Digital Commons Network^™

The Women's Construction Collective: Building For The Future, Ruth Mcleod

Poverty, Gender, and Youth

This edition of SEEDS focuses on a project developed to integrate low-income women into Jamaica's construction industry. In two years, 34 women passed through the project's basic training and skills upgrading courses. More than 90 percent of these women became employed, the majority as masons and carpenters. The story of how this field was identified as a potential source of income for women, and how the project developed and evolved in response to changing circumstances, presents many useful lessons. These should be of particular interest to those seeking to identify employment areas where women's participation is feasible and in helping …

Caring Choices: Decision-Making About Treatment For Catastrophically Ill Newborns, Betty Wolder Levin

Publications and Research

Decision making for catastrophically ill newborns has recently emerged as a social issue. Advances in biomedical technology and practice, and changes in other economic, social and political factors have led to controversy about norms to guide treatment choice. While much has been written on how such decisions should be made, there has been little social science research on how such decisions are actually made.

The purpose of this dissertation is to elucidate the way that clinicians think about treatment decisions for catastrophically ill newborns. The focus is on decision making with respect to the limitation of treatment in those situations …

The Nucleus Of A Public Health Strategy To Combat Aids, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Since acquired immune deficiency syndrome (AIDS) was first identified in I98I, its rate of spread among a primarily young and vibrant population has chilled the medical and lay communities. Today, the public response is sober and oriented toward the examination of specific policies that could lessen the impact of the disease. After six years' experience it is now feasible to propose a strategy for combating AIDS. Consensus around the policies outlined in this article should form the nucleus of the public health strategy to combat AIDS before the intervention of an effective vaccine or treatment.

Vitamin C And Allelic Variants For Complement Factors C3, C4 And B In Acute Necrotizing Ulcerative Gingivitis (Ascorbate, Epidemiology)., Sandra Louise Melnick

All ETDs from UAB

No abstract provided.

Intraocular Lens Implant Image Quality: The Optico-Retinal Interface, David D. Bogorad

Henry Ford Hospital Medical Journal

Improvements in intraocular lens implants during the past ten years have revolutionized cataract surgery. Both anterior and posterior chamber lenses are currently in wide use, but the optical superiority of the posterior chamber location has yet to be demonstrated. To do so, a more detailed analysis is required of visual function than is clinically routine. Also required is appreciation that the retina is an integral part of the eye's optical system because of its directional characteristics, which are known as the Stiles-Crawford effect. The optical quality of the pseudophakic eye is affected by the optics of the implant, its centration, …

Hereditary Sclerocornea, David Barsky, Steven P. Dunn

Henry Ford Hospital Medical Journal

A rare case of total hereditary sclerocornea is presented along with clinical history, histopathology, and a review of the possible pathogenesis and current literature on the subject. It is quite possible that imperfect cleavage of the anterior chamber angle may be the predisposing factor in scleralization of the cornea due to a failure of neural crest cell differentiation. If surgical intervention to correct for the corneal opacification is indicated, corneal transplantation should be performed as soon as possible after birth, similar to the indications for removal of dense congenital cataracts to avoid deprivation amblyopia.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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.

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.

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.

Psychosocial And Behavioral Characteristics Of Ischemic Heart Disease Patients: Their Measurement And Relationship To Adherence In An Intensive Nutrition Education Program, Lynn Caldwell

Loma Linda University Electronic Theses, Dissertations & Projects

Nonadherence to therapeutic regimens which necessitate major lifestyle change is recognized as one of the most serious problems in medical practice today. Attempts to prevent and control chronic disease, including the development and progression of cardiovascular disease, are only effective when recommendations to the patient are carried out. Few studies have systematically studied the relationship of psychosocial and behavioral factors to adherence outside the theoretical framework of a specific behavioral model; no study has done so with a carefully measured diet as the outcome variable in a controlled prospective clinical trial with patients suffering from cardiovascular disease.

This study, as …

Correlates Of Knowledge And Locus Of Control On Burden In Professional Caregivers Of Alzheimer's Disease Victims In Three Institution Types, Ruth A. Manning-Gay

Community & Environmental Health Theses & Dissertations

In assessing professional caregivers of Alzheimer's Disease victims, this study tested whether, 1) knowledge would influence perceptions of burden in providing care to such patients, and if 2) individual locus of control would influence perceptions of burden in caring for; Alzheimer's I patients. Professional nurses (BSN's, RN's, and LPN's) from nursing banes, hospitals and psychiatric facilities were asked to complete a three part survey. Three instruments were utilized in this study: the Burden Self-Interview by Zarit, Reeves and Bach-Peterson and adapted for professional caregivers, a 15 item knowledge quiz and the North Carolina Internal External scale (short form) by Schopler, …

The Use Of Guided Imagery And Progressive Relaxation In Treating Hemodialysis Patients For Dietary Compliance, James B. Morrissey

Dissertations

Studies have confirmed that many hemodialysis patients experience numerous psychological difficulties as a result of their physical illness. One behavioral manifestation of these psychological states is noncompliance to imposed dietary restrictions. In spite of life threatening implications, many hemodialysis patients find it very difficult to maintain dietary compliance.

Recently, guided imagery and progressive relaxation have been used as methods to assist clients to overcome negative psychological states. In most cases, the treatments are adjunctive to on-going counseling or psychotherapy. The purpose of this investigation was to test the idea that guided imagery and progressive relaxation alone can be successfully used …

A Comparison Of Selected Nutrition Factors Of Personal Care Residents With Nutrition For The Elderly Residents., Jill Kay Costin

Masters Theses & Specialist Projects

Persons in the Nutrition for the Elderly program in Barren River Area Development District in Kentucky and personal care residents at Lakeview Nursing Home, Morgantown, Kentucky, and Glasgow Rest Home, Glasgow, Kentucky participated I this study on a voluntary basis. The population consisted of an intact sample of sixty-eight persons: forty-six personal care residents (PC residents) and twenty-two Nutrition for the Elderly participants (NE participants). The Ne participants and Pc residents were compared to determine which received the best nutritional care. Selected parameters of nutritional assessment were compared for the two groups be means of a t test. The groups …

Distributed Computing In A Hospital Environment, Steven R. Lund, Laurens V. Ackerman, James B. Martin

Henry Ford Hospital Medical Journal

Obtaining appropriate information in a timely fashion in medical practice has always been a burden for the practitioner. In a large hospital which undertakes major computer projects, this burden is intensified because information is not always available in a form directly usable by the physician or support personnel; it is now accumulated on diverse magnetic media where it is moved and processed as electronic pulses. This paper describes a solution which freely allows continued automation at different rates throughout a large hospital while expediting the movement of information where it is needed in a form understandable by the recipient.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Effect Of Membrane Filtration Of Antimalarial Drug Solutions On In Vitro Activity Against Plasmodium Falciparum, J. Kevin Baird, C. Lambros

United States Public Health Resources

Antimalarial activities ofchloroquine, mefloquine, amodiaquine, and quinine in vitro against Plasmodium falciparum were diminished as a consequence ofmembranefiltration. Filtered drug solutions gave ID₅₀ values up to 25-fold greater than those of non-filtered (ethanol-sterilized) drug solutions. Loss ofactivity byfiltration was overcome by increasing the drug concentration prior to filtration. Water solutions filtered through Millex-GSfilter units consistently showed an absorbance maximum at 277 nm, accompanied by a lesser peak at 225 nm. Water filtrates from Nucleopore and Millex-G Vfilters showed no absorbance at 277 nm and only slight absorbance was evidentfor the Gelmanfilter unit. Activity losses were attributed to extractable contaminating …

Administración Comunitaria Del Reciclamiento De Desechos: El Sirdo, Marianne Schmink

Poverty, Gender, and Youth

A comienzos de 1978, un grupo de famílias esperaba que le adjudicaran una de las casas comprendidas en un proyecto de viviendas económicas en Mérida, una ciudad de la costa sudeste de México. Algunas casas contaban con un sistema de drenaje nuevo llamado SIRDO (Sistema Integrado de Reciclamiento de Desechos Orgánicos), y las familias interesadas en vivir en la manzana experimental donde se instalaría el SIRDO, podrían ocupar su casa inmediatamente. Tres años más tarde un otro grupo de familias de una comunidad situada en el populoso Valle de Mexico resolvieron ensayar el sistema en su propio vecindario. Las mujeres …

The Relative Effectiveness Of Drainfield Trenches And Absorption Beds In Disposing Of Bacteria, Viruses And Nitrates From Septic Tank Effluent, Raymond E. Collins

Retrospective Theses and Dissertations

No abstract provided.

Creación De Empleos Distintos De Las Artesanías Para Las Mujeres De Bangladesh, Marty Chen

Poverty, Gender, and Youth

Con demasiada frecuencia los planificadores profesionales del desarrollo que diseñan proyectos destinados a producir ingresos para las mujeres, lo único que consideran son las artesanías. Si bien es cierto que en determinadas circunstancias éstas pueden proporcionarles una renta segura, en muchos otros casos las artesanías dan poco rendimiento y resultan ser una empresa mas complicada de lo que se esperaba. El Comité de Adelanto Rural de Bangladesh (BRAC—sigla de su nombre en inglés, Bangladesh Rural Advancement Committee), es una organización que ha logrado desarrollar con éxito un programa de oportunidades de empleo femenino, distinto de las artesanías. De las 10.000 …

Évaluation Et Contrôle De L'Exposition Professionnelle Aux Vapeurs Et Gaz Anesthésiants En Milieu Hospitalier Au Québec, Jan Éric Deadman, François-Pierre Dussault, Louis Gendreau, Alain Lajoie

Rapports de recherche scientifique

Le présent rapport vise à décrire la problématique de l'exposition professionnelle aux vapeurs et gaz anesthésiants en milieu hospitalier québécois.

Ce type d'exposition a été signalé à maintes reprises par différents auteurs et a régulièrement retenu l'attention du personnel impliqué et des médias. Le cri d'alarme lancé récemment par les anesthésistes albertains et repris par la presse illustre cette préoccupation du milieu.

À la demande des départements de santé communautaire, les laboratoires de 'Institut ont évalué les niveaux d'exposition du personnel de trois centres hospitaliers lors d'interventions chirurgicales nécessitant une anesthésie générale. Les données recueillies confirment les connaissances actuelles et …

Bone Disease In Uremia, Jack W. Coburn

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

Experience With Biosynthetic Human Insulin In Diabetes, Davida F. Kruger, Fred W. Whitehouse, Dorothy M. Kahkonen, Jean O. Partamian, J. David Fachnie, José Goldman, David Leach

Henry Ford Hospital Medical Journal

Thirty diabetic patients new to insulin were entered in an open label prospective study of biosynthetic human insulin (BHI). All patients experienced symptomatic control of diabetes attributable to dietary and BHI insulin therapy. Detailed six-month evaluation data were reviewed in 19 patients. A significant drop in fasting plasma glucose and glycosylated hemoglobin was noted at two months, and a further modest decrease occurred at six months. E. coli polypeptide antibodies were unchanged from baseline at six months, indicating that no bacterial protein contamination of BHI occurred. Percent binding of serum antibodies to human insulin measured in 19 patients at baseline …

Commencement Program 1983, Loma Linda University

Commencement Programs

CONTENTS

4 | 1983 Events of Commencement

5 | Academic Procession

6 | The Speakers

9 | The Honorees

Order of Programs

• School of Medicine, 12
• School of Nursing, 18
• Graduate School, 21
• School of Dentistry, 26
• School of Education, 33
• College of Arts and Sciences, 38
• School of Allied Health Professions, 44
• School of Health, 49

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Current Concepts In Otitis Media, Michael M. Paparella

Henry Ford Hospital Medical Journal

Otitis media continues to be a common and disabling problem which has become, in recent years, a fertile area for research. Based on studies in animals and humans, otitis media is classified into four groups: acute purulent otitis media (POM), serous otitis media (SOM), and mucoid or secretory otitis media (MOM). Together, these are referred to as otitis media with effusion (OME). The types can overlap and evolve into another type to become chronic otitis media and mastoiditis, characterized by the presence of granulation tissue or cholesteatoma. The biochemistry, microbiology, and pathology as well as clinical features of the disease …

Microbiological Water Quality Of Impoundments: A Literature Review, G. Allen Burton Jr.

United States Public Health Resources

Assessing the microbiological water quality of impoundments and the potential for waterborne disease outbreaks is a difficult task when using traditional sampling programs. Problems associated with using fecal coliform bacteria as indicators of human pathogen presence complicates assessments of future water quality in preimpoundment areas. Reliable determination of future and present microbiological water quality requires knowledge of how the chemical, physical, and biological characteristics of the watershed and impoundment interrelate to influence microbial indicator and pathogen densities. Accurate estimates of microbial indicator and pathogen densities, obtainable by using the enumeration methods and their modifications suggested in this report, will allow …

Immunological Involvement In Porcine Bioprosthetic Valve Degeneration: Preliminary Studies, Rollin H. Heinzerling, Paul D. Stein, Jeanne M. Riddle, Donald J. Magilligan Jr., John J. Jennings

Henry Ford Hospital Medical Journal

Preliminary animal model studies have indicated that porcine bioprosthetic valves can be recognized by the immune system. This report presents the results of a preliminary investigation on the implanted valves of 27 patients. While none of the 27 demonstrated an immune response to porcine serum proteins, five patients developed antibodies against the implanted valve leaflets. Cells were enzymatically eluted from a degenerated bioprosthetic valve and were classified by means of monoclonal antibodies. Although these cells were not found to be of T-lymphocyte lineage, they did express la determinants and had the morphologic appearance of plasma cells. We therefore conclude that …

Isoenzyme Update: Creatine Kinase And Lactate Dehydrogenase, Craig C. Foreback

Henry Ford Hospital Medical Journal

Creatine kinase (CK) and lactate dehydrogenase (LD) are isoenzymes that have been measured in clinical laboratories for over 20 years; their separation has proved valuable in the diagnosis of myocardial infarction and other cardiac-related diseases. Although, historically, electrophoresis was the preferred method to measure both isoenzymes, there has been controversy over the best method for separating the CK isoenzyme. lon exchange chromatography has been used successfully to isolate CK isoenzymes, and the procedure was adapted to determine CK-MB activity in serum. New methods to quantify CK-MB have also been tested, including an automated column technique, the immunoinhibidon/ immunoprecipitadon technique, and …