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Noninvasive Techniques In The Evaluation Of Arterial Disease, J. Dennis Baker

Henry Ford Hospital Medical Journal

This paper reviews noninvasive technology currently being applied in clinical peripheral vascular laboratories for the evaluation of obstructive arterial disease in the lower extremities and in the cerebral circulation. Lower extremity, arterial insufficiency can be assessed by pressures measured with a Doppler flowmeter or by oscillometric tracings obtained with a Pulse Volume Recorder. Carotid artery stenosis is studied by: 1) ocular pneumoplethysmography, which indirectly measures ophthalmic artery pressure; 2) oculoplethysmography, which compares pulse arrival time at the two eyes; and 3) the Doppler ophthalmic test, which detects the flow pattern in the ophthalmic artery. The main uses of the tests …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Distant Metastasis Of Locally Controlled Supraglottic Laryngeal Carcinoma: A Report Of Two Cases, Charles N. Ford, William W. Finch, Roger W. Kwong

Henry Ford Hospital Medical Journal

Two cases of supraglottic laryngeal carcinoma are presented in which distant metastasis occurred after adequate local control had been established. The metastasizing tendency of this lesion is discussed, and the efficacy of combined therapeutic approaches in treating these cases is questioned. Submitted

What's New In Crohn's Disease Treatment, Francis J. Owens

Henry Ford Hospital Medical Journal

Progress in the management of Crohn's disease is limited by our inability to compare different patients. Two methods of evaluating the severity of disease have recently been published. Of these, the National Cooperative Crohn's Disease Study (NCCDS) method has been utilized in a study reported on at several national meetings but still in progress. Antibiotics in intensive prolonged dosage, e.g. ampicillin, 500 mg qid for several months, have recently been reported to benefit greater than 90% of patients not responding to conventional therapy. Metronidazole and dapsone continue to be mentioned in letters to journals. Sulfasalazine has been found useful in …

Refractory Hypercalcemia In Sarcoidosis: Exacerbation By Thiazide Diuretics, Differentiation From Primary Hyperparathyroidism, And Possible Role Of Prolactin, A. M. Parfitt

Henry Ford Hospital Medical Journal

Hypercalcemia in a patient with sarcoidosis was made worse by a thiazide diuretic initially given to control hypercalciuria alone. The hypercalcemia was unusually resistant to corticosteroid treatment during the summer even after the thiazide diuretic had been discontinued. Lack of response to corticosteroid together with decreased tubular reabsorption of phosphate and increased tubular reabsorption of calcium suggested associated primary hyperparathyroidism, but PTH was undetectable by immunoassay, and nephrogenous cyclic AMP excretion was zero. Amenorrhea, galactorrhea and hyperprolactinemia were found to be due to a pituitary tumor which was removed. The experience with this patient suggests that: 1) exacerbation of hypercalcemia …

Effect Of Glucagon And Methylprednisolone On Pancreatectomized Recipients Of Whole Pancreas Allografts, Luis H. Toledo-Pereyra, Michael Zammit, Krishna D. Valjee

Henry Ford Hospital Medical Journal

Glucagon alone or in combination with methylprednisolone was an adequate therapeutic adjuvant for pancreatectomized recipients of whole pancreas allografts. All recipients were minimally immunosuppressed with azathioprine, 5.0 mg/K/day for three days, then 2.5 mg/K/day. The morphological, functional, and survival response after whole pancreas transplantation indicated a trend of improvement in the treated groups. Only the groups of dogs receiving glucagon alone or in combination with methylprednisolone survived more than two weeks after transplantation. This therapy has proven to be effective for whole pancreas transplantation.

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

1977 Publications Of The Staff Of Henry Ford Hospital

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1978, Loma Linda University

Commencement Programs

CONTENTS

2 | 1978 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

26 | Awards

28 | Academic Costume

Studies On Uveitis Part Ii: Hypotheses With Case Reports, Philip C. Hessburg

Henry Ford Hospital Medical Journal

A number of patients with and without uveitis are used to show that this study of aqueous microbiology suggests the following hypotheses: 1. Routine techniques currently used in most microbiology laboratories overlook classical and variant bacteria which might be isolated from clinical specimens with improved microbiological techniques. 2. Bacterial forms may be present in other ocular tissue when not present in the aqueous. 3. Polymicrobial infections probably occur rather frequently, especially in chronic or subacute inflammatory states. 4. Alterations in various host factors may subject some persons to a greater incidence of inflammatory episodes including uveitis. 5. Antibiotics used in …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Effect Of Perfusate Osmolarity On Hearts Preserved Under Hypothermic Pulsatile Perfusion For 24 Hours, Luis H. Toledo-Pereya, Manuel Chee, Richard C. Lillehei

Henry Ford Hospital Medical Journal

Canine hearts preserved under hypothermic pulsatile perfusion (24 hours) with an osmolarity of 340 mOsm/L had better preservation and transplantation response than hearts perfused at an osmolarity of 310 and 270 mOsm/L. The hearts perfused at 340 mOsm /L survived an average of 22.6 days after transplantation. This survival was significantly (p>0.05) better than that observed after fresh transplantation (13.4 days average). Hearts perfused at 270 mOsm /L had a significantly (p>0.05) lower survival after transplantation (5.8 days average) than the fresh allografts or the hearts perfused at 310 or 340 mOsm / L. Similar survival times were …

Retroperitoneal Ganglioneuroma: A Case Report And Review Of Literature, Mohammed R. Ansari, Vellore Ramakrishnan, K. S. Rajan

Henry Ford Hospital Medical Journal

Ganglioneuroma, a tumor of neural crest origin, is a rare neoplasm; to encounter it in an adult over 50 years of age is very rare. This report describes the case of a 56-year-old man who was seen at Henry Ford Hospital with an abdominal mass confirmed as ganglioneuroma on histopathology. Experience at Henry Ford Hospital and the available literature on the subject are reviewed.

The Quantitative Determination Of 3-Oxo-Bile Acids, W. T. Beher, G. J. Lin, J. Sanfield, S. Stradnieks

Henry Ford Hospital Medical Journal

A new method for the rapid quantification of 3-oxo-bile acids has been developed. From 5 to 120 μg of oxo-acid in aqueous or ethanolic media are reduced with sodium borohydride. The resulting 3α- and 3β-hydroxy acids are then oxidized in a reaction catalyzed by 3-hydroxysteroid dehydrogenase, during which nicotinamide adenine dinucleotide (NAD) is reduced to NADH. The absorbance of the reaction mixture is determined at 340 nm and is directly proportional to the amount of 3-oxo-acid in the original sample. The method is fully compatible with that used in determining 3α-hydroxy-bile acids.

Chondrosarcoma: A Report Of 65 Cases, Kent K. Wu, Edwin R. Guise, Harold M. Frost, C. Leslie Mitchell

Henry Ford Hospital Medical Journal

A statistical analysis is presented of 65 cases of chondrosarcoma treated at Henry Ford Hospital from 1916 to 1976, with adequate follow-up data.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Colonoscopic Polypectomy In A Preschool-Age Child, Carlos A. Ricotti, Bernard M. Schuman

Henry Ford Hospital Medical Journal

Colonoscopy Is a procedure used worldwide in the adult population. Here we report the case of a colonoscopic polypectomy in a preschool-age child, and we show once more that the procedure Is a safe one to perform In children if the appropriate precautions are taken.

Studies On Uveitis Part I: Aqueous Studies, Philip C. Hessburg

Henry Ford Hospital Medical Journal

Aqueous microbiological and cytological studies were performed on 134 anterior chamber taps done on 118 patients both with and without uveitis. Cell wall defective bacterial forms (CWDF) were recovered from about 40% of these aqueous specimens and classical bacteria were recovered from 12%. A statistically significant difference could not be found between the incidence of bacterial cell wall defective forms in the various anatomical types of uveitis. There were hints from this work that the presence of CWDF In the aqueous was more frequent in younger patients with uveitis, early in the uveitis attack, if there were multiple foci of …

Effect Of Steroids On Patients With Postoperative Bowel Anastomotic Dysfunction, Luis H. Toledo-Pereya, Ignacio Guzman, Earl G. Yonehiro

Henry Ford Hospital Medical Journal

Ten patients who developed anastomotic edema following large or small intestinal anastomosis had a rapid recovery after treatment with dexamethasone. The clinical and radiologic picture of adynamic ileus disappeared rapidly. There were no Immediate or long-term (more than two years) complications or side effects associated with the use of dexamethasone. This preliminary report indicates that dexamethasone may be a beneficial agent In the control of anastomotic edema.

Legionnaires' Disease: Description Of A Sporadic Case, Louis D. Saravolatz, Gene Tilchen

Henry Ford Hospital Medical Journal

This first case of Legionnaires' disease seen at Henry Ford Hospital is described. A previously healthy 72-year-old man developed progressive pneumonia in September, 1977; it was unresponsive to treatment with cephalothin. However, he rapidly recovered when the treatment was changed to oral erythromycin. Diagnosis was established by serologic studies done at the Center for Disease Control. This pneumonia occurred in a sporadic form with no evidence of secondary cases.

Long-Term Survival After Onset Of Blast Crisis In Chronic Granulocytic Leukemia: Case Report And Therapeutic Considerations, Ellis J. Van Slyck, Ahmad Samhouri

Henry Ford Hospital Medical Journal

Current analysis indicates a median survival of 3.6 months in 356 cases of chronic granulocytic leukemia after onset of blast transformation. Thirty-five (10.0%) complete remissions (CR), all of short duration, were observed. Closer scrutiny of the reported clinical experience offers clues for improving this poor outlook. A 76% CR rate can be extracted from this total experience by identifying cases treated with cytoslne arabinoside combined with one or more other agents. In isolated reports, weekly vincristine and prednisone have yielded good remission rates. Two general morphologic types of blasts can be distinguished by cytochemical stains and other features: lymphoid and …

Primary Hepatic Tumors In Women On Oral Contraceptives, V. Maciel, H. Allen, C. Grodsinsky

Henry Ford Hospital Medical Journal

Liver cell adenoma and focal nodular hyperplasia have been recognized as rare benign tumors. Their relationship with the use of oral contraceptives has been suggested since 1973. At Henry Ford Hospital, we have had four patients, ages 19, 23, 25,and 30, on oral contraceptives who presented with different clinical pictures suggesting acute abdomen. A hepatic tumor was suspected preoperatively in one patient, was found at laparotomy for biliary tract disease in two other cases, while the fourth patient presented with acute intra-abdominal hemorrhage. Hepatic resection was performed successfully in all with no mortality. The clinical presentation and diagnostic and surgical …

A Philosophical Concept Of Patient Education In The Small Hospital, Michael Rush

Masters Theses & Specialist Projects

In recent years, many dramatic changes have occurred in the nation's health care delivery system, particularly in health education. The National Consumer Health Information and Promotion Act was enacted in 1976. In response to this legislation, the nation's health education efforts were greatly expanded through the creation of a Bureau of Health Education within the Center for Disease Control and establishment of the Office of Health Information and Promotion in the Office of the Assistant Secretary for Health, Department of Health, Education and Welfare. A National Center for Health Education was also established. Health education was prominently included among the …

Walter Dandy — Super-Surgeon, J. Dewitt Fox

Henry Ford Hospital Medical Journal

A profile of this famed neurosurgeon is presented with human interest anecdotes collected primarily from his residents, the men who knew him best. The major contributions from his hand included not only new operations, diagnostic ventriculography and pneumoencephalography, but also 769 outstanding papers and five books, the last, a monumental work of 600 pages, "The Brain," which is the section on brain in Lewis' "Practice of Surgery."

The Rear-End Collision — Soma Or Psyché?, Hugh A. Clarke

Henry Ford Hospital Medical Journal

Rear-end collisions represent 25% of all vehicular accidents. On occasion, the patients become more disabled by the diagnosis of "whiplash" than by the injury. During the past three years, 100 patients were referred for neurological examination and disposition following rear-end collisions. Appropriate neurological testing, included the Minnesota Multiphasic Personality Inventory Test (MMPI). A minority of these patients required hospitalization. The incidence of disc rupture requiring surgical decompression was less than 1%. The psychological tests were of limited aid in helping the physician to treat this group of patients. The middle-aged patient without concomitant arthritic change, having secured conservative treatment in …

Cryptoccal Granuloma Of The Choroid Plexus In The Temporal Horn, Yohsuke Fukami

Henry Ford Hospital Medical Journal

A man developed sudden symptoms of increased intracranial pressure following a prolonged course of cryptoccal meningitis which appeared to be responding to treatment. A choroid plexus granuloma was found in the dilated and blocked lateral ventricle. The poor prognosis of this type of complication of the cryptococcal meningitis is discussed.

The Robert S. Knighton Alumni Association

Henry Ford Hospital Medical Journal

No abstract provided.

The Water-Soluble Contrast Medium Lumbar Myelogram And Its Surgical Correlations, Henri C. Labasse

Henry Ford Hospital Medical Journal

The water-soluble contrast medium lumbar myelogram is a very helpful tool in the diagnosis of herniated nucleus pulposus (EfNP) in patients who suffer unilateral root pain of mechanical course. One can often make the differential diagnosis between a ruptured disc and a protruding disc. Unless the disc fragment lies way out in the intervertebral foramen, the myelogram will show some kind of anomaly. Therefore, fewer exploratory operations will be performed on patients having normal myelograms. Metrisamide, a newcomer among the water-soluble contrast media, is nontoxic for the spinal cord. Therefore, if the usual myelogram is normal and one fears a …