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Digest Of The Philadelphia College Of Osteopathic Medicine (Spring 1988), Philadelphia College Of Osteopathic Medicine

Digest

The Spring 1988 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• First Contact
• DO's in the Arts
• How We Do lt!
• Giving & Receiving
• Alumni Notes
• On Campus
• Class Acts
• In Memoriam
• Calendar

A Double-Blind Trial Of Protriptyline In The Treatment Of Sleep Apnea Syndrome, Edward J. Stepanski, William A. Conway, David K. Young, Frank J. Zorick, Robert M. Wittig, Thomas Roth

Henry Ford Hospital Medical Journal

Eight male subjects with sleep apnea syndrome were given placebo and protriptyline in a double-blind crossover design to evaluate the effects of protriptyline on respiration during sleep. Treatment with protriptyline produced significantly better oxygenation and significantly fewer arousals during sleep, but sleep staging was unchanged. The decreased number of respiratory events approached significance and was much greater in six of eight subjects. A rapid eye movement sleep-suppression explanation of the improvement in oxygenation is not supported. Alternative explanations of these findings are discussed.

Sleep-Wake Complaints And Their Relation To Sleep Disturbance, De Ton, Frank J. Zorick, Timothy A. Roehrs, Robert M. Wittig, Jeanne M. Sicklesteel, Thomas Roth

Henry Ford Hospital Medical Journal

This report is a comparison of patients presenting with 1) an insomnia complaint diagnosed as no objective findings. 2) insomnia diagnosed as being associated with a psychiatric disorder, and 3) daytime sleepiness diagnosed as no objective findings. The sleep of patients with insomnia diagnosed as no objective findings is comparable to that of patients with daytime sleepiness diagnosed as no objective findings and is significantly better than that of patients with insomnia associated with a psychiatric disorder. Significant differences were found in sleep induction, sleep maintenance, and overall sleep efficiency. No major differences were found among any of the groups …

Clinical Significance Of Sleep Desaturation In Hypoxemic Chronic Obstructive Pulmonary Disease: Studies In 130 Patients, William A. Conway, Meir Kryger, Richard M. Timms, George W. Williams

Henry Ford Hospital Medical Journal

We studied 130 patients with hypoxemic chronic obstructive lung disease to determine if nocturnal desaturation aggravates hypoxia-induced complications. All had tests of neuropsychological and physiological function known to be affected by chronic hypoxia. Of the 130 patients, 25 had complete polysomnography and 105 had their sleep judged visually and arterial oxygen saturation recorded continuously. Severe and mild desaturation groups were defined relative to the mean for both mean and maximal sleep desaturation, and the severity of waking complications were compared. No significant differences were noted between patients with mild and severe mean desaturation or maximal desaturation for hematocrit, neuropsychological tests, …

Pms Or Perifollicular Phase Euphoria?, Mary Guinan

School of Public Health Faculty Research

Why is it that so little is known about PMS? First of all, there is no agreement on what PMS is. If investigators are referring to different sets of symptoms, how can studies be comparable? In fact, they are not. Not only are the symptoms different, but the timing of symptoms is different, Some studies describe symptoms that occur 7 to 10 days before the onset of menses, while others include symptoms that begin 14 days before the onset of menses and continue for 7 days after onset. This definition suggests that women may have PMS-related symptoms during 21 days …

Oncolog, Volume 33, Number 03, July-September 1988, C. Stratton Hill, Jr. Md

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

• Narcotics and Cancer Pain Control
• For Non-small Cell Lung Cancer, Combinations of Surgery, Chemotherapy, and Radiotherapy
• Shared Research Resources Provide Expertise and Cost Savings

Oncolog, Volume 33, Number 02, April-June 1988, David M. Gershenson Md, Saroj Vadhan-Raj Md, Kathryn F. Kennedy, Wayne L. Dorris Phd

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

• Epithelial Ovarian Cancer: Treatment Has Improved, But Not Enough
• The Psychosocial Impact of Cancer and the Role of Social Work
• Hematopoiesis in Myelodysplastic Syndromes Improves with Granulocyte-Macrophage Colony-Stimulating Factor

The Effect Of A Self Directed Program On Locus Control And Control Of Diabetes, Mary Elizabeth Boyle

Theses & Dissertations

Does a self directed program have a significant impact on an individual's locus of control and the control of diabetes as measured by glycosolated hemoglobin?

Neurobehavioral Symptoms In Mild Primary Hyperparathyroidism: Related To Hypercalcemia But Not Improved By Parathyroidectomy, Gregory G. Brown, Richard C. Preisman, Michael Kleerekoper

Henry Ford Hospital Medical Journal

The neurobehavioral symptomatology of severe primary hyperparathyroidism (PHPT) has been thoroughly described. Less is known about more mild cases. We evaluated 34 patients with mild PHPT and followed 19 for an average of six months. Of those cases followed, ten had parathyroidectomy (PTX). Patients with no neurobehavioral abnormalities had the lowest serum calcium levels (10.9 ± 0.88 mg/dL), patients with signs of affective disorder had intermediate levels (11.25 ± 0.66 mg/dL), and patients with signs of cerebral dysfunction had the highest levels (12.17 ± 1.17 mg/dL). Serum calcium significantly correlated with motor speed, psychomotor speed, fluid intelligence, and short term …

Report Of The Commissioner's Task Force On Self-Destructive Behaviors And Teen Suicide, Department Of Mental Health And Mental Retardation

Maine Collection

Report of the Commissioner's Task Force on Self-Destructive Behaviors and Teen Suicide.

Susan B. Parker, Commissioner - Department of Mental Health and Mental Retardation, Augusta, Maine (December 1987).

Contents: Foreward / Task Force Members / Introduction / Characteristics of Self-Destructive Teens / Factors Contributing to Self-Destructive Behaviors / Findings and Recommendations / References

Vital Signs, December 1987, 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.

Neuropsychological And Socioemotional Subtypes Of Childhood Externalizing Disorders: Cluster And Validation Analyses, Grant Jackson Butterbaugh

Dissertations

The purpose of this exploratory and confirmatory contrasted-group classification study was to determine if specifically predicted (Hypothesis 1) and externally valid (Hypotheses 3 and 4) subtypes of childhood externalizing disorders could be identified, using previously obtained neuropsychological (NP), socio-emotional (SE), and historical variables. Cross-classification validity was evaluated to determine if subjects NP and SE subtype memberships could be predicted using either their SE and NP subtype memberships or their SE and NP variable scores, respectively (Hypothesis 2). Subjects (n = 117) were 6-to-14-year-old boys and girls with normal intelligence, elevated scores on the Delinquency and/or Hyperactivity scales of the Personality …

The Efficacy Of Biofeedback In The Treatment Of Tension Headaches, Micahel Earl Waters

Graduate Theses

Fifteen adults from the general population with chronic tension headaches were divided into four groups. Four were assigned to relaxation instructions, biofeedback (EMG and temperature), and home relaxation practice; four were assigned to relaxation instructions and biofeedback; four were assigned to biofeedback alone; and three were assigned to a no-treatment group. Subjects completed a ten-day baseline period followed by a three-week treatment period. Measures were taken of headache frequency, duration, intensity, frontalis EMG, and temperature recordings. Comparisons of pre- and post-treatment data indicated that not one treatment group was significantly different from any other treatment group, including the no-treatment group, …

Vital Signs, Summer 1987, Boonshoft School Of Medicine

Vital Signs

A thirty five 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.

Men-2 Syndrome: The Value Of Screening And Central Registration; A Study Of Six Kindreds In The Netherlands, H. F. A. Vasen, A. C. Nieuwenhuijzen Kruseman, A. M. J. Moers, C. J. M. Lips, E. K. M. Beukers, W. M. Wiersinga, R. A. Geerdink

Henry Ford Hospital Medical Journal

Since 1975, six families with the MEN-2A syndrome including 66 patients have been identified in The Netherlands. All these patients underwent thyroidectomy for C-cell hyperplasia and/or medullary thyroid carcinoma (MTC); eight were symptomatic (Group A), 51 were relatives of patients found to be affected (Group B), and seven had had a negative screening test that became positive (Group C). To assess the effect of screening, we compared these groups with respect to the occurrence of metastatic MTC at thyroidectomy and the results of the postoperative calcitonin (CT) tests. We found that 87% of Group A, 37% of Group B; and …

Vital Signs, Spring 1987, Boonshoft School Of Medicine

Vital Signs

A thirty six 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.

Health Care Policy Issues Related To Aids: Lessons Learned From The Henry Ford Hospital Experience, David W. Benfer

Henry Ford Hospital Medical Journal

No abstract provided.

Aids Update, Evelyn J. Fisher

Henry Ford Hospital Medical Journal

No abstract provided.

The Aids Challenge: A Psychosocial Perspective, Madelyn S. Plotkin, Margaret Dietz Domanski

Henry Ford Hospital Medical Journal

No abstract provided.

Ethnicity And Lifetimes: Self Concepts And Situational Contexts Of Ethnic Identity In Late Life, Mark Luborsky, Robert L. Rubinstein

Anthropology Faculty Research Publications

This chapter reports on finding from a study of ethnic older men, aged 65 an older (Jewish, Irish, and Italian) who were widowed from 2 to 8 years after a long-term study. It focuses on life reorganization after the initial bereavement period. It identifies key issues in the process concerning continuity and change in identity reformulation, changes in health and activity patterns, ethnic identity and lingering attachment to the deceased spouse. Ethnicity as a dynamic life course process, shaped by contextual and historical dimensions, and personal meaning processes are highlighted. Supported by NIH# R01-AG005204

Oncolog, Volume 32, Number 04, October-December 1987, Cheryl Mokrzecky

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

• Patients with Highly Invasive Cutaneous Melanoma Need Selective, Focused Evaluations Before Surgery\
• Diagnostic Radiologists Use Expandable Metallic Stents for Symptom Relief in Selected Patients
• Nutritional and Psychological Aspects of Feeding Children Who Have Cancer
• Adjuvant Chemotherapy Improves Survival of Patients with Stage II and III Breast Cancer

Use Of A "Permission Giving" Patient Checklist In Identification Of Social And Sexual Problems, William B. Anderson

Henry Ford Hospital Medical Journal

A checklist derived from the ACOG bulletin entitled "Communication of Sexual Problems in Office Gynecology" was given to 614 women. The findings demonstrate that social and sexual concerns are encountered frequently in the practice of clinical gynecology and that a checklist is effective in identifying these concerns.

Vital Signs, Summer 1986, Boonshoft School Of Medicine

Vital Signs

A twenty eight 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.

Imaging, Screening, Artificial Intelligence, And The Diagnostic Dilemma: An Epidemiologist's Response, John C. Lane

Henry Ford Hospital Medical Journal

Issues in imaging, screening, and information processing discussed in a special issue of this Journal (Henry Ford Hosp Med J 1985;33:65-148) have implications for the decision-making algorithms of all clinicians who use those imaging and screening techniques. Epidemiologic and psychological research show that clinicians, like other professionals, do not obey the laws of conditional probability in their judgments of risk or outcomes under uncertainty. Although physicians cannot be expected to make complex probabilistic calculations every time they receive the result of a screening test, teachers of medicine should present algorithms that would allow the physician-in-training to make efficient use of …

Factors That Influence Prepared Childbirth Couples' Use Of Epidural Anesthesia For Labor And Delivery, Terri S. Chambers

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify factors that influence a Prepared Childbirth couple's decision to utilize epidural anesthesia for labor and delivery. Review of the literature indicated a high correlation between epidural use for uncomplicated labors and deliveries and a high incidence of maternal complications and low neonatal neurological and behavioral scores.

A sample of twenty-nine couples was used in this prospective, non-experimental field study for the research. Data were collected utilizing two developed demographic and factual event tools, Rotter's Internal-External Locus of Control Tool and Spanier's Dyadic Marital Adjustment Tool.

Three hypotheses were developed and data were …

Vital Signs, Spring 1986, Boonshoft School Of Medicine

Vital Signs

A twenty six 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.

Psychocardiologic Perspectives Of Coronary Artery Disease, Richard Ketai

Henry Ford Hospital Medical Journal

The importance of mind, emotion, and behavior as they relate to the heart, particularly coronary artery disease, is growing in recognition. A review of the research shows increasingly sophisticated demonstrations of links unifying heart function and mind. "Psychocardiology" would be an appropriate term for the diverse areas of interest which focus on the psychosocial correlates of heart disease. This paper illustrates this concept through a review of psychosocial and behavioral aspects of coronary artery disease.

Early Soft Signs And Later Psychopathology, David Shaffer, Cornelius Stokman, Patricia A. O'Connor, Stephen Shafer, Joseph E. Barmack, Suzanne Hess, D. Spalten, Irvin Sam Schonfeld

Publications and Research

At age 17 two motor signs, mirror movements and dysdiadochokinesis, were found in more than half the subjects known to have had the respective signs at age 7. These rates were significantly higher than rates found within the group of subjects who were sign free at age 7.

Oncolog, Volume 31, Number 02, April-June 1986, Ralph S. Freedman Md, Phd, Elton Stubblefield Phd

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

• Conference Report: Gynecologic Cancer Outcome Improves Because of New Treatment Applications
• A Geneticist's View of Cancer: New Insight from Developmental Mechanisms
• Counseling, Practical Advice Help Women with Cervical Cancer Resume Sexual Activity

Oncolog, Volume 31, Number 01, January-March 1986, Lester J. Peters Md

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

• From Ability to Measure Cell Survival Come New Radiotherapeutic Strategies
• Diagnosing the Rare Lesion: Ovarian and Omental Ependymomas
• Radiotherapy Tailored to Patient's Disease