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Milestones Leading To The Development Of Spinal Surgery In The Late 19th Century, D. J. Canale

Henry Ford Hospital Medical Journal

The significant amount of spinal surgery in neurological practice today prompts a survey of the historical development of surgical treatment of disorders of the spine. Any discussion tracing the events leading to modern surgical practice must necessarily contain the contributions of men of medicine through the centuries; therefore, neurosurgery as practiced today is greatly indebted to the efforts of courageous and dedicated men in world history extending to the early Egyptians. Overcoming seemingly insurmountable barriers of prejudice bred of ignorance, societal customs, and religious tradition, these fathers of medicine have contributed the knowledge and experimental evidence which form the cornerstone …

Clinical Uses Of Biofeedback: A Review Of Recent Research, Richard M. Lee, Scott E. Baldwin, Julia A. Lee

Henry Ford Hospital Medical Journal

Biofeedback refers to a special type of operant conditioning (ie, a category of learning) in which subjects acquire control over physiological processes through the feedback of information. Its methodology is based upon principles of behavioral science developed in the laboratory through experimentation. It has been conclusively demonstrated that humans (and other animals) can learn to control such actions as EKG parameters, blood pressure, body temperature, EEG, individual motor units, and glandular secretions. Clinically, biofeedback has been applied to a wide variety of psycho-physiologic disorders in which a measurable response requires alteration. The best established applications are tension and migraine headaches, …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1977, Loma Linda University

Commencement Programs

CONTENTS

2 | 1977 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

27 | Academic Costume

Relationship Between Some Demographic Characteristics And Adverse Reactions Experienced By Women Undergoing A Therapeutic Abortion While Awake, Karen K. House

Loma Linda University Electronic Theses, Dissertations & Projects

With the liberalization of abortion laws by the Supreme Court in 1973, American women have been able to obtain therapeutic abortions in hospitals and out-patient clinics in ever increasing numbers. With the increased number of women seeking abortions the medical field has responded with abortion procedures that are safe and relatively quick. With the speed doctors use to perform the procedure, many women may wish to take advantage of the medically safer method of abortion under local anesthesia. However, some women are unable to withstand the psychological and physical stress associated with a therapeutic abortion while awake. It would be …

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.

Painless Dissecting Aneurysm Of The Thoracic Aorta: Report Of Eight Cases Masquerading As Gross Aortic Insufficiency, Severe Hypertension, Myocardial Infarction And Mediastinal Enlargement., Remigio Garcia, Peter Torbey, Daniel T. Anbe, Ellet H. Drake

Henry Ford Hospital Medical Journal

In a review of 68 patients with dissecting thoracic aorta aneurysm (DTAA), eight patients (11.7%) were found to have painless dissection. Three of the eight patients presented with gross aortic insufficiency (Al). Angiography on a fourth patient, who had severe hypertension, showed Type III DTAA. Three other patients had either dilatation of the ascending aorta or a possible mediastinal mass, according to chest roentgenograms. One patient received treatment for suspected myocardial infarction with cardiogenic shock. A high index of suspicion in patients with unexplained Al, severe hypertension and a mediastinal mass or dilatation of the ascending aorta, coupled with the …

Research Seminar — May 5,1977 — At Henry Ford Hospital

Henry Ford Hospital Medical Journal

No abstract provided.

Understanding The Health And Social Service Needs Of People Over Age 65, Laurence G. Branch

Center for Survey Research Publications

The complexity of the issues involved with providing appropriate health care and social services from the appropriate setting to people over age 65 can hardly be overstated. One of the present debates in the field focuses on the value of institutions as the customary setting for providing health care; the arguments are based on considerations of economic efficiency and the recipient's quality of life. Some of the debators suggest deinstitutionalizing as many of the health care recipients as possible, while simultaneously upgrading the quality and quantity of home based support services. The logic of deinstitutionalization is often buttressed by claims …

Factors Influencing The Use Of Health Services: By Four Wards In The Taipei Taiwan Stake Relief Society Of The Church Of Jesus Christ Of Latter-Day Saints, Candace Sheila Gutzman Hsiao

Theses and Dissertations

The purpose of this study was to determine what sociocultural, sociodemographic, and sociopsychological factors the Sisters in four Wards in the Taipei Taiwan Stake of the Church of Jesus Christ of Latter-day Saints perceived as keeping them from using the health services during the period from June 1975 to May 1976.

Forty-five Sisters, age twenty-one and older, were surveyed by a written questionnaire during Relief Society meetings during the last week in June and the first week in July 1966.

A majority of the Sisters were found to have experienced times when they did not avail themselves of the existing …

Rationale And Results Of Anatomic Repair Of Esophageal Hiatus Hernia, Conrad R. Lam

Henry Ford Hospital Medical Journal

A logical method of repair of esophageal hiatus hernia based on anatomic principles was proposed nearly 25 years ago by the late Phillip Allison. There was general agreement that his operation had advantages, but because of a disappointing number of recurrences and problems with reflux, more complicated operations were devised. Some of these involved plication of the stomach around the lower esophagus (Nissen, Belsey). In a series of 562 operations for hiatus hernia at the Henry Ford Hospital, there has been no significant deviation from the Allison technic. Complicating lower esophageal rings (Schatzki) have been excised. There has been no …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Subvalvular Aortic Stenosis Associated With Dynamic Outflow Tract Obstruction: A Case Report, Armando Cesar Madrazo, Daniel T. Anbe, James J. Karo, Peter Torbey, Ellet H. Drake, Fareed Khaja, Sidney Goldstein

Henry Ford Hospital Medical Journal

Hemodynamic and angiographic findings are described in a 27-year-old patient, who had undergone surgical operation for subvalvular membranous aortic stenosis. Left ventriculography revealed persistence or regrowth of the subvalvular fibrous ring, and hemodynamic data revealed associated dynamic obstruction of the left ventricular outflow tract. The authors emphasize the importance of uncovering associated dynamic obstruction by provocative maneuvers and use of Beta blockers.

A Screening, Referral, And Follow-Up Program For High Blood Pressure At Henry Ford Hospital: Part Ii. Results Of Referral And Follow-Up, John C. Erfurt, Andrea Foote, John R. Caldwell

Henry Ford Hospital Medical Journal

This is the second of two articles on the Henry Ford Hospital screening, referral, and follow-up program for high blood pressure. The first reported on the screening results of the program, along with associated epidemiological findings. This article presents the results of referral and follow-up. During the period of March 27 through December 11, 1975, 808 people were screened; 196 (24%) were found to have uncontrolled high blood pressure and were referred to physicians for diagnosis and possible treatment for hypertension. The program is currently following up with these people and their physicians to insure successful referral and maintenance of …

Use Of The Weibull Distribution For Analysis Of A Clinical Therapeutic Study In Rheumatoid Arthritis, W. R. Mccrum, J. T. Sharp, G. B. Bluhm

Henry Ford Hospital Medical Journal

This paper introduces the use of the Weibull distribution function for the analysis of small samples of clinical data. It is compared with the use of the conventional analysis of variance in determining the results of a study comparing the use of gold salts and a placebo in the treatment of rheumatoid arthritis. Although the samples were small, 14 control patients and 13 who were treated, analysis of variance determined several significant differences between the two groups. The use of the Weibull distribution, however, not only confirmed these differences, but also determined several more differences between the two groups that …

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.

Sideroblastic Anemias, Louis D. Saravolatz

Henry Ford Hospital Medical Journal

Sideroblastic anemias are reviewed with emphasis on clinical features, biochemical studies, treatment modalities and prognosis. A classification of these anemias based on etiology is also provided.

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.

Clarke M. Mccoll M.D. In Memoriam 1898-1976, Dwight C. Ensign

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1976, Loma Linda University

Commencement Programs

CONTENTS

2 | 1976 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

27 | Academic Costume

The Effect Of Programmed Instruction About Pacemakers Given In The Hospital Setting On The Immediate And Delayed Retention Of Information On Patients With Permanent Cardiac Pacemakers, Ann Ekroth, Eileen Zorn

Loma Linda University Electronic Theses, Dissertations & Projects

A convenience sample of nineteen patients composing group A, hospitalized for initial placement of permanent cardiac pacemakers, was studied. A programmed instructional test was prepared by the investiga- tors for this population. The question under study was, does programmed instruction for pacemaker patients affect immediate and delayed recall of information? Patients were pre-tested, presented with the programmed instruction package and given a post-test immediately upon completion of the package. They were retested later to evaluate retention level. An IQ test was administered at the same time as the pre-test. Statistical analysis using t-tests indicated significant differences between pre-test scores and …

Evaluation Of A Special Teaching Program With Ambulatory Cardiac Patients, Mary L. Mcgregor Minns

Loma Linda University Electronic Theses, Dissertations & Projects

This study was designed to test the hypotheses that ambulatory cardiac patients given a special teaching program would have increased understanding about their medication, make fewer medication errors, and know more about undesirable effects and how to handle them than patients not included in the special teaching program. Forty-one ambulatory cardiac patients were, after a random start, alternately assigned to an experimental or to a control group. All the patients were taking one or more of three different medications before hospitalization, during their hospital stay, and after their discharge. Three medications, digoxin (lanoxin), lasix, and nitroglycerin, were studied. The program …

Surgical Techniques For Arthrodesis Of Two To Four Adjacent Spinal Vertebrae Throughout The Entire Spinal Column, Kent K. Wu

Henry Ford Hospital Medical Journal

Surgical techniques for cervical, thoracic and lumbar spinal fusions have been described. So far, 51 such fusions have been performed with satisfactory results.

Endoscopic Retrograde Pancreatic Duct Cannulation (Erpc): An Aid To Pancreatic Surgery, C. Grodsinsky, B. Schuman, B. E. Brush

Henry Ford Hospital Medical Journal

Retrograde endoscopic pancreatic duct cannulation for evaluation of patients with chronic pancreatitis is reviewed over the last two years. Of 40 patients that were endoscoped, 30 had a successful pancreatogram. The X-ray findings fell into three groups: 1) single and multiple stenosis, 2) diffuse narrowing, and 3) apparently normal duct. This procedure proved of value in ruling out or delaying surgical operation in 10 persons. Twenty-one patients underwent operations. Thirteen had a 95% pancreatectomy, one had drainage of a necrotic collection thought to be a pseudocyst and one had a pseudocyst resected. One had a gastrojejunostomy and vagotomy bypassing a …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Some Of The Effects Of Domestic Sewage Discharged Into Hickman And Jessamine Creeks In Jessamine County, Kentucky, Henry H. Howell, Mike W. Jones, Robert A. Kuehne

KWRRI Research Reports

A 6-week study was made in the summer of 1971 as an initial effort to determine the extent of pollution that the three sewage disposal plants in Jessamine County, Kentucky, are contributing to its streams. With the rapid population increase in Lexington and nearby municipalities, this study should furnish a basis of comparison for future investigations. Eighteen collecting stations were established in riffle areas of Hickman and Jessamine Creeks, and coliform bacteria, macro-invertebrate populations, fish populations and chemical water quality of each riffle area were studied.

Hickman Creek's flow was augmented by approximately 3,100,000 gallons/day (11,735 -m³/day) from …

Comparative Analysis Of Hospital Utilization In Urban And Rural Counties, James R. Dingels

Journal of the Minnesota Academy of Science

Hospital utilization, when measured as patient days per population, exhibited generally insignificant relationships with factors concerning population characteristics, hospital resources, financial assistance, and degree of urbanization. Adjusted multivariate linear regression results indicated that number of physicians per population did possess significant effects, while other independent variables remained significant. Additional research, as well as refinement of present data, appear paramount to further validation procedures.

The Stanford Heart Disease Prevention Program, Nathan Maccoby

Consumer Behavior in the Health Marketplace: Symposium Proceedings

This afternoon I want to tell you about the results of a major study we have been doing as a part of the Stanford Heart Disease Prevention Program. The Stanford Heart Disease Prevention Program is an interdisciplinary project directed by Dr. John W. Farquhar, Professor of Medicine at Stanford University and I am co-director. This paper was really co-authored by fifteen people as part of an interdisciplinary team. With a group of different people like this, we had to spend a significant amount of time trying to teach each other our respective professional languages. Initially, communication within our group was …

Private Water Supplies, Maine Department Of Human Services

Maine Collection

Private Water Supplies

Department of Human Services, Augusta, Me. (Reprinted 1976).

Contents: Introduction / General Requirements / Types of Private Water Supplies / Procurement of Safe Water / Distribution / Appendix A & B

Lymphangiography In Staging Carcinoma Of The Prostate. A Comparison With Operative Findings, Joseph C. Cerny, Malcolm Weckstein, Riad Farah

Henry Ford Hospital Medical Journal

Pedal lymphangiography was performed In 30 patients who subsequently underwent radical retropubic prostatectomy, and radical pelvic lymphadenectomy. In 24 of 30 patients, lymphangiograms correctly predicted the presence or absence of nodal Involvement. In spite of certain limitations of the technique. It is considered an essential diagnostic study in patients considered for possible radical prostatic surgery, or in patients who may be candidates for external megavoltage radiotherapy to the prostate gland and its lymphatic drainage.