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Osteoporosis, C. Conrad Johnston

Henry Ford Hospital Medical Journal

No abstract provided.

Paget's Disease, Stephen M. Krane

Henry Ford Hospital Medical Journal

No abstract provided.

Idiopathic Hypercalciuria, Frederic L. Coe, Murray J. Favus

Henry Ford Hospital Medical Journal

No abstract provided.

Calcium Disorders In Childhood, John G. Haddad

Henry Ford Hospital Medical Journal

No abstract provided.

Management Of Primary Hyperparathyroidism: Report On A Workshop, G. B. Talpos, M. Kleerekoper, A. Kambouris, D. R. Moore

Henry Ford Hospital Medical Journal

No abstract provided.

Treatment Of Paget's Bone Disease With The Bisphosphonate Apd, Carlos A. Mautalen

Henry Ford Hospital Medical Journal

Thirty-two patients with Paget's bone disease have been treated with the bisphosphonate APD. Nineteen had previously received treatment for Paget's disease with EHDP alone or in combination with calcitonin; 13 had not previously received treatment for Paget's disease. APD was given in a mean dose of 6.8 mg/kg of body weight during a period of 6 to 12 months. Bone pain disappeared or diminished in 91% of the patients. A very significant diminution of the biochemical indices of bone turnover was observed in all patients, but the response occurred faster in patients who had not previously received treatment for Paget's …

International Symposia At Henry Ford Hospital: A Thirty-Year Perspective, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1983 (School Of Health Extended Programs), Loma Linda University

Commencement Programs

CONTENTS

2 | Biography on V. Norskov Olsen

3 | Recognition of Candidates for Degrees

4 | Consecration Service

6 | Baccalaureate Service

8 | Recognition of Candidates

10 | Candidates

14 | Program History and Development

Violence, James R. Creps

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Microsurgical Techniques In Cerebral Revascularization, James I. Ausman, Fernando G. Diaz, R. A. De Los Reyes, Carl Shrontz, Jeffrey Pearce, Manuel Dujovny

Henry Ford Hospital Medical Journal

The surgical management of patients with cerebrovascular disease is reviewed. Our approach to the management of extracranial cerebral vasculature is discussed first, and increasingly more complex areas are then presented. Our discussion reviews the applications of carotid endarterectomy, extracranial-intracranial bypass procedures, and vertebral extracranial reconstruction.

Synchronous Bilateral Seminomas And Teratoma, Harry J. Bonnell

Henry Ford Hospital Medical Journal

The simultaneous occurrence of seminomas is extremely rare. Only 23 cases have previously been reported. One case has been reported of extrascrotal mature teratoma following primary pure seminoma of the testis. We describe a 47-year-old patient who presented with synchronous bilateral seminomas and a left-sided, mature teratoma of the testis.

The Role Of Erythropoietin In The Anemia Of Chronic Renal Failure, N. Kevin Krane

Henry Ford Hospital Medical Journal

The major factors responsible for the anemia of chronic renal failure are decreased erythropoietin (Ep) production, the presence of inhibitors of erythropoiesis, blood loss, and hemolysis. Ep, which is produced in the kidney, probably exerts its effect on the colony-forming units of the erythrocyte. Ep levels fall with worsening renal function (creatinine clearances in the range of 2-40 ml/min). but they rise to their highest levels in the immediate predialysis period, probably due to severe ischemia of both renal and extrarenal production sites. When patients are begun on hemodialysis, Ep levels fall, and the hematocrit rises. Erythropoietin therapy in the …

Commencement Program 1983 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

13 | Awards

Manipulation Of External Tachodynamometer By The Patient: Case Report, Chang Y. Lee, Michael P. H. Lau

Henry Ford Hospital Medical Journal

External tachodynamometer has frequently been used to evaluate premature labor. In three cases, the patient was apparently able to record uterine contraction-like curves by means of abdominal pressure. In two of these cases, the patient was evidently using this manipulation to gain attention and support from her husband and/or family members. In the third case, described in this paper, because false curves were recorded, an emergency Caesarean section was performed under the impression that abruptio placenta had occurred.

Neuropsychological Research On The Neurosurgical Treatment Of Cerebrovascular Disease, James Ausman, Mark W. Shatz

Henry Ford Hospital Medical Journal

No abstract provided.

Methodological Issues In Studying Treatment Effects In Patients With Cerebrovascular Disease, Mark W. Shatz

Henry Ford Hospital Medical Journal

Evaluation of the neuropsychological effects of surgical treatment on cerebrovascular disease is beset by numerous methodological difficulties. These include problems specific to this patient population as well as others inherent in all retrospective studies. Five such problems are described: 1) nonrandomized subject selection; 2) dropout from follow-up; 3) natural history of cerebrovascular disease; 4) effects of hospitalization; and 5) the role of practice effects. This paper examines these methodological problems for their impact on our knowledge and proposes alternative research directions to address their shortcomings.

Carotid Artery Disease, Carotid Endarterectomy, And Behavior: A Critical Appraisal, Mark P. Kelly

Henry Ford Hospital Medical Journal

We reviewed the recent literature on the relationship between carotid artery disease, carotid endarterectomy, and behavior. The methodological adequacy of each study and the complexities involved in interpreting behavioral changes in patients with carotid disease are emphasized. Experimental design issues qualify conclusions in all studies. The weight of the evidence suggests that carotid artery disease may result in cognitive impairment, and that carotid endarterectomy is followed by psychometrically determined cognitive improvement in some patients. Although characteristics of the subgroup of patients most likely to improve have been identified in preliminary investigations, the clinical significance of such improvement has not been …

The Effects Of Cerebrovascular Surgery On Behavior: What Has Been Demonstrated?, Laurence M. Binder

Henry Ford Hospital Medical Journal

We studied the effect of the superficial temporal artery to middle cerebral artery bypass (STA-MCA) procedure on neuropsychological function. Nineteen patients with cerebrovascular disease of the anterior carotid circulation (12 on surgical and seven on medical therapy) received an extensive battery of neuropsychological tests; the average test-retest interval was eight weeks. Both groups improved on some measures, and no patients deteriorated. There was no evidence of greater improvement by the surgical group. The results are compatible with a spontaneous remission/practice effect interpretation. A review of the carotid endarterectomy and STA-MCA bypass literature suggests that the null hypothesis of no effect …

Neuropsychological Evaluation Of The Results Of Surgical Treatment Of Cerebrovascular Disease, Melvin L. Schwartz

Henry Ford Hospital Medical Journal

No abstract provided.

A Radiologic Method Of Assessment Of Bone And Joint Destruction In Rheumatoid Arthritis, Gilbert B. Bluhm, David W. Smith, Walter M. Mikulashek

Henry Ford Hospital Medical Journal

We employed radiographic analysis and a numerical scoring system to evaluate bone and joint destruction in 39 patients who received aspirin and nonsteroidal, antiinflammatory drugs or benoxaprofen therapy over a continuous study period of 36 months (mean). Our purpose was to compare the radiological changes in these patients over two observation intervals and to test the reproducibility of the scoring system. Our modified rating system has sufficient intra-rater reliability to provide a statistically adequate, reproducible method for evaluating bone and joint destruction in rheumatoid arthritis.

Posttraumatic Hernia Of The Bladder, Joseph L. Ponka, Farouck N. Obeid

Henry Ford Hospital Medical Journal

Fractures of the pelvis occur commonly in patients who are involved in high speed vehicle accidents or who fall from a substantial height. Fortunately, with improved surgical management, these patients usually recover not only from the pelvic fractures but from associated visceral injuries as well. Some survivors of pelvic fractures subsequently develop unusual hernias. We report the case of a man who developed hernia of the urinary bladder following pelvic fracture. Two previous operations had failed to eliminate his hernia. We describe the technique of repair used successfully in this case and review similar reported cases. Surgeons who care for …

Editorials

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

The Zinc Status Of Pregnant Vegetarian Women, Michelle J. Abu-Assal

Loma Linda University Electronic Theses, Dissertations & Projects

The zinc status of twelve lacto-ovo-vegetariah pregnant women and seventeen non-vegetarian pregnant women was evaluated. Zinc intakes were calculated from three-day dietary records and twenty-four hour dietary histories. Plasma zinc levels were drawn during the last trimester of pregnancy and approximately ten weeks postpartum. Gestational age at birth, birthweight, and APGAR scores of the infants born were obtained from the medical charts. Dietary zinc intakes for the vegetarians (10.5 ± 4.0 mg) did not differ significantly from the intakes of the non-vegetarians (10.9 ± 3.0 mg). The vegetarian last trimester plasma zinc levels (47.9 ± 12.4 mcg/dl) and postpartum plasma …

Overviews Of Selected Business Sectors In The Alaska Economy, Steven Konkel

Environmental Health Science Faculty and Staff Research

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Issues In Diabetes: 1983, Fred W. Whitehouse

Henry Ford Hospital Medical Journal

No abstract provided.

Plasma Lipid Abnormalities In Diabetes Mellitus: Observations On Hdl Cholesterol And Recommendations For The Management Of Lipid Abnormalities, Dorothy Kahkonen

Henry Ford Hospital Medical Journal

No abstract provided.

The Exclusion Of Restrictive Lung Disease By Spirometric Criteria In Patients With A Reduced Forced Vital Capacity, Michael S. Eichenhorn, John Popovich Jr., Richard K. Beauchamp, John Armstrong, Joseph C. Ward

Henry Ford Hospital Medical Journal

Reductions in forced vital capacity (EVC) as determined by spirometry may result from restrictive or obstructive disease, either alone or in combination. Restrictive disease is implied when measures of forced expiratory flow are relatively maintained, and obstructive disease is present when flow measurements are disproportionately reduced. In the presence of air flow obstruction, the possibility of concomitant restrictive disease contributing to the reduction in FVC is difficult to assess from spirometry alone. Static lung volumes are usually necessary to establish this diagnosis. We evaluated the FEV1/EVC%o obtained at spirometry compared to its predicted normal value. We found it to be …