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July, 1941 HOSPITAL FACILITIES—DAVISON 345 Fig. II. Excretory pyelogram one month after removal of a large ovarian dermoid cyst. The right kidney has returned to its normal bed, with the pelvis about opposite the level of the fourth lumbar body. A considerable reduction in the degree of hydronephrosis is evident at this time. was tapped with the trocar and fluid was removed gradually. Fat and hair were present in the cyst. The growth was later reported as a dermoid cyst. The pedicle was clamped and cut. The incision was enlarged to remove the tumor mass. An incidental appendectomy was done. The right kidney was palpated and found to be enlarged. The patient’s recovery was uneventful. Diagnosis: Ovarian dermoid cyst. Comment Renal displacement from an intraperito-neal tumor has always been regarded as extremely rare, some authors stating that it never occurs. It was present here to such a marked degree that before the examination of the large bowel was made it appeared that there was no other serious possibility than a retroperitoneal neoplasm. A re-examination of the right kidney one month following operative removal of the large ovarian dermoid cyst showed it to be in normal position. Excretory pyelography revealed marked reduction in the degree of hydronephrosis. The opacity seen over the right renal area in the original study represented calcareous material in the dermoid, and was removed with it. It is noteworthy that there was never any interference with the normal menstrual cycle. THE MEDICAL AND HOSPITAL FACILITIES AVAILABLE TO CHILDREN IN NORTH CAROLINA Wilburt C. Davison, M. D. Durham The reduction of deaths in children, the object of this Conference, can be, and is being accomplished in three ways: (1) By the provision of adequate medical and hospital facilities for the treatment of children; (2) by the increased utilization of these facilities through public education and charity; and (3) by the elimination of many diseases through preventive pediatrics. Facilities In North Carolina, in 1936, the ratio of physicians to the population was 1:1,284 in contrast to the national figure of l:719a). However, through the three medical schools, the number of physicians locating in North Carolina is increasing. Of the 2,740 physicians in North Carolina, 1,200 are general practitioners and only 40 are pediatricians. Of the 3,571,623 population of the state, approximately 900,000 are children (a ratio of 1:4). As there are 22,500 children per pediatrician, and 750 per general practitioner, obviously the majority of children in North Carolina, as in other parts of the country'2', are cared for by general practitioners and not by pediatricians. In 1936, the North Carolina population per approved hospital bed was 1,837, compared to 419 for the country as a whole. If unapproved hospitals are included, the respective figures are 212 and 107*1As a result of the assistance by the Duke Endowment, the number of hospital beds is growing. Last year, the ninety North Carolina Presented at the North Carolina Conference on Children in a Democracy, Raleigh, February 6, 1941. From the De partment of Pediatrics, Duke University School of Medicine and Duke Hospital, Durham. 1. Davison, W. C.: A Survey of Medical Education in the South. Address at the Inauguration of Oliver C. Carmichael as Chancellor of Vanderbilt University and a Symposium on Higher Education in the South. Nashville, Tenn., Vanderbilt University (February 4) 1938. 2. Council on Medical Education and Hospitals of the American Medical Association: Medical Education in the United States, 1934-1939, A.M.A., Chicago, 1940.
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1941 |
Identifier | NCHH-17-002 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 2 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-002.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-002 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 345 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1941 |
Identifier | NCHH-17-002-0357 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed21941medi_0357.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 2 |
Issue Number | 7 |
Page Number | 345 |
Health Discipline | Medicine |
Full Text | July, 1941 HOSPITAL FACILITIES—DAVISON 345 Fig. II. Excretory pyelogram one month after removal of a large ovarian dermoid cyst. The right kidney has returned to its normal bed, with the pelvis about opposite the level of the fourth lumbar body. A considerable reduction in the degree of hydronephrosis is evident at this time. was tapped with the trocar and fluid was removed gradually. Fat and hair were present in the cyst. The growth was later reported as a dermoid cyst. The pedicle was clamped and cut. The incision was enlarged to remove the tumor mass. An incidental appendectomy was done. The right kidney was palpated and found to be enlarged. The patient’s recovery was uneventful. Diagnosis: Ovarian dermoid cyst. Comment Renal displacement from an intraperito-neal tumor has always been regarded as extremely rare, some authors stating that it never occurs. It was present here to such a marked degree that before the examination of the large bowel was made it appeared that there was no other serious possibility than a retroperitoneal neoplasm. A re-examination of the right kidney one month following operative removal of the large ovarian dermoid cyst showed it to be in normal position. Excretory pyelography revealed marked reduction in the degree of hydronephrosis. The opacity seen over the right renal area in the original study represented calcareous material in the dermoid, and was removed with it. It is noteworthy that there was never any interference with the normal menstrual cycle. THE MEDICAL AND HOSPITAL FACILITIES AVAILABLE TO CHILDREN IN NORTH CAROLINA Wilburt C. Davison, M. D. Durham The reduction of deaths in children, the object of this Conference, can be, and is being accomplished in three ways: (1) By the provision of adequate medical and hospital facilities for the treatment of children; (2) by the increased utilization of these facilities through public education and charity; and (3) by the elimination of many diseases through preventive pediatrics. Facilities In North Carolina, in 1936, the ratio of physicians to the population was 1:1,284 in contrast to the national figure of l:719a). However, through the three medical schools, the number of physicians locating in North Carolina is increasing. Of the 2,740 physicians in North Carolina, 1,200 are general practitioners and only 40 are pediatricians. Of the 3,571,623 population of the state, approximately 900,000 are children (a ratio of 1:4). As there are 22,500 children per pediatrician, and 750 per general practitioner, obviously the majority of children in North Carolina, as in other parts of the country'2', are cared for by general practitioners and not by pediatricians. In 1936, the North Carolina population per approved hospital bed was 1,837, compared to 419 for the country as a whole. If unapproved hospitals are included, the respective figures are 212 and 107*1As a result of the assistance by the Duke Endowment, the number of hospital beds is growing. Last year, the ninety North Carolina Presented at the North Carolina Conference on Children in a Democracy, Raleigh, February 6, 1941. From the De partment of Pediatrics, Duke University School of Medicine and Duke Hospital, Durham. 1. Davison, W. C.: A Survey of Medical Education in the South. Address at the Inauguration of Oliver C. Carmichael as Chancellor of Vanderbilt University and a Symposium on Higher Education in the South. Nashville, Tenn., Vanderbilt University (February 4) 1938. 2. Council on Medical Education and Hospitals of the American Medical Association: Medical Education in the United States, 1934-1939, A.M.A., Chicago, 1940. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-002.pdf |
Document Sort | all; nchh-17 |
Article Title | The Medical And Hospital Facilities Available To Children In North Carolina |
Article Author | Wilburt C Davison |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-002 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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