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The Phenomenology Of Cushing's Syndrome: One Patient's Account, Andrew Armstrong, J. David Fachnie

Henry Ford Hospital Medical Journal

Cushing's syndrome caused by ectopic secretion of adrenocorticotropic hormone (ACTH) is often a serious disease and a diagnostic dilemma. In the reported patient, the source of ACTH proved to he a benign pulmonary carcinoid tumor. The patient describes his trying experiences through the six months from initial diagnosis to definitive therapy.

Southeastern University Of The Health Sciences Catalog 1991-1993, Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

The Undrained Brain: The Other Side Of The Foreign Medical Graduate Resident Issue, C M. Smythe

Section of Neurology

No abstract provided.

Prophylatic Cord Care: Is It Necessary?, Karen Coyle

Theses : Honours

Since the evolution of 'open' cord care in 1974, the umbilical cord of the newborn has been treated prophylactically with many different forms of antibacterial solutions. Recent studies have demonstrated that cord separation is facilitated by bacteria and many of the current treatments, such as the use of alcohol, actually delay separation. The purpose of this study was to compare cleaning the cord with alcohol to dry cord care, a method of cord care which is now being considered as an acceptable alternative to prophylactic umbilical cord treatment. A convenience sample of 205 babies was taken from a small private …

Evaluation Of A Patient Education Program For Patients With Non-Insulin Dependent Diabetes (Type Ii), Helen M. Walker

Theses : Honours

The purpose of this study was to evaluate a group outpatient program for patients with non-insulin dependent diabetes (Type II). It endeavoured to establish whether at the completion of a patient education program, and again at the 3 month follow-up period, the patients were complying with : (a) the recommended dietary plan, (b) the exercise program, and (c) were monitoring blood glucose levels at home, as evidenced by weight loss and metabolic control of their diabetes. The study also investigated factors influencing non-compliance. The theoretical rationale used for this study was Pender's Health Promotion Model, which theorises that health-promoting behaviour …

Vital Signs, December 1990, Boonshoft School Of Medicine

Vital Signs

A fifteen page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Malignant External Otitis And Mastoiditis Associated With An Igg4 Subclass Deficiency In A Child., Ricardo Castro, Md, Norman Robinson, Md, Joel Klein, Md, William Geimeier, Md

Department of Pediatrics Faculty Papers

We have presented the first child in Delaware with malignant external otitis associated with IgG4 deficiency. Our patient needed three courses of intravenous antibiotics and twice required mastoidectomy, but has recovered completely following the restoration of the natural barrier between the internal and external ear, using a fascial graft from the large temporalis muscle. Some hearing deficit remains.

Platelet A-Granule Fibrinogen, Albumin, And Immunoglobulin G Are Not Synthesized By Rat And Mouse Megakaryocytes, Prem Handagama, Daniel A. Rappolee, Zena Werb, Jack Levin, Dorothy F. Bainton

Department of Obstetrics and Gynecology Research Publications

It has been assumed that endogenous synthesis by the platelet precursor cell, the bone marrow megakaryocyte, is the major source of platelet a-granule protein. To test this hypothesis, we used mRNA phenotyping to detect in megakaryocytes the presence of mRNA transcripts specific for various proteins. Our results indicate that megakaryocytes synthesize platelet factor 4, a protein relatively specific for platelets, but do not express mRNA transcripts for the fibrinogen, albumin, or IgG found in a-granules. We have previously shown that mega- karyocytes endocytose circulating proteins, including fibrino- gen, albumin, and IgG, and incorporate them into a-granules. Thus, platelets appear to …

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 1990), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 1990 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• President’s Perspective
• In the News
• Up, Up and Away
• "This Joyous Gathering of Our Family"
• The College Chancellor, Reminiscing
• New Appointments
• On Campus
• Class Acts
• In Memorium
• Coming Up

The Challenges Of Urban Health Care Delivery, Edward J. Connors

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

The National Health Agenda: The Troubling Future Of The American People, Reed V. Tuckson

Henry Ford Hospital Medical Journal

No abstract provided.

Adolescent Health Problems: A Model For Their Solution, Roberta B. Abrams

Henry Ford Hospital Medical Journal

No abstract provided.

Vital Signs, June 1990, Boonshoft School Of Medicine

Vital Signs

A twelve page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Ua12/2/1 Magazine, Wku Student Affairs

WKU Administration Documents

Special magazine edition of the College Heights Herald:

• Summers, Kaye. Simple Gifts: The Shakers’ Story – South Union Shakers
• Albrecht, Dana. Western Graduate O’Brian McKinley Enjoys Thrill of Being Paramedic

Digest Of The Philadelphia College Of Osteopathic Medicine (Spring 1990), Philadelphia College Of Osteopathic Medicine

Digest

The Spring 1990 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• President's Perspective
• Fleet Surgeon Hugh P. Scott
• Military Medicine
• Founders Day 1990
• The Best is Yet to Be
• On Campus
• Class Acts
• In Memoriam
• Calendar

Entry Of The Hearing Impaired Into The Health Care System, Kathleen Yaremchuk, Jonathan Schmidt, Linda Dickson

Henry Ford Hospital Medical Journal

The current system of referral of patients complaining of hearing loss usually requires a dual appointment with otolaryngology and audiology. Most of these patients have sensorineural hearing loss for which there is rarely surgical or medical treatment. This study tests the hypothesis that these patients would receive appropriate treatment and that health care dollars would be saved if an audiological assessment could identify those patients who require medical or surgical care. One hundred consecutive patients whose sole complaint was hearing loss were evaluated using audiograms and "hearing abilities questionnaires" by five audiologists using subjective and objective criteria to determine the …

Management Of Voice Disorders, Alex F. Johnson, Barbara H. Jacobson, Michael S. Benninger

Henry Ford Hospital Medical Journal

Voice disorders are commonly seen in general medical practice. In some cases voice disorders represent the presenting symptom for serious underlying disease. It is important for clinicians from internal medicine, pediatrics, and family practice to be able to identify those factors in the history or observed vocal symptoms which suggest need for referral for comprehensive voice evaluation as well as to understand the distinct but complementary roles of the specific disciplines (otolaryngology and speech-language pathology) involved in diagnosis and treatment of patients with voice disorders.

The Bouveret Syndrome: An Unusual Cause Of Hematemesis, Alaa A. Salah-Eldin, Mostafa A. H. Ibrahim, Ravindra Alapati, Saleh Muslah, Timothy T. Schubert, Bernard M. Schuman

Henry Ford Hospital Medical Journal

Gallstones are usually silent. Less commonly, patients with cholelithiasis develop symptoms and/or complications; biliary fistula occurs in 3% to 5% of the cases. When a large stone is passed and occludes the duodenum, gastric outlet obstruction (the Bouveret syndrome) may result. In reported cases, the stones are usually larger than 2.5 cm. The usual presenting symptoms are those of bowel obstruction: abdominal pain, nausea, and vomiting. Less commonly, the patients experience melena and, rarely, hematemesis. We describe a patient who had the largest stone reported to cause hematemesis rather than bowel obstruction and to be diagnosed endoscopically. The 5 X …

Surgical Removal Of Metastatic Renal Adenocarcinoma To The Midbrain Tectum: A Case Report, Frank J. Tomecek, James I. Ausman, Ghaus M. Malik

Henry Ford Hospital Medical Journal

A patient with adenocarcinoma of the kidney metastatic lo the quadrigeminal plate of the midbrain presented with acute obstructive hydrocephalus and early tonsillar herniation. Because the majority of these carcinomas are resistant to radiation therapy, only limited treatment choices were available. Initially, a ventriculoperitoneal shunt relieved the hydrocephalus and neurologic symptoms. After a short course of improvement, with decompressed ventricles demonstrated by postoperative computed tomography, the patient developed additional neurologic signs, leading to the decision to excise the metastatic tumor. Convalescence was complicated but the patient survived for six months, succumbing to respiratory failure presumably caused by lung metastases.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Ua35/11 Student Honors Research Bulletin, Wku Honors Program

WKU Administration Documents

The WKU Student Honors Research Bulletin is dedicated to scholarly involvement and student research. These papers are representative of work done by students from throughout the university.

• Basham, Penny. The Ritalin Controversy: Hyperactive Children and Medication
• Buote, Kim. The Transmission of Negative Feedback: Obstacles, Effects and Suggestions
• Cowan, James. The 1988 Presidential Primaries: Search for Bandwagons
• Durfey, Suzanne. AIDS: Nutrition and Its Implications
• Felty, Jeff. Gay and Lesbian Couples
• Gilliland, Linda. Muffins and Aspartame or Sucrose
• Graham, Ken. Sudden Infant Death Syndrome
• Grubbs, Morris. Conflicts and Synthesis in Robert Penn Warren's Blackberry Winter
• Medeiros, Lynne. Problems of Democratic Republicism in …

Department Of Radiology-Annual Executive Summary Report-July 1, 1989 To June 30, 1990, David C. Levin, M.D.

Department of Radiology Administrative Documents and Reports

Department of Radiology

Chairman, Vice Chairman 1

Divisions and Directors 1

Committees and Chairmen 1

Department Full Time Faculty 2

Faculty with Secondary Appointments 3

Adjunct Faculty 3

Radiology Residents and Fellows 4

Department Organization Charts 5

State of the Department 7

Teaching Programs

Introduction 17

A. Teaching Programs for Medical Students 17

B. Residency Program 18

C. Training Programs for Fellows 19

D. Continuing Medical Education (CME) Programs . 20

Radiology Grand Rounds 21

Radiology Research Conferences 23

Publications

Publications 25

Abstracts 34

Presentations

Scientific Presentations 43

Exhibits and Poster Presentations 66

Honors, Editorial Activities, Service for National or …

Oncolog, Volume 35, Number 03, July-September 1990, Staff

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Treatment Team Addresses Needs of the Dying Patient
• Fludarabine Opens a New Dimension in Chronic Lymphocytic Leukemia Research

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 1990), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 1990 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• President's Perspective
• Pioneer, Mover, Shaker & Builder
• Loud & Clear Alumni Voices
• The Osteopathic Phoenix
• On Campus
• Class Acts
• In Memoriam
• Calendar

Rubella Susceptibility And Continuing Risk Of Infection In Pregnancy, Saadiya Rasul, Mohammad Khurshid, Javaid Rizvi, Shahbanu Rizvi

Section of Haematology/Oncology

Sera of 2000 pregnant women attending the antenatal clinic of the Aga Khan University Hospital were tested for rubella antibodies. Of these 1684(84.2%) were Immune and 316(15.8%) were susceptible to rubella. Majority (99.8%) of the women were Asian in origin. Susceptibility decreased with increasing age and parity. We conclude that apart from vaccination of all young children greater attention should be paid to immunization of women of child-bearing age

Audiological In-Service Regarding Hearing Impairment And Its Impact On Communication In The Geriatric Population, Marie Barlow Lassell

Dissertations and Theses

At least two studies have been found conducted in the area of audiological in-services and their impact on the people to whom they were presented. In 1981, Dancer and Keiser studied the effects of empathy training on geriatric-care nurses and in 1985, Dampier, Dancer, and Keiser studied changing attitudes of college students toward older persons with hearing loss. Both of the studies investigated the effect of in-service training on empathy, rather than using the traditional academicallyoriented in-service program approach. Both studies found statistical results indicating a significant positive change in the subjects' feelings toward hearing impaired geriatrics. Additionally, Dancer et …

Closing In On The Men2a Locus, Nancy E. Simpson, Kenneth K. Kidd

Henry Ford Hospital Medical Journal

The mapping of the locus for multiple endocrine neoplasia type 2A (MEN 2A) to chromosome 10 using linkage is briefly reviewed including a discussion of linkage strategy and reference to some of the exclusions before the assignment. The subsequent development of the map of the centromeric region of the chromosome and the linking of what appear to be the four closest flanking markers and the centromeric alphoid sequence to the disease locus are reviewed. To date no recombination has been observed between the centromeric marker and the MEN2A locus among, at least, 26 informative meioses, 11 of which are phase …

Hereditary Medullary Thyroid Carcinoma: Genetic Analysis Of Three Related Syndromes, Hagay Sobol, Steven A. Narod, Isabelle Schuffenecker, Chris Amos, R. Alan B. Ezekowitz, Gilbert M. Lenoir

Henry Ford Hospital Medical Journal

Hereditary medullary thyroid carcinoma (MTC) appears in three forms: 1) in association with pheochromocytomas and parathyroid hyperplasia (multiple endocrine neoplasia type 2 A [MEN 2A]); 2) with pheochromocytomas, neuromas of the mucous membranes, and a marfanoid appearance (MEN 2B): and 3) without pheochromocytoma. Despite these differences in presentation, age of onset, and clinical severity, limited genetic studies suggest that the three MTC variants may be due to inherited mutations at the same gene locus. We present further data in support of the hypothesis that allelic variation may underlie the diversity of these endocrine neoplasia syndromes.

Familial Cutaneous Lichen Amyloidosis In Association With Multiple Endocrine Neoplasia Type 2a: A New Variant, D. T. Donovan, M. L. Levy, E. J. Furst, B. R. Alford, T. Wheeler, J. A. Tschen, R. F. Gagel

Henry Ford Hospital Medical Journal

Multiple endocrine neoplasia type 2A (MEN 2A) is a rare hereditary disease transmitted in families as an autosomal dominant trad. We have identified a family in which the expression of a rare autosomal dominant form of cutaneous lichen amyloidosis appears to cosegregate with MEN 2A. In this family the skin lesion presented as multiple infiltrated papules overlying well demarcated plaques over the scapular area (right or left). Immunohistochemical studies demonstrated amyloid which stained for keratin but not calcitonin. A total of 19 members were screened. Three members of the family have the characteristic skin lesion and MEN 2A; two additional …