Medicine and Health Sciences Commons^™

Ua12/2/1 All Creatures Great & Small, Wku Student Affairs

WKU Archives Records

Special magazine edition of the College Heights Herald:

• Hadley, Kim. Each Day is Something Extra – Reg Laswell, AIDS, HIV
• Baldwin, Paul. You Have to Love Animals to Work Here – Bowling Green/Warren County Animal Shelter

Preliminary Epidemiological Interpretation Of The Intrinsic And Extrinsic Factors Contributing To The Coverage And Participation Rates Of The Vaccination Program In Arssi, Ethiopia, Muchie Kidanu

Electronic Theses and Dissertations

Many immunization programs in developing countries arr now undergoing a period of rapid utilization. Innovative strategies, such as immunization holidays, are being tried. Political commitment and enthusiasm are high. There is a strong desire by health professionals to protect the lives of many children from the untimely death and/or disability resulting from infectious diseases preventable by vaccination.

Evaluation of an immunization program can benefit other elements of the health system, particularly those that are not amenable to objective evaluation as immunization. In this case, immunization can serve as an indicator of the overall performance of the health system. The problems …

Time-Courses In The Retention Of Food Material In The Bivalves Potamocorbula Amurensis And Macoma Balthica: Significance To The Absorption Of Carbon And Chromium, Alan W. Decho, Samuel N. Luoma

Faculty Publications

Time courses for ingestion, retention and release via feces of microbial food was investigated using 2 bivalves with different feeding strategies, Potamocorbula amurensis, and Macoma balthica. The results showed 2 pathways for the uptake of food material in these clams. The first is represented by an initial label pulse in the feces. The second pathway operates over longer time periods. Inert ⁵¹Cr-labeled beads were used to determine time frames for these pathways. The first pathway, involving extracellular digestion and intestinal uptake, is relatively inefficient in the digestion of bacterial cells by P. amurensis but more efficient in …

Isolation And Expression Of A Gene Cluster Responsible For Biosynthesis Of The Glycopeptidolipid Antigens Of Micobacterium Avium, John T. Belisle, Lisa Pascopella, Julia M. Inamine, Patrick J. Brennan, William R. Jacobs Jr.

Public and Community Health Sciences Faculty Publications

Bacteria within the Mycobacterium avium complex are prominent in the environment and are a source of serious disseminated infections in patients with AIDS. Serovars of the M. avium complex are distinguished from all other mycobacteria and from one another by the presence of highly antigenic glycolipids, the glycopeptidolipids, on their surfaces. A genomic library of DNA from serovar 2 of the M. avium complex was constructed in the Escherichia coli-Mycobacterium shuttle cosmid, pYUB18, and used to clone and express in Mycobacterium smegmatis the genes responsible for the biosynthesis of the oligosaccharide segment of the M. avium serovar 2-specific glycopeptidolipid. The …

Poverty And Health Outcomes Among Hispanics In Massachusetts, Christopher Christian

Gastón Institute Publications

The Hispanic population of Massachusetts is now close to becoming the largest ethnic minority group in the state. The 1990 statewide Census count found that the Hispanic population doubled in the past ten years and now comprises 4.8% of the total state population (287,349 residents) as compared to 2.5% in 1980.

Growth in the Hispanic population has not been coupled with advancements in health status. Hispanic residents are disproportionately affected by many adverse health outcomes, such as high infant mortality, a high incidence of substance abuse, sexually transmitted diseases, homicides, AIDS, and other chronic illnesses. This paper highlights some of …

Food Handling Practices Among Independent-Living Elderly, Judith Dianne Mcdonough

Loma Linda University Electronic Theses, Dissertations & Projects

Food has long been recognized as a vehicle of disease transmission; there are more reported illness associated with the consumption of food than all other environmental factors combined. The handling and storage of food are potentially dangerous and demanding chores for those who may have the sensory losses associated with advancing age, fragile health, and limited resources.

Group-administered questionnaires on the knowledge, attitudes, and practices of food handling were given to 276 seniors, aged 55 to 90, from ten mobile home parks randomly selected from San Bernardino and Riverside counties. As an indicator of possible foodborne illness, the questionnaire asked …

The Evaluation Of The School-Based Flouride Mouthrinse Program In A Fluoridated Community, Motoki Nakanaga

Masters Theses & Specialist Projects

The purpose of this study was to evaluate the effect of a school-based fluoride mouthrinse program in a fluoridated community. Such an evaluation is important because the effect of such programs may decrease over time due to the widespread use of fluoride.

Two elementary schools were chosen. One had a fluoride mouthrinse program: the other did not. The subjects were children in grades one and six. Their caries experience was examined using dft. dfs. DFT, and DFS scores.

There were no statistically significant differences between the two schools. The program had no significant effect in the community studied.

The Aids Project Newsline, Vol.4, No.3 (Fall 1991), Jeffrey Levensaler, Wendy Morse, The Aids Project

AIDS Project Newsline (1991-1996)

No abstract provided.

Madagascar: Island Of Ghosts, Nat Quansah

Nat Quansah

No abstract provided.

Management Of Cardiogenic Shock Complicating Acute Myocardial Infarction: The Henry Ford Hospital Experience And Review Of The Literature, Ali R. Moosvi, Mihai Gheorghiade, Sidney Goldstein, Fareed Khaja

Henry Ford Hospital Medical Journal

Cardiogenic shock complicating acute myocardial infarction (MI) carries a high mortality which in some series prior to 1980 exceeded 80%. Neither the use of inotropic and vasopressor agents nor intraaortic balloon counterpulsation was found to improve survival in this group of patients. Intravenous thrombolytic agents improve survival in patients with acute MI, but their role in cardiogenic shock is unknown. Reports of the use of surgical and mechanical interventions in patients with severe left ventricular dysfunction were examined to determine if there was any benefit to be derived from restoring blood flow to ischemic areas of the myocardium. It was …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Special Feature: Management Of Acute Myocardial Infarction: Introduction, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.

Neuroendocrine Responses To Acute Myocardial Infarction, Arlene B. Levine, T. Barry Levine

Henry Ford Hospital Medical Journal

No abstract provided.

Recovery Of Left Ventricular Function Following Acute Myocardial Infarction, Hani N. Sabbah, Paul D. Stein, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.

Biochemical Diagnosis Of Myocardial Infarction, Craig C. Foreback

Henry Ford Hospital Medical Journal

A rapid, sensitive, and specific marker for the diagnosis of acute myocardial infarction (MI) and the assessment of reperfusion following thrombolytic therapy has been sought by research workers for years. Creatine kinase-MB (CK-MB) is the best biochemical marker currently available to the cardiologist and the emergency room physician for the assessment of patients presenting with symptoms of acute Ml. CK-MB is best measured using immunoassay techniques at 3- to 4-hour time intervals during the first 12 hours after onset of.symptoms. Other currently available markers include lactate dehydrogenase and its isoenzymes and myoglobin. Future developments include assays for troponin, reported to …

The Role Of Echocardiography In Acute Myocardial Infarction, Mohsin Alam

Henry Ford Hospital Medical Journal

Our institutional experience with two-dimensional echocardiography and color flow Doppler tests, as welt as a review of the literature, reveals that echocardiography is useful in diagnosing myocardial infarction. Furthermore, complications of myocardial infarction such as mitral regurgitation with or without papillary muscle rupture, acquired ventricular septal defect, true and false left ventricular aneurysms, left ventricular thrombi, right ventricular infarction, and pericardial effusion in the setting of acute infarction can he detected by cardiac ultrasound. Echocardiography is also useful in assessing prognosis of postinfarction patients based on degree of left ventricular dysfunction. This test, however, is not 100% sensitive and specific …

Prehospital Care Of Acute Myocardial Infarction: A Review, Asit R. Gokli, Jay L. Kovar, Terry Kowalenko, Richard M. Nowak

Henry Ford Hospital Medical Journal

Each year more than 1 million people in the United States suffer from acute myocardial infarction (Ml) with most of the deaths occurring within hours of symptom onset. Over the last 25 years, different prehospital systems have evolved throughout the world which allow early cardiac monitoring and treatment of acute Ml patients. Thrombolytic therapy in acute Ml has been shown to decrease mortality and preserve left ventricular function when administered early after onset of symptoms. The potential role of Emergency Medical Services or Mobile Coronary Care Units in achieving early thrombolysis is under investigation. Several studies of prehospital interventions to …

Antiplatelet And Anticoagulant Therapy In Acute Myocardial Infarction, Syed M. Jafri

Henry Ford Hospital Medical Journal

No abstract provided.

Psychological Factors Relevant To The Prehospital And In-Hospital Phases Of Acute Myocardial Infarction, Lori W. Kenyon, Mark W. Ketterer, Richard C. Preisman

Henry Ford Hospital Medical Journal

Recognition and treatment of psychological factors relevant to the acute prehospital and in-hospital phases of myocardial infarction (Ml) are reviewed. Various emotions and personality characteristics can be both risk factors for and consequences of acute Ml. Components of the Type A behavior pattern and levels of somatic and emotional awareness have been linked with excessive treatment-seeking delay for Ml patients. Psychiatric conditions such as panic disorder may mimic symptomatic presentation of Ml and therefore have implications for differential diagnosis in the emergency room. Additionally. anxiety, depression, and neurobehavioral disorders such as delirium are relatively common during the hospitalization period and …

Thrombolytic Therapy In Acute Myocardial Infarction: An Emergency Department Perspective, Bradford L. Walters

Henry Ford Hospital Medical Journal

No abstract provided.

Beta-Adrenergic Blocking Agents In The Treatment Of Patients After A Myocardial Infarction, Sidney Goldstein

Henry Ford Hospital Medical Journal

Beta-adrenergic blocking agents have been widely used in ischemic heart disease. They have achieved their greatest benefit in the secondary prevention of recurrent events in patients following acute myocardial infarction (Ml). This is a review of the major clinical investigations exploring the effects of beta-adrenergic blocking agents in patients following acute Ml and in a variety of patient subsets. These data indicate that the routine use of beta-adrenergic blocking agents in postinfarction patients results in a 25% to 35% decrease in mortality and has increased relative and absolute benefit in patients with ventricular ectopy and left ventricular dysfunction. The adverse …

Calcium Channel Blockers In The Management Of Myocardial Infarction Patients, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.

Role Of Coronary Angioplasty In Acute Myocardial Infarction, Susheel K. Sharma, Kenneth Retter, Fareed Khaja

Henry Ford Hospital Medical Journal

No abstract provided.

Lidocaine Prophylaxis In Acute Myocardial Infarction, James E. Tisdale

Henry Ford Hospital Medical Journal

The prophylactic administration of lidocaine for the prevention of primary ventricular fibrillation (VF) following suspected acute myocardial infarction (Ml) is controversial. The incidence of primary VF following acute Ml ranges from 1.8% to 10.5%. "Warning arrhythmias" have not been shown to be reliable predictors of VF. In-hospital prophylactic administration of lidocaine has been shown to decrease the incidence of primary VF. whereas prehospital administration has not. However, prophylactic administration of lidocaine has not been shown to have a beneficial effect on mortality and may in fact increase mortality. The incidence of lidocaine-induced adverse effects during prophylaxis ranges from 4% to …

Surgical Treatment Of Acute Myocardial Infarction, Arthur R. Dresdale, Gaetano Paone

Henry Ford Hospital Medical Journal

In recent years, advances in surgical techniques and perioperative management of cardiac surgical patients have facilitated more aggressive operative treatment of many serious and even catastrophic complications of acute myocardial infarction (Ml). In addition, improved understanding of the natural history of these complications has helped to optimize the indications for and timing of surgical intervention. The role of emergency revascularization for postinfarction angina, evolving acute MI, cardiogenic shock after acute MI, and failed percutaneous transluminal angioplasty has expanded with overall satisfactory to excellent results. Surgical treatment of mechanical complications of acute Ml such as free-wall rupture, acute ischemic mitral insufficiency, …

Incomplete Versus Complete Myocardial Infarction, Mihai Gheorghiade, Sidney Goldstein

Henry Ford Hospital Medical Journal

Incomplete myocardial infarction (MI), when compared with a complete Ml. is characterized by a small infarct size and a large mass of viable but jeopardized myocardium within the perfusion zone of the infarct-related vessel that is manifested clinically by early recurrent infarction. The pathophysiology involves early spontaneous or thrombolytic reperfusion. Clinical (i.e., residual ischemia), electrocardiographic, and echocardiographic findings and magnitude of serum cardiac enzyme elevations should be taken into account in diagnosing an incomplete MI.

Caring For The Acute Myocardial Infarction Patient: A Nursing Perspective, Denise L. Crimaldi Adams, Sandra R. Perez

Henry Ford Hospital Medical Journal

Cardiac nursing is nearly 30 years old. Changes in the rote of cardiac nursing have directly corresponded to the three distinct medical phases of care for the acute myocardial infarction patient—arrhythmia detection, pump failure, and limiting infarct size. Nursing care delivery in the cardiac setting, the cardiac patient, and the role of the cardiac nurse each have undergone changes over the years, which together has provided a challenge to health care delivery. Future effects of technological and pharmacologic advances, social changes, and nursing professional practice issues on cardiac care delivery are imperative to consider as health care moves into the …

Intravenous Nitroglycerin For Acute Myocardial Infarction, Steven Borzak

Henry Ford Hospital Medical Journal

Intravenous nitroglycerin (IV TNG) has been increasingly used in the setting of acute myocardial infarction. The seven randomized trials comparing IV TNG with placebo, and one trial comparing IV isosorbide dinitrate with furosemide, were reviewed for evidence of beneficial clinical effects. IV TNG in low dosage is safe in the setting of acute myocardial infarction and modestly effective in relieving chest pain. Favorable hemodynamic effects are most pronounced in patients with congestive heart failure. Limited evidence suggests that IV TNG, particularly when administered early, reduces both infarct size and mortality when given prophylactically.

Non-Q Wave Myocardial Infarction, Steven Borzak, Howard S. Rosman

Henry Ford Hospital Medical Journal

Non-Q wave myocardial infarction is a distinct and changing clinical entity characterized by lower initial mortality and a higher rate of reinfarction compared to Q wave infarction. Clinical and pathologic data suggest that the syndrome results from transient or incomplete coronary occlusion resulting in an infarct which is smaller than when Q waves are present. High-risk patients can be identified during hospitalization, allowing for aggressive therapy aimed at revascularization. Relatively few clinical trials have examined initial therapy or secondary prevention in this group of patients. These studies are reviewed and management guidelines suggested.

Diagnosis And Management Of Tachycardias After Myocardial Infarction, Charles R. Webb

Henry Ford Hospital Medical Journal

No abstract provided.