Digital Commons Network^™

Population Reports. Series J, Number 10: Family Planning Programs. Adolescent Fertility: Risks And Consequences, Department Of Medical And Public Affairs, The George Washington University Medical Center

Population Reports

No abstract provided.

Productivity Of The Roll-Streak Method To Perform Anaerobic Bacteriology In The Routine Clinical Laboratory, Thomas R. Neblett

Henry Ford Hospital Medical Journal

Data presented are derived from one year of performing routine clinical anaerobic bacteriology by the roll-streak tube method. 826 specimens from 1508 (54.8%) contained anaerobes. 162 specimens were polymicrobic (19.6%) and contained 528 strains of a total of 1051 isolated (50.2 %). 479 blood specimens contained 525 strains of anaerobes. Propionibacterium, considered a contaminant, occurred 209/210 times in blood as the sole isolate. Bacteroides occurred alone or polymicrobically 308 times and comprised 54.7% of the blood isolates and 32.5% of the total anaerobic genera isolated. Clostridium, Peptococcus and Fusobacterium were the next most frequently occurring anaerobes. The roll-streak method is …

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

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 …

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 …

A Substance Abuse Prevention Plan Proposal For The State Of Michigan, William Lucien Macleod

Masters Theses

No abstract provided.

The Bacteriology Of The Biliary Tract: A Preliminary Report., J. A. Sapala, J. L. Ponka, T. R. Neblett

Henry Ford Hospital Medical Journal

The bacterial flora of acute biliary tract disease has not been completely elucidated. The organisms identified most often were coliforms. Anaerobic culture technics were not precise enough to provide proper identification. In a 12-month study of 250 patients operated upon for inflammatory gallbladder disease, culture specimens were collected in a most strict and rigorous fashion. It was hoped that a more exact understanding of the relationship between bacteria and inflammatory biliary tract disease might be appreciated. Important technics were developed for gathering specimens, delivery to the laboratory and culturing. More meaningful results are to be expected In the future.

Commencement Program 1975, Loma Linda University

Commencement Programs

CONTENTS

2 | 1975 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

26 | Academic Costume

29 | Waymarks

A Descriptive Study Of Women's Attitudes Towards Obtaining Or Not Obtaining Papanicolaou Smears, Linda J. Shults

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to identify the attitudes of a selected group of women which influenced their participation in Papanicolaou testing. These attitudes were inferred from the reasons women gave for obtaining the test. The subjects were randomly selected from the telephone book of a medium-sized town in Southern California. The 135 women who participated in the telephone interview were considered to be the respondents in the study.

A review of the literature revealed that through the annual use of the Papanicolaou smear, approximately 11,000 deaths every year from uterine and cervical cancer could be prevented, Attitudes …

Isolation Of Cell Wall Deficient Mycobacterium Tuberculosis From A Case Of Chronic Arthritis, W. D. Lebar, L. H. Mattman, L. Ross

Henry Ford Hospital Medical Journal

Synovial fluid from a case of pyarthrosis was cultured for fungi, mycobacteria, aerobes and anaerobes with negative results. A Cell Wall Deficient (CWD) form was isolated in numerous cultures which showed the physico-chemical reactions characteristic of wall deficient M. tuberculosis.

Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush

Henry Ford Hospital Medical Journal

The authors' experience with the rare entity of sclerosing cholangitis suggests that several anatomical patterns of involvement of the extrahepatic biliary tract may occur. The involvement may include the intraluminal ducts segmentally or diffusely, or the process may primarily be external to the ducts as pericholedochitis. It may or may not represent one component of a systemic disease, particulady autoimmune disease. Although involvement may be diffuse, progression may be slow and compatible with many years of life. Long time followup is essential before any value can be assigned to a given modality of treatment. Carcinoma of the ductal system may …

Left Atrial Myxoma With An Atrial Septal Defect: Report Of A Case, Daniel T. Anbe, Edward Arciniegas, Henry Green, Ellet H. Drake

Henry Ford Hospital Medical Journal

A case of a left atrial myxoma presented unusual features including (1) association with an atrial septal defect, (2) attachment of the myxoma to the posterior wall of the left atrium, (3) probable paradoxical pulmonary embolization from the left atrium, and (4) probable ball valve effect of the myxoma in the atrial septal defect.

Primary Pulmonary Hypertension - Disease Or Symptom? A Retrospective Reclassification Of 33 Cases, D. S. Dasgupta, Ellet H. Drake

Henry Ford Hospital Medical Journal

The hypertension which follows an intrinsic increase in pulmonary vascular resistance may be easily diagnosed by utilizing current catheterization and radiologic techniques. The real challenge is establishing a rational etiology in a given case before final pathological examination. Data from 33 proven cases are presented in an attempt to show that most ofthe proposed etiologic concepts may be represented in a large clinical series. Congenital and familial factors, multiple pulmonary embolization with resulting vasospastic sequela, arteritis, and degenerative states, were encountered, together with such specific clinical entities as scleroderma and systemic lupus erythematosus. Because the term "Primary Pulmonary Hypertension" implies …

Malignant Intrathoracic Hurthle-Cell Tumor: Report Of A Case With 12-Year Survival Following Three Palliative Operations, Conrad R. Lam

Henry Ford Hospital Medical Journal

A 55-year-old man had a large superior mediastinal tumor producing obstructive symptoms. The tumor was removed through an upper median sternotomy incision. It was found to be composed of so-called Hurthle-cells, which are of thyroid origin, and the pathologist's interpretation was that it was of low grade malignancy. A pulmonary metastatic nodule was excised five years later, and 8 1/2 years after the original operation, a nodule was removed from a pectoral muscle. The patient lived 12 years and then expired with multiple metastases, but he was relatively asymptomatic until the last few months.

Localization Of Deep Abscesses With Radioactive Isotopes: An Experimental Study, H. M. Allen, R. Berguer, L. A. Dusault, M. A. Block

Henry Ford Hospital Medical Journal

Life-endangering effects of deep abscesses make early and precise identification and localization important to permit adequate surgical drainage. An experiment was undertaken to study the feasibility of detecting abscesses by using leucocytes tagged with radioactive isotopes. For the labeling, 51chromium appeared preferable to 131iodine or 99technetium. Leucocytes so labelled will concentrate sufficiently in abscesses to permit identification of abscesses by scintillation scanning. For clinical application, techniques require further simplification and refinement to eliminate interference by collection of radioactive isotopes in the liver and spleen.

Experience With Cleft Lip And Palate At The Henry Ford Hospital, W. Peter Mccabe

Henry Ford Hospital Medical Journal

A detailed analysis is presented of 321 patients with clefts of the lip and/or palate treated at Henry Ford Hospital. Comments are made on past and future trends in the management of these complex entities.

Proteolytic Enzymes Of Lactic Streptococci And Their Use In Improving Body And Texture Of Direct Acid Cottage Cheese, Gulamnabi Y. Vahora

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Proteolytic activity of Streptococcus cremoris HP, P₂ and AM₂; Streptococcus lactis-C₂, ML₈ and a commercial mixed culture was determined in skimmilk and whey by measuring the increase in Absorbency at 274.5 nm of a pH 4.6 soluble filtrate, following incubation in a 2.5% casein solution. Proteolytic activity, rate of acid production and growth rate decreased in order of C₂, HP, mixed culture, AM₂, ML₈ and P₂ at a regulated pH (6.1 - 6.2) and 32 C. Maximum proteolytic activity for all cultures was found during the stationary …

A Microtechnique For The Isolation Of Cell Wall Deficient Organisms From Very Small Samples, Lloyd T. Dutcheshen, Philip C. Hessburg

Henry Ford Hospital Medical Journal

A miniaturized procedure using a modified microtiter plate is described for the isolation of cell wall deficient organisms. It is particularly useful when the volume of a liquid specimen is very small.

Pasteurella Multocida Meningitis: Report Of A Case, Leo J. Bingley Jr.

Henry Ford Hospital Medical Journal

No abstract provided.

Measurement Of Haversian Bone Remodelling By Means Of Tetracycline Labelling In Rib Of Rhesus Monkeys, Charles C. Schock, Frank R. Noyes, A. R. Villanueva

Henry Ford Hospital Medical Journal

Quantitative histologic measurements of haversian bone remodelling were made of mineralized rib cross sections in 13 healthy rhesus monkeys. With the aid of previous tetracycline labelling, coupled with the Villanueva Osteochrome stain, Frost's quantitative bone analysis revealed that: a) the mean haversian bone formation rate is 0.359 z 0.186 mm²/mm²/yr; b) the mean number of osteoid seams/mm² is 4.03 ± 1.64; c) the mean appositional rale is 1 33 ± 0 23 microns/day while the radial closure rate when all the labelled systems are corrected is 0.42 r 0.080 mm/year; d) the mean circumference of …

Current Tests For Tubal Patency: Their Study And Comparison, Asghar Afsari, Robert J. Thompson

Henry Ford Hospital Medical Journal

Two hundred patients have been reviewed in whom culdoscopy or laparoscopy was performed for infertility study. During these two procedures, methylene blue was injected through an endocervical cannula for detection of tubal patency under direct visualization. When compared with 89 patients tested by utero-tubal insufflation and hystero-salpingography, results indicated that direct visualization of the tubes and dye hydrotubation appears to be the most reliable method. HSG proved to be the second most reliable method with a failure rate of 19.2%. The least accurate procedure in this study was UTI with CO₂ gas, where the failure rate was 24.7%. The …

Dissecting Aneurysm Of The Aorta: Diagnosis, Treatment And Prognosis, Hahn J. Lee, Ellet H. Drake

Henry Ford Hospital Medical Journal

The records of 13 patients with proven dissecting aortic aneurysm were studied with particular attention to the diagnosis, treatment, and prognosis in each case. The three essential steps in reaching an early correct diagnosis included (1) history and physical examination, (2) serial chest x-rays and (3) aortography. Electrocardiogram and SCOT and LDH measurements seem to be of value only when incompatible with the diagnosis of acute myocardial infarction. Significant differences between Type 1 and Type 3 dissections were observed in their clinical manifestations, results of treatment and natural prognosis.

Diagnosis And Treatment Of Gonorrhea, Paul A. Kvale

Henry Ford Hospital Medical Journal

The various methods for diagnosis of gonorrhea are reviewed. Gram-stained smear of urethral exudate in the mate is appropriate, but for the female emphasis is placed on the use of culture on Thayer-Martin medium. Currently effective modalities of treatment are detailed, pointing out that higher doses of antibiotics are generally required for females with pelvic inflammatory disease than for males with acute gonococcal urethritis. The necessity for follow-up is also discussed.

Using A Participating Relationship To Improve Teen-Age Unwed Mother's Self-Esteem, Linda Gail Reeves

Loma Linda University Electronic Theses, Dissertations & Projects

The study was to provide an approach to help teen-age unwed mothers increase their feelings of self-esteem and thereby attain a conceptual buffer for better coping with life. Self-esteem was defined as individual perception of the worth of oneself relative to that of significant others. The hypothesis tested was that the participating relationship a community health nurse has with a teen-age unwed mother will significantly increase the mother's self-esteem as measured by statistical Q-Sort analysis.

A convenience sample of twenty teen-age unwed mothers was obtained from referrals from San Bernardino County Health, Welfare, and Probation Departments. The girls were between …

Double Contrast Arthrography Of The Knee, Peter C. Larowe, Robert S. Ormond, Edwin Guise

Henry Ford Hospital Medical Journal

Arthrography is a safe and relatively simple diagnostic procedure which provides an accurate and graphic preoperative means of defining pathology of the knee. In those cases where the expeditious evaluation and diagnosis of knee injury are of prime importance, ie, the athlete and industrial compensation case, arthrography provides a significant contribution. The clinical pathological features, salient anatomy and technic of study of internal derangements of the knee are discussed. Selected double contrast arthrograms illustrate normal and abnormal findings. Arthrotomies were performed in 20 of the 32 patients in this study with a positive arthrogram-arthrotomy correlation of 85%.

Quantitation Of Aortic Valvular Insufficiency Using Radioactive Tracers: An Experimental Study In Vitro, Frank J. Hildner, William R. Pierson, Bernard Weinstock, Ellet H. Drake, Robert S. Ormond

Henry Ford Hospital Medical Journal

A method has been developed in vitro for quantitation of aortic valvular insufficiency (Al) based on the use of ladioactive traceis lo genei-ate graphic recordings of the movement of blood out of the ventricle and back again. The regurgitant fraction of stroke volume (peirent of Al) is read from this recording. The method was evaluated in a mechanical heart model by comparing Al values read from the istope recordings and Al values determined volumetrically. The recordings gave excellent agreement with the volumetric results (Corr. Coeff. .9). These in vitro results are of such quality that clinical trials seem justified.

Complications Of Pulmonary Angiography, D. T. Anbe, E. H. Drake

Henry Ford Hospital Medical Journal

Although data are available indicating the complication rates for routine cardiac catheterization, information has been lacking on the morbidity of pulmonary angiography in symptomatic patients. This retrospective study was undertaken to assess the "risks" of this procedure, by analyzing all cases undergoing pulmonary angiography from June 10, 1964. to December 31, 1967. Only two deaths were considered to be causally related to the pulmonary angiogram, a mortality rate of 1.4%. The overall complication rate was 15%. There was no correlation of the complications with the average age, or the concentration of the Hypaque used. There was a correlation between complications …

Alcaptonuria And Ochronosis With Diabetes Mellitus And Mycosis Fungoides: A Case Report, Jamshed U. Haq, Roy B. Patton

Henry Ford Hospital Medical Journal

A Negro woman with alcaptonuria, ochronosis, ochronotic arthropathy, diabetes mellitus and mycosis fungoides died of acute renal failure due to diabetic glomerulonephropathy and ochronotic nephrosis. The role of the renal lesions of ochronosis is presented in potentiating the effect of an underlying renal disease producing rapidly progressive kidney failure. The occurrence of ochronosis, diabetes mellitus and mycosis fungoides is apparently coincidental only. Special stains of tissue sections confirm the similarity of melanin and ochronotlc pigment.

Cation Transport I. Metabolic Activity Of The Polyphosphoinositide Complex In Isolated Renal Cortex Tubules, Paul Bartlett, James F. Bossart

Henry Ford Hospital Medical Journal

Although several mechanisms have been proposed to explain the transport of hydrophylilc cations across lipoprotein barriers, the nature and identity of the carrier mechanism have not yet been elucidated. The present communication is concerned with a mechanism postulating that monoesterified phosphate on the inositol moiety of phosphatidyl inositol might provide anionic sites that function as cation carriers via a phosphorylation-dephosphorylation cycle, catalyzed in its simplest sequence by phosphatidyl inositol kinase and diphosphoinositide phosphomonoesterase activities. In this context, one might reasonably expect that turnover of monoesterified phosphate in the polyphosphoinositides of isolated renal cortex tubules would be reduced in tubules in …

Aqueous Microbiology: The Possible Role Of Cell Wall Deficient Bacteria In Uveitis, Philip C. Hessburg, Lioa H. Mattman, Carolyn Barth, Lloyd T. Dutcheshen

Henry Ford Hospital Medical Journal

Samples of aqueous humor were obtained from the anterior chamber of patients with uveitis. Bacterial L-forms, or cell wall deficient forms, were recovered from 11 of 19 eyes with unexplained uveitis. These bacterial variants were cultured on newer, highly specialized media and stained with acridine orange. This stain demonstrates fluorescence of nucleic acids under UV microscopy.