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The Calcitonin Assay And Multiple Endocrine Neoplasia Type 2 Syndromes: Historical Footnote, Kenneth E. W. Melvin

Henry Ford Hospital Medical Journal

No abstract provided.

Register Of Multiple Endocrine Neoplasia Type 2 Syndromes In The United Kingdom, Bruce A. J. Ponder

Henry Ford Hospital Medical Journal

A collaborative group for the study of multiple endocrine neoplasia type 2 (MEN-2) syndromes comprised of clinicians and laboratory scientists has been set up in the United Kingdom. Its aims are 1) to provide a basis for collaborative work on MEN-2; 2) to establish a register of patients; 3) and specifically to conduct studies aimed at defining the best policy for screening the families of apparently sporadic patients, to establish radioimmunoassays for family screening, and to identify large kindreds for genetic linkage studies using DNA polymorphisms.

Screening For Hereditary Medullary Cancer In Denmark, Kristian Emmertsen

Henry Ford Hospital Medical Journal

Screening of first-degree relatives of patients with medullary thyroid cancer (MTC) gave normal values of pentagastrin-stimulated serum calcitonin and 24-hour urinary catecholamine levels in the relatives of 18 of 22 patients. This result is considered to be valid evidence for sporadic MTC. Absence of C-cell hyperplasia maybe another indication of sporadic MTC. Four hereditary MTCs were represented by one fully expressed MEN-2B patient without affected relatives, one fully expressed MEN-2A case in one family, and two first cousins with MTC as the only MEN-2A lesion in another family. Fourteen relatives of the MEN-2A patients had elevated serum calcitonin levels, and …

Familial Medullary Carcinoma Of The Thyroid: Clinical Studies In Northern New England, Walter W. Noll, L. Herbert Maurer, Victoria L. Herzberg, Paul J. Beisswenger, Brian M. Quinn, Charles C. Cate, Jane P. Bassick, Patricia A. Clark, Thomas A. Colacchio

Henry Ford Hospital Medical Journal

No abstract provided.

Multiple Endocrine Neoplasia Type 2 Syndromes In Japan, Shin-Ichiro Takai, Akira Miyauchi, Hideo Matsumoto, Tatsuro Ikeuchi, Tetsuro Miki, Kanji Kuma, Yuichi Kumahara

Henry Ford Hospital Medical Journal

Through nationwide surveys, we collected and analyzed 242 patients of medullary thyroid carcinoma (MTC). Included were 40 patients with multiple endocrine neoplasia type 2A (MEN-2A), six patients with MEN-2B, and 36 patients with only MTC having a positive family history (82 total patients in the hereditary group). Ten-year survival rates were 81.5% for all cases, and 97.5% and 76.1% for the hereditary and the sporadic group, respectively. Epinephrine/norepinephrine ratio in the urine was found to be a good indicator of the adrenomedullary hyperfunction in patients with hereditary MTC. At least one patient in each family with hereditary MTC had overt …

A French Canadian Family With Multiple Endocrine Neoplasia Type 2 Syndromes, Maurice B. Verdy, Marcel Cadotte, Walter Schurch, William C. Sturtridge, Jacques Cantin, Andrée M. Weber, André Lacroix, Cynthia Forster-Gibson

Henry Ford Hospital Medical Journal

No abstract provided.

Scintigraphy With 1-131 Mibg As An Aid To The Treatment Of Pheochromocytomas In Patients With The Multiple Endocrine Neoplasia Type 2 Syndromes, James C. Sisson, Brahm Shapiro, William H. Beierwaltes

Henry Ford Hospital Medical Journal

We reviewed the scintigraphic images made after injections of 1-131 metaiodobenzylguanidine (MIBG) or 1-123 MIBG in patients with multiple endocrine neoplasia (MEN) types 2A and 2B. The information we obtained was applied to three questions about the treatment of pheochromocytoma in patients affected with these syndromes. Our first question "When should adrenal gland(s) be removed?" was not directly answered. However, adrenalectomy generally should not be contemplated unless distinct abnormalities are present in the scintigraphic images. With experience it may be possible to approximate, from the stage of pheochromocytoma depicted by scintigraphy, how many years will elapse before symptoms or hypertension …

The Molecular Basis Of Polypeptide Hormone Production By Medullary Thyroid Cancer, C. J. M. Lips, P. H. Steenbergh, J. W. M. Höppener, J. Zandberg, H. S. Jansz

Henry Ford Hospital Medical Journal

Using recombinant DNA techniques, we analyzed the structure of human calcitonin (CT)-encoding DNA. The sequence of nucleotides derived from the messenger RNA (mRNA) predict the amino acid sequence of the entire human CT precursor protein. The complete CT gene could be isolated from a DNA library of the human genome. The CT precursor encoding sequences (exons) as well as the noncoding intervening sequences (introns) could be identified. Another sequence, called human calcitonin gene-related peptide (hCCRP), could be located near this CT-encoding DNA. A genomic fragment encoding hCCRP was used as a probe to detect and isolate the corresponding mRNA in …

Genetic Studies Of Multiple Endocrine Neoplasia Type 2 Syndromes: A Workshop Commentary, Nancy E. Simpson

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Caring For The Sick Poor: The State Almshouse At Bridgewater, 1854-1887, Lucille O'Connell

Bridgewater Review

The number of helpless poor in Massachusetts increased during the period of the 1840s, and the problem was greatly magnified by Irish immigration to the United States. Too large a problem to be solved on the local level, the Board of Commissioners of Alien Passengers recommended, in 1852, that the State establish three almshouses. Accordingly, the institutions were established at Bridgewater, Monson to the west, and Tewksbury to the north of Boston, and were opened in May 1854. By the end of the first year the number of inmates far exceeded expectations.

A Comparison Of Selected Nutrition Factors Of Personal Care Residents With Nutrition For The Elderly Residents., Jill Kay Costin

Masters Theses & Specialist Projects

Persons in the Nutrition for the Elderly program in Barren River Area Development District in Kentucky and personal care residents at Lakeview Nursing Home, Morgantown, Kentucky, and Glasgow Rest Home, Glasgow, Kentucky participated I this study on a voluntary basis. The population consisted of an intact sample of sixty-eight persons: forty-six personal care residents (PC residents) and twenty-two Nutrition for the Elderly participants (NE participants). The Ne participants and Pc residents were compared to determine which received the best nutritional care. Selected parameters of nutritional assessment were compared for the two groups be means of a t test. The groups …

Analyse De 94 Accidents Du Travail Survenus En Scierie, Esther Cloutier, Lucie Laflamme

Rapports de recherche scientifique

No abstract provided.

Developing An Integrated Natural Language Database For Gastrointestinal Disease, Peter J. Feczko, Laurens V. Ackerman, Robert D. Halpert, Stuart M. Simms

Henry Ford Hospital Medical Journal

Using a mainframe computer connected to the Henry Ford Hospital computer network, we developed a database for gastrointestinal disease which includes data from radiologic and endoscopic gastrointestinal examinations, along with corresponding pathologic diagnosis. Because of the large volume of procedures in our practice, we developed several unique features for our system. The user enters data by responding to a series of question-and-answer sets constructed by the clinical staff, who do not have experience in computer programming. Data is stored in a hierarchical format using natural language. Boolean logic is used to retrieve data so that different procedures can be correlated …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Cooperation Between A Radiology Computer Consortium And A Computer Manufacturer In The Development Of A Radiology Information System, Matthew W. Burke, Laurens V. Ackerman

Henry Ford Hospital Medical Journal

This article reports on the formation of a Radiology Information System Consortium (RISC) by 13 hospitals and medical centers in the United States, including Henry Ford Hospital in Detroit, and the cooperation between this consortium and a major manufacturer of computers and software. Digital Equipment Corporation (DEC), for the common goal of developing a state-of-the-art radiology information system.

Computer-Assisted Methods For Design Optimization Of Cardiac Bioprosthetic Valves, Mohamed S. Hamid, Hani N. Sabbah, Paul D. Stein

Henry Ford Hospital Medical Journal

Excessive mechanical stresses on valvular leaflets are considered an important factor in the degeneration of cardiac porcine bioprosthetic valves. This study describes a computer-assisted numerical model of a bioprosthetic valve which estimates the magnitude and distribution of leaflet stresses. The study also describes our initial attempts to determine the influence of stent height upon leaflet stresses. Whereas lowering stent heights has been suggested to improve hemodynamics in the bioprosthetic valve region, results indicate that an increase in leaflet stresses can accompany reductions of stent height.

Automating The Expertise Of The Neuropsychologist, Kenneth M. Adams, Gregory G. Brown

Henry Ford Hospital Medical Journal

No abstract provided.

Distributed Computing In A Hospital Environment, Steven R. Lund, Laurens V. Ackerman, James B. Martin

Henry Ford Hospital Medical Journal

Obtaining appropriate information in a timely fashion in medical practice has always been a burden for the practitioner. In a large hospital which undertakes major computer projects, this burden is intensified because information is not always available in a form directly usable by the physician or support personnel; it is now accumulated on diverse magnetic media where it is moved and processed as electronic pulses. This paper describes a solution which freely allows continued automation at different rates throughout a large hospital while expediting the movement of information where it is needed in a form understandable by the recipient.

Intracerebral Hemorrhage After Carotid Endarterectomy, José Biller, Andrew C. Hayes, Fred N. Littooy, William H. Baker

Henry Ford Hospital Medical Journal

Intracerebral hemorrhage (ICH) is a rare complication of carotid endarterectomy (CE). In our multicenter series of 1,180 CE (Baker-Littooy), three ICH occurred, of which two were fatal. One patient was receiving anticoagulants because ofa prosthetic aortic valve; another had rupture of a known ipsilateral intracranial aneurysm. Both occurred more than six weeks postoperatively. The third patient, who was hypertensive, had a nonfatal ipsilateral thalamic hemorrhage on the third postoperative day. Though these three patients represent only 0.25% of our series, they constitute 12% of our total strokes. ICH constitutes the largest percentage of nontechnically-related strokes and noncardiac deaths after CE.

A Microcomputer Database In A Clinical Environment, Dennis R. Ownby, Thomas A. Burnett

Henry Ford Hospital Medical Journal

No abstract provided.

Medical Applications Of Computers In The Hospital, Laurens V. Ackerman, Michael E. Somand

Henry Ford Hospital Medical Journal

No abstract provided.

Computer Applications In The Vascular Registry Of Henry Ford Hospital: Use Of A Simplified Access Method, Joseph P. Elliott Jr., Kunwar Kapoor, John G. Hageman, D. Emerick Szilagyi, Roger F. Smith, Michalene Mcpharlin

Henry Ford Hospital Medical Journal

The Vascular Registry of Henry Ford Hospital was initiated by one of the authors in 1957 to provide a consistent and accurate method of documenting and correlating the clinical results of the treatment of occlusive and aneurysmal arterial diseases. Data collection for each patient includes demographic information, treatment of clinical problems, and followup observations. Initially, the system consisted of keypunch cards and eventually magnetic tape processing. By 1980, it was necessary to further update the system because of the increase in patient volume, the need to minimize manual manipulations, and the demand for research data. The present system uses institutional …

Development Of A Nephrology And Hypertension Information System, Francis Dumler, Gerard Zasuwa, Nathan W. Levin

Henry Ford Hospital Medical Journal

This article describes our experience in the development and implementation of a computerized information system specifically designed for a Division of Nephrology and Hypertension. Specific issues related to planning and implementation are discussed, and potential pitfalls in setting up such a system are addressed. The combination of a mainframe and a miniframe as integral parts of the system and the development of peripheral support in specific applications using a personal microcomputer are also described. The important area of user/computer interface and of user motivation is discussed in the light of the experience acquired while implementing the current system.

Cardiac Papillary Fibroelastoma: A Source Of Coronary Artery Emboli And Myocardial Infarction, Gerald Fine, Shoba R. Pai

Henry Ford Hospital Medical Journal

Cardiac papillary fibroelastomas, although generally small and asymptomatic, have been suspected of being responsible for cerebral accidents, angina, and sudden death. The diagnosis of tumor embolization, considered in a number of cases, has been based on circumstantial evidence in all instances except for one case of sudden death due to embolism to the left anterior descending coronary artery. In all other cases, angina and sudden death have been related to a ball valve-type obstruction of a coronary ostium by tumor. The present case documents tumor embolism to peripheral right coronary arteries with associated, clinically silent myocardial changes.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1984 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

14 | Awards

Influenza: Prevention And Therapy, William M. Valenti

Henry Ford Hospital Medical Journal

No abstract provided.

Selected Nutritional Practices Of Adult Males Residing In Sumner County, Tennessee, Mary Hayes

Masters Theses & Specialist Projects

The purpose of this research was to determine selected nutritional practices of adult males. A survey instrument was developed to determine (a) what meals adult males ate and where these meals were eaten, (b) the level of activity of adult males in menu planning, food purchasing, and food preparation, (c) practices related to weight reduction, (d) practices related to nutrition of the family, and (e) selected demographic variables as related to nutritional practices.

The survey instrument was administered to 156 adult males who were members of civic organizations in Sumner County, Tennessee. The subjects ranged in age from 24 to …

Immunology Of The Acquired Immunodeficiency Syndrome, Patrick W. Mclaughlin, Carl B. Lauter

Henry Ford Hospital Medical Journal

The Acquired Immunodeficiency Syndrome (AIDS) first recognized in 1981, has been extensively studied, and the most recent studies have demonstrated that its defects extend well beyond the apparent deficient cell-mediated immunity to include humoral immunity, autoimmunity, and abnormal immunoregulation. The recent discovery of a retrovirus, HTLV III, as a possible etiologic agent is discussed in relation to other viruses known to cause immunodeficiency. Simian AIDS, an animal model of virus-induced immunodeficiency, is also discussed. Recommendations are made regarding the interpretation and limitations of immune testing in AIDS, including a discussion of how apparently healthy homosexuals and groups at risk develop …