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Immunologic Competence In Idiopathic Ulcerative Colitis (Humoral Aspects Of Immunity), Gerald A. Logrippo, Klaus Anselm, Hajime Hayashi, Robert J. Priest Dec 1970

Immunologic Competence In Idiopathic Ulcerative Colitis (Humoral Aspects Of Immunity), Gerald A. Logrippo, Klaus Anselm, Hajime Hayashi, Robert J. Priest

Henry Ford Hospital Medical Journal

Systemic immune status was studied in 86 idiopathic ulcerative colitis patients. Quantitation of the major serum immunoglobulins (IgG, IgA and IgM) and qualitation for specific enteropathogens (bacterial and viral) associated with the immunoglobulins are correlated with the severity and duration of the disease. The studies demonstrate the immunologic competence of these patients to respond to a variety of infections with normal activity and hyperactivity. In addition, systemic complications associated with ulcerative colitis, particularly liver involvement, are reflected in the immunologic studies.


The Effect Of Phenobarbital On Serum Bilirubin Of Full Term Infants: A Controlled Study, Mary J. Kokosky, Harold A. Falconer, Lester Weiss Dec 1970

The Effect Of Phenobarbital On Serum Bilirubin Of Full Term Infants: A Controlled Study, Mary J. Kokosky, Harold A. Falconer, Lester Weiss

Henry Ford Hospital Medical Journal

Three bundled twenty-eight infants weighing more than 2500 grams were studied for the effect of low dose phenobarbital (15 mg/day) upon third and fifth day serum bilirubin levels. The groups were divided according to sex, race and type of treatment. Controls were made for the possible effect of the 14% ethanol contained in phenobarbital elixir. It was found that males had higher mean serum bilirubin levels than females, Caucasians had higher mean serum bilirubin levels than Negroes, and control infants had higher serum bilirubin values than those infants treated with phenobarbital. However, in those patients who had lower serum bilirubin …


Immunoglobulin Levels In Spinal Fluid And Saliva By Direct Immunochemical Assay And Microscopic Measurements, Hajime Hayashi, Gerald A. Logrippo, Mary Perry Dec 1970

Immunoglobulin Levels In Spinal Fluid And Saliva By Direct Immunochemical Assay And Microscopic Measurements, Hajime Hayashi, Gerald A. Logrippo, Mary Perry

Henry Ford Hospital Medical Journal

The immunochemical procedure used in this hospital for serum immunoglobulins (Igs) has been modified to increase sensitivity (5-to-20-fold) so that minute quantities of immunoglobulins can now be measured directly in unconcentrated body fluids. Normal spinal fluid Ig levels (±2 S.D. from normal means) were found to be: 0.01-0.21 mg/100 ml for IgA; 0.5-2.50 mg/100 for IgG: and no detectable quantities for IgM. Normal (pooled) salivary Ig levels were found to be 0.01-2.25 mg/100 ml for IgA: trace quandties to 1.85 mg/100 ml for IgG: and no detectable quantities for IgM. Spinal fluid and salivary Igs were assayed in 227 adults …


Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research Dec 1970

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Dec 1970

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Front Matter Sep 1970

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Quantitative Determination Of C-Reactive Protein (Crp) By Micro-Double Diffusion Technic, Hajime Hayashi, Gerald A. Logrippo, Mary Perry Sep 1970

Quantitative Determination Of C-Reactive Protein (Crp) By Micro-Double Diffusion Technic, Hajime Hayashi, Gerald A. Logrippo, Mary Perry

Henry Ford Hospital Medical Journal

C-reactive protein (CRP) determinations in serum have been evaluated by two methods: the capillary tube method (presently in use) and the double diffusion technic (a newly developed procedure standardized in this laboratory). Advantages of the double diffusion technic are (1) quantitation of CRP in milligrams per 100 ml of serum, (2) differentiation of CRP from non-specific precipitates often found in patients' sera, and (3) increased sensitivity. A normal range of CRP levels has been established by analyzing serum from 750 supposedly healthy blood bank donors. Ninety-five percent of the donor population possess less than 1.0 mg of CRP per 100 …


Health Nurse Clinician: An Extended Role For The Professional Nurse, C. E. Rupe, Diana Downs, Diane L. Kerr, William W. Hardy Sep 1970

Health Nurse Clinician: An Extended Role For The Professional Nurse, C. E. Rupe, Diana Downs, Diane L. Kerr, William W. Hardy

Henry Ford Hospital Medical Journal

A program to upgrade the level of nursing involvement in patient care has been established in conjunction with Wayne Slate University. Offered as a possible solution to the shortage of health care personnel, the master's degree program would result in an upward movement of medical personnel and provide more continuity of care to the patient. More specifically, the trained Health Nurse Clinician would be able to provide better nursing care because of the nurse's greater awareness of the patient's health problem. She (or he) could also free the physician from some of the time-consuming aspects of routine physical examination without …


Percutaneous Absorption Of Betamethasone-17-Benzoate, George R. Mikhail Sep 1970

Percutaneous Absorption Of Betamethasone-17-Benzoate, George R. Mikhail

Henry Ford Hospital Medical Journal

Percutaneous absorption of betamethasone-17-benzoate, a new topical corticosteroid, was sufficient enough to result in adrenocortical suppression in patients with psoriasis or atopic dermatitis when 0.025% of the steroid cream was applied under occlusion to 30% or more of the body surface, using 9 gm or more of the preparation. The adrenal function returned to normal within a short time after the cream was discontinued.


Hfh In The News Sep 1970

Hfh In The News

Henry Ford Hospital Medical Journal

No abstract provided.


Effect Of Normal Menstrual Cycle On Platelet Adhesiveness, Janet Mak Yeung Sep 1970

Effect Of Normal Menstrual Cycle On Platelet Adhesiveness, Janet Mak Yeung

Henry Ford Hospital Medical Journal

Platelet adhesiveness was measured at intervals during the menstrual cycle in six normal females. Three normal males were studied during the .tame period of time to serve as controls. There was a significant difference of the variation of platelet adhesiveness between the two groups during the period of 30 days. Five out of six females showed much greater fluctuation than the males. No definite trend was observed in the platelet adhesiveness of females in relation to the menstrual cycle in this preliminary study. A larger number of samples from the population will be necessary to obtain a more accurate result.


Mixed Gonadal Stroma Cell Tumor Of The Testicle: A Case Report, Gerald B. Farrow, Arthur J. Johnson Sep 1970

Mixed Gonadal Stroma Cell Tumor Of The Testicle: A Case Report, Gerald B. Farrow, Arthur J. Johnson

Henry Ford Hospital Medical Journal

A specialized gonadal stromal tumor of mixed nature found in a 20-year-old Negro male is reported. Although the tumor had been present for six to seven years, there was no evidence of metastases or of hormonal imbalance. Reference is made to the confusing nomenclature of these rare tumors.


Hypophyseal Growth Hormone Ii. Interaction With Other Hormones, M. Saeed-Uz-Zafar, Raymond C. Mellinger, Lewis B. Morrow Sep 1970

Hypophyseal Growth Hormone Ii. Interaction With Other Hormones, M. Saeed-Uz-Zafar, Raymond C. Mellinger, Lewis B. Morrow

Henry Ford Hospital Medical Journal

Growth hormone (GH) synthesis and release is controlled by hypothalamic GH releasing factor. Thyroid hormones, androgens and estrogens in physiologic concentrations enhance GH secretion but a controlling role for glucagon and vasopressin in GH release is not established. Under stress, ACTH directly facilitates GH release while the similar action of the catecholamines is mediated by the a-adrenergic receptors. Though physiologic doses of glucorticoids and progestins do not affect GH liberation, prolonged administration of medroxyprogesterone acetate or of glucocorticoids in high dosage will decrease blood levels or blunt Gti responsiveness. GH enhances the release of insulin. A shift in adrenal steroid …


Assessing Attempted Suicide, Walter J. Cassidy Sep 1970

Assessing Attempted Suicide, Walter J. Cassidy

Henry Ford Hospital Medical Journal

Fifty successive patients attempting suicide are assessed from the standpoint of communication (how, when and to whom), manipulativeness, impulsiveness and the dangerousness of the pattern of behavior involved in the attempted suicide. This assessment is meant to clarify the component motivations of suicidal behavior, appeal and self-destruction. The earlier, more obvious the communication, the more definite is the manipulation, the more readily apparent the appeal function. Conversely the later, the less obvious the communication or the absence of communication, the more subtle or absent manipulation the greater is the dominance of self-destructive motivation over the appeal function of the attempted …


A Decade Of Heart Surgery And A Look Into The Future, Conrad R. Lam Sep 1970

A Decade Of Heart Surgery And A Look Into The Future, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.


Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research Sep 1970

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.


Spectacular Elevations Of Serum Alkaline Phosphatase: Clinical And Pathological Correlation Roy B., Roy B. Patton Sep 1970

Spectacular Elevations Of Serum Alkaline Phosphatase: Clinical And Pathological Correlation Roy B., Roy B. Patton

Henry Ford Hospital Medical Journal

The diseases responsible for extremely high serum alkaline phosphatase aclivily in 45 patients were proliferative bone disease (10 patients) and hepato-biliary tract disease (35 patients). Conditions found in these patients that are not usually thought to cause such high phosphatase levels were: drug-induced cholestasis (6 patients), non-malignant extra-hepatic bile duct obstruction (3 patients), biliary or portal cirrhosis (5 patients), and primary hyperparathyroidism with generalized osteitis fibrosa (1 patient).


Front Matter Jun 1970

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Immunologic Status Of Uremic Patients, Gerald A. Logrippo, C. E. Rupe, Hajime Hayashi, Dean Lesher Jun 1970

Immunologic Status Of Uremic Patients, Gerald A. Logrippo, C. E. Rupe, Hajime Hayashi, Dean Lesher

Henry Ford Hospital Medical Journal

The immunologic status of 25 uremic patients was studied with a battery of tests evaluating the humoral and cytological aspects of immunity. The individual's humoral immune status was evaluated as follows: quantitation of the three major serum immunoglobulins (IgG, IgA and IgM) expressed in mg/100 ml of serum and compared to established normal clinical standards (±2 SD/mean); qualitation of IgG and IgM evaluated by specific virus antibody titers and antitoxin values associated with IgG and by isoagglutinin tilers of the ABO blood groups associated with IgM. Immunoglobulin status is grouped into hyper- and hypo-immunoglobulin variations from normal and correlated with …


The Hypocalcemic Effects Of Actinomycin D And Mithramycin, Eduardo L. Reyes, Robert W. Talley Jun 1970

The Hypocalcemic Effects Of Actinomycin D And Mithramycin, Eduardo L. Reyes, Robert W. Talley

Henry Ford Hospital Medical Journal

Both actinomycin D and mithramycin are useful agents in the treatment of cancer. They can also produce hypocalcemia, a comparatively rare phenomenon in cancer. Two such cases are presented in detail. Neither patient had the classic symptoms of hypocalcemia. Instead, the clinical picture was more compatible with hypercalcemia. The mechanism of action of each drug is explained; therapeutic implications are made with regards to their synergistic effects when used in combination with the standard calcium-lowering agents. Attention is drawn to the inhibitory action of these two agents on the calcium-mobilizing effect of the parathyroid hormone. The hypocalcemic effects of these …


Double Contrast Arthrography Of The Knee, Peter C. Larowe, Robert S. Ormond, Edwin Guise Jun 1970

Double Contrast Arthrography Of The Knee, Peter C. Larowe, Robert S. Ormond, Edwin Guise

Henry Ford Hospital Medical Journal

Arthrography is a safe and relatively simple diagnostic procedure which provides an accurate and graphic preoperative means of defining pathology of the knee. In those cases where the expeditious evaluation and diagnosis of knee injury are of prime importance, ie, the athlete and industrial compensation case, arthrography provides a significant contribution. The clinical pathological features, salient anatomy and technic of study of internal derangements of the knee are discussed. Selected double contrast arthrograms illustrate normal and abnormal findings. Arthrotomies were performed in 20 of the 32 patients in this study with a positive arthrogram-arthrotomy correlation of 85%.


Cephalexin: In Vitro And In Vivo Studies, Frank Cox Jr., Edward L. Quinn, Bienvenido G. Gatmaitan, Nancy Peterson Jun 1970

Cephalexin: In Vitro And In Vivo Studies, Frank Cox Jr., Edward L. Quinn, Bienvenido G. Gatmaitan, Nancy Peterson

Henry Ford Hospital Medical Journal

Cephalexin, a derivative of cephalosporin C, produces high serum and urine concentrations after oral administration. In addition, it shows good activity in vitro against most gram-positive and some gram-negative organisms. This study reports the in vitro susceptibility to cephalexin of a series of clinical isolates, the serum levels and urine concentrations in human volunteers and the results of its use in infections due to susceptible organisms. Results of in vitro susceptibility testing reveal that cephalexin was effective against most strains of the gram-positive organisms tested — group A streptococci, pneumococci, and staphylococci — although the MIC's are higher than those …


Hfh In The News Jun 1970

Hfh In The News

Henry Ford Hospital Medical Journal

No abstract provided.


Surreptitious Ingestion Of Oral Anticoagulants, Thomas H. Greidanus, Ellis J. Van Slyck, Raymond W. Monto Jun 1970

Surreptitious Ingestion Of Oral Anticoagulants, Thomas H. Greidanus, Ellis J. Van Slyck, Raymond W. Monto

Henry Ford Hospital Medical Journal

Hypoprothrombinemia secondary to surreptitious ingestion of coumarin or indanedione anticoagulants may be a difficult diagnosis for the unsuspecting physician. Four such case reports are presented. The disease should be suspected if the prothrombin time is markedly elevated and the individual is associated with the medical profession or has had previous treatment with oral anticoagulants. The diagnosis is confirmed by finding a deficiency in Factors II (prothrombin), VII, IX, and X and the presence of the coumarin or indanedione anticoagulant in the blood. The motive generally is that of gaining attention rather than committing suicide. Liver disease. Vitamin K deficiency states …


Hypophyseal Growth Hormone: I. Control Of Secretion, M. Saeed Zafar, Raymond C. Mellinger, Lewis B. Morrow Jun 1970

Hypophyseal Growth Hormone: I. Control Of Secretion, M. Saeed Zafar, Raymond C. Mellinger, Lewis B. Morrow

Henry Ford Hospital Medical Journal

Growth hormone (GH) is a major hormone of the anterior pituitary gland. Once established, its secretion continues throughout life. GH was first recognized in 1866 as a factor controlling growth. More recently, it has been demonstrated as a vital regulator of fat, carboyhdrate and protein metabolism. In fact, GH influence on the intermediary metabolism is the major mechanism by which growth and development are regulated. Numerous hormonal and nonhormonal factors have been shown to modify the basic pattern of GH synthesis and secretion. In this article we have reviewed some of these nonhormonal factors.


In Vitro Kidney Preservation Techniques, S. G. Dienst Jun 1970

In Vitro Kidney Preservation Techniques, S. G. Dienst

Henry Ford Hospital Medical Journal

The advantages of adding hyperbaria, low flow perfusion, and protein colloid to hypothermia at 0° C for kidney preservation are described. The possibilities of longer preservation at higher temperatures are discussed.


Surgical Treatment Of Portal Hypertension: Review Of Henry Ford Hospital Experience, Joseph P. Elliott Jr., Kian H. Wong, Roger F. Smith Jun 1970

Surgical Treatment Of Portal Hypertension: Review Of Henry Ford Hospital Experience, Joseph P. Elliott Jr., Kian H. Wong, Roger F. Smith

Henry Ford Hospital Medical Journal

Of 146 operations performed for the complications of portal hypertension in the Henry Ford Hospital between 1927 and August 31, 1969, 114 were portasystemic shunts. Operative mortality, sequelae and long term survival were closely related to the state of the patients' liver function and the urgency of operation.


Front Matter Mar 1970

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Post-Therapeutic Thyroid Reserve: Thyroid Reserve In Euthyroid Patients After Ablative Therapy For Diffuse Toxic Goiter, J. Joseph Prendergast, J. Martin Miller Mar 1970

Post-Therapeutic Thyroid Reserve: Thyroid Reserve In Euthyroid Patients After Ablative Therapy For Diffuse Toxic Goiter, J. Joseph Prendergast, J. Martin Miller

Henry Ford Hospital Medical Journal

Thyroid reserve was measured in 41 patients who were euthyroid 5 to 15 years after therapy for diffuse toxic goiter. Twenty-one of them had been treated by 131I, 20 by surgery and 10 were normal controls. All had a PBI (protein bound iodine) and 3-hour thyroidal 131I uptake. The same parameters of function were measured again 24 hours after they were given 10 units of thyroid stimulating hormone (TSH) intramuscularly. Only two patients in each treatment group responded with normal elevation of both the PBI and 131I uptake. In 52% of the 131I-treated patients and in 55% of those surgically …


A New Biological Stain For Peripheral Blood And Bone Marrow Smears, A. R. Villanueva Mar 1970

A New Biological Stain For Peripheral Blood And Bone Marrow Smears, A. R. Villanueva

Henry Ford Hospital Medical Journal

A new blood stain has been developed for the demonstration and differentiation of cell types in peripheral blood or marrow smears, parasites in blood, and tissue impression preparations. It is available as a prebuffered powder which is dissolved in 100% reagent methanol. The method of staining is simple and rapid, with no precipitate. Overstaining is not likely to occur. The tinctorial patterns closely resemble some predecessors and, as the stain solution ages the staining quality improves. It is specific, stable, reproducible and resistant to fading.