Medicine and Health Sciences Commons^™

A Practical Approach To Infantile Apnea, Gregory Preston

Henry Ford Hospital Medical Journal

No abstract provided.

Pediatric Emergency Care: A Survey Of Michigan Emergency Departments, David J. Treloar, Gregory Preston, Fred Lamb

Henry Ford Hospital Medical Journal

Recent studies suggest a lack of preparation in emergency medical systems for pediatric patients. Michigan emergency departments were surveyed to determine their degree of preparedness regarding equipment, space, and pediatric on-call coverage. More than 50% of responding emergency departments did not have a pediatrician on call and lacked a pediatric "crash cart," and 34% had to send their personnel to other areas in the hospital to obtain pediatric equipment during resuscitations. This survey suggests a lack of preparation for pediatric emergencies in Michigan.

The Circumcision Decision: A Plea For Informed Consent, Theresa Spinelli

Henry Ford Hospital Medical Journal

No abstract provided.

The Pediatrician's Guide To Food Allergy, John A. Anderson

Henry Ford Hospital Medical Journal

Food allergy occurs in as many as 5% of infants less than 1 year old. Most food sensitivities disappear by age 3 to 4. Most immunologically mediated food allergy reactions are due to type I IgE mechanisms, with skin, gastrointestinal, and respiratory signs and symptoms the most common manifestations. U sing the double-blind, placebo-controlled food challenge (DBPCFC) technique and atopic dermatitis as a model, the most common foods to which children are allergic are cow's milk, eggs, peanuts, wheat, fish, and soy proteins. Anaphylactic sensitivity in older children often involves crustacean seafoods (eg, shrimp), nuts, peanuts, fish, and eggs. Such …

Attention Deficit Disorder: An Overview, Wiley C. Rasbury

Henry Ford Hospital Medical Journal

No abstract provided.

Prevalence Of Respiratory Symptoms And Allergic Sensitivity In Multiply Handicapped Children, Dennis R. Ownby, Mary Logan, Ruth Ann Belfi

Henry Ford Hospital Medical Journal

Among the many challenges of providing care for children with multiple physical and developmental handicaps is the proper management of their respiratory difficulties. This study was designed to evaluate the prevalence of respiratory symptoms in children attending a multidisciplinary clinic for handicapped children. We also used several methods to estimate the prevalence of allergic sensitivity in children with respiratory complaints. Questionnaires concerning respiratory symptoms were completed by the parents of 104 patients. The most frequent complaint reported was snoring in 41% of the children. Of the 39% who had multiple respiratory symptoms, 85% had detectable allergen- specific IgE to cat, …

Child Life: Meeting The Psychosocial Needs Of Children And Families In The Hospital, Christine O. Newman, Carol G. Klingbeil, Roberta B. Abrams

Henry Ford Hospital Medical Journal

No abstract provided.

Adolescent Pregnancy And Sexually Transmitted Diseases: Case Report, Ruby L. Holloway, Richard Smith

Henry Ford Hospital Medical Journal

More than 1 million teenagers become pregnant every year in the United States. Nearly one-half of the pregnancies are carried to term, while a similar number end in abortion. In Michigan this amounts to approximately 34,000 teenage pregnancies (ages 15 to 19). These adolescent patients have a high incidence of sexually transmitted diseases (STDs). Of the pregnant teens at Henry Ford Hospital. 60% present with one or more STDs. We discuss the case of a 13-year-old pregnant girl who presented at five weeks estimated gestation with gonorrhea, chlamydia, and appendiceal perforation, resulting in subsequent spontaneous abortion. Further discussion focuses on …

The Role And Success Of School-Based Clinics, Terence A. Joiner

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Setting Up An Adolescent Clinic In A Suburban Pediatric Office Group Practice, Patricia K. Stoltz, Kathleen B. Blumer

Henry Ford Hospital Medical Journal

Teenagers in the United States experience significant mortality and morbidity because of high-risk behaviors. Adolescents need routine health supervision aimed at reducing these risks. A Teen Clinic within the Pediatrics Clinic at the Henry Ford Hospital Fairlane Center offers separate facilities, longer appointments, and an emphasis on adolescent issues. This plan is a model for practitioners in various office settings who seek to improve adolescent care.

อัตราการตายและการติดโรคในเป็ดจากการทดลองฉีดเชื้อไวรัสกาฬโรคเป็ดสายพันธุ์ท้องถิ่น, เกรียงศักดิ์ สายธนู, โสมทัต วงศ์สว่าง, สันติ ถุงสุวรรณ

The Thai Journal of Veterinary Medicine

จากการศึกษาอัตราการตายและการติดโรคในเป็ดที่ได้รับการฉีดด้วยไวรัสกาฬโรคเป็ดสายพันธุ์ท้องถิ่นเข้าทางกล้ามเนื้อที่อก พบว่าระยะฟักตัวของโรคจะนาน 4 - 6 วัน อัตรา การตายและการติดโรค 100%

Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu

Rehabilitation Practice and Science

The functional outcome of 34 cases of digital ampution with toe-to-digit reconstruction in Chang-Gung Memorial hospital, from Jan 1984 to Jan 1987, were evaluated by questionaires.The age of the patients were from 16 to 48 years old, with male in majority (82.3%). Nearly all of them were occupational injury. There were 20 cases with right hand injury, most of them should change hand dominance even after reconstruction surgery (63.2%). In the patients having single thumb loss, whether the reconstruction surgery was used by big toe or second toe, there were no difference in functional deficits of precision pinch (85.7%) and …

Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen

Rehabilitation Practice and Science

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p＞0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower …

Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Hearniation of lumbar disc (HIVD) causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. Cauda equina syndrome (CES) has been described as a complex of low back pain, bilateral or unilateral sciatica, saddle anesthesia and motor weakness in the lower extremities that may progress to paraplegia with bowel and urinary bladder incontinence. The onset of bladder and rectal paralysis with saddle anesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Three C.E.S. cases out of 169 H.I.V.D. cases who had been operated in our hospital were …

Functional Evaluation Of The Cervical Orthosis, May-Kuen Wong, Choon-Khim Chong, Yau-Yau Wai

Rehabilitation Practice and Science

For investigation of the effectiveness of 5 cervical orthoses which were made in Taiwan, cervical motion was evaluated quantitatively by using roentgenograms and overhead goniometry. Thirty normal young men were divided into five groups for the study of normal control, soft collar, rigid collar, 4 poster brace, Somi brace, which another 5 cases of cervical fracture were studied with Halo vest application.The subject was immobilized in a straight back chair to eliminate trunk motion, lateral cervical spine films were taken in neutral, flexion and extension without or with each orthosis; anterioposteral film for lateral bending and overhead goniometry for rotation …

Short Communication The Use Of Oesophageal - Pharyngeal Samples In The Diagnosis Of Food And Mouth Disease, H.A. Westbury, W.J. Doughty, Pornchai Chamnanpood, Suchinta Tangchaitrong, A.J. Forman

The Thai Journal of Veterinary Medicine

We examined the use of oesphageal-pharyngeal (0/P) samples for the isolation of Foot and Mouth Disease (FMD) virus in animals from which it was difficult to obtain a conventional epithelial tissue specimen. The virus was detected in 42 (28%) of 150 samples, and only 5 (12%) of the 42 cases had positive results when the samples were tested directly with ELISA. The preferred technique for examination of 0/P samples was thus by culturing representative cell samples. The 150 samples came from 22 cases of the disease, with the virus being detected in 16 cases. In 4 of these 16 cases …

ปรากฎการณ์การดื้อยาของเชื้อ Escherichia Coli ที่แยกจากไก่เนื้อ, พิณทิพย์ น้อมไสว, มาลิน จุลศิริ, อรษา สุตเธียรกุล

The Thai Journal of Veterinary Medicine

การศึกษากระทำในเชื้อ Escherichia coli ที่แยกจากไก่ฟาร์ม 5 แห่ง ซึ่งตั้งอยู่ในเขตกรุงเทพฯ และจังหวัดใกล้เคียง ภายหลังวิเคราะห์ดูการดื้อยาของเชื้อเหล่านี้ ต่อยา ampicillin, chloramphenicol, colistin, cotrimoxazole, neomycin และ tetracycline พบว่ามีเชื้อ E. coli ที่แยกจากลูกไก่และไก่กระทงดื้อยาสูงถึง 91.2% (343/376 isolates) และ 97.3% (322/331 isolates) ตามลำดับ ซึ่งส่วนใหญ่จะดื้อยา tetracycline เพื่อเปรียบเทียบผลการศึกษา จึงได้ทำการทดสอบดูปรากฏการณ์ การดื้อของเชื้อ E. coli ที่แยกจากคนทั้งเด็กและผู้ใหญ่ ผลที่ได้เปิดเผยว่า 43.2% (19/44 isolates) และ 82.1% (55/67 isolates) ของเชื้อดังกล่าวที่แยกจากเด็กและผู้ใหญ่ ตามลำดับดื้อยา และการดื้อต่อ tetracycline ก็พบมากที่สุดเช่นกัน เมื่อนำเชื้อดื้อยาบางตัวอย่างที่สุ่มมาเพื่อตรวจสอบทางน้ำเหลืองวิทยาหาเชื้อที่ อาจก่อให้เกิดโรคทางเดินอาหารของคน ผลปรากฏว่าเชื้อ 200 ตัวอย่างที่เลือกมา ได้พบ 2 ตัวอย่าง (1%) ที่มี serotype 020a 20b:K84 ของกลุ่ม enteropathogenic E. coli (EPEC)

Short Communication The Immunohistochemical Demonstration On Bovine Ocular Squamous Cell Carcinoma, Achariya Sailasuta, Susuma Tateyama, Yoshimasa Okazaki, Dai Nozaka, Ryoji Yamaguchi

The Thai Journal of Veterinary Medicine

No abstract provided.

Effects Of Intervention On The Ability Of Students With Hearing Impairments To Write Personal Narrative Stories, Beth L. Miller

Masters Theses

This study was designed to determine whether students with hearing impairments could be taught to write more mature personal narrative stories. An experimental group of junior high students received intervention focused on teaching the elements of story grammar and their application to the students' written narrative stories. A matched control group of students spent equal time with the researcher and received intervention focused on improvement of basic language skills. Pretest, posttest-1, posttest-2, and generalization samples were taken. Students' metatextual skills for telling how to write a story were also probed.

A significant difference was found between the experimental and control …

Evaluation Of The Effectiveness Of An Educational Presentation In Increasing Chemically Dependent Males’ Report Of Sexual Abuse, Linda L. Hand

Masters Theses

Research has demonstrated several factors among sexually abused males such as males sexually abused as children becoming adult sexual abusers; one in four males reporting sexual abuse; and adult emotional trauma, drug abuse, and sexual dysfunction. To break this abuse pattern, we need to focus on increasing males' reports of sexual abuse and initiating treatment.

The present study evaluated the effectiveness of an oral educational presentation in increasing males' reports of sexual abuse. It also sought prevalence information and treatment needs. Subjects were 51 males from three chemical dependency treatment centers. One control and four experimental groups were used. The …

The Purposeful Use Of An Object In The Development Of Skill With A Prosthesis, Hon Keung Yuen

Masters Theses

Theoretically, perceptual information from the interaction with an object and its surfaces (an affordance) facilitates the development of motor skill. This study investigated the use of an affordance in learning control of flexion and extension of an above-elbow training prosthesis. Fifty-two male college students were randomly assigned to two training procedures: two, 1.5-minute periods of a joining dots activity with a flashlight attached to the hook of the prosthesis (affordance group), and practice moving the prosthesis at the elbow joint (no-affordance group) for the same amount of time. To assess generalization of skill to a different task, each subject traced …

Recidivism And The Self Concept Of Male Juvenile Delinquents, Mary B. Stelma

Masters Theses

It is a common belief that a low self concept is related to deviant behavior. The purpose of this study was to compare the self concepts of juvenile recidivists with those of non-recidivists.

A sample of 162 subjects was taken from juveniles who had been treated at a Michigan detention facility. Measures of self concept, using the Tennessee Self Concept Scale (Fitts, 1965), were taken both prior to and following treatment. Point-biserial correlations were computed for pre-test scores, post-test scores, and changes in scores from pre-test to post-test.

The results showed some significant positive correlations between self concept and recidivism …

Pentylenetetrazol-Induced Seizures In Pigeons And The Effects Of Ethosuximide Thereon, James J. Jakubow

Masters Theses

Previous research has shown that ethosuximide in high enough doses will disrupt operant responding in pigeons. Whether or not these same doses will protect against seizure activity in this species has not been previously tested.

To test this question a system for scoring pentylenetetrazol-induced seizures in pigeons was developed and the effects of ethosuximide on such seizures were evaluated. In Experiment 1 pentylenetetrazol at 15, 27 and 47 mg/kg reliably induced seizures. In Experiment 2 non-behaviorally active and behaviorally active doses of ethosuximide were tested for their seizure controlling effectiveness.

Doses of 20, 40, 80, 160 and 320 mg/kg ethosuximide …

Effects Of Caffeine Consumption On Cardiovascular Reactivity To Social Stress, Suzanne L. Keller

Masters Theses

Several risk factors have been linked to cardiovascular diseases; among them are exposure to psychological stressors and caffeine consumption.

The objective of this study was to examine the effects of caffeine consumption on cardiovascular reactivity to role play simulations of social stressors. A double-blind alternating treatment design was employed. Eight subjects (five female and three male) received either caffeine-containing or placebo beverages. Each subject received four samples of each beverage over a total of eight sessions. The results include: (a) stressors increased systolic and diastolic blood pressure along with heart rate in baseline, placebo and drug conditions; (b) caffeine produced …

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

การใช้ทรีปเปิ้ล จัมพ์ ในการประเมินผลการเรียนวิชา การประยุกต์ใช้คอมพิวเตอร์ทางการแพทย์ของนิสิตแพทย์ โครงการการคึกษาแพทย์แนวใหม่รุ่นที่ 1, มณีรัตน์ จรุงเดชากุล, พิสนธิ์ จงตระกูล, ดิลก เย็นบุตร

Chulalongkorn Medical Journal

No abstract provided.

ประสาทออฟติกอักเสบจากซิฟิลิส, อรุณี เลิศชวนะกุล, วันชัย ล้อกาญจนรัตน์

Chulalongkorn Medical Journal

No abstract provided.

Synapse, Alabama Health Libraries Association

Synapse - Newsletter of ALHeLa

This is the December, 1988 edition of the ALHeLa newsletter - Synapse.

Contents include:

• President's Column by Lisa Raines Russell (President, ALHeLA 1988)
• Calendar of events
• Executive Committee
• Annual Meeting
• Directory Updates
• Free fax to ABULS and JCHLA participants by Maureen Battistella

Calcium/Diacylglycerol-Dependent Protein Phosphorylation In The Nervous System, Katherine Ann Albert

Yale Medicine Thesis Digital Library

Calcium/diacylglycerol-dependent protein kinase, most often referred to as protein kinase C, is of interest to research groups across many scientific disciplines for two major reasons. First, protein kinase C is of general importance in signal transduction because its second messenger activator, diacylglycerol, is generated by phosphoinositide metabolism in response to a host of biologically active molecules. Second, protein kinase C has been identified as the cellular receptor for tumor-promoting phorbol esters. Protein kinase C is of particular interest to neuroscientists because its highest activity is in the nervous system. The studies described in this dissertation were undertaken to analyze the …