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Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Pseudomonas Arthritis And Osteomyelitis In Heroin Addiction: Report Of Three Cases, Paul M. Ross, Robert C. Nestor, Kent K. Wu

Henry Ford Hospital Medical Journal

Pseudomonas-caused sternoclavicular arthritis and osteomyelitis has received little attention in the medical literature. The authors present three cases including one case of bilateral sternoclavicular joint involvement. Prompt recognition, operative debridement, and institution of adequate chemotherapy result in dramatic clinical response.

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.

Treatment Of The Hyperventilation Syndrome, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

A review oi the literature on the hyperventilation syndrome reveals a variety of treatment approaches and a virtual absence of controlled studies of this common problem. Attempts to treat the condition by changing the respiratory pattern through mechanical means can be traced back to the first century A.D. The "paper bag method" of treatment has many psychological drawbacks and is often unsuccessful. Several avenues of drug treatment have been explored: acidifiers, minor tranquilizers, antidepressants, and stimulants. Reports of success with insight-oriented intensive psychotherapy are scarce. Some forms of group psychotherapy have been tried with success. The model of the "medical …

Villous Adenoma Of The Appendix: A Case Report, R. P. Pai, C. Grodsinsky

Henry Ford Hospital Medical Journal

Villous adenoma of the appendix was found in an inflammatory mass in the ileocecal area. The patient presented with signs of acute abdomen. On an emergency basis, with an unprepared bowel, exteriorization of the ileocecal area was thought to be the procedure of choice.

Methadone And Its Rationale In The Treatment Of Narcotic Dependency, Walter J. Cassidy

Henry Ford Hospital Medical Journal

An effective methadone maintenance program must do more than dispense measured doses in a well-organized clinic. It should attempt to effect changes in the patient's personality and coping mechanisms, social situation, and other conditioning factors which maintain his involvement in narcotics.

Purpura Fulminans Secondary To Serratia Marcescens Septicemia, Thomas L. Connolly, John R. Fischer

Henry Ford Hospital Medical Journal

A 35-year-old woman developed Serratia marcescens septicemia and purpura fulminans with evidence of disseminated intravascular coagulation. She was successfully treated with heparin sodium and antibiotics.

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Maternal/Infant Care: A Systems Approach To Organizational Structures And Services Of Community Agencies, Nancy B. Carlson

Dissertations

No abstract provided.

Transforming The Orientation Of A Health Organization Through Community Involvement, Sharon Pastor Simson, Laura J. Bleiweiss

The Journal of Sociology & Social Welfare

Health organizations have been oriented to meeting needs and fulfilling demands which are perceived and defined by physician providers (Freidson, 1970 Stevens, 1971). Organizational goals, services, structures, and processes of operation were formulated in accordance with the interests, values, and concerns of provider-members. Latent to this provider orientation was the assumption that professional members were the ones most qualified to determine what was best for the organization and for its consumers (Freidson 1971). In recent times, however, numerous social changes have occurred on a societal level and within the institution of medicine (Hepner, 1972; Somers, 1971; Rosengren and Lefton, 1969). …

Cystic Duct Cholangiography, Leo Chaikof, T. L. Friedlich, R. A. Affifi, H. Weizel

Henry Ford Hospital Medical Journal

A series of 837 cystic duct cholangiograms has been reviewed. The technique is simple and safe to carry out. It is not time consuming and does not require any unusual equipment. It has reduced the incidence of common duct exploration and has decreased the incidence of retained common duct stones. It is stressed that, unless the operative cholangiogram fulfills the criteria of a normal cholangiogram, especially in relation to size and tapering of the tower end of the duct, then common duct exploration should be earned out. Its almost routine use can only increase the general quality and accuracy of …

Sphincterotomy For Biliary And Pancreatic Disease: Indications And Technique, Jorge Puig La Calle, Francisco Badosa

Henry Ford Hospital Medical Journal

Division of the sphincter of Oddi has a definite place i n the surgical treatment of disorders of the biliary tract and pancreas. Sphincterotomy may be indicated as a matter of necessity; for convenience (utility), and as a prophylactic measure (for security). The papilla may be conveniently exposed by antegrade bougienage with filiform passed through the common duct before duodenotomy. The first hundred and the last hundred of a series of 400 sphincterotomies were reviewed. In the first group, the procedure was done in almost onethird of the opera tions forbiliaryand pancreatic disease, while in the second group, it was …

Surgical Implications Of Intestinal Amebiasis, Eduardo Camacho

Henry Ford Hospital Medical Journal

Three thousand two hundred fifty cases of intestinal amebiasis (25%), out of 13,000 consecutive cases, were studied. It was found that 2,275 (70%) had clinical manifestations of the disease, and 975 (30%) were carriers. From the 2,275 with abdominal signs, 1,250 cases (51%) resembled the clinical picture of the chronic irritable colon syndrome. Antiamebic therapy was effective in all of these cases. On the other hand, 1,255 (49%) had acute and severe manifestations of amebic-ulcerative proctocolitis with serious complications, including amebic granulomata (40 cases or 3.2%) and ulcer perforation (14 cases or 1.2%). Because amebic ulcerative proctocolitis is dangerous, the …

Traumatic Fat Embolism: Recent Clinical Experience In Combined Arterial Injury And Long Bone Fracture, John F. Lee, Roger F. Smith, Joseph P. Elliott Jr.

Henry Ford Hospital Medical Journal

Fat embolization is a frequent accompaniment of long bone fracture; however, this phenomenon only occasionally leads to the clinically recognized traumatic fat embolism syndrome. Three recent cases are presented of fat embolization following long bone fractures and associated with penetrating arterial injury. Consequences illustrated ranged from asymptomatic fat globules in the urine, through serious pulmonary insufficiency, to central nervous system damage with death. Treatment should be directed at effective mechanical ventilatory support to avoid hypoxemia.

Clinical Experience With Radioisotopic Powered Cardiac Pacemakers, Nicholas P. D. Smyth, Tomas Hernandez, Alvin Johnson

Henry Ford Hospital Medical Journal

Significant increase in the useful lifetime of the implantable cardiac pacemaker has been made possible by the development of a radioisotope power source. This paper reports experience with two models, the AEC-ARCO Nu-5 (fixed rate) and the Medtronic Model 9000 (ventricular inhibited demand). Five of the former models were implanted in 1973, and six of the latter more recently. Both types of units have functioned well.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Foreword, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.

The Relationship Of The Cold Nodule To Carcinoma Of The Thyroid, Douglas M. Evans

Henry Ford Hospital Medical Journal

Fifty-two cases with histologically proven carcinoma of the thyroid were studied. With some variation as to the expected incidence of the several cell types of tumor, possibly due to the small size of this series, the distribution of these cases encompassed all histologic types. Fifty-three (53%) percent of the cases where pre-operative I131 scans were recorded showed a positive, or "cold" scan. Fifty-five (55%) percent of all lesions showed extension of disease beyond the confines of the thyroid gland. This experience indicates that, although thyroid scintiscans provide useful information to be correlated with other data, there are distinct limitations to …

Colon Interposition In The Management Of Total Gastric And Esophageal Stricture Following Lye Ingestion, Walter H. Janke, Ing-Sei Hwang

Henry Ford Hospital Medical Journal

A case is presented in which ingestion of 300 CCS of liquid lye as a suicidal attempt resulted in caustic esophagogastritis, followed by a fibrotic process involving the entire esophagus and stomach down to the first portion of the duodenum. Successful colon bypass was performed from the cervical esophagus to the second portion of the duodenum.

Surgical Treatment Of Chronic Pancreatitis, Carlos Grodsinsky

Henry Ford Hospital Medical Journal

Over a two-year period, 30 patients with chronic pancreatitis have been observed by the author. Thirteen had surgical treatment. Three had laparotomy and drainage only when recurrence of acute inflammation was encountered. One had excision of a cyst of the tail of the pancreas. Another had drainage of a retroperitoneal necrotic collection. A patient with duodenal stenosis from scarring of the head of the pancreas was treated by gastro-jejunostomy. Seven patients had subtotal pancreatectomies. There was no mortality in the latter group, and six are asymptomatic. Information about the duct may be obtained in many cases by endoscopic retrograde cannulation, …

Vagotomy With Pyloroplasty Or Antrectomy: A Comparison Of Results In The Treatment Of Duodenal Ulcer, Richard L. Collier, John H. Wylie Jr.

Henry Ford Hospital Medical Journal

During the years 1970-73, 776 operations were performed for the relief of duodenal ulcer. Truncal vagotomy was done in all cases, and to this was added antrectomy in 92 cases and pyloroplasty in 24 cases. In the followup, three-fourths of the patients in both groups said they were satisfied with the result. There were four recurrences in the smaller pyloroplasty group. In this series, antrectomy with vagotomy appears to be the best operation for duodenal ulcer disease.

Diffuse Lymphoma Of Small Intestine And Colon: Case Report With Discussion, S. A. Swenson Jr., James L. Omel

Henry Ford Hospital Medical Journal

A case is reported of malignant lymphoma of the small and large bowel associated with ulcerative colitis. Primary lymphoma of the gastrointestinal tract is relatively uncommon. The dual association with colitis is rare. Prior to laparotomy, diagnosis of lymphoma is difficult because, of the many possible presenting complaints, none are specific. Treatment is basically surgical excision with postoperative radiation.

The Management Of Small Carcinomas Of The Rectum And Distal Sigmoid Colon, M. A. Block

Henry Ford Hospital Medical Journal

Of 23 patients with carcinomas less than two centimeters in diameter located in the rectum and distal sigmoid colon, evidence of invasion was present in seven. Resections were performed for six patients, with two eventually dying from the carcinoma. Individualized management should consider the presence or absence of invasive carcinoma, appropriate resection for invasive carcinoma, biopsy of the base of the lesion if feasible when observation is planned, repeated sigmoidoscopic examinations for noninvasive carcinoma, and later resection if recurrence with invasion develops. Although approximately half of the carcinomas were associated with villous tumors, this factor was not significant in the …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Exploration Of The Incidence Of Identified Emotional Disorders In Selected General Hospitals Of Nebraska, Arlene M. Van Horn

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive-comparative survey using content analysis of medical records has been done to determine the frequency with which emotional disorders are identified by medical personnel in the population hospitalized in small general hospitals in north-central Nebraska.

A systematic, random sample of medical records was taken from two hospitals arbitrarily included in the study on the basis of bed capacity and distance from mental health facilities.

Each medical record that was reviewed has been placed in a category based on whether an emotional disorder was identified in it by the medical personnel, or whether it contained recorded behaviors that could indicate …

Relief Society Grain Storage Program, 1876-1940, Jessie L. Embry

Theses and Dissertations

This thesis will describe and interpret the development of this Relief Society wheat storage program from its inception in 1876 to 1940 when the program was transferred to the General Church Welfare Committee. Emphasis will be placed on the sisters' attempts to store grain and the problems they encountered. The thesis will also discuss the effects of outside forces on the program and the different ways the sisters used the grain. The final chapter will deal with the relationship between the movement and the history of the Relief Society and its parent organization, the Mormon Church.

Oral History Interview: Josephine R. Gorby, Josephine R. Gorby

0064: Marshall University Oral History Collection

Josephine Gorby was born on February 24, 1908. She began her teaching career in a one-room school in Wimmer, McDowell County, WV. In 1931 she began teaching in Lawrence County, OH. Mrs. Gorby’s interview focuses on growing up on a farm near Proctorville, OH, her experiences as an educator, her family’s experience during World War I, and the 1937 flood of the Ohio River and its tributaries. In the audio clip provided, Mrs. Gorby discusses the impact of the 1937 flood on the school house in Athalia, OH. During her interview, she also focuses on the construction and use of …

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.