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T-Lymphocyte Subset Studies To Monitor Patients With Aids And Aids-Related Complex, Hajime Hayashi, Eugene Mezger, Michael J. Deegan, Evelyn J. Fisher, Norman Markowitz

Henry Ford Hospital Medical Journal

Multiple specimens from 124 patients from our clinic were evaluated for T4/T8 cell ratio over three to 28 months. Twenty-nine of 30 patients with the acquired immunodeficiency syndrome (AIDS), 58 of 71 patients with AIDS-related complex (ARC), and four of 23 patients at risk showed initial T4/T8 cell ratios of less than 0.8. which either remained unchanged or decreased. Seventeen of 23 AIDS patients and two of 20 ARC patients with a consistently low ratio (0.3 or less) died during the follow-up period. This indicated that the severity of disease could be predicted by periodical T4/T8 cell ratio studies. These …

Gastrointestinal Complications Of Aids: Radiologic Findings, Marc A. Bernstein, Jeremy J. Hollerman, Peter J. Feczko

Henry Ford Hospital Medical Journal

The acquired immunodeficiency syndrome (AIDS) is a significant health problem. Patients with this disease develop unusual infections and neoplasms, many within the gastrointestinal tract. Of the 66 AIDS patients seen over a three-year period at Henry Ford Hospital, 25 patients had AIDS-related gastrointestinal disease, with one death attributed to this cause. The radiologic findings and pathologic correlation of this experience are presented.

Mechanical Ventilation: New Modes, Old Modes, John Popovich Jr.

Henry Ford Hospital Medical Journal

No abstract provided.

The Clinicians' Guide To Creutzfeldt-Jakob Disease, Thomas H. Swanson

Henry Ford Hospital Medical Journal

Creutzfeldt-Jakob disease, a transmissible, rapidly progressive dementia of unknown etiology, mimics Alzheimer's disease, presents in middle life, and affects many central nervous system structures. The disease progresses in three distinct stages, culminating in death. Its occurrence is sporadic and its distribution worldwide. Pathological changes are varied, but spongy degeneration of the neuropil is classic. Research on scrapie, the animal model of Creutzfeldt-Jakob disease, has demonstrated that this unconventional, slow disease is transmitted via a small (less than 50,000 mW) particle, which is composed principally of protein. How this infectious particle, variably named prion, virino, or slow virus, invokes disease or …

Renal Involvement In The Acquired Immunodeficiency Syndrome: Presentation, Clinical Course, And Therapy, Robert Provenzano, Warren Kupin, Godofredo C. Santiago

Henry Ford Hospital Medical Journal

Acute renal failure developing during the clinical course of the acquired immunodeficiency syndrome (AIDS) has been related to complications of sepsis, nephrotoxic antibiotics, and recently to the development of glomerular lesions. Of 114 AIDS patients admitted to our hospital between January 1985 and June 1986. II patients (9.6%) developed acute renal failure. None of these II patients had a history of intravenous drug abuse or hypertension. All patients were male with an average age of 35 years old, 81% were black, and all were bisexual or homosexual. Renal failure was attributed to AIDS-related focal glomerulosclerosis (five cases), prerenal azotemia (one …

A Tribute To C. Leslie Mitchell, Md, David Mitchell

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Aids Update, Evelyn J. Fisher

Henry Ford Hospital Medical Journal

No abstract provided.

Primary Neurologic Complications Of The Acquired Immunodeficiency Syndrome, Stuart N. Kieran

Henry Ford Hospital Medical Journal

No abstract provided.

Pulmonary Complications Of Aids: Henry Ford Hospital Experience Between January 1984 And July 1986, Barry Lesser, Joan Price, Phillip Bruno, Evelyn J. Fisher, John Popovich Jr., Michael S. Eichenhorn

Henry Ford Hospital Medical Journal

We have retrospectively reviewed our bronchoscopic experience in patients with suspected pulmonary complications of the acquired immunodeficiency syndrome (AIDS) or AIDS-related complex at Henry Ford Hospital between 1984 and 1986. The charts of 52 patients, representing a total of 87 bronchoscopic examinations, were available for review. The bronchoscopic findings as well as correlative chest roentgenograms and arterial blood gases are reviewed, and implications for therapy are discussed.

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

Henry Ford Hospital Medical Journal

No abstract provided.

Ultrasonic Evaluation In The Management Of Postpartum Infection, Chang Y. Lee, Beatrice L. Madrazo, Sheryl Parks, Michael Sandler

Henry Ford Hospital Medical Journal

To evaluate the effectiveness of ultrasound in the management of postpartum problems, ultrasonographic examination was performed on 98 patients with suspected postpartum infection. The study includes only those patients who did not respond to antibiotic treatment for at least 48 hours and those patients who were readmitted to the hospital with suspected postpartum infection. Echogenic tissue was found in the uterine cavity in 12 patients, and significant fluid collection was found in 24 patients. Gas collection appeared in the uterine cavity in five patients and around the uterine incision in four patients. Fluid collection was found around the uterine incision …

Bilateral Anterior Cerebral Artery Occlusion In An Alcohol Abuser With Sickle-Cell Trait, Thomas H. Swanson, John L. Zinkel, Patti L. Peterson

Henry Ford Hospital Medical Journal

The contribution of ethanol ingestion to brain infarction is unclear, although many studies suggest that the two may be causally related. We report an unusual case of bilateral anterior cerebral artery occlusion in a young female ethanol abuser with sickle-cell trait whose platelets showed hyperaggregability during epinephrine and adenosine diphosphate-induced aggregation experiments. It is concluded that ethanol withdrawal and dehydration along with direct effects of ethanol on platelet aggregation may result in cerebral artery thrombosis. Sickling of red blood cells in the distal circulation also may be a compounding factor, but this is not proven.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Nefom: Board Of Trustees: Meeting Minutes 1987-2-25, New England Foundation For Osteopathic Medicine

William Kirmes, D.O. Collection

NEFOM meeting minutes February 25, 1987.

Nefom: Board Of Trustees: Dean's Advisory Committee Meeting Minutes 1987-2-25, New England Foundation For Osteopathic Medicine

William Kirmes, D.O. Collection

Minutes of the Dean's Advisory Committee meeting February 25, 1987.

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

Dexamethasone And The Serious Head Injury, Rashid Jooma

Section of Neurosurgery

No abstract provided.

The Effects Of Alpha Adrenergic Blockade On Arachidonic Acid Metabolism And Shock Sequelae During Septic Shock In The Rat, Jeffrey Armstrong

MUSC Theses and Dissertations

Increased activity of the alpha adrenergic nervous system may be a significant factor promoting tissue ischemia in endotoxic shock. The suggestion that increased sympathetic activity affects prostaglandin synthesis prompted investigation of the potential interaction between the adrenergic nervous system and arachidonic acid metabolites during endotoxemia and septicemia. In addition, the possibility that the underlying patterns of arachidonic acid metabolites seen in two different shock models may provide a rationale for therapeutic intervention designed to block either or both the synthesis of arachidonic acid metabolites or the activity of the adrenergic nervous system was examined. Studies were undertaken to determine the …

Biochemical And Histological Evaluation Of Normal Human Epidermis Vs Cultured Human Epidermis, Ngo Thi Bich Lien

Biological Sciences Theses & Dissertations

Cultured human keratinocytes were grown in vitro for transplantation purposes in case of severe burns. Single keratinocytes were harvested from human epidermis and grown in culture flasks such that multilayered sheets of keratinocyte cells were harvestable in approximately three weeks. In order to evaluate cultured epidermis for equivalency with normal human epidermis, biochemical and histological studies were performed. Thin sections of cultured epidermis were shown to be composed of cells that had undergone developmental differentiation, but not terminal differentiation. Biochemical analyses of keratin and prekeratin proteins isolated from cultured epidermis indicated that cultured keratinocytes have electrophoretic patterns similar to keratins/prekeratins …

Oncolog, Volume 32, Number 02, April-June 1987, Lillian M. Fuller Md, Gabriel Lopez-Berestein

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

• Limited Chemotherapy and Radiotherapy Effective in Stage I and II Hodgkin's Disease in Adults
• Gene Rearrangement May Affect Prognosis of Some Chronic Myelogenous Leukemia Patients
• Liposomal Antibiotic Better, Less Toxic Than Free Drug for Treating Fungal Infections

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

Oncolog, Volume 32, Number 03, October - December 1987, Douglas E. Johnson Md

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

• Improved Survival Results from Early Detection and Diagnosis of Testicular Cancer
• Current Laboratory Research Modernizes Traditional Chinese Herbal Medicine
• Gastrointestinal Radiotherapy Team Creates Atmosphere of Comfort and Confidence for Patients

Oncolog, Volume 32, Number 01, January-March 1987, Lovell A. Jones Phd

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

• Anderson Physicians Staff AIDS Hospital to Advance Treatment and Halt Disease Spread
• Counseling Patients with AIDS and ARC Begins with Unconditional Acceptance
• The Realities of Cancer in Minority Communities

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 1987), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 1987 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Loosening the Training Wheels
• Out of the Mainstream
• A Practice Route Less Traveled
• Osteopathic's Musculoskeletal Institute is Operational
• Robert Berger, DO
• On Campus
• Bolongo Bay
• Class Acts
• In Memoriam
• Calendar

A Comparison Of Myofascial Release And Ultrasound In The Treatment Of Musculoskeletal Pain, Dianna Lynn Bishop

Community & Environmental Health Theses & Dissertations

The purpose of this study was to evaluate the effectiveness of myofascial release (MFR) compared to ultrasound (US) in treating musculoskeletal pain. Data in the form of number of trigger points, active range-of-motion of the affected joint, pain scale measurement, and a Treatment Response Questionnaire score, were collected.

The Mann-Whitney U value supported that the MFR group outranked the US group 47 percent when ranking the percent change in trigger point number from pre to post treatment.

The Mann-Whitney U value supported that the MFR group outranked the US group in pain scale measurement. Kruskal-Wallis H value supported that MFR …

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.

The Ambulatory Care "Gold Rush?", Michael A. Slubowski

Henry Ford Hospital Medical Journal

No abstract provided.

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

Echocardiographic Features Of Metastatic Pericardial And Myocardial Malignancy, Carey Green, Mohsin Alam, Howard S. Rosman, Jeffrey B. Lakier

Henry Ford Hospital Medical Journal

Clinical and echocardiographic features of a patient with extensive metastasis to the pericardium and myocardium are presented. Echocardiography revealed pericardial effusion, markedly thickened pericardium, and myocardium with increased echogenicity. These findings were subsequently confirmed during surgery and autopsy, which revealed marked tumor encasement of the heart and pericardial myocardial infiltration.