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The Pulmonary Component Of The Second Sound In Right Ventricular Failure, Paul D. Stein, Hani N. Sabbah, Daniel T. Anbe, Mario Marzilli

Henry Ford Hospital Medical Journal

Sound within the pulmonary artery was measured in 24 patients to determine if right ventricular failure modifies the amplitude of the pulmonary component of the second sound (P2). The amplitude of P2 in eight patients with right ventricular failure secondary to pulmonary hypertension (2610 ± 370 dynes/cm2) did not differ from P2 in eight patients with pulmonary hypertension not accompanied by right ventricular failure (3120 ± 710 dynes/cm2). In both groups, the amplitude of P2 exceeded control subjects (520 ± 70 dynes/cm2) (P < .001 and P < .01, respectively). The maximal rate of development of the pressure gradient across the closed pulmonary valve was higher in patients with right ventricular failure (580 ± 100 mm Hg/sec) than in control subjects (150 ± 30 mm Hg/sec) (P < .001) and maximal negative dp/dt was also higher in patients with failure (750 ± 70 mm Hg/sec vs 190 ± 20 mm Hg/sec) (P < .001). The maximal rate of change of the diastolic pressure gradient correlated linearly with maximal negative dp/dt (r=.89). These observations indicate that P2 is accentuated in patients with right ventricular failure secondary to pulmonary hypertension. The accentuation results from the augmented rate of development of the diastolic pressure gradient, which reflects an augmented right ventricular negative dp/dt. Therefore, an accentuated P2 remains valid as a clinical sign of pulmonary hypertension whether or not right ventricular failure occurs.

Ards And Cerebral Infarction Complicating Mycoplasma Pneumonia In Sickle Cell Trait, Mark I. Pensler, Jan R. Radke

Henry Ford Hospital Medical Journal

A patient with Down's syndrome and sickle cell trait developed the adult respiratory distress syndrome and cerebral infarction during infection with Mycoplasma pneumoniae. The slow recovery of pulmonary function was unrelated to antimicrobial therapy. Sickle cell trait may be a risk factor for severe M. pneumoniae infection. The possible underlying mechanism for this relationship is explored, and the relationship between sickle cell trait, cold agglutinins, and the cerebral infarction is discussed.

1980 Beaumont Lecture: Restriction Enzymes As Tools For Genetic Research, Hamilton O. Smith

Henry Ford Hospital Medical Journal

No abstract provided.

Systematic Treatment Of Chronic Pain With Antidepressants, Dietrich Blumer, Mary Heilbronn, Edgard Pedraza, Gerald Pope

Henry Ford Hospital Medical Journal

Patients with chronic pain who do not have significant physical symptoms present a characteristic clinical-psychological profile and show a high incidence of depressive traits (inactivity, depressive mood, anhedonia, and insomnia). This syndrome is termed pain-prone disorder and represents a form of masked depression par excellence. A series of 129 patients with pain of 6.9 years' duration was divided into three treatment groups. Two psychiatrists prescribed antidepressants systematically by promptly increasing doses and by alternating antidepressants if indicated. Significant improvement or freedom from pain was achieved in most patients who complied with treatment.

The third psychiatrist did not follow the systematic …

Henry Ford Hospital Clinicopathological Conference: Metamorphosis In Chronic Granulocytic Leukemia In A 60-Year-Old Man

Henry Ford Hospital Medical Journal

No abstract provided.

Dissecting Aneurysm Of Aorta Complicating Coarctation Of The Aorta: Case Report And Brief Literature Review, Remigio Garcia, Julius M. Ohorodnik, Donald J. Magilligan Jr.

Henry Ford Hospital Medical Journal

The incidence of dissecting thoracic aorta aneurysm complicating coarctation of the aorta ranges from 1.7 to 23% in large series of coarctation of the aorta reported. In a review of 95 cases of dissection of the aorta, we found only one case with associated coarctation of the aorta. The presence of this anomaly, although rare, should be suspected and searched for in younger patients with dissection, in view of the surgical implications at the time of correction.

Use Of The Intraocular Lens In The Aphakic Eye - Part 1: The Anterior Chamber Intraocular Lens, Philip C. Hessburg

Henry Ford Hospital Medical Journal

Th;s paper reviews some reasons why many ophthalmic surgeons do not implant intraocular lenses. It presents some parameters of a theoretically "ideal" lens, some of the disadvantages and advantages of the currently available anterior chamber intraocular lenses, and lastly, it offers designs for a new anterior chamber intraocular lens. While preserving the advantages of currently available anterior chamber intraocular lenses, the new designs may have certain advantages. Currently under investigation, the new lenses may be available for use in man within the next year.

Geophysical Surveys For Buried Waste Detection At The Idaho National Engineering Laboratory, U.S. Department Of Energy

All U.S. Government Documents (Utah Regional Depository)

This report describes a series of geophysical surveys performed at the Idaho National Engineering Laboratory (INEL). The main purpose of the surveys was to evaluate techniques, principally ground-penetrating radar, for detecting and mapping radioactive wastes buried in shallow trenches and pits.

Comparison Of Personality Traits Of Female Athletes And Non-Athletes At John Brown University, Lynn Best

Masters Theses

No abstract provided.

The Effect Of A Single Period Of Aerobic Exercise On The Concentration Of Serum Cholesterol In Humans, Stanley B. Blank

Masters Theses

No abstract provided.

The Effect Of Post-Hospital Nursing Intervention On Success In Breastfeeding, Melinda Hoskins

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to compare the proportion of women in the experimental group who had a successful breastfeeding experience following post-discharge nursing intervention with the proportion of women in the control group who had a successful breastfeeding experience without nursing intervention. Criteria defining success in breastfeeding were established before the study. Chi-square analysis was used to test for significance with the preset level of significance being α = 0.05. The sample comprised 25 mother-infant dyads with 12 in the experimental group and 13 in the control group. Both groups were similar in type of delivery (spontaneous or …

Pigeon Associated People Diseases, Walter Weber

Bird Control Seminars Proceedings

Feral pigeons (Columbia livia) are not harmless birds. Many potential infections of humans silently exist in pigeons which are not apparent. They have the potential for transmission of over 30 diseases to humans plus another ten to domestic animals. Environmental pollution from pigeon droppings is quite evident. Air pollution involves more than noxious gases from automobile exhausts and belching smokestacks. One serious air pollutant is air-borne fungi, which are agents for infectious diseases. There is much information written about the problem, but it remains primarily in the professional journals and technical references, neatly stacked away on library shelves. …

John W. Rebuck Md, Phd, Raymond W. Monto

Henry Ford Hospital Medical Journal

No abstract provided.

Sequential Electron Micrography Of Sickling, J. W. Rebuck, R. M. Sturrock, R. W. Monto

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1979 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

2 | The Mace

3 | The Academic Procession

5 | Candidates for Degrees

10 | Awards

The Management Of Iatrogenic Chylous Ascites, Joseph W. Lewis, Edward H. Storer

Henry Ford Hospital Medical Journal

Iatrogenic chylous ascites, although extremely rare, appears to follow direct lymphatic injury during intra-abdominal surgery or to be due to specific postoperative complications such as pancreatitis. Statistically, truncal vagotomy has produced the largest number of cases. Any noticeable lymphatic injuries at the time of surgery should be controlled with appropriate sutures or clips. If iatrogenic chylous ascites develops postoperatively, a course of conservative treatment including multiple paracenteses should be tried for several weeks if reasonable nutritional balance can be maintained. If fluid volume does not diminish or the patient's nutritional status is jeopardized, early exploration should be undertaken. A lipophilic …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

Evaluation Of A Simplified Measurement For Low Glomerular Filtration Rates With Lndium-111 Dtpa, L. E. Preuss, R. S. Michaels, F. P. Bolin, N. W. Levin, C. Artman

Henry Ford Hospital Medical Journal

A rapid new method for measuring glomerular filtration rates using 111In diethylenetriamine pentaacetic acid (111In- DTPA) was evaluated with 39 patients who showed marked impairment of renal function (creatinine clearance less than 20 ml/min). A simple, single compartment system was assumed. For comparison, parallel inulin and creatinine clearances were performed. High linear correlations (r = 0.96-0.97) were demonstrated when 111In- DTPA clearances were compared with the standard nonisotopic tests. Initial data indicate that reliable isotopic clearance values could be obtained for low clearances by withdrawing only two blood samples for assay at 6 and 48 hours after isotope injection (without …

Portal Hypertension In Children: Three Case Reports And Review Of Recent Progress In Treatment, Philip J. Howard

Henry Ford Hospital Medical Journal

The diagnosis and surgical management of extrahepatic portal hypertension in infants and children have improved dramatically in the last 50 years, as evidenced by the reported mortalities of 46% in 1928-1935 and only 12% in 1974. The diagnosis Is often evident from the first sudden gastrointestinal bleeding Incident and can be verified quickly with fiberoptic esophagoscopy and x-rays. The surgeon has a choice of multiple shunt procedures to control portal pressure.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1979, Loma Linda University

Commencement Programs

CONTENTS

2 | 1979 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

26 | Awards

27 | Academic Costume

Rheumatoid Arthritis, Jeanne M. Riddle

Henry Ford Hospital Medical Journal

No abstract provided.

Hunter-Gatherer/Agriculturalist Arthritic Patterns: A Preliminary Investigation, Robert B. Pickering

Henry Ford Hospital Medical Journal

No abstract provided.

Vertebral Osteophytosis In Dickson Mound Populations: A Biomechanical Interpretation, George A. Clark, Jack A. Delmond

Henry Ford Hospital Medical Journal

No abstract provided.

The Impact Of Rheumatic Disease On Society, James C. Leisen, Howard Duncan

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Ankylosing Spondylitis, Carlina V. Jimenea

Henry Ford Hospital Medical Journal

No abstract provided.

Gout And Pseudogout, Gilbert B. Bluhm

Henry Ford Hospital Medical Journal

No abstract provided.

Arthritis: A Radiologic Overview, Gordon H. Beute

Henry Ford Hospital Medical Journal

No abstract provided.