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Management Of Advanced Endodermal Sinus Tumor Of The Ovary With Preservation Of Reproductive Function, Michael L. Hicks, Shari L. Maxwell, Wooshin Kim

Henry Ford Hospital Medical Journal

Endodermal sinus tumor of the ovary occurs primarily in children and young adults. This tumor is classified as a germ cell tumor which comprises approximately 5% of all ovarian tumors. In the past, patients with this highly malignant tumor had low survival. However, with the evolution of effective adjunctive chemotherapeutic regimens, specifically vincristine, actinomycin D, and cyclophosphamide, survival rates have improved. In an attempt to continuously improve survival rates, other combination chemotherapeutic regimens are currently under investigation. Unlike epithelial ovarian malignancies, endodermal sinus tumor can be monitored by a specific tumor marker, alpha-fetoprotein (AFP). Serum levels of AFP can be …

Home Safety-The Challenge To Public Health, Ray Ranson

The Journal of Sociology & Social Welfare

Home accidents are now a leading cause of death and injury particularly in young children and the elderly. For example, 3.1 million accidents occur in the home every year in the United Kingdom with no signs of diminishment. More effective systems of accident recording, monitoring, investigation, intercollaboration and education are urgently needed to redress this epidemic. More attention needs to be given to preventive safety design in architect training and adoption of home safety design standards and legislation. The major threat to public health which home accidents represent must not go unchallenged.

Ua12/2/1 College Heights Herald, Vol. 65, No. 34, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Poynter, Chris. Pearce-Ford Tower Dwellers Asking for Breath of Fresh Air
• Howard, Laura. Still Here, Paul Cook’s Duties Mount
• Lockert, Anya. Officials Blame ’83 Act for Low Ratio of Blacks – Desegregation Plan
• Regents Ask for Students’ Opinions
• Bricking, Tanya. More Cooks to Stir Recipe for Budget – Thomas Meredith
• Committee Will Study Athletic Reports
• Rubber Ducky Business Has Holiday Boom
• Wessling, Susan. Group Works to Ban Public Smoking
• Students Need AIDS Education
• Chattin, John. Editorial Cartoon – AIDS Skeleton
• Bright Ideas Projecting New Image …

Management Of Swallowing Disorders: A Program For Professionals Working In Rural Areas, Kathleen D. Sims Mcsd/Ccc-Slp, Sue Reinsel-Garcia Otr/L, Kathy M. Love Ma/Ccc-Slp, Elizabeth Kohler Ed.D., O.T.R., University Of Montana Rural Institute

Health and Wellness

Research indicates that 74% of all nursing home patients experience eating difficulties sometime during their stay (Trupe, Siebens, & Siebens, 1984). Additionally, 59% of patients suffering from stroke experience some degree of dysphagia and aspiration difficulties (Echelard, Thoppil, & Melvin 1984). A significant number of the high risk dysphagia patients described above suffer from life threatening aspiration pneumonia. Consequently the management of swallowing disorders (Dysphagia) is of critical concern to hospital and nursing home personnel. Patients specficially at risk for dysphagia, according to recent studies, include those with head injury, stroke (CVA), and cerebral palsy. Also, patients experiencing cancer of …

Domestic Violence: Physicians A Link To Prevention, Mary Guinan

School of Public Health Faculty Research

Domestic violence may result in more injuries and fatalities for women than automobile crashes, muggings, and rapes combined, but according to a recent editorial, physicians largely ignore the problem. Evidence showed that a majority of women treated at an emergency facility for injuries resulting from violent acts of spouses or other persons known to the victims were discharged without any arrangement being made for their future safety. Physicians rarely inquired about an injury victim's past sexual or physical abuse, living arrangements, or future prospects of safety.

Amwa Endorses Uniform Mammography Screening, Mary Guinan

School of Public Health Faculty Research

Breast cancer is gaining on us at an increasing rate each year. In 1990 in the United States alone we expect about 145,000 new cases and 45,000 breast cancer deaths in women. What are we doing about it? What is AMWA doing, and what are women physicians doing- for themselves and their patients? Can we do anything? The answer is yes, we can. We can reduce mortality considerably if the cancer is detected early. The five-year survival rate for women with breast cancer diagnosed in its early (localized) stages is 90%, but for women with cancer diagnosed after it has …

La Conservation Des Forêts Au Népal: Encourager La Participation Des Femmes, Augusta Molnar

Poverty, Gender, and Youth

Ce numéro de SEEDS porte sur les moyens mis en oeuvre pour faire participer les femmes à un programme gouvernemental visant à preserver et à restituer la forêt au Népal. Comme il arrive fréquemment lors de la mise en place de projets aussi vastes ayant une portée generale, les femmes n'étaient pas un centre d'intérêt spécifique au moment de la conception du projet. Cependant, lorsque les activités ont demarré, les responsables népalais du projet et leurs collègues de l'étranger se sont tres vite rendus compte que le succès du programme dépendait de la participation directe des femmes aux activités du …

The Nutritional Value Of Selected Northeast Iowa School Lunch Programs, Sharon Kay Ubben

Dissertations and Theses @ UNI

The purpose of this study was to assess the nutritional value of selected Northeast Iowa school lunch programs. This was done by analyzing a consecutive five day sample of the main line lunch from 6 rural schools and 1 metropolitan school. Mean daily nutrient values were obtained through the use of the Dine System for diet analysis. Comparisons were made between the elementary and secondary school lunch programs and also with one-third of the recommended dietary allowances (RDA) and between the urban and rural school programs. Mean nutrient value for energy, protein, sodium, potassium, vitamin A, vitamin C, iron, and …

The Nature And Extent Of Health Promotion Programs In Bremer And Black Hawk Counties, Iowa, Barbara Nellis Bishop

Dissertations and Theses @ UNI

This study was designed to describe the nature and extent of health promotion programs in Bremer and Black Hawk Counties, Iowa. A questionnaire was designed and mailed to 74 organizations and agencies in these two counties. The study was delimited to an employee population of 100 and above. Results of the study were based on responses received from 62 (88.6%) of these organizations and agencies. Descriptive statistics were used in analyzing the data, Subjects were asked whether or not their organization currently offered a full or partial health promotion program for employees. Of the 72.6% of the organizations which did, …

Nutrition Knowledge Of Wait Staff In 24-Hour, Full Table Service Restaurants, Donna Jean Fischer

Dissertations and Theses @ UNI

The purpose of this study was to investigate the nutrition knowledge of wait staff in 24-hour, full menu/table service restaurants. Also explored was the relationship of sex, age, education level, average number of hours worked per week, total length of employment as a wait staff member, and personal dietary interest to knowledge of nutrition in wait staff. In the fall of 1990, 160 questionnaires were delivered to wait staff at eight 24-hour, full menu/table service restaurants in the Waterloo/Cedar Falls area. The instrument was designed to obtain data concerning nutrition knowledge, and elicit the selected demographic information. The information received …

Man/Hombre/Homme: Meeting Male Reproductive Health Care Needs In Latin America, Debbie Rogow, Judith Bruce, Ann Leonard

Poverty, Gender, and Youth

This edition of Quality/Calidad/Qualité answers the following question: how can family planning programs understand and better serve the interests of men? The proposals in the article are derived from the experience of PRO-PATER, in São Paulo, Brazil, and briefly, from the activities of the Profamilia Men’s Clinic in Colombia. The experiences of both PRO-PATER and Profamilia suggest that, although the reproductive health needs of men may be different from those of women, they are still very interested. It is clear that there is abundant demand for high-quality services that offer convenience, confidentiality, information, attentive providers, and attention to reproductive health …

Hospital Quality Assurance And Outcomes Of Hospitalization, Patricia A. Rowell

Theses and Dissertations

This study was undertaken to address the need of professionals responsible for assuring the quality of hospital care for a framework for understanding and evaluating quality assurance mechanisms and their impact on hospital quality of care. Primary data were collected from 70 Virginia short term acute care general hospitals on the design and resources of their quality assurance programs in 1986. Adverse outcome data for 1986 were collected from the Medical Society of Virginia Review Organization. Hospital structural data were obtained from the American Hospital Association computer data base and the Federal Register. The intermediate outcome variables are: rate of …

Indian Health Service Managed Health Care Strategies Workshop, Indian Health Service

Native Health Database Full Text

During the week of November 5-8, 1990, the Indian Health Service sponsored the Managed Health Care Strategies Workshop for tribal health programs and interested lHS staff. As part of the continuing effort to seek methods to improve health care delivery, this training workshop provided practical management tools to achieve cost savings while ensuring that health care procured from the private sector is appropriate in terms of cost and quality.

A Decade Of A Maturing Epidemic: An Assessment And Directions For Future Public Policy, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The author's goal in this article, is not merely to propose public health strategies for the future, but also to examine why government has been so slow, so equivocal, in its public health response to the acquired immune deficiency syndrome (AIDS) epidemic. He argues that there has been a fundamental ambivalence in perceptions of the epidemic. For some, AIDS is perceived as a disease, with sympathy for sufferers. Once AIDS is viewed as a disease, like other catastrophic diseases, it follows that public policy will be based upon science and epidemiology--health education, research and treatment.

For others, AIDS is caused …

Assisted Noncoital Reproduction: A Comparative Analysis, George P. Smith Ii

Scholarly Articles

This article, written in the last ten years of the 20th century, presents an historical metric of geopolitical, socio-legal, ethical, medical, and religious responses to noncoital reproduction in Australia, Britain, Germany, and the United States — as well as the various efforts of the United Nations — to protect reproductive freedoms as human rights. From this analysis will come an understanding of how these responses shape normative values, principles, regulatory policies and laws which in turn seek — at various levels — to monitor and even control scientific inquiry, advance social justice and safeguard procreative liberties for women. The U.S. …

Health Effects Of Air Pollutants (Sulfur Dioxide, Ozone, And Carbon Monoxide), Robert A. Bethel

Air Quality Protection in the West (November 27-28)

19 pages (includes illustrations).

Contains references.

To The U.S. Department Of Transportation: Comments Of The Environmental Defense Fund On The Secretary Of Transportation’S National Transportation Policy, Robert E. Yuhnke

Air Quality Protection in the West (November 27-28)

20 pages.

Agenda: Air Quality Protection In The West, University Of Colorado Boulder. Natural Resources Law Center

Air Quality Protection in the West (November 27-28)

Conference organizers, session moderators and/or speakers included University of Colorado School of Law professor Mark S. Squillace.

Visibility, acid rain, air toxics, and urban air pollution are the topics of an upcoming Center conference on air quality in the West. The conference will be held at the School of Law in Boulder on November 27-28, 1989. Presentations will describe the nature and scope of the issues, the existing legal framework and experience with its implementation, and proposed changes in the law. Emphasis will be placed on air quality issues in the West and efforts underway to address these problems. Special …

Toxic Air Pollution: New Solutions To Old Problems, Devra Lee Davis, Curtis Moore

Air Quality Protection in the West (November 27-28)

12 pages.

Ua12/2/1 College Heights Herald, Vol. 65, No. 19, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Hernes, Thomas. Officials Seek Gift for Recreation Center – Preston Health & Activities Center
• Lawson, Jamie. Graduate Ron Jerrell Tells 400 His Story of AIDS
• Summers, Kaye & Allison Tutt. Hilltopper Athletic Foundation Raises Support, $660,000
• Summers, Kaye & Allison Tutt. Students, School Lend Services to Athletics
• Eugene Evans to Outline Goals at Open Forum
• Potter Lot Closed Until Tomorrow
• University Logo to be Unveiled Today
• Kinslow, Gina. Central Women Get Tucked In – Minton Hall, Barnes-Campbell Hall
• Green, Travis. Associated Student Government Wants AIDS …

Ua66/13/4 The Ahec Vision, Vol. 1, No. 1, South Central Kentucky Ahec

WKU Administration Documents

Newsletter created by and about the South Central Kentucky Area Health Education Center.

The Safety Of Maximal Exercise Testing, Larry W. Gibbons, Steven N. Blair, Harold W. Kohl Iii, Kenneth H. Cooper

Faculty Publications

Previous reports on the safety of exercise testing have been based on surveys from different testing facilities with a variety of testing protocols and patient types. From 1971 through 1987, 71,914 maximal exercise tests conducted in a population with a low prevalence of known coronary heart disease under uniform conditions at a single medical facility resulted in six major cardiac complications including one death. No complications have occurred in the past 10 years in 45,000 maximal tests. The overall cardiac complication rate in men and women is 0.8 complications per 10,000 tests with 95% confidence intervals of 0.3-1.9 complications per …

The Importance Of Screening For Medullary Thyroid Carcinoma In Families Of Patients With Men 2, A. Frilling, P. E. Goretzki, L. Bastian, H. D. Roeher

Henry Ford Hospital Medical Journal

Family .screening for medullary thyroid cancer (MTC) is important for detecting members of multiple endocrine neoplasia type 2 (MEN 2) families who may be gene carriers but show no clinical evidence of the disease. Most members of our MEN 2 families are screened yearly by measuring basal and pentagastrin-stimulated calcitonin (CT) levels. A 15-year-old first-degree relative of an affected member of the D-kindred showed a normal basal and an elevated stimulated CT level. Clinical examination, ultrasonography, and scintigraphy were normal. Thyroidectomy and bilateral neck dissection revealed a multicentric MTC with no lymph node involvement. In the O-kindred we detected elevated …

Men 2a: Update On The Northern Ireland And Australian Family, Patrick J. Morrison, David R. Hadden, Colin J. Russell, Norman C. Nevin

Henry Ford Hospital Medical Journal

The Northern Ireland/Australian family with multiple endocrine neoplasia type 2A (MEN 2A) originally described in 1987 is presented with a revised and enlarged pedigree. Four members of the first generation studied have died. A seventh member of the second generation studied has developed medullary thyroid carcinoma and has progressed to surgery. None of the third generation members studied has shown any conclusive abnormality in metabolic screening tests. Each member of the third and fourth generations has had genetic counseling and (if appropriate) DNA analysis with gene probes close to the MEN 2A gene locus on chromosome 10. All members of …

Ua68/10/1 Dare In Nashville Schools 1988-89, John Faine

WKU Administration Documents

This report summarizes the results of a partial evaluation of the 1988-89 Drug Abuse Resistance Education (DARE) effort implemented in all sixth grades in the Nashville, Tennessee, Metropolitan Public School system by trained instructors from the Nashville Metropolitan Police Department. As documented in the following pages, the evaluation effort had two major components.

1. An evaluation of the program by teachers and principals in all the participating schools.

2. Inner-City Study, an investigation designed to assess the impact of the program in elementary and middle schools that service those students thought to be most at risk to the threat of …

Screening For Pheochromocytoma In The Men 2 Syndrome, J. Kotzerke, C. Stibane, H. Dralle, H. Wiese, W. Burchert

Henry Ford Hospital Medical Journal

Twenty-two patients with the multiple endocrine neoplasia type 2 (MEN 2) syndrome were screened for pheochromocytoma since it is a major cause of morbidity in MEN 2 families. Clinical symptoms, biochemical parameters, ultrasound, computed tomography or magnetic resonance imaging, and meta-iodo-benzylguanidine (MIBG) scintigraphy were evaluated for detection of adrenal tumors. Clinical symptoms and plasma or urine catecholamines appeared to be nonspecific, whereas MIBG scintigraphy was highly specific and the most sensitive parameter. Patients older than age 30 should be scintigraphically screened at least once despite the radiation exposure. Demonstration of only slight uptake is not an indication for surgery but …

Abstracts From The Third International Workshop On Men 2

Henry Ford Hospital Medical Journal

No abstract provided.

Closing In On The Men2a Locus, Nancy E. Simpson, Kenneth K. Kidd

Henry Ford Hospital Medical Journal

The mapping of the locus for multiple endocrine neoplasia type 2A (MEN 2A) to chromosome 10 using linkage is briefly reviewed including a discussion of linkage strategy and reference to some of the exclusions before the assignment. The subsequent development of the map of the centromeric region of the chromosome and the linking of what appear to be the four closest flanking markers and the centromeric alphoid sequence to the disease locus are reviewed. To date no recombination has been observed between the centromeric marker and the MEN2A locus among, at least, 26 informative meioses, 11 of which are phase …

Postoperative Pentagastrin-Stimulated Serum Calcitonin Concentrations In Patients With Medullary Thyroid Carcinoma: Reoperations In Patients With Concentrations Bordering The Detection Limit, Hinrich Meybier, Heinrich Schmidt-Gayk, Heinz Buhr, Friedhelm Raue

Henry Ford Hospital Medical Journal

The case reports on two patients with medullary thyroid carcinoma show that even postoperatively stimulated serum calcitonin (CT) concentrations near the detection limit (using a polyclonal antibody against synthetic CT) can demonstrate persistent disease. Stimulated CT concentrations can be lowered to nondetectable levels by a second and third operation if a meticulous technique is used for dissection of the lymph compartments. The patient can then be assumed lo be cured. Diagnostic accuracy at very low CT concentrations can be improved by selective venous catheterization with blood sampling for CT after stimulation.

Familial Cutaneous Lichen Amyloidosis In Association With Multiple Endocrine Neoplasia Type 2a: A New Variant, D. T. Donovan, M. L. Levy, E. J. Furst, B. R. Alford, T. Wheeler, J. A. Tschen, R. F. Gagel

Henry Ford Hospital Medical Journal

Multiple endocrine neoplasia type 2A (MEN 2A) is a rare hereditary disease transmitted in families as an autosomal dominant trad. We have identified a family in which the expression of a rare autosomal dominant form of cutaneous lichen amyloidosis appears to cosegregate with MEN 2A. In this family the skin lesion presented as multiple infiltrated papules overlying well demarcated plaques over the scapular area (right or left). Immunohistochemical studies demonstrated amyloid which stained for keratin but not calcitonin. A total of 19 members were screened. Three members of the family have the characteristic skin lesion and MEN 2A; two additional …