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Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao

Henry Ford Hospital Medical Journal

No abstract provided.

The Pseudo-Leukocyte-Specific/Nuclear Membrane Antinuclear Antibody Pattern: A Puzzle, Thomas K. Burnham

Henry Ford Hospital Medical Journal

We report an antinuclear antibody (ANA) pattern—the pseudo-leukocyte-specific/nuclear membrane (PLS/NM) ANA pattern—that is puzzling because it usually reacts with only a few cells on human spleen imprints but with most epidermal and numerous dermal nuclei of normal human skin sections. The designation "pseudo-leukocyte-specific" was chosen because it is generally seen in only a few nuclei on human spleen imprints, thereby resembling the true leukocyte-specific ANA pattern. A few small round nuclei fluoresce homogeneously, surrounded by a bright wall, suggesting nuclear membrane (NM) fluorescence. The term "nuclear membrane" was added to the name because the NM appearance is even more prominent …

Dermatomyositis Complicated By Thrombotic Thrombocytopenic Purpura, Maria A. Sawdyk, Jeffrey Jundt

Henry Ford Hospital Medical Journal

A 65-year-old woman who had a documented history of dermatomyositis was hospitalized for evaluation of a syncopal attack. During the course of her stay, she experienced progressive neurologic dysfunction, hemolytic anemia, and thrombocytopenia. A clinical diagnosis of thrombotic thrombocytopenia purpura (TTP) was made, and therapy was initiated with glucocorticoids, plasmapheresis, plasma infusion, and antiplatelet medication. The pathogenesis of TTP has not been cleady elucidated. However, reports in the literature have postulated immune damage of the endothelium with demonstration of IgM and complement deposits as the origin of the condition. Further, there are reported cases of TTP associated with collagen disorders …

Clinical Trials: Ii. Randomization And Sample Size, Barbara Tilley, Anthony Schork

Henry Ford Hospital Medical Journal

This second in a series of articles focuses on clinical trials. Information is provided on determining sample size and on methods of randomization including simple and single- and double-consent randomization, and blocked, stratified, and adaptive procedures to randomize patients to a study group.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1985 (School Of Allied Health Professions), Loma Linda University

Commencement Programs

CONTENTS

2 | Awarding of Diplomas

3 | Candidates for Degrees and Awards

Ua28/1 The Personnel File, Wku Human Resources

WKU Administration Documents

Newsletter published by WKU Human Resources for the faculty and staff. Special issue regarding the Wellness Program.

Commencement Program 1985 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

The Effects Of An Intervention Program On Nursing Burnout, Maria Rosa-Morales

Loma Linda University Electronic Theses, Dissertations & Projects

The risk for professional burnout has become commonly recognized and in the past several years has been a focus of research efforts. Nursing is one of the professions generating a high level of stress which results in burnout.

The purpose of this study was to test the effects of an intervention program for nurses who felt they were experiencing burnout. Nursing burnout was defined as a chronic condition of stress among nurses, which leads to a syndrome of emotional exhaustion, depersonalization, and lack of personal accomplishment. The design used was a true experiment. Fifty-two nurses served as voluntary participants who …

Evaluation Of Stress Management Program Participant Outcomes, Kanya Boondharm Sitanggang

Loma Linda University Electronic Theses, Dissertations & Projects

This study, conducted by a Health Maintenance Organization in Southern California, evaluated the impact of a stress management program in reducing stress/anxiety, stressors/hassles, and perception of stressors. Impact of the program in reducing negative coping mechanisms and increasing positive coping mechanisms as well as the retention of stress management training over a three month follow-up period was examined.

A quasi-experimental -- non-equivalent control group design was used. The experimental group consisted of 54 clients who registered for stress management classes. The control group consisted of 105 matched subjects selected from a larger group of 212. All subjects were tested prior …

The Effectiveness Of Stimulation Therapy For The Cognitively Impaired Elderly, Sylvia H. Old

Community & Environmental Health Theses & Dissertations

The effectiveness of stimulation therapy for the cognitively impaired elderly living in an institution was assessed. Residents with varying degrees of cognitive impairment were treated with twenty, thirty-minute daily periods of reality orientation, reminiscence, resocialization, remotivation, and other stimulating therapies and were compared with a control group_ receiving no intervention. Treatment effects were assessed with a variety of instruments reflecting functioning across several domains. Included were ability to perform both basic self-care functions and activities of daily living, cognitive performance, affect, and satisfaction with the care received and the living environment in the nursing home. The experimental group was divided …

Recovery Of Helminths From Prehistoric Feces: The Cultural Ecology Of Ancient Parasitism, Karl J. Reinhard

Karl Reinhard Publications

Several helminth parasites have been recovered from archaeological sites on the Colorado Plateau. These include Ascaris, Trichuris, Enterobius, Moniliformis, and tapeworms in the families Hymenolepidae and Taeniidae. The recovery of these animals demonstrates that cross-temporal: comparison of parasitism between different prehistoric lifestyles is possible. Such comparison might elucidate the effects of changing lifestyle and subsistance pattern on human parasitism.

Desiccated feces recovered from archaelogical deposits were studied. Hunter-gatherer feces were selected from Dust Devil Cave in southeastern Utah. Agriculturalist feces were studied from Antelope House, a cave site in northeastern Arizona, and Salmon Ruins, a Pueblo …

A Need Assessment For A Four-Phase Cardiac Rehabilitation Program In Bowling Green, Kentucky, Steven Melia

Masters Theses & Specialist Projects

The purpose of this study was to assess the need for a four-phase cardiac rehabilitation program in Bowling Green, Kentucky, that would serve the South Central part of Kentucky, most specifically, the Barren River Area Development District (BRADD). This assessment was based on three questionnaires mailed to cardiac patients, area cardiologists and area hospital administrators.

Each population (patients, cardiologists and administrators) received separate questionnaires. The patient questionnaires consisted of three separate mailings: initial mailing, first follow-up, second follow-up. An interval of ten days separated each mailing. Follow-up phone calls to the cardiologists and the hospital administrators were employed for assurance …

Organisation Du Travail Et Sécurité Des Opérations Forestières : Annexes, Esther Cloutier, Lucie Laflamme

Rapports de recherche scientifique

No abstract provided.

Enteroclysis For The Examination Of The Small Bowel, Robert D. Halpert, Peter J. Feczko, Cathrine E. Keller, Judith Iorio

Henry Ford Hospital Medical Journal

Detailed evaluation of the small bowel is difficult because of its inaccessibility. The small bowel follow-through examination using barium, has low diagnostic sensitivity. Enteroclysis, the injection of contrast material through a duodenal or jejunal tube, offers a newer and highly sensitive method of radiological evaluation. Our paper describes the technique, clinical indications, and side effects of enteroclysis.

Mammography: Still The Imaging Standard, Cathrine E. Keller, A. Christine Watt

Henry Ford Hospital Medical Journal

Breast carcinoma is the leading cause of cancer death in women in the United States. Recent technological advances have resulted in multiple imaging methods designed to improve the detection of breast cancer. These imaging methods are discussed. Mammography remains the most accurate imaging method used to evaluate the breast. Automated waterpath whole-breast ultrasound is the most useful adjunctive examination to mammography at the present time.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Diagnostic Imaging In The 1980s: Quo Vadis?, James H. Thrall, Robert D. Halpert

Henry Ford Hospital Medical Journal

No abstract provided.

Computed Tomographic And Sonographic Characterizations Of Central Nervous System Masses, Beatrice L. Madrazo, William P. Sanders, Bharat Mehta, Manuel Dujovny, Michael A. Sandler, David P. Chason, Jacob L. Chason, James I. Ausman

Henry Ford Hospital Medical Journal

We present our experience with 15 central nervous system masses evaluated preoperatively with computed tomography and by intraoperative sonography. Cysts were seen as sharply circumscribed, thin-walled masses, near water density by computed tomography, and echo-free by sonography. Inflammatory masses were well demarcated by tomography with areas of edema and ring enhancement but were poorly marginated and variable in appearance by sonography. Primary brain tumors presented as round, solid or complex masses best evaluated by intraoperative sonography in those cases where poor contrast enhancement resulted in limited characterization of the mass by computed tomography. Our experience suggests a very high degree …

Digital Subtraction Angiography Of The Abdomen: Henry Ford Hospital Experience, Rajinder P. Sharma, Gary A. Krasicky, Matthew W. Burke, Sadasiva B. Jampala, P. C. Shetty, Dennis P. Swanson

Henry Ford Hospital Medical Journal

Digital subtraction angiography (DSA) produces high-contrast digital images of the abdominal vasculature with minimum patient discomfort. We summarize the Henry Ford Hospital experience with DSA in evaluating various abdominal vascular disorders. The methods and merits of intravenous and intraarterial approaches, the advantages and disadvantages compared with those of conventional angiography, and the current limitations of DSA are discussed.

Current Concepts Of Metabolic Functional Imaging With Positron Emitters, John W. Keyes Jr.

Henry Ford Hospital Medical Journal

Positron emitting radionuclides have unique properties that make them nearly ideal as radioactive tracers for in vivo metabolic studies. Using positron emission tomographic (PET) scanning and positron-labeled radiopharmaceuticals, one can study local glucose metabolism in tissues, blood flow, oxygen utilization, protein synthesis, and many other functions noninvasively in normal subjects and patients who have various diseases. A review of some of these techniques and the relative advantages and problems associated with the PET approach is presented.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

The Incidence Of Calculi In Focal Nonshadowing Echogenicity In The Gallbladder, Michael A. Sandler, Eileen M. Biunno, Martin L. Gross, Beatrice L. Madrazo

Henry Ford Hospital Medical Journal

Sonography is valuable in the accurate diagnosis of gallstones. All but the smallest stones attenuate sound, a phenomenon known as acoustic shadowing. However, when small focal nonshadowing opacities are present, the diagnostic question is whether they represent small calculi. In a four-year review of sonographic studies performed at Henry Ford Hospital, 12 patients in whom this sonographic finding was present underwent cholecystectomies, and seven had calculi (58%). If the presence of gallstones is the factor that will determine whether surgery will be performed, we recommend a repeat examination to confirm the presence of the focal opacities and to elicit acoustic …

Applications Of Magnetic Resonance Imaging In Clinical Urology, Barbara A. Demas, Hedvig Hricak

Henry Ford Hospital Medical Journal

During the past two years, the value of magnetic resonance imaging (MRI) in the diagnosis and staging of a variety of urologic neoplasms has been demonstrated, and the ability of MRI to determine sites of renal obstruction and causes of posttransplant renal failure have been reported. Its excellent soft-tissue contrast resolution has allowed accurate delineation of regional anatomy in the kidney, prostate gland, urinary bladder, urethra, uterus, and vagina. The importance of MRI in the urologic diagnosis is expected to increase as clinical imaging systems become widely available.

Cerebral Angiography In Posterior Fossa Revascularization, Roushdy S. Boulos, Suresh Patel, Bharat Mehta, Clifford Jack

Henry Ford Hospital Medical Journal

With advances in microsurgical techniques and refinement of cerebral angiography, many new surgical approaches for the treatment of vertebrobasilar insufficiency (VBI) have been developed. Detailed selective cerebral angiography is essential for confirming the clinical diagnosis, for demonstrating the exact anatomical and topographical vascular pathology, and for deciding on the best surgical procedure. Angiography is recommended to evaluate treated patients both in the early and late postoperative periods. It is an essential element of any future randomized study to assess the value of surgical vs medical treatment of patients with VBI. The benefits of cerebral angiography far outweigh the small risk …

Digital Radiography: A Review, David J. Kastan, Laurens V. Ackerman, Peter J. Feczko, Gordon H. Beute

Henry Ford Hospital Medical Journal

The fully digital radiology department remains a radiologist's dream. The technology necessary for implementation does not yet exist other than in prototype form. When the technology catches up with the radiologist's ideas, many new capabilities will exist. Electronically stored images will be available for viewing wherever a computer terminal exists. The problem of film loss would be nonexistent. Images could be quickly transmitted for interpretation via microwave networks to sites far removed from where they are acquired. Patient radiation exposure would decrease. Computers would help decrease perception errors and would assist in image interpretation. It may be ten years before …

Preliminary Experience With Digital Subtraction Angiography In Cardiac Evaluation, Matthew W. Burke, P. C. Shetty, Rajinder Sharma, James F. Brymer, Fareed Khaja

Henry Ford Hospital Medical Journal

iVe report our initial experience using digital subtraction angiography (DSA) techniques for cardiac evaluation. DSA of the heart may be performed with intravenous or right atrial injection of contrast medium (IVDSA) and with left ventricular or aortic root contrast injection (lADSA). The right ventricle and the atria are best demonstrated by IVDSA, while the left ventricle and coronary arteries are best demonstrated by lADSA. The advantages and disadvantages of DSA ofthe bean are discussed. Present equipment limitations restrict the routine use of cardiac DSA, but these should be overcome with advances in technology.

The Tube Esophagogram In Cases Of Possible Esophageal Stricture: A Technical Note, Lawrence M. Dubin, Robert D. Halpert, Peter J. Feczko, Sambasiva R. Kottamasu

Henry Ford Hospital Medical Journal

Esophageal strictures can occasionally be underdiagnosed because of the failure to achieve complete and consistent distention of the esophagus. When tube esophagography is performed, a small catheter is positioned in the patient's esophagus, and air is insufflated after the patient drinks barium. This produces maximum, uniform distention of the esophagus with little patient discomfort. This technique is valuable in demonstrating mild or subtle strictures, improving mucosal detail, and evaluating areas suggestive of stricture on routine radiographs.

Nuclear Magnetic Resonance: Current And Future Clinical Applications, Jerry W. Froelich, David O. Hearshen, Robert D. Halpert, Suresh Patel

Henry Ford Hospital Medical Journal

Nuclear magnetic resonance has evolved from a laboratory analytical tool to become a rapidly developing discipline in clinical medicine. We present a brief historical overview, an introduction to the basic principles of the phenomenon, and a statement of the current status of clinical imaging. We have elected to use the traditional terminology nuclear magnetic resonance to refer to the imaging component of the field rather than the American College of Radiology (ACR) modification magnetic resonance. We do this out of respect for the founders of the field.

Percutaneous Nephrolithotomy: Current Methods And The Henry Ford Hospital Experience, P. C. Shetty, Rajinder P. Sharma, Raymond H. Littleton, Gary A. Krasicky, Matthew W. Burke, Brian J. Miles, James H. Thrall, Joseph C. Cerny

Henry Ford Hospital Medical Journal

The combined radiologic/urologic approach to percutaneous renal stone extraction has been practiced at Henry Ford Hospital since November of 1982. This article describes the current methodology and reviews our experience in performing 121 percutaneous nephrolithotomies (PCNL). We conclude that PCNL is a safe, reliable, and cost-effective alternative to open nephrolithotomy in most patients.