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Quality Of Life After Bilateral Adrenalectomy In Men 2, M. Telenius-Berg, M. A. Ponder, B. Berg, B. A. J. Ponder, S. Werner

Henry Ford Hospital Medical Journal

Pheochromocytoma is a major cause of morbidity and mortality in the multiple endocrine neoplasia type 2 (MEN 2) syndrome. For the physician, surgical treatment seems well justified even though bilateral adrenalectomy will induce iatrogenically complete loss of adrenocortical function. For the patient this treatment may be a cause of medical problems as well as worry. We have evaluated quality of life after bilateral adrenalectomy in 27 MEN 2 patients through a combined oral and written approach. Mortality was low (one of 27), as was serious morbidity. Most patients had adapted well to the postadrenalectomy state. However, fatigue, worry, and noncompliance …

Localization Of Metastases From Medullary Thyroid Carcinoma Using Different Methods, Rosa C. Cabezas, Luis Berna, Montserrat Estorch, Ignacio Carrio, Angeles Garcia-Ameijeiras

Henry Ford Hospital Medical Journal

We analyzed the efficiency of three different noninvasive methods in the localization of recurrent medullary thyroid carcinoma (MTC). Nine patients (six females and three males) with biochemical evidence of disease after primary surgery were subjected to anti-carcinoembryonic antigen (anti-CEA) antibody, meta-iodo-benzylguanidine (MIBG), and computed tomography. Another female patient, in biochemical remission for six years after initial surgery, was also studied using the same methods. Three of the ten patients had negative results with all three methods (including the patient in remission). The other seven patients showed abnormal uptake of labeled anti-CEA antibody in various localizations: only two of these patients …

Evaluation Of Indian Community Alcoholism Programs., D. Christiansen, H. Hansen

Native Health Database Full Text

A med calendar was designed and used to improve medication compliance among Navajo Indian patients in Shiprock. New Mexico. Improvement in med compliance was noted in over 70% of the patients.

Commencement Program 1989 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

16 | Awards

An Analysis Of Selected Family Life Education Curricula, Phoebe Terry Butler

Community & Environmental Health Theses & Dissertations

The purpose of this study was to examine the content of family life education curricula in Virginia's public schools and determine its appropriateness for the mentally handicapped students. It was the intent of this study to determine if existing curricula were designed to address the needs of mentally handicapped students according to a standard curricula designed by the American Association for Health, Physical Education and Recreation and the Sex Information and Education Council of the United States. The 15 participants of this study were selected from a random sample of 69. The response rate was 20.2%.

A letter soliciting family …

The Aids Project Newsletter, Vol.2, No.5 (July 1989), David Ketchum, The Aids Project

AIDS Project Newsletter (1987-1991)

No abstract provided.

Identification And Ranking Of Stressors In Nuclear Medicine Technology, Scott R. Sechrist

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify the most significant stressors in the field of nuclear medicine technology. A sample of convenience of 25 nuclear medicine technologists was used to generate a list of 35 stressors specific to the occupation. Sixty-three randomly selected nuclear medicine technologists responded to a mailed questionnaire which asked the technologist to assess the relative stressfulness of each of the 35 items on a scale of "0 to 1000". Data from the 59 valid responses indicated that equipment malfunctions, add on exams, uncooperative physicians, lack of staff, and uncooperative patients were the most significant stressors …

Recurrent Leukemia Cutis In Acute Myeloblastic Leukemia, Reda A. Girgis, Howard Terebelo, Koichi Maeda

Henry Ford Hospital Medical Journal

We report the case of a 64-year-old female with acute myeloblastic leukemia (French-American- British classification: M2) who developed two specific cutaneous manifestations during her illness. She presented with extensive cellulitis involving the face, neck, and upper chest wall. While the cellulitis resolved with antibiotic therapy, a fungating ulcerated nodule remained on the lower lip which proved to be leukemic on biopsy. Concomitant blood and bone marrow findings were diagnostic of acute myeloblastic leukemia. The lip lesion cleared with a course of chemotherapy. An erythematous macular rash subsequently developed over the lower trunk which was thought to be an allergic reaction …

Myasthenia Gravis, Stanton B. Elias

Henry Ford Hospital Medical Journal

No abstract provided.

Clinical And Laboratory Features Of Small Left Atrial Myxomas, Gerardo A. Polanco, Mohsin Alam, Allan M. Haggar, Remigio Garcia

Henry Ford Hospital Medical Journal

No abstract provided.

A Suggested New Approach To Supraventricular Tachydysrhythmia After Coronary Bypass Surgery, Walter Kao, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.

Toxic Shock-Like Syndrome Associated With Necrotizing Streptococcus Pyogenes Infection, Thomas J. Connolly, Donald J. Pavelka, Eugene F. Lanspa, Thomas L. Connolly

Henry Ford Hospital Medical Journal

Two patients with toxic shock-like syndrome are presented. Both patients had necrotizing cellulitis due to Streptococcus pyogenes, and both patients required extensive surgical debridement. The association of Streptococcus pyogenes infection and toxic shock-like syndrome is discussed.

Ulceroglandular Tularemia: A Typical Case Of Relapse, Stanley D. Miller, Michael B. Snyder, Michael Kleerekoper, Colby H. Grossman

Henry Ford Hospital Medical Journal

Tularemia is an infectious disease that continues to occur sporadically and in epidemics in the United States. It is characterized as an acute febrile illness with constitutional symptoms associated with skin, glandular, respiratory, or gastrointestinal involvement. Tularemia usually can be treated effectively with streptomycin. Relapse most often occurs when patients are treated with bacteriostatic agents such as chloramphenicol or tetracycline. We present a case of ulceroglandular tularemia distinguished by its relapse after initial streptomycin/doxycycline therapy and subsequent slow response to additional streptomycin.

Orf: A Case Report, Brent W. Mohr, David Katz

Henry Ford Hospital Medical Journal

Ecthyma contagiosum (orf), a viral disease endemic to sheep and goats, can be zoonotically transmitted to humans through contact with infected animals. While the disease is common among sheep and goat herders worldwide, it comes to medical attention infrequently since it is generally a mild self-limited illness. We recently treated a healthy 36-year-old female who presented with bullous lesions on her fingers and a diffuse macular rash which had developed after antibiotic therapy for her bullae. She had been caring for her neighbor's goats which had recently been ill with "sore mouth." We discuss this case of orf and review …

Anthropometric Parameters In Public School Students And Seventh-Day Adventist Vegetarian And Meat-Eating Students, Joan Sabaté-Casellas

Loma Linda University Electronic Theses, Dissertations & Projects

Concerns have been expressed for the ability of some vegetarian diets to support normal growth of children. Animal protein or meat intake showed a positive relationship to attained height in children from developing countries. In this study, the relationship between meat intake/vegetarian status and physical growth was investigated in children living in California.

Height and weight were collected on 2,272 Caucasian children aged 6-18 years attending Seventh-day Adventist (SDA) or public schools who participated in a two year longitudinal study. Age-, sex-, and school-specific mean heights and weights were at or above the national reference values. Sex-specific, age-adjusted regression analysis …

Motivation And Job Satisfaction Of Direct Care Mental Health Practitioners In A Residential Treatment Center, Joann Zitt

Community & Environmental Health Theses & Dissertations

The purpose of this study was to determine the general Job satisfaction level of direct care mental health employees and to determine any significant differences in Job satisfaction levels between fulltime and part-time employees. The sample consisted of 60 direct care mental health employees In a residential treatment center in Virginia. There were 28 respondents for a 47% response rate.

The 20 item Minnesota Satisfaction Questionnaire (Short Form> and a demographic questionnaire were the survey instruments used. Respondents were satisfied with 13 Instrument items and undecided about seven of the items. Statistically significant differences occurred in relation to demographic variables …

Misfit Between Motivational Style And Type Of Job Demand As A Factor In Developing Occupational Stress, Arlene Gray Blix

Loma Linda University Electronic Theses, Dissertations & Projects

Occupational stress is costly in terms of human suffering and impaired organizational effectiveness. Occupational stress involves the interface between the individual worker and the work environment. The purpose of the study was to analyze the fit between motivational style and the type of job demands as a contributing factor in developing occupational stress symptoms. A literature review of occupational stress models was conducted. The six models compared and contrasted included the Person-Environment fit model (French, Rodgers, & Cobb, 1974), Integrative Transactional Model (Schuler, 1982), Organizational Stress Models (Ivancevich & Matteson, 1987; Parker & DeCotiis, 1983), Facet Analysis Model (Beehr & …

The Use Of Musical Wind Instruments As An Expiratory Therapy With Chronic Obstructive Pulmonary Disease Patients, Ellen R. Griggs Drane

Masters Theses

The use of musical wind instruments as an expiratory therapy with Chronic Obstructive Pulmonary Disease (COPD) patients was compared to the traditional inspiratory treatment of the Inspiratory Muscle Trainer (IMT) during a twelve week pre - posttest study. Sixteen subjects, attending an out patient respiratory rehabilitation program, were randomly assigned to either the experimental group, receiving musical wind instruments, or the control group, receiving the IMT.

Measures for the study were: Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC) as measured by the Pulmonary Function Test; physical endurance measured by the Twelve Minute Walk Endurance Test; …

Health Status And Perceived Health Care Needs Of Female Veterans Of The Armed Services, Nancy Einstein Camp

Community & Environmental Health Theses & Dissertations

The purpose of this study was to assess the occurrence of genderspecific health problems within the female veteran population of Tidewater, Virginia. A secondary purpose was to determine the perceived quality of care which the Veterans Administration delivers. The study was accomplished by receiving 149 mailed questionnaires regarding health status and health care received from the Veterans Administration. Chi square was utilized to determine significant differences between branch of service served and heal th status. Army veterans had significantly higher incidences of heart disease, diabetes and stomach ulcers. Among the other branches of service (Air Force. Navy, Marines, Coast Guard), …

Religious Commitment As A Predictor Of Health Behavior And Health Status In A Selected Population, Donald George King

Loma Linda University Electronic Theses, Dissertations & Projects

Religious beliefs and behaviors are multidimensional and they profoundly determine the ways we respond to health and illness, suffering and death. Researchers have designed numerous scales to measure different dimensions of religious commitment, beliefs and behaviors. A thorough review of the literature has shown general relationships between religion and health, but no researcher has developed an instrument measuring dimensions of religious commitment specifically relevant to health behaviors.

In this study, scale items were developed to measure three dimensions of religious beliefs thought by Kenneth Vaux (1976) to be related to health behavior--purity of life, peace in existence, and belief in …

A Computer-Aided Instruction Electrical Safety Course, Edward John Gusciora

Theses

It is the purpose of this thesis to show how computerized training can be used in helping to create an effective safety program. Through example, a complete electrical safety program will be developed for workers whose jobs do not pertain directly to electrical installations, but who use them through the course of their daily work activities. A computer-aided instruction module on electrical safety will be developed for presentation to workers on an IBM compatible computer.

Importance of Thesis

Too often safety factors go into the design criteria of a piece of equipment or a manufacturing process and do not extend …

The Aids Project Newsletter, Vol.2, No.3 (May 1989), David Ketchum, The Aids Project

AIDS Project Newsletter (1987-1991)

No abstract provided.

Children Raised By Homosexual Parents: Sexual Orientation, Mental & Sexual Health, Theresa Gramlich

Masters Theses & Specialist Projects

Sex and morals have often been factors in custody disputes. Courts have felt that giving custody of children to homosexual parents would create an environment not in the best interest of the child. Many mental health professionals argue that these decisions have been based on prejudice and homophobia. The purpose of this study was to evaluate research on the sexual orientation of children raised by homosexual parents and review data on the mental/psychosexual health of these children. These studies revealed no difference between children raised by gay/lesbian parents versus those raised by heterosexual parents on IQ scores, gender identity, or …

Reliability Of Q-Angle Measurement, Elisabeth Ann Grusheski

Community & Environmental Health Theses & Dissertations

Various methods of measuring the Q-angle are reported in the literature. The reliability of these measurement methods has not been established. The purpose of this study was to examine the intra- and inter-tester reliability of a method for measuring the Q-angle using a goniometer. The measurement method was performed on 40 normal, healthy subjects who volunteered to participate in the study. There were 27 female subjects and 13 male subjects.

Two physical therapists (Tester 1 and Tester 2) took repeated Q-angle measurements. Measurements were taken on the same day with an interval of five to 10 minutes between measurements. Measurements …

An Analysis And Evaluation On Printed Materials Used In Genetic Counseling, Janet L. Macarthur

Community & Environmental Health Theses & Dissertations

The purpose of this study was to examine printed educational materials on five specific genetic disabilities and evaluate them for appropriateness of reading level and for inclusion of several specific issues related to the adequacy of the literature. Publicly available literature was analyzed using the Flesch-Kincaid Readability Formula and content analysis to estimate readability and to test for the presence of a definition of the disorder, a description of the basic genetics of the disorder and its symptomology, references to support groups and references for further information.

The data indicate that a definition of the disorder was included in 85% …

The Aids Project Newsletter, Vol.2, No.1 (March 1989), David Ketchum, The Aids Project

AIDS Project Newsletter (1987-1991)

No abstract provided.

Improvement In Left Ventricular Systolic Function After Pericardiocentesis: Case Report, Gary S. Salem, Robert A. Genovese, Mohsin Alam, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.

Screening For Adenocarcinoma Of The Prostate, Brian J. Miles

Henry Ford Hospital Medical Journal

No abstract provided.

Primary Fibrinolysis In Acute Monocytic Leukemia, Ellis J. Van Slyck, Sundara B. K. Raman, Nalini Janakiraman

Henry Ford Hospital Medical Journal

We present the case of a young man with acute monocytic leukemia (French-American-British classification:M5) and systemic hyperfibrinolysis with severe bleeding. Although fibrinolysis is usually mild and secorulary to disseminated intravascular coagulation, its role as a primary and dominant factor in rare cases of leukemia warrants that its presence be sought as a cause of abnormal bleeding. Decreased serum plasminogen and increased serum plasmin determined by synthetic substrate assay and a negative protamine paracoagulation test are crucial findings. Use of high-dose epsilon-aminocaproic acid was effective in treating this complication. A transient increase in fibrinolytic activity coincident with the early effect of …

Pleural Effusion In Michigan Caused By Coccidioides Immitis After Travel To An Endemic Area, Christopher M. Hughes, Paul A. Kvale

Henry Ford Hospital Medical Journal

Primary coccidioidal disease is rarely diagnosed in the midwest in the nonimmunocompromised host. Since coast-to-coast travel is common today, many patients may become exposed to Coccidioides immitis while traveling in endemic areas. We present a case of acute coccidioidal pleural effusion in a Michigan woman who had recently visited northeastern Arizona. Her travel history was the single most important factor in the eventual diagnosis of coccidioidal pleural effusion.