the Medical College of Virginia, Richmond.

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Advances In The Management And Surgical Treatment Of Intracranial Aneurysms, Thoralf M. Sundt Jr. Jan 1974

Advances In The Management And Surgical Treatment Of Intracranial Aneurysms, Thoralf M. Sundt Jr.

MCV/Q, Medical College of Virginia Quarterly

Patients who have sustained a spontaneous subarachnoid hemorrhage are victims of a very serious illness. Not only are they subject at all times to the potentially catastrophic results of a recurrent bleed, but they are faced with the manifestations of the irritative effects of blood in the subarachnoid space where the blood may function as a poison to the vessel wall. These acutely ill individuals may suffer a composite of secondary effects from a bleed which may include a communicating hydrocephalus, cerebral edema (ischemic or chemically induced), sterile meningitis, inappropriate ADH syndrome (osmotic effects of blood in the cerebrospinal fluid), …

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 10 No. 4 Jan 1974

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 10 No. 4

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Advances In The Management Fo Patients With Malignant Brain Tumors, Charles B. Wilson Jan 1974

Advances In The Management Fo Patients With Malignant Brain Tumors, Charles B. Wilson

MCV/Q, Medical College of Virginia Quarterly

In describing what is new in the management of malignant brain tumors, I shall confine myself largely to chemotherapy and shall outline what we think is important based on our own experience, what we have achieved with single and multiple agents, and where we are going. We have just reviewed our five-year experience and find that chemotherapy, perhaps, is the only thing that is new.

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Diagnostic Concordance Of Serological Tests For Antiglobulin Antibodies, Marion Waller Jan 1974

Diagnostic Concordance Of Serological Tests For Antiglobulin Antibodies, Marion Waller

MCV/Q, Medical College of Virginia Quarterly

Rheumatoid factors are present in a variety of disease states and in normal persons, usually in low titer. High titers of rheumatoid factors are almost exclusively associated with rheumatoid arthritis.

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Still's Disease In Adults, William M. Edwards, Stephen R. Koller, Michael J. Miller Jan 1974

Still's Disease In Adults, William M. Edwards, Stephen R. Koller, Michael J. Miller

MCV/Q, Medical College of Virginia Quarterly

In 1897, Dr. George F. Still described 22 children with a form of chronic joint disease which differed from rheumatic fever. Twelve of these children had a syndrome characterized by glandular and splenic enlargement which, with a characteristic fever pattern, rash, and arthritis, has become known as Still's disease. Subsequent investigators have described patients over age 16 presenting with similar signs and symptoms suggesting that this syndrome is not specific for children. We recently studied a patient in whom the diagnosis of adult onset Still's disease was made.

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Mcv/Q, Medical College Of Virginia Quarterly, Vol. 10 No. 2 Jan 1974

Mcv/Q, Medical College Of Virginia Quarterly, Vol. 10 No. 2

MCV/Q, Medical College of Virginia Quarterly

No abstract provided.

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Summary Of Papers Presented At The 45th Annual Mcguire Lecture Series, Robert Irby Jan 1974

Summary Of Papers Presented At The 45th Annual Mcguire Lecture Series, Robert Irby

MCV/Q, Medical College of Virginia Quarterly

It is the purpose of this presentation to quickly review some of the important points of the papers which were presented at the 45th Annual McGuire Lecture Series on the subject of immunology and rheumatic diseases.

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