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A Selective Approach To Bleeding Esophageal Varices, Glyn G. Jamieson, Irwin B. Faris, John Ludbrook

Henry Ford Hospital Medical Journal

It is possible that the best results of treatment for bleeding esophageal varices will come when a selective approach is used. In patients bleeding acutely and in patients with poor liver function shunt operations should be avoided, and a direct attack on the varices with either sclerosant therapy, percutaneous obliteration, or staple gun gastro-esophageal transsection should be carried out. In patients who have stopped bleeding, or those in whom elective treatment is being undertaken, the best operation at present appears to be selective distal splenorenal shunt.

Commencement Program 1980 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

8 | Candidates for Degrees

15 | Awards

The Effects Of Family Counseling On The Treatment Of Juvenile Status Offenders Of The Norfolk Juvenile And Domestic Relations Court, Valerie Karen Freeman

Community & Environmental Health Theses & Dissertations

The present study was conducted as a service to ~e Norfolk Juvenile and Domestic Relations Court, to determine if the family counseling service administered by the Diversion Department, could significantly reduce the recidivism rate among juvenile status offenders (JSOs). A retrospective design was employed in order to examine the records of 74 JSOs, who came in contact with the Intake Department of the Norfolk Juvenile Court in 1978. The recidivism rate was recorded, and data analyzed from a two year intervention period. Ss consisted of 37 JSOs who received family counseling (experimental group), and 37 JSOs who did not receive …

Evaluation Of The Impact Of A Health Education Program On The Rate Of Recurrent Urinary Tract Infections In A Selected Female Outpatient Population, Lo Lumsden

Community & Environmental Health Theses & Dissertations

The present study attempted to assess the impact of a health education program focused on those preventive measures or avoidance behaviors an individual could incorporate. into daily living to reduce the incidence of urinary tract . infections. An experimental group, consisting of seventeen volunteers was exposed to a health. education program, and then compared to a seventeen member control group. A statistically significant reduction in the incidence of cystitis, occurred within the experimental group after health education intervention. The results were not statistically significant when the experimental post-test was compared with the control post-test.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Richmond Smith As A Clinical Investigator: His Work On Adult Periosteal Bone Expansion And Nutritional And Endocrine Aspects Of Osteoporosis In Light Of Current Concepts, A. M. Parfitt

Henry Ford Hospital Medical Journal

This paper discusses Richmond Smith's contributions to the field of metabolic bone disease from 1949 to 1969 in light of current concepts. He was the first to demonstrate continuing periosteal bone expansion in adults, a phenomenon of great biologic interest which is best explained if adult bone remodelling is qualitatively similar on all surfaces. He was the first to show that persons with less bone than normal have an increased risk of subsequent fracture, and so are more likely to benefit from preventive treatment. He found that blood vitamin D levels were lower in osteoporotic subjects than in controls, but …

Insulin-Resistant Diabetes Mellitus And Insulin Receptor Antibodies: Variable Association With Acanthosis Nigricans, José Goldman

Henry Ford Hospital Medical Journal

Two patients with severe insulin-resistant diabetes mellitus and anti-insulin receptor autoantibodies are reported here. A marked decrease in the number of accessible insulin receptors was found in the monocytes of one patient. Otherwise, the Insulin receptors were of normal affinity compared to those of normal controls. Acanthosis nigricans was not present in one patient, and in the other patient it preceded the diagnosis of diabetes by ten years. We conclude that although acanthosis nigricans and insulin resistance are frequently associated, they probably do not bear a pathogenetic relationship to each other. Therefore, the investigation of anti-insulin receptor antibodies Is advisable …

Public Health And Public Wealth: Social Costs As A Basis For Restrictive Policies, David T. Courtwright

History Faculty Research and Scholarship

Historically, the most important rationale for coercive public health measures has been the prevention of disease and injury to others. However, as noncommunicable diseases and accidents have assumed increased importance as causes of morbidity and mortality, and as the connection between noncommunicable diseases and accidents and individual practices such as smoking and drinking has become more apparent, a new line of argument based on social costs has emerged. My purpose is both to describe and evaluate the social-costs argument, to explain why it has become so popular, and to show what must be done to make it consistent with its …

Intrahepatic-Cutaneous Biliary Fistulas Secondary To Trauma, Farouq Samhouri, James C. Gruenberg, Robert S. Brown

Henry Ford Hospital Medical Journal

Biliary fistula is an unusual complication after operations for hepatic trauma, but only scant information is available concerning its management. This report describes biliary fistulas and presents two cases of their successful resolution, by external drainage in one case and internal drainage in the other. These cases illustrate aspects of fistula management and prevention described in the literature and suggest individualized approaches.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Market Women's Cooperatives: Giving Women Credit, Judith Bruce

Poverty, Gender, and Youth

In 1972, the Nicaraguan Foundation for Development (Fundación Nicaraguense de Desarrollo—FUNDE), one of two programs sponsored by the Nicaraguan Institute of Development, became aware of market women's need for credit. This issue of SEEDS describes FUNDE's experience in developing savings and loan cooperatives to meet this need. This summary stresses the human aspects of the process as much as the financial and technical ones. The project has been successful because the cooperatives have built upon the existing market women's culture, utilizing all the subtle and complex interpersonal relationships established over the years. In essence what the cooperatives have done is …

Hanover Street: An Experiment To Train Women In Welding And Carpentry, Peggy Antrobus, Barbara Rogers

Poverty, Gender, and Youth

The Hanover Street Project, formally known as the United Women’s Woodworking and Welding Project, is an experiment in training women for jobs usually held only by men. Begun in 1976, this was the first such program of the Jamaica Women's Bureau, established by the government during International Women's Year to ensure that women participate fully in Jamaica’s development. The project demonstrated that low-income women can learn non-traditional skills and can work together to improve their lives. Through trial and error, the project is providing the Women's Bureau with a wealth of information about teaching technical skills, working with other government …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Pigeon Associated People Diseases, Walter Weber

Bird Control Seminars Proceedings

Feral pigeons (Columbia livia) are not harmless birds. Many potential infections of humans silently exist in pigeons which are not apparent. They have the potential for transmission of over 30 diseases to humans plus another ten to domestic animals. Environmental pollution from pigeon droppings is quite evident. Air pollution involves more than noxious gases from automobile exhausts and belching smokestacks. One serious air pollutant is air-borne fungi, which are agents for infectious diseases. There is much information written about the problem, but it remains primarily in the professional journals and technical references, neatly stacked away on library shelves. …

Commencement Program 1979 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

2 | The Mace

3 | The Academic Procession

5 | Candidates for Degrees

10 | Awards

Percutaneous Transfemoral Renal Artery Occlusion In The Management Of Advanced Renal Carcinoma, Douglas E. Johnson

Henry Ford Hospital Medical Journal

This report describes renal artery occlusion as a therapeutic alternative to nephrectomy and chemotherapy in treating patients with metastatic renal carcinoma. Using a combination of Gelfoam and the Gianturco stainless steel coil, embolization was performed on 75 patients at the University of Texas System Cancer Center, M.D. Anderson Hospital and Tumor Institute with promising results. Its use is recommended 1) to facilitate surgical removal of large and difficult tumors, 2) to control local symptoms (pain, bleeding, etc), and 3) as part of a planned therapeutic program consisting of infarction, nephrectomy and progestins for patients with minimal to moderate metastatic disease.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1979, Loma Linda University

Commencement Programs

CONTENTS

2 | 1979 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

26 | Awards

27 | Academic Costume

A Survey Of Joint Disease At The Libben Site, Ottawa County, Ohio, Marc A. Kelley

Henry Ford Hospital Medical Journal

No abstract provided.

Indian Health Service Phoenix Area Tribal Involvement Evaluation Project., Indian Health Service Phoenix Area

Native Health Database Full Text

Report from the Indian Health Service Phoenix Area Tribal Involvement Evaluation Project.

Contraceptives And Common Sense: Conventional Methods Reconsidered, Judith Bruce, S. Bruce Schearer

Reproductive Health

Since the 1960s, the solution to contraception problems has been based increasingly on complexity, not simplicity. The oral contraceptive was developed in the late 1950s using newly discovered synthetic hormones that act in intricate ways on glands in the brain. Intrauterine devices were widely introduced in the 1960s in a host of scientifically engineered configurations that act inside a woman’s uterus. Nearly half of all married couples in the United States who use some method of contraception use either the pill or IUD. In examining emerging social trends and considering the special needs of some large groups for better contraceptives—adolescents, …

Improved Public Health Practices In A Disadvantaged Rural Community, William H. Groff, Beatrice E. Manning

Storrs Agricultural Experiment Station

No abstract provided.

An Ischemic Infarct In Medulla And Cervical Cord, Ezzatollah Shivapour, Gilbert B. Solitare

Henry Ford Hospital Medical Journal

This report documents an unusual case of an occlusion of the anterior spinal artery of the medulla oblongata. The patient presented with involvement of the left accessory nerve and weakness of ipsilateral extremities. The diagnosis of an ischemic infarct in the distribution of the left proximal portion of the anterior spinal artery was made. Bulbar weakness, quadriplegia, and respiratory arrest developed. Postmortem examination, 23 days after onset, revealed an old infarct in the medulla which appeared as a more recent hemorrhagic infarct throughout the cervical cord.

Endoscopic Retrograde Cholangiopancreatography At Henry Ford Hospital: 1972-1977, Bernard M. Schuman, Kian H. Wong, R. Salimi, A. N. Adham

Henry Ford Hospital Medical Journal

Between 7972 and /977, 440 patients underwent endoscopic retrograde cholangiopancreatography (FRCP) at Henry Ford Hospital. The procedure was found to be most useful for identifying the site and nature of an extrahepatic obstruction, the diagnosis of pancreatic cancer, and the preoperative evaluation of chronic pancreatitis. One death occurred as a result of cholangitis in a patient with cancer of the pancreas. Review of the data has led us to refine our indications for FRCP. It has been shown to be a valuable technique with a low incidence of complications in evaluating pancreaticobiliary disease. Based on our study, it would be …

A Comparison Of Two Instructional Methods In Teaching An Introductory Course In Health, Charlotte Mitchell

Masters Theses & Specialist Projects

The purpose of this research was to determine the effectiveness of the independent study method of instruction in promoting health knowledge and health attitude change. The experimental method was compared to the traditional classroom model of instruction.

A random sample of ten subjects was taken for the experimental group and matched control subjects were then selected. Control subjects were chosen based on the demographic variables of age, race, sex, academic classification and grade point average.

A pretest-posttest design using two standardized instruments was employed to measure the health knowledge gain and health attitude change. Data was statistically analyzed by use …

Histocompatibility Testing In Renal Transplantation, Hajime Hayashi, Jay B. Hunter

Henry Ford Hospital Medical Journal

The effect of HLA matching and other aspects of histocompatibility on renal graft survival were analyzed in 144 patients who received renal transplants at Henry Ford Hospital during the past ten years. Living related transplants with one haplotype match or better demonstrated a higher graft survival rate (at least 88%) at one year than the better matched cadaveric transplant. In cadaveric transplants, the group with fewer than two mismatched antigens appeared to have a higher graft survival rate than those with more than two. The patient population was not large enough to determine the effect of preformed antibodies, ABO grouping, …

What's New In Crohn's Disease Treatment, Francis J. Owens

Henry Ford Hospital Medical Journal

Progress in the management of Crohn's disease is limited by our inability to compare different patients. Two methods of evaluating the severity of disease have recently been published. Of these, the National Cooperative Crohn's Disease Study (NCCDS) method has been utilized in a study reported on at several national meetings but still in progress. Antibiotics in intensive prolonged dosage, e.g. ampicillin, 500 mg qid for several months, have recently been reported to benefit greater than 90% of patients not responding to conventional therapy. Metronidazole and dapsone continue to be mentioned in letters to journals. Sulfasalazine has been found useful in …

Commencement Program 1978, Loma Linda University

Commencement Programs

CONTENTS

2 | 1978 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

26 | Awards

28 | Academic Costume

A Pilot Study Of A Sex Education Program In A Sheltered Workshop Using A Cognitive-Behavioral Model Based On Rational Emotive Therapy, Jacqueline A. Rieck, Thomas E. Frederick

Masters Theses

This pilot study was developed to teach people with mental retardation about their own sexuality, appropriate community behaviors, and to develop within them a basic sense of responsibility for their own actions. Problems in social/sexual behaviors have been consistently quoted as reasons for high recidivism rates, as well as difficulties in community living, vocational placement, and other generalized stereotypes about mental retardation. Often the public remains uninformed about, does not recognize, and/or feels that sexual rights for people with any mental differences should not exist. Additionally, when any form of sexuality was expressed by such people it resulted in shock …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.