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Depth Doses In The Region Of Overlap Of The Supraclavicular And Internal Mammary Portals In Postoperative Radiation Therapy Of Carcinoma Of The Breast, Joel E. White, Michael Reidy, Murray Boles

Henry Ford Hospital Medical Journal

Computer-generated depth-dose data was obtained for the region of overlap of the internal mammary and supraclavicular portals utilized in post-operative radiation therapy for carcinoma of the breast. A phantom arrangement was created and measurements were obtained and compared with computer-generated depth doses for this arrangement. The actual measured and computer-generated values agreed to within 3%. On the patients measured at the center of the overlap region, the dose was found to vary from 3323 rets to 2571 rets over a depth range of 2-6 cm. It is occasionally the practice to ignore small areas of overlap. The dose at the …

Utilization Of Mental Health Services For Children Relative To Social Class. A Pilot Study, H. K. Von Brauchitsch

Henry Ford Hospital Medical Journal

Two groups of children were selected from those evaluated and treated over a two-year period. The study attempted to contrast the mental health care needs and the health care delivery system of children from the uppermost classes against those of the lowest classes. Very few diagnostic discriminators were found. Prevalence of intellectual dysfunctions In the lower classes and neuroses in the upper classes did not correlate with behavior pattern of "acting out" or "acting in." Autistic psychoses were found almost exclusively among the upper classes; suicidality almost exclusively In the lower classes. Upper class children were more frequently referred by …

A Rapid Flexible Method For Determining Bile Lipids, William T. Beher, Grace J. Lin, Sofia Stradnieks

Henry Ford Hospital Medical Journal

A rapid flexible method has been developed for the quantitative determination of bile lipids In gallbladder and hepatic bile and duodenal aspirates. Quantification of bile salts involves separation of bile salt conjugates from one another and other bile lipids by thin layer chromatography. The separated salts are determined using 3-hydroxysteroid dehydrogenase and gas liquid chromatography. Cholesterol is determined in petroleum ether extracts of saponified bile by application of the Lieberman-Burchard reaction. Phospholipid phosphorus is determined in purified bile lipid extracts by oxidation followed by application of Bartlett's modification of the Fiske- SubbaRow method.

Commencement Program 1975, Loma Linda University

Commencement Programs

CONTENTS

2 | 1975 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

26 | Academic Costume

29 | Waymarks

A Descriptive Study Of Women's Attitudes Towards Obtaining Or Not Obtaining Papanicolaou Smears, Linda J. Shults

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to identify the attitudes of a selected group of women which influenced their participation in Papanicolaou testing. These attitudes were inferred from the reasons women gave for obtaining the test. The subjects were randomly selected from the telephone book of a medium-sized town in Southern California. The 135 women who participated in the telephone interview were considered to be the respondents in the study.

A review of the literature revealed that through the annual use of the Papanicolaou smear, approximately 11,000 deaths every year from uterine and cervical cancer could be prevented, Attitudes …

Marital Status As A Discriminator And Treatment Variable Among Female Alcoholics, James C. Knapp

Dissertations and Theses

In this study marital status and the alcoholism or non-alcoholism of the spouse are hypothesized to be important factors affecting the female alcoholic's personality and treatability. Using as a sample group of women seen at a public treatment center for alcoholism, personality measurement variables were obtained from the Minnesota Multiphasic Personality Inventory and the Edwards Personal Preference Schedule. On the basis of these variables and of the additional variable of age, discrimination among this group of women was attempted using a stepwise discriminant analysis.

Classification of this group of women by marital status into four groups (1. alcoholic women with …

Informed Consent And Medical Experimentation, George H. Martin Jr.

IUSTITIA

Certain biomedical technologies already or almost already with us "threaten to reduce the meaning of man and to degrade the human spirit in the very process of becoming technologically feasible, long before the final stage of deployment and widespread use has been reached." It is this threat that has prompted me to consider certain medical and legal problems associated broadly with the human experimentation process. I shall be examining the concept of "informed consent" to both experimental medical therapy and nontherapeutic scientific experimentation as a means of protecting man from the potential ravages of a zealous application of scientific advances …

Penicillin-Resistant Viridans Streptococcus Endocarditis Related To The Administration Of Penicillin G Or Carbenicillin And Alterations In Mouth Flora, Keith Burch, Edward L. Quinn, Donald Romig, Frank Cox, Evelyn Fisher, T. Madhavan

Henry Ford Hospital Medical Journal

Of 135 patients with streptococcal (non-group D) endocarditis seen at the Henry Ford Hospital (1957-1973), 133 had isolates which were penicillin- sensitive (inhibited by ≤ 0.2 μg/ml of penicillin C). The remaining two causative organisms were inhibited by 0.8 μg/ml of penicillin G and both of the infected patients received antibiotics just prior to the onset of endocarditis. The first patient received oral penicillin C for rheumatic fever prophylaxis and the second high dose parenteral carbenicillin. Using high dose parenteral therapy with ampicillin and streptomycin, the first patient was cured while the other patient relapsed. The second patient responded to …

In Vivo Quantitation Of Adipose Tissue By Differential Absorptiometry Using Penetrating Isotopic Radiation, Luther E. Preuss, Frank B. Bolin, Claudius K. Bugenis

Henry Ford Hospital Medical Journal

The physical principles for determining tissue lipid content In vivo by selective radiation attenuation have been studied and are compared to other methods of body composition analysis. Two penetrating photon beams, each monoenergetic but of differing energies, are simultaneously passed through the low Z components of tissue and the relative beam absorption measured. A mathematical function incorporating the unabsorbed and absorbed photon beam intensities is applied to determine experimentally the relative proportion of fat and lean in the tissue. '"Cd is used as the radioactive source of both xrays and gamma radiation. Results of experiments on low 2 phantom material …

Toward Meaningful Protection Of Worker Health And Safety, Joseph A. Page

Georgetown Law Faculty Publications and Other Works

In the annals of job health and safety, 1974 was a signal year. It produced an epidemic of occupational liver cancer associated with vinyl chloride disclosure of a plan to soft-pedal federal regulation of industrial hazards in return for contributions to the 1972 Nixon reelection campaign, and the publication of a brace of exposes decrying the human toll taken by workplace perils. These events furnish hard evidence that the bright hopes raised by passage of the landmark Occupational Safety and Health Act of 1970 remain far from fulfillment.

In the search for reasons for this ostensible failure, two books present …

Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush

Henry Ford Hospital Medical Journal

The authors' experience with the rare entity of sclerosing cholangitis suggests that several anatomical patterns of involvement of the extrahepatic biliary tract may occur. The involvement may include the intraluminal ducts segmentally or diffusely, or the process may primarily be external to the ducts as pericholedochitis. It may or may not represent one component of a systemic disease, particulady autoimmune disease. Although involvement may be diffuse, progression may be slow and compatible with many years of life. Long time followup is essential before any value can be assigned to a given modality of treatment. Carcinoma of the ductal system may …

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.

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.

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

Dissertations

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.

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.

Medical Conference: Gaucher's Disease, Ellis J. Van Slyck, Lester Weiss, Robert Waldmann

Henry Ford Hospital Medical Journal

The middle-aged man whose case is discussed here harbored Type 7 Gaucher's disease in subtle form. This hereditary disorder was partly disguised by a long history of peptic ulcer. Still a third cause for anemia was eventually uncovered in a surprise conclusion. The major discussion deals with the clinical aspects, microscopic pathology, genetics, and biochemistry of Gaucher's disease and related sphingolipidoses.

Fifty Years Of General Hospital Psychiatry, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

No abstract provided.

How Psychotherapy Heals, Jerome D. Frank

Henry Ford Hospital Medical Journal

This paper, accompanied by the discussions and the preceding introduction, was delivered May 9, 1974 as part of an anniversary celebration commemorating a half century of existence for the psychiatric unit at Henry Ford Hospital. Established in 1924 by the late Thomas J. Heldt, M.D., as a division of neuropsychiatry in the department of medicine, the unit is generally believed to be the first to be incorporated into a general hospital anywhere. It was - and is - conducted without physical restraints of any kind, without isolation of patients, and without segregation of men and women.

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.

The Effect Of Nutrition Education On The Diet Of Pregnant Teenagers, Dorothy Whiteside

Loma Linda University Electronic Theses, Dissertations & Projects

For optimal growth and development during the teens, there needs to be sufficient intake of food to meet the nutritional requirements. Pregnancy during that time increases the nutritional needs. Studies have shown that teenage girls generally have poor eating habits, not meeting the nutritional requirements.

The purpose of this study was to determine whether special nutrition education classes would improve eating habits of a group of pregnant teenagers. Case studies were used as the method to report the findings. A health education class in a special day program for pregnant girls was used as the setting for this study. The …

Commencement Program 1974, Loma Linda University

Commencement Programs

CONTENTS

2 | 1974 Events of Commencement

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

24 | Awards

26 | Academic Costume

29 | Waymarks

Removal Of An Intra-Abdominal French Catheter Through The Laparoscope, Asghar Afsari

Henry Ford Hospital Medical Journal

Use of refined instruments for the removal of an intra-abdominal foreign body has enhanced the indication for operative laparoscopy. In particular instances, laparoscopy has proven more advantageous than laparotomy. This case report illustrates removal of an intra-abdominal rubber catheter via a laparoscopic procedure with a double puncture technique.

Correction Of D-Loop, D-Transposition Of The Great Arteries And Sub-Pulmonary Stenosis With A Dacron Conduit And Stented Porcine Xenograft Valve, Lorenzo Gonzalez-Lavin, Gordon M. Folger

Henry Ford Hospital Medical Journal

Total correction of transposition of the great arteries and left ventricular outflow tract obstruction has become feasible in recent years. Certain modifications are needed, however, to improve the long term function of the valved conduit required in the procedure. A stented porcine xenograft valve, sutured into a woven Dacron tubular graft, was used successfully in the total correction of such a malfunction. The patient described is the first so treated at the Henry Ford Hospital. The main advantage of this technique is its practicality. Both Dacron tubular grafts and stented porcine xenograft valves are commercially available. This approach is applicable …

Position-Dependent Pleural Friction Rub, Thomas L. Connolly

Henry Ford Hospital Medical Journal

The art of physical examination is often forgotten by clinicians in their haste to depend on laboratory tests. This paper described a helpful way to diagnose pleurisy in someone who should have it according to the history. Auscultation of the chest in the supine and lateral decubitus positions will occasionally facilitate the detection of a pleural friction rub when conventional examinations may not do so. Two patients are described in whom this method was used.