Digital Commons Network^™

A Practical Approach To Infantile Apnea, Gregory Preston

Henry Ford Hospital Medical Journal

No abstract provided.

Setting Up An Adolescent Clinic In A Suburban Pediatric Office Group Practice, Patricia K. Stoltz, Kathleen B. Blumer

Henry Ford Hospital Medical Journal

Teenagers in the United States experience significant mortality and morbidity because of high-risk behaviors. Adolescents need routine health supervision aimed at reducing these risks. A Teen Clinic within the Pediatrics Clinic at the Henry Ford Hospital Fairlane Center offers separate facilities, longer appointments, and an emphasis on adolescent issues. This plan is a model for practitioners in various office settings who seek to improve adolescent care.

Isolated Cataplexy: A Familial Study, Kristyna M. Hartse, Frank J. Zorick, Jeanne M. Sicklesteel, Thomas Roth

Henry Ford Hospital Medical Journal

Four members of a family, a mother, her two sons, and the mother's second cousin, presented with a history of isolated cataplexy without excessive daytime sleepiness or other symptoms typical of narcolepsy. They were polygraphically monitored during one night followed by a day of multiple nap tests. No subject manifested objective daytime sleepiness as measured by short latencies to sleep onset during daytime naps, and no subject exhibited periods of sleep onset rapid eye movement sleep in either the night or nap recordings. The incidence of isolated cataplexy in this family was traced by history through six generations. We conclude …

The Development Of Pediatrics In The United States, Jay H. Mayefsky

Henry Ford Hospital Medical Journal

No abstract provided.

Duplication And Deletion 11q23-Q24 Recombinants In Two Offspring Of An Intrachromosomal Insertion ("Shift") Carrier, Miriam G. Forsythe, Hugh Walker, Lester Weiss, Jacquelyn R. Roberson, Maria J. Worsham, V. Ramesh Babu, Daniel L. Van Dyke

Henry Ford Hospital Medical Journal

Few examples of intrachromosomal insertions have been described. These usually result from deletion of a segment of chromosome material, with insertion of the deleted material elsewhere on the same chromosome. Previous insertional translocations have been identified through a proband who has either a deletion or a duplication of the inserted segment. We describe a family which has two probands, one with a duplication and one with a deletion of the inserted segment. The unbalanced chromosomes probably resulted from an uneven number of crossovers between the breakpoints in the chromosome 11 of the father, who carries a balanced intrachromosomal insertion of …

The Circumcision Decision: A Plea For Informed Consent, Theresa Spinelli

Henry Ford Hospital Medical Journal

No abstract provided.

Ua12/1 Apple Tips, Vol. I, No. 1, Wku Apple

WKU Administration Documents

Newsletter created by APPLE a planned program in life enrichment regarding drug and alcohol awareness programs.

Spinal Osteoporosis, Charles H. Chesnut Iii

Henry Ford Hospital Medical Journal

No abstract provided.

Allied Disciplines, Stephen M. Krane

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1988 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

16 | Awards

Lowell D. Holmes's Review Of Paul T. Baker, Joel M. Hanna, And Thelma S. Baker's The Changing Samoans: Behavior And Health In Transition, Lowell D. Holmes

Pacific Studies

No abstract provided.

The Application Of The Peabody Developmental Motor Scales Administered To 20 Developmentally Delayed Children, Jan H. Henderson

Community & Environmental Health Theses & Dissertations

The purpose of this research was to provide physical and occupational therapists with empirical data and clinical information that will enable them to better understand and utilize the Peabody Developmental Motor Scales (PDMS) in the assessment of children who potentially may need physical and/or occupational therapy. The PDMS was administered to 20 developmentally delayed children between the ages of 24 and 83 months, who were receiving both physical and occupational therapy in the Chesapeake Public School System. The PDMS was also administered to 20 normal subjects between the ages of 24 and 77 months that were volunteers from the PTA …

Osteoporosis As A Community Health Problem: Lessons Learned From Studying Hypertension, Michael Kleerekoper, Dorothy A. Nelson

Henry Ford Hospital Medical Journal

Campaigns to increase the medical and lay communities' awareness and understanding of the problems of unrecognized and untreated hypertension have led to a progressive decline in morbidity and mortality from hypertension-related diseases. While osteoporosis is also a community health problem, educational and awareness campaigns are still in their infancy and decades may pass before these result in a declining morbidity and mortality from osteoporosis. We identify areas where concepts learned from years of hypertension research might be applicable lo the study of osteoporosis as a community health problem and thereby lessen the time needed to effect a declining morbidity and …

Obesity And Hypertension: A Review, Khaled Imam, James R. Sowers

Henry Ford Hospital Medical Journal

Hypertension is an important risk factor for cardiovascular morbidity and mortality. Obesity is often associated with hypertension. This strong association can be attributed to several pathophysiological changes which occur in obese subjects: increased salt and caloric intake, increased blood volume, increased cardiac output, increased basal as well as stress-stimulated sympathetic nervous system activity, hyperinsulinemia, and a relative increase in renin and aldosterone. Obesity usually increases the preload and causes an eccentric cardiac hypertrophy, while hypertension increases the afterload and causes concentric cardiac hypertrophy. When both obesity and hypertension occur in the same patient (as is often the case), they present …

Biophysical Methods For Estimating In Vivo Body Composition: The Determination Of The Adipose Compartment, Luther E. Preuss, Frank P. Bolin

Henry Ford Hospital Medical Journal

The status of the human body's major components (adipose mass, lean mass, body water, etc) and their change with time are of clinical importance. Deviation of these body components from a stable condition may be imposed by nutrition or disease, and a return to the normal body state may be brought about by appropriate medical care. Thus accurate quantitation of these components is an important goal. This field of study can be traced to the early 1800s, with a major thrust starting in the 1940s and continuing lo the present. The last four decades have shown an accelerated development of …

Morbidity And Treatment Of Clinically Important Obesity: An Internal Medicine Perspective, J. David Fachnie

Henry Ford Hospital Medical Journal

Obesity is defined as an excess storage of energy in the form of fat. The internist generates a differential diagnosis of etiologic factors and examines the patient carefully. Obese persons are counseled on all medical risks of obesity. Choices for treatment vary according lo the severity of the obesity, and alternative dietary treatments include a balanced-deficit diet or a very low calorie diet. Weight loss can be predicted by applying specified equations. With severe obesity, multidisciplinary treatment is needed. Anorexic agents have limited value because of their side effects and because of weight increase after discontinuing therapy. Obesity is not …

Obese Father William Meets A Physician, J. David Fachnie

Henry Ford Hospital Medical Journal

No abstract provided.

Minnesota Multiphasic Personality Profiles Of The Morbidly Obese, Philip J. Lanzisera, Allan Dehorn, Carolyn Macdonald, Conni Sroka, J. David Fachnie

Henry Ford Hospital Medical Journal

Minnesota Multiphasic Personality Inventory profiles of 132 morbidly obese individuals participating in a protein-sparing modified fast were examined via factor analytic methods yielding five interpretable psychometric factors. The results support the hypothesis that the morbidly obese are a psychologically heterogeneous population which can be subdivided conceptually. However, the findings fail to support the hypothesis that any particular psychopathology is intricately linked to the development of morbid obesity.

Blood Pressure Changes And Weight Changes In Hypertensive Patients In An Inner-City Clinic, A. David Goldberg, Frits Van Der Kuyp, Pamela C. Keenen

Henry Ford Hospital Medical Journal

The association of obesity and hypertension has been clearly established. Despite evidence that weight loss reduces blood pressure, this aspect of treatment is often not stressed. We studied the effects of nutritional intervention in a group of inner-city, predominantly black, hypertensive patients to determine resultant blood pressure changes. Weight reduction was achieved by 57% of the patients, with a loss of more than 4.5 kg (10 lb) in 18%. Changes in weight were highly correlated with blood pressure changes. Correlations were greater for systolic than diastolic pressures, for pressure measured in the standing than the supine position, and for men …

Surgery For Morbid Obesity: A Continuing Challenge, Brack A. Bivins, Farouck N. Obeid, H. Mathilda Horst, Victor J. Sorensen

Henry Ford Hospital Medical Journal

No abstract provided.

Occurrence Of Alzheimer Disease In Michigan: An Epidemiologic Review Of Rates And Risk Factors, Christine Cole Johnson

Henry Ford Hospital Medical Journal

Alzheimer disease is a progressive degenerative neurological disorder of insidious onset characterized by the deterioration of cognitive functioning. Little is known about the etiology and epidemiology of this condition. The only risk factor consistently associated with Alzheimer disease is advancing age. As the population of the elderly continues to grow, many public agencies, including those in Michigan, are concerned about social, personal, and financial implications and seek estimates of the number of people with dementia. To date, mortality rates based on vital statistics have been noninformative because Alzheimer disease is difficult lo diagnose clinically and has been considered to be …

Commencement Program 1988, Loma Linda University

Commencement Programs

CONTENTS

2 | 1988 Events of Commencement

3 | Academic Procession

4 | The Speakers

8 | The Honorees

12 | The Zapara Awards

Order of Programs

• School of Medicine, 14
• School of Dentistry, 20
• Graduate School, 26
• School of Nursing, 31
• School of Public Health, 35
• College of Arts and Sciences, School of Business and Management, and School of Education, 41
• School of Allied Health Professions, 52

How Do Harpacticoid Grazing Rates Differ Over A Tidal Cycle? Field Verification Using Chlorophyll-Pigment Analyses, Alan W. Decho

Faculty Publications

Four species of meiobenthic copepods were examined for diatom feeding. Microscopic analysis of gut-pellet contents from field-collected individuals indicated frequent ingestion of diatoms by 3 harpacticoids (Scottolana canadensis, Microarthridion littorale, Cletocamptus deitersi) while occasional diatom ingestion occurred Paronychocamptus huntsmani. Frustules were usually empty and broken, indicating that contents were digested. Laboratory experiments using ¹⁴C-labeling showed assimilation of diatoms by the 3 species examined. Field grazing rate studies were conducted over different portions of a tidal cycle using fluorescent chlorophyll-pigment analysis of gut-contents. Highest diatom consumption (p<0.05) occurred just after the mudflat became exposed (i.e. Early Low Water level, ELW) for S. canadensis, while consumption at Late Low Water …

The Development And Application Of A Multiple Regression Equation That Predicts The Sum Of Triceps And Subscapular Skinfolds In Children Ages 10-18, Pamela Luna-Raffy

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to develop a tool to predict the sum of triceps and subscapular skinfolds in children ages 10-18. In addition, school-based weight management programs were reviewed.

Skinfold calipers are often used to assess body fat percentage, particularly in non-clinical settings, test sites recommended by researchers are the triceps and The subscapular skinfolds. Recently, however, educators have reported two concerns about using skinfold calipers in the schools: (1) Specialized training and equipment are required, and (2) individuals must remove their clothing from selected test sites.

For schools where the use of calipers present problems, it seemed …

An Evaluation Of Injury Incidence And Typology In Industry, Shirlee Ann Brooks

Community & Environmental Health Theses & Dissertations

In a retrospective study, 84 subjects treated for industrial injuries at one urgent care center during one calendar year were analyzed. The parameters evaluated were type of industry engaged in, type of injury sustained, and body part affected by the injury. All subjects were categorized within these parameters. Statistical analysis was performed by frequency distribution and Chi Square. Results obtained showed a statistically significant difference in distribution of various types of injuries that affected different body parts. It also revealed a significant difference in the distribution of types of injuries incurred by workers in different types of industry. It failed, …

The Relationship Between Multiple Health Factors, Demographics, And Body Weight, Glenda J. Potter

Community & Environmental Health Theses & Dissertations

The purpose of this study was to test the relationship between regular aerobic exercise and body weight. It was the intent of this study to determine if a person who regularly exercises at either high or moderate levels can maintain their body weight at desired levels as specified by the Body Mass Index (BMI). The participants in this study were selected from hospital employees, class members of aerobic classes and/or adult walkers/joggers. There were 38 participants-- 13 males and 25 females.

A self administered questionnaire and a 3-day, 24-hour dietary log were identified to comprise the instrument as well as …

A Mathematical Model Of Lung Static Pressure-Volume Relationships: Comparison Of Clinically Derived Parameters Of Elasticity, William Benish, Peggy Harper, Joseph Ward, John Popovich Jr.

Henry Ford Hospital Medical Journal

We constructed a simple model of lung distensibility in which the relationship between pressure (P) and volume (V) is of the exponential form obtained empirically: V = a+ becP , where a, b, and c are constants, and e is the base of the natural logarithm. The model lung is idealized as a frictionless diaphragm moving in a cylinder. Diaphragm movement is impeded by a variable force (F). By assuming that the rate of change of F is proportional to the inverse of the distance of the diaphragm from a maximal distance, the pressure-volume relationship assumes the above exponential form. …

A Double-Blind Trial Of Protriptyline In The Treatment Of Sleep Apnea Syndrome, Edward J. Stepanski, William A. Conway, David K. Young, Frank J. Zorick, Robert M. Wittig, Thomas Roth

Henry Ford Hospital Medical Journal

Eight male subjects with sleep apnea syndrome were given placebo and protriptyline in a double-blind crossover design to evaluate the effects of protriptyline on respiration during sleep. Treatment with protriptyline produced significantly better oxygenation and significantly fewer arousals during sleep, but sleep staging was unchanged. The decreased number of respiratory events approached significance and was much greater in six of eight subjects. A rapid eye movement sleep-suppression explanation of the improvement in oxygenation is not supported. Alternative explanations of these findings are discussed.

Sleep-Wake Complaints And Their Relation To Sleep Disturbance, De Ton, Frank J. Zorick, Timothy A. Roehrs, Robert M. Wittig, Jeanne M. Sicklesteel, Thomas Roth

Henry Ford Hospital Medical Journal

This report is a comparison of patients presenting with 1) an insomnia complaint diagnosed as no objective findings. 2) insomnia diagnosed as being associated with a psychiatric disorder, and 3) daytime sleepiness diagnosed as no objective findings. The sleep of patients with insomnia diagnosed as no objective findings is comparable to that of patients with daytime sleepiness diagnosed as no objective findings and is significantly better than that of patients with insomnia associated with a psychiatric disorder. Significant differences were found in sleep induction, sleep maintenance, and overall sleep efficiency. No major differences were found among any of the groups …

A Prospective Randomized Comparison Of A Single Antibiotic (Moxalactam) Versus Combination Therapy (Gentamicin And Clindamycin) In Penetrating Abdominal Trauma, Theodore Fifer, Farouck N. Obeid, H. Mathilda Horst, Victor J. Sorensen, Larry D. Crots, Brack A. Bivins

Henry Ford Hospital Medical Journal

From July 1 to December 31, 1983, 50 consecutive patients undergoing abdominal exploration for penetrating abdominal trauma from stab and gunshot wounds were prospectively randomized to receive postinjury, preoperative antibiotic coverage with moxalactam (2 g intravenously every 12 hours) or a combination of gentamicin (3 to 5 mg/kg/day in three equal doses administered every eight hours) and clindamycin (600 mg intravenously every six hours). No intraabdominal abscesses or wound infections developed, and no direct evidence of toxicity of the antibiotic regimens developed in either group. In the study group, moxalactam therapy was an effective alternative to the combination antibiotic regimen. …