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Improved Public Health Practices In A Disadvantaged Rural Community, William H. Groff, Beatrice E. Manning

Storrs Agricultural Experiment Station

No abstract provided.

Clinical Notes: 201tl Chloride Uptake By Non-Hodgkins Lymphoma: Radiographic Exhibit, Daniel S. Marks, Keenan L. Carroll

Henry Ford Hospital Medical Journal

This report describes intense uptake of 201Tl in a patient with histiocytic lymphoma. The activity seen was greater than with 67Ga. Use of 201Tl as an alternative imaging agent is advocated.

Mixed Connective Tissue Disease And Systemic Lupus Erythematosus In One Family, Michael R. Lubetsky, Howard Duncan

Henry Ford Hospital Medical Journal

A mother with mixed connective tissue disease (MCTD) and a daughter with systemic lupus erythematosus (SLE) were simultaneously diagnosed and treated in August, 1977. Multiple cases of SLE occurring in the same family are not rare, but the frequency with which systemic lupus erythematosus and mixed connective tissue disease occurs in the same family is not known, and the reports are few. This report describes these two cases and suggests that mixed connective tissue disease may be part of the spectrum of systemic lupus erythematosus.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Scanning Electron Microscopy Of The Surface Of Human Duodenum In Patients With And Without Duodenal Ulcer Disease, Bernard M. Schuman, Klaus Ritter, John H. L. Watson, Jessica Goodwin

Henry Ford Hospital Medical Journal

Endoscopic biopsy specimens of normal human duodenum from patients with duodenal ulcer disease were studied by light microscopy and by scanning electron microscopy. For scanning, the tissue was dried by the critical point-drying technique. SEM criteria for both normal and abnormal duodenal surfaces were determined. SEM evidence for the presence of "tuft cells" similar to those found on the surface of rat duodenum was found in both the normal and abnormal human material. Although other reports have described the favorable effects of carbenoxolone sodium treatment on duodenal ulcer disease, our SEM studies of four patients found that this treatment had …

Endoscopic Retrograde Cholangiopancreatography At Henry Ford Hospital: 1972-1977, Bernard M. Schuman, Kian H. Wong, R. Salimi, A. N. Adham

Henry Ford Hospital Medical Journal

Between 7972 and /977, 440 patients underwent endoscopic retrograde cholangiopancreatography (FRCP) at Henry Ford Hospital. The procedure was found to be most useful for identifying the site and nature of an extrahepatic obstruction, the diagnosis of pancreatic cancer, and the preoperative evaluation of chronic pancreatitis. One death occurred as a result of cholangitis in a patient with cancer of the pancreas. Review of the data has led us to refine our indications for FRCP. It has been shown to be a valuable technique with a low incidence of complications in evaluating pancreaticobiliary disease. Based on our study, it would be …

A Comparison Of Two Instructional Methods In Teaching An Introductory Course In Health, Charlotte Mitchell

Masters Theses & Specialist Projects

The purpose of this research was to determine the effectiveness of the independent study method of instruction in promoting health knowledge and health attitude change. The experimental method was compared to the traditional classroom model of instruction.

A random sample of ten subjects was taken for the experimental group and matched control subjects were then selected. Control subjects were chosen based on the demographic variables of age, race, sex, academic classification and grade point average.

A pretest-posttest design using two standardized instruments was employed to measure the health knowledge gain and health attitude change. Data was statistically analyzed by use …

Urological Complications In Renal Transplantation, Riad N. Farah, Richard Klugo, Thomas Mertz, Joseph C. Cerny

Henry Ford Hospital Medical Journal

There were 116 renal transplants performed on 108 patients over a five-year period at Henry Ford Hospital with three major urological complications. The rate of 2.6% compares favorably with that reported in other series. Careful preoperative urological evaluation together with technically precise ureteroneocystostomy are factors that minimize the incidence of urological complications.

Leisure Preferences Of The Elderly In Bowling Green Nutrition Programs, Lawrence Prochazka

Masters Theses & Specialist Projects

The objective was to identify the leisure preferences of elderly in Bowling Green Nutrition Programs. This objective was to be accomplished through the utilization of a leisure preference test. Since no leisure preference test was found, the study was significant not only for the results obtained but also to evaluate this new test.

The test was designed after the format utilized in the Edwards Personal Preference Test. Major categories were selected and each was composed of five leisure opportunity statements. Each category was placed in opposition to every other category four times to comprise the test. A test was then …

Nutritional Aspects In The Care Of The Child With Cleft Lip And Palate, Mary E. Keitel

Henry Ford Hospital Medical Journal

Proper nutrition is essential in the care of the infant with cleft lip or palate, as these infants are often plagued with feeding difficulties from birth. This paper reviews recent literature on the many feeding practices in use today and discusses the current trend toward a multidisciplinary approach to treatment for the cleft lip/palate child. It also presents a brief review of experimental animal studies which have implicated nutritional deficiences in the causation of cleft lip/palate.

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 …

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

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 …

1977 Publications Of The Staff Of Henry Ford Hospital

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

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.

A Pilot Study Of A Sex Education Program In A Sheltered Workshop Using A Cognitive-Behavioral Model Based On Rational Emotive Therapy, Jacqueline A. Rieck, Thomas E. Frederick

Masters Theses

This pilot study was developed to teach people with mental retardation about their own sexuality, appropriate community behaviors, and to develop within them a basic sense of responsibility for their own actions. Problems in social/sexual behaviors have been consistently quoted as reasons for high recidivism rates, as well as difficulties in community living, vocational placement, and other generalized stereotypes about mental retardation. Often the public remains uninformed about, does not recognize, and/or feels that sexual rights for people with any mental differences should not exist. Additionally, when any form of sexuality was expressed by such people it resulted in shock …

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 …

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.

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 …

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 …

The Treatment Of Chronic Pain: Program Of The Community Hospital Rehabilitation Center For Pain, Karl L. Manders

Henry Ford Hospital Medical Journal

After approximately three years' experience, the use of multiple modality treatment appears to be the most advantageous for individuals who have not responded satisfactorily to routine medical and surgical treatment. Alleviation of pain, discontinuance of narcotic medication, and return to both social and vocational activities has been accomplished in most patients of this center for the treatment of chronic pain.

Subarachnoid And Intracerebral Hemorrhage Due To The Rupture Of An Arteriovenous Malformation And Aneurysm In The Same Patient. Report Of Two Cases, F. Gomez-Mendez

Henry Ford Hospital Medical Journal

Two cases are reported of coexistent intracranial aneurysm and arteriovenous malformation. Both lesions ruptured within one week in one patient and within three months in the other. The rarity of such occurrences is discussed and the surgical operative procedures used are described. One patient is doing well except for some weakness of the right leg and mild dysphasia. The second patient died three months postoperatively, probably because of rupture of the aneurysm. No autopsy was obtained.

Progressive Ataxia And Hearing Loss (Left) In A 23-Year-Old Man. A Clinico-Pathological Conference, Jose Bebin

Henry Ford Hospital Medical Journal

As part of the scientific program honoring Robert 5. Knighton, M.D., a clinical pathological conference was conducted by Dr. Jose Bebin. Following presentation of the protocol, comments from several discussants included diagnoses of a primary neoplastic process in the brain stem, angioma of the pons, neoplasm or cyst of the posterior fossa, possible angioma on the left side of the brain stem, a viral cerebellitis, an ependymoma, or a medulloblastoma. Together with the case presentation the author offers autopsy findings and a discussion and review of the literature.

Acute Onset Of Bulbar And Ocular Paralysis: An Isolated Case, With Differential Diagnosis, Aziz Aghdassi, Robert D. Teasdall

Henry Ford Hospital Medical Journal

The diagnosis of botulism should be considered in all patients with the acute onset of cholinergic dysfunction and muscle weakness. The pupils are usually dilated, paralysis of ocular and bulbar muscles invariably occurs along with weakness of limb and axial muscles. This diagnosis is supported by the presence of a neuromuscular block and confirmed by the detection of toxin. Although the clinical presentation in this patient supported this diagnosis and a neuromuscular defect was present, no botulinum toxin was found. Not until Clostridium botulinum, type B organisms were cultured was the diagnosis of "probable botulism" made in this patient. Myasthenia …

Quinidine-Induced Hepatitis And Thrombocytopenia, Mohsin Alam, Wolf F. C. Duvernoy, Sol D. Pickard, Paul L. Aronsohn

Henry Ford Hospital Medical Journal

Quindlne-induced hepatitis has received more attention only recently whereas quinidine-induced thrombocytopenia is well recognized. Over the past two years the authors saw four patients with quinidine-hepatitis accompanied by malaise, anorexia, fever in two patients and marked elevation of liver enzymes in all. Two patients had associated quinidine-induced thrombocytopenia of 81,000 and 6,600 platelets / cu mm, respectively. Liver biopsy in two patients revealed small foci of hepatocellular necrosis, Kupffer cell hyperplasia and Kupffer cells containing lipochrome. In one patient noncaseous granulomatous lesions were seen. Symptoms subsided and laboratory tests returned to normal rapidly on withdrawal of quinidine. In one patient, …

X-Linked Diseases With Cataract, Philip J. Howard

Henry Ford Hospital Medical Journal

X-linked cataracts are a rare group and appear as a complication of other disease. Changes in the lens are difficult to visualize and the family history may alert the examiner to the possibility of cataractous changes. This paper is a review of 13 sex-linked conditions with cataract as a possible complication. Cataracts may be present in an occasional case or in some instances in every case. Short abstracts follow of Fabry's disease, glucose 6-dehydrogenase deficiency, myotonic dystrophy, ectodermal hypohidriotic dysplasia, oculocerebral syndrome, keratosis follicularis spinulosa decalvans with cataract, Norrie disease, incontinenti pigmenti, hypoparathyroidism due to a sex-linked recessive trait, pseudohypopara-thyroidism, …

Commencement Program 1977, Loma Linda University

Commencement Programs

CONTENTS

2 | 1977 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

27 | Academic Costume

Population Reports. Series A: Oral Contraceptives (Supplement). U.S. Morbidity And Mortality Trends Relative To Oral Contraceptive Use, 1955-1975, And Danish Morbidity Trends, 1953-1972, Department Of Medical And Public Affairs, The George Washington University Medical Center

Population Reports

No abstract provided.