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Fever In Neoplastic Disease, Samuel L. Rosenthal, Robert W. Talley

Henry Ford Hospital Medical Journal

A comparison is made between incidence of fever in 132 patients with various types of disseminated cancer and 57 patients with diseases other than cancer during a 2- month observation period. Fifty-three febrile episodes were observed in cancer patients. Of these, 15 were of undetermined origin and 6 were noninfectious; none of the episodes occurred immediately following surgery. In the control group of 57 patients, there were 12 febrile episodes; of these, 7 were due to proven bacterial infection, 2 were due lo possible bacterial infection, and 3 were of undetermined etiology. All three febrile episodes in this latter group …

Commencement Program 1971 (Winter Graduation), Loma Linda University

Commencement Programs

CONTENTS

2 | Conferring of Degrees

4 | Candidates for Degrees

Depression And Uncooperativeness In Public Health Patients, P. Sherrill Baugher, Nancy Lynn Swan

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine whether uncooperative behavior and a quantitative measurement of depression exist in the same patient in a public health nurse's caseload. Seven full-time public health nurses were randomly selected from the San Bernardino Public Health Department staff. They reviewed their caseloads and selected all the patients who met the general criteria.

Patients were then classified as cooperative or uncooperative based on the following specific criteria: (1) gives unreliable information, (2) uses the nurse as a "buffer" between helping agencies, (3) demands immediate gratification of requests in a stressful situation, (4) makes only token …

Your Child's Teeth (1971), American Dental Association

Patient Dental Health Education Materials 1929-1981

No abstract provided.

Co-Existent Klinefelter's Syndrome, Acquired Cutaneous Hepatic Porphyria And Systemic Lupus Erythematosus, M. Saeed-Uz-Zafar, W. R. Gronewald, G. B. Bluhm

Henry Ford Hospital Medical Journal

A patient is reported with Klinefelter's syndrome, systemic lupus erythematosus (SLE) and acquired cutaneous hepatic porphyria. Although patients with chromatin positive Klinefelter's syndrome may have elevated auto-antibodies, this patient had definite diagnostic criteria for SLE. Furthermore, evidence of disturbed porphyrin metabolism compatible with acquired cutaneous hepatic porphyria was found. It is speculated that the major disturbance in our patient's porphyrin biosynthesis may be distal to ^-ALA synthetase. Any association between the three diseases is conjectural: however, it is noteworthy that both SLE and porphyria are more common in the female and that our patient had two X chromosomes in addition …

X-Ray Diffraction Powder Data For Amino Acid Derivatives, Jonathan Parsons, Joseph A. Scilla, William T. Beher

Henry Ford Hospital Medical Journal

This paper follows a group of ten publications in this Journal reporting x-ray diffraction powder data for steroids. The data here reported is for a group of amino acid derivatives.

Mycosis Fungoides With Thrombotic Microangiopathy And Major Central Nervous System Manifestations, T. A. Chapel, S. M. Saeed, B. W. Steinhauer

Henry Ford Hospital Medical Journal

A case of mycosis fungoides is presented which terminated in death by an acute central nervous system illness. Autopsy revealed thrombotic microangiopathy. This is felt to be the first report of thrombotic thrombocytopenic purpura occurring in a patient with mycosis fungoides. Since thrombotic thrombocytopenic purpura has been reported in association with other malignancies, the association of these relatively rare disorders may represent more than a coincidence.

Renal Cell Carcinoma Masquerading As A Pancreatic Pseudocyst: A Case Report, Stuart J. Kingma, Hubert M. Allen

Henry Ford Hospital Medical Journal

A case is reported in which an abdominal mass was treated initially as a traumatic pseudocyst of the pancreas. Subsequent studies elucidated the true nature of the lesion, a renal cell carcinoma. The use of visceral arteriography as a definitive diagnostic tool is illustrated by this case.

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.

Hypophyseal Growth Hormone Ii. Interaction With Other Hormones, M. Saeed-Uz-Zafar, Raymond C. Mellinger, Lewis B. Morrow

Henry Ford Hospital Medical Journal

Growth hormone (GH) synthesis and release is controlled by hypothalamic GH releasing factor. Thyroid hormones, androgens and estrogens in physiologic concentrations enhance GH secretion but a controlling role for glucagon and vasopressin in GH release is not established. Under stress, ACTH directly facilitates GH release while the similar action of the catecholamines is mediated by the a-adrenergic receptors. Though physiologic doses of glucorticoids and progestins do not affect GH liberation, prolonged administration of medroxyprogesterone acetate or of glucocorticoids in high dosage will decrease blood levels or blunt Gti responsiveness. GH enhances the release of insulin. A shift in adrenal steroid …

Health Nurse Clinician: An Extended Role For The Professional Nurse, C. E. Rupe, Diana Downs, Diane L. Kerr, William W. Hardy

Henry Ford Hospital Medical Journal

A program to upgrade the level of nursing involvement in patient care has been established in conjunction with Wayne Slate University. Offered as a possible solution to the shortage of health care personnel, the master's degree program would result in an upward movement of medical personnel and provide more continuity of care to the patient. More specifically, the trained Health Nurse Clinician would be able to provide better nursing care because of the nurse's greater awareness of the patient's health problem. She (or he) could also free the physician from some of the time-consuming aspects of routine physical examination without …

Mixed Gonadal Stroma Cell Tumor Of The Testicle: A Case Report, Gerald B. Farrow, Arthur J. Johnson

Henry Ford Hospital Medical Journal

A specialized gonadal stromal tumor of mixed nature found in a 20-year-old Negro male is reported. Although the tumor had been present for six to seven years, there was no evidence of metastases or of hormonal imbalance. Reference is made to the confusing nomenclature of these rare tumors.

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 Hypocalcemic Effects Of Actinomycin D And Mithramycin, Eduardo L. Reyes, Robert W. Talley

Henry Ford Hospital Medical Journal

Both actinomycin D and mithramycin are useful agents in the treatment of cancer. They can also produce hypocalcemia, a comparatively rare phenomenon in cancer. Two such cases are presented in detail. Neither patient had the classic symptoms of hypocalcemia. Instead, the clinical picture was more compatible with hypercalcemia. The mechanism of action of each drug is explained; therapeutic implications are made with regards to their synergistic effects when used in combination with the standard calcium-lowering agents. Attention is drawn to the inhibitory action of these two agents on the calcium-mobilizing effect of the parathyroid hormone. The hypocalcemic effects of these …

Hypophyseal Growth Hormone: I. Control Of Secretion, M. Saeed Zafar, Raymond C. Mellinger, Lewis B. Morrow

Henry Ford Hospital Medical Journal

Growth hormone (GH) is a major hormone of the anterior pituitary gland. Once established, its secretion continues throughout life. GH was first recognized in 1866 as a factor controlling growth. More recently, it has been demonstrated as a vital regulator of fat, carboyhdrate and protein metabolism. In fact, GH influence on the intermediary metabolism is the major mechanism by which growth and development are regulated. Numerous hormonal and nonhormonal factors have been shown to modify the basic pattern of GH synthesis and secretion. In this article we have reviewed some of these nonhormonal factors.

Surreptitious Ingestion Of Oral Anticoagulants, Thomas H. Greidanus, Ellis J. Van Slyck, Raymond W. Monto

Henry Ford Hospital Medical Journal

Hypoprothrombinemia secondary to surreptitious ingestion of coumarin or indanedione anticoagulants may be a difficult diagnosis for the unsuspecting physician. Four such case reports are presented. The disease should be suspected if the prothrombin time is markedly elevated and the individual is associated with the medical profession or has had previous treatment with oral anticoagulants. The diagnosis is confirmed by finding a deficiency in Factors II (prothrombin), VII, IX, and X and the presence of the coumarin or indanedione anticoagulant in the blood. The motive generally is that of gaining attention rather than committing suicide. Liver disease. Vitamin K deficiency states …

Hfh In The News

Henry Ford Hospital Medical Journal

No abstract provided.

A Follow-Up Study Of Families With Children Labeled Retarded, Connie Finley

Dissertations and Theses

The research problem undertaken was to study how effective the University of Oregon Medical School--Crippled Children's Division Clinic is by determining how well patients followed through on Clinic recommendations. Three research hypotheses were posed for testing.

1. There is a difference between income and the following of Clinic recommendations.
2. There is a difference between educational levels of fathers and mothers and the following of Clinic recommendations.
3. There is a difference in the level of I.Q. of patients and the following of Clinic recommendations.

A random sample of 100 cases was selected from the patients who had been through the Clinic prior …

Sensory Stimulation To Produce Micturition In The Cerebral Vascular Accident Patient, Mary Alice Pearce

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted in a university and a convalescent hospital using eight female CVA patients with urinary incontinence to test the hypothesis that the experimental technique of icing and brushing LI dermatome skin area would increase the probability that the CVA patient would void within a prescribed time and place. A modified one group method was used in which the patient served as her own control by participating in two types of bladder training programs over an eight to twelve hour period for four consecutive days. Program A used the experimental technique; Program B omitted the experimental technique. …

Ecological Planning Workshop Poster April, 1970, Ian Mcharg, Risd Archives

Ecology and Environment

Ecological Planning Workshop Poster by Ian McHarg. April 24, 1970, RISD Auditorium.

Intestinal Lymphagiectasia With Normal Immunological Function: A Case Report, T. Madhavan, C. E. Rupe

Henry Ford Hospital Medical Journal

A patient is reported with histologically proven intestinal lymphangiectasia and protein losing enteropathy. The gastrointestinal protein loss and the effect of low fat diet have been demonstrated. The morphological abnormalities with radiological and lymphangiographic findings are discussed. Immunological studies are analyzed. These patients may have normal function both humoral and cellular, in spite of fairly advanced disease. Also the new hereto unreported association of Graves' Disease and intestinal lymphangiectasia has been brought out.

Quantitation Of Aortic Valvular Insufficiency Using Radioactive Tracers: An Experimental Study In Vitro, Frank J. Hildner, William R. Pierson, Bernard Weinstock, Ellet H. Drake, Robert S. Ormond

Henry Ford Hospital Medical Journal

A method has been developed in vitro for quantitation of aortic valvular insufficiency (Al) based on the use of ladioactive traceis lo genei-ate graphic recordings of the movement of blood out of the ventricle and back again. The regurgitant fraction of stroke volume (peirent of Al) is read from this recording. The method was evaluated in a mechanical heart model by comparing Al values read from the istope recordings and Al values determined volumetrically. The recordings gave excellent agreement with the volumetric results (Corr. Coeff. .9). These in vitro results are of such quality that clinical trials seem justified.

Echinococcosis Of The Liver: Report Of A Case, Roberto Benedetti, Joseph L. Ponka

Henry Ford Hospital Medical Journal

Echinococcosis of the liver is so rare in our practice that the case presented is the only one documented in the records of Henry Ford Hospital. The massive enlargement of the liver required surgical intervention. Marsupialization was the treatment of choice. In spite of post-operative complications, the patient made a satisfactory recovery.

Commencement Program 1970 (Winter Graduation), Loma Linda University

Commencement Programs

CONTENTS

2 | Program

4 | Candidates

Hfh In The News

Henry Ford Hospital Medical Journal

No abstract provided.

Promethazine-Chlorpromazine Combination In The Treatment Of Unmanageable Psychotic Patients, Armando R. Favazza

Henry Ford Hospital Medical Journal

Administering a combination of promethazine and chlorpromazine to patients with a "galloping psychosis" has an antipsychotic and tranquilizing effect which calms them down to a more manageable and less aggressive state. The drugs are chemically similar; promethazine's actions are strongly potentiated in the combination, so large doses must be given under careful supervision. Case histories demonstrate successful short term management of acutely psychotic, aggressive patients who were a danger to themselves and others.

Pneumatosis Cystoides Intestinalis: The Report Of A Case Associated With Severe Pulmonary Disease And Chronic Lymphocytic Leukemia, Russell J. Crider, Philip Bentlif

Henry Ford Hospital Medical Journal

Pneumatosis cystoides intestinalis is discussed with emphasis on its clinical, radiologic, sigmoidoscopic, surgical and pathological characteristics. The four theories of the etiology of P.Cl. are neoplastic, infectious, nutritional, and mechanical. These theories are discussed, and a case of P.C.I, associated with severe pulmonary disease and chronic lymphocytic leukemia is presented to lend support to the mechanical theory.

Photographic Features Of Benign And Malignant Ulcers, N. V. Carandang, B. M. Schuman, R. J. Priest

Henry Ford Hospital Medical Journal

One hundred and twenty-nine cases of benign gastric ulcer and 17 cases of malignant gastric ulcer studied by intragastric photography are reviewed. The benign ulcer, characterized by symmetrical contour and smooth base, was diagnosed correctly on the initial photographic study in 97.7% of cases. Malignant ulcers were diagnosed correctly in 59% of cases on the first study. The importance of color photography to complement roentgenographic evaluation of gastric ulceration is emphasized.

"Anion-Gap Acidosis" Complicating Diabetic Ketoacidosis: A Commentary On Diagnosis And Management, J. Craig Jurgensen, Fred W. Whitehouse

Henry Ford Hospital Medical Journal

No abstract provided.

Stress Urinary Incontinence In The Human Female: Gravity And Ecomorphologic Influences On Bladder And Urethral Function Of The Human Female, C. Paul Hodgkinson

Henry Ford Hospital Medical Journal

This study was undertaken to determine if the biped stale of the human female constituted a stress force in urethrovesical physiological function. To arrive at realistic conclusions, the ecomorphologic changes incidental to the conquest of gravity by the vertebrates have been reviewed. Accepting the evolutionary precepts as expressed by Hobart Smith that "if all parts of the evolutionary chain were known, it would be impossible to draw a logical distinction between man and nonman, Romer slated "Bone for bone, muscle for muscle, organ for organ, almost every feature of the ape is repeated in the human body. The differences are …