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Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush

Henry Ford Hospital Medical Journal

The authors' experience with the rare entity of sclerosing cholangitis suggests that several anatomical patterns of involvement of the extrahepatic biliary tract may occur. The involvement may include the intraluminal ducts segmentally or diffusely, or the process may primarily be external to the ducts as pericholedochitis. It may or may not represent one component of a systemic disease, particulady autoimmune disease. Although involvement may be diffuse, progression may be slow and compatible with many years of life. Long time followup is essential before any value can be assigned to a given modality of treatment. Carcinoma of the ductal system may …

Pseudomonas Arthritis And Osteomyelitis In Heroin Addiction: Report Of Three Cases, Paul M. Ross, Robert C. Nestor, Kent K. Wu

Henry Ford Hospital Medical Journal

Pseudomonas-caused sternoclavicular arthritis and osteomyelitis has received little attention in the medical literature. The authors present three cases including one case of bilateral sternoclavicular joint involvement. Prompt recognition, operative debridement, and institution of adequate chemotherapy result in dramatic clinical response.

Left Atrial Myxoma With An Atrial Septal Defect: Report Of A Case, Daniel T. Anbe, Edward Arciniegas, Henry Green, Ellet H. Drake

Henry Ford Hospital Medical Journal

A case of a left atrial myxoma presented unusual features including (1) association with an atrial septal defect, (2) attachment of the myxoma to the posterior wall of the left atrium, (3) probable paradoxical pulmonary embolization from the left atrium, and (4) probable ball valve effect of the myxoma in the atrial septal defect.

Treatment Of The Hyperventilation Syndrome, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

A review oi the literature on the hyperventilation syndrome reveals a variety of treatment approaches and a virtual absence of controlled studies of this common problem. Attempts to treat the condition by changing the respiratory pattern through mechanical means can be traced back to the first century A.D. The "paper bag method" of treatment has many psychological drawbacks and is often unsuccessful. Several avenues of drug treatment have been explored: acidifiers, minor tranquilizers, antidepressants, and stimulants. Reports of success with insight-oriented intensive psychotherapy are scarce. Some forms of group psychotherapy have been tried with success. The model of the "medical …

Villous Adenoma Of The Appendix: A Case Report, R. P. Pai, C. Grodsinsky

Henry Ford Hospital Medical Journal

Villous adenoma of the appendix was found in an inflammatory mass in the ileocecal area. The patient presented with signs of acute abdomen. On an emergency basis, with an unprepared bowel, exteriorization of the ileocecal area was thought to be the procedure of choice.

Methadone And Its Rationale In The Treatment Of Narcotic Dependency, Walter J. Cassidy

Henry Ford Hospital Medical Journal

An effective methadone maintenance program must do more than dispense measured doses in a well-organized clinic. It should attempt to effect changes in the patient's personality and coping mechanisms, social situation, and other conditioning factors which maintain his involvement in narcotics.

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.

The Effects Of Progressive Relaxation And Myoelectric Feedback On Respiratory Resistance In Bronchial Asthmatics, Daphne Browne Shah

Loma Linda University Electronic Theses, Dissertations & Projects

For the individual with bronchial asthma, an asthmatic attack can be a life threatening experience. A theory of bronchial asthma as a conditioned response has been recently proposed by several investigators. It was suggested that this conditioned response may be modified by lowering the arousal level, and as a result, decreasing the asthmatic response.

The problem identified in this exploratory study was to measure the effects of relaxation on the smaller or peripheral airways of a convenience sample of six asthmatic subjects fourteen to seventy years of age. It was hypothesized that an increased degree of total body relaxation would …

Opinions And Expectations Of Nursing Home Administrators, Jordan I. Kosberg

The Journal of Sociology & Social Welfare

From a comparative analysis of 214 nursing homes in the Chicago area, it was found that the nursing home field is composed of institutions with great variations in treatment resources available to the residents (Kosberg and Tobin, 1972). While the determination of organizational correlates to the extent of treatment resources was the major objective of the study, an exploration of the attitudes of a sample of nursing home administrators was undertaken in an effort to learn of possible relationships between attitudes and the characteristics of facilities.

There is a commonly-held assumption that not only the academic background of an administrator …

Prenatal Instruction Of Breast Feeding Mothers, Anita Berry

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of prenatal instruction on the success of a group of mothers who desired to breast feed their infants. It was hypothesized that mothers receiving information on how to nurse their infants, how to prevent complications and how to cope with common problems of breast feeding would have a higher success rate than those not so instructed.

Criteria for success was that the mothers would have an adequate supply of milk to meet the nutritional demands of their infant without supplementation, would have fewer and less severe complications, and would express a higher degree of …

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 1974), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 1974 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• PCOM Inaugurates a President
• Dr. Rowland's Inaugural Address
• Dedication of Overmont House
• Convocation
• Meet the Class of 1978
• Recent Appointments
• News from the College
• News from the Health Care Centers
• People
• Faculty Notes
• In Memoriam

Newsletter, Volume 19, Number 04, September 1974

Newsletter: A Report to Physicians of Texas Archives

• Corynebacteria Effective Against Pulmonary Metastases in Mice
• Fast Neutron Therapy For Cancer Patients
• 19th Clinical Conference – Cancer Chemotherapy
• WIC Honors Frances Goff
• Research Medical Library Installs Audiovisual Carrel
• Clinical Abstracts
• Patient Care Continuity Stressed
• MDAH Dial Access Continues Service
• New Staff

Malignant Intrathoracic Hurthle-Cell Tumor: Report Of A Case With 12-Year Survival Following Three Palliative Operations, Conrad R. Lam

Henry Ford Hospital Medical Journal

A 55-year-old man had a large superior mediastinal tumor producing obstructive symptoms. The tumor was removed through an upper median sternotomy incision. It was found to be composed of so-called Hurthle-cells, which are of thyroid origin, and the pathologist's interpretation was that it was of low grade malignancy. A pulmonary metastatic nodule was excised five years later, and 8 1/2 years after the original operation, a nodule was removed from a pectoral muscle. The patient lived 12 years and then expired with multiple metastases, but he was relatively asymptomatic until the last few months.

Medical Conference: Gaucher's Disease, Ellis J. Van Slyck, Lester Weiss, Robert Waldmann

Henry Ford Hospital Medical Journal

The middle-aged man whose case is discussed here harbored Type 7 Gaucher's disease in subtle form. This hereditary disorder was partly disguised by a long history of peptic ulcer. Still a third cause for anemia was eventually uncovered in a surprise conclusion. The major discussion deals with the clinical aspects, microscopic pathology, genetics, and biochemistry of Gaucher's disease and related sphingolipidoses.

Fifty Years Of General Hospital Psychiatry, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

No abstract provided.

How Psychotherapy Heals, Jerome D. Frank

Henry Ford Hospital Medical Journal

This paper, accompanied by the discussions and the preceding introduction, was delivered May 9, 1974 as part of an anniversary celebration commemorating a half century of existence for the psychiatric unit at Henry Ford Hospital. Established in 1924 by the late Thomas J. Heldt, M.D., as a division of neuropsychiatry in the department of medicine, the unit is generally believed to be the first to be incorporated into a general hospital anywhere. It was - and is - conducted without physical restraints of any kind, without isolation of patients, and without segregation of men and women.

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.

Digest Of The Philadelphia College Of Osteopathic Medicine (Summer 1974), Philadelphia College Of Osteopathic Medicine

Digest

The Summer 1974 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• The President: A Profile
• PCOM's First Chancellor
• The 83rd Commencement
• Alumni Weekend
• Alumni Board of Directors
• Reunions
• Commencement Dinner
• Student Awards
• Faculty Promotions
• People
• News from the College; CME Programs
• News from the Hospital and Centers
• Faculty Notes
• The Class of 1974
• Alumni News Briefs
• In Memoriam

Newsletter, Volume 19, Number 03, June 1974

Newsletter: A Report to Physicians of Texas Archives

• 27th Annual Symposium Focus: Pharmacology in Chemotherapy
• Enzyme Linked to Lung Cancer
• New Betatron Completed
• Clinical Abstracts
• Clark Renamed to Panel
• New Staff

A Cephalometric Study Of Mandibulo-Facial Disostosis In Monozygotic Twins Using Computerized Methods, Lyn M. Lamberton

Loma Linda University Electronic Theses, Dissertations & Projects

An investigation using computerized cephalometrics has been conducted to consider the cephalometric factors responsible for the characteristic appearance evident in individuals afflicted with Mandibulo-Facial Dysostosis. A pair of Negro monozygotic affected twins were studied using the other 10 non-affected members of the family as a control to minimize the environmental and hereditary factors. The Rocky Mountain Data System was utilized to analyze the lateral and frontal cephalometric radiographs of each individual using Ricketts Analysis and the data were subjected to statistical tests to determine the factors contributory to the syndrome. Age and size were considered and adjustments were made to …

Cephalometric Norms For The Mexican Population Using The Ricketts, Steinar, And Tweed Analyses, Eduardo A. Velarde

Loma Linda University Electronic Theses, Dissertations & Projects

In order to investigate the characteristics of the facial complex of the Mexican and to compare them with the Caucasian, a sample of 40 subjects, 31 males and nine females, of Latin American origin from Chihuahua, Chihuahua, Mexico, with a mean age of 16.6 years, were selected for this study. The criteria for selection were visual and only individuals with clinical normal, Angle Class I occlusion were chosen.

Lateral head Roentgenograms were obtained and cephalometric evaluation of the Skeletal and Dental Pattern was carried out using the Ricketts, Steiner, and Tweed Analyses.

The mean values for the Mexican were compared …

Digest Of The Philadelphia College Of Osteopathic Medicine (Spring 1974), Philadelphia College Of Osteopathic Medicine

Digest

The Spring 1974 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Report to the Corporation
• Alumni Board of Governors
• Anniversary Banquet
• Faculty Assemblies
• CME Programs
• Faculty Notes
• Chairmen Appointed
• People (Kohn, Vergara)
• College News
• Medical Careers Program
• Sports
• Students in Liberia
• Christmas
• Alumni News Briefs
• In Memoriam

Removal Of An Intra-Abdominal French Catheter Through The Laparoscope, Asghar Afsari

Henry Ford Hospital Medical Journal

Use of refined instruments for the removal of an intra-abdominal foreign body has enhanced the indication for operative laparoscopy. In particular instances, laparoscopy has proven more advantageous than laparotomy. This case report illustrates removal of an intra-abdominal rubber catheter via a laparoscopic procedure with a double puncture technique.

Correction Of D-Loop, D-Transposition Of The Great Arteries And Sub-Pulmonary Stenosis With A Dacron Conduit And Stented Porcine Xenograft Valve, Lorenzo Gonzalez-Lavin, Gordon M. Folger

Henry Ford Hospital Medical Journal

Total correction of transposition of the great arteries and left ventricular outflow tract obstruction has become feasible in recent years. Certain modifications are needed, however, to improve the long term function of the valved conduit required in the procedure. A stented porcine xenograft valve, sutured into a woven Dacron tubular graft, was used successfully in the total correction of such a malfunction. The patient described is the first so treated at the Henry Ford Hospital. The main advantage of this technique is its practicality. Both Dacron tubular grafts and stented porcine xenograft valves are commercially available. This approach is applicable …

Position-Dependent Pleural Friction Rub, Thomas L. Connolly

Henry Ford Hospital Medical Journal

The art of physical examination is often forgotten by clinicians in their haste to depend on laboratory tests. This paper described a helpful way to diagnose pleurisy in someone who should have it according to the history. Auscultation of the chest in the supine and lateral decubitus positions will occasionally facilitate the detection of a pleural friction rub when conventional examinations may not do so. Two patients are described in whom this method was used.

Greenhouse Fungicide — Environmental Carcinogen?, Marvin D. Anderson, Herbert S. Rosenkranz

Henry Ford Hospital Medical Journal

A simple screening method, in which a bacterial mutant deficient in its ability to repair DNA, was used to detect genetic damage from a widely-used fungicide. The finding strengthens the suspicion that it may be a potent human carcinogen. The unique role of the physician in eliciting a history of exposure from a patient with cancer is emphasized in the case report.

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.

Newsletter, Volume 19, Number 02, March 1974

Newsletter: A Report to Physicians of Texas Archives

• Annual Bertner Award Goes to Dr. Hitchings
• Pain Clinic in Operation
• Dr. Hickey Honored by ACS
• Hill Named Assistant Director
• Dr. Fletcher Receives SMA Research Award
• Houston Honors Nurse – Renilda Hilkemeyer Day Declared
• New Staff
• Doctors Study Thermography Testing
• Acupuncture Research Lecture Given at MDAH

Physicians And Surgeons--The Expanding Role Of The Physician's Assistant, Joseph S. Beeson

West Virginia Law Review

The shortage of health care professionals in West Virginia today is a matter of grave concern, especially to inhabitants of rural areas where professional medical care is often nonexistent. Statistics are indicative of the problem, but do not reveal the entire picture. For example, in the United States today, there are approximately 171 physicians per 100,000 population. In West Virginia, each 100,000 persons is served by only 111 physicians. This figure alone is cause enough for concern, but the seriousness of the situation is more accurately indicated by the distribution of the physician population. West Virginia is primarily a rural …

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 1974), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 1974 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Convocation
• Expanded Educational Program
• Alumni Convention in New Orleans
• Chapel Dedication
• Fourth Health Care Center Opens
• Registration
• Orientation
• Open House
• Educational Communications
• College News
• Faculty Notes
• CME Programs
• Rugby
• News from the Hospital and Centers
• Fall - Winter Activities
• People
• Alumni News Briefs
• In Memoriam