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Urban Health: Challenges And Opportunities, Iris R. Shannon

Henry Ford Hospital Medical Journal

No abstract provided.

Countycare Summary, Edward H. Mcnamara, Vernice Davis-Anthony, Deborah L. Scott

Henry Ford Hospital Medical Journal

No abstract provided.

Epidemiology For Identifying Community Problems, John B. Waller Jr.

Henry Ford Hospital Medical Journal

No abstract provided.

Adolescent Health Problems: A Model For Their Solution, Roberta B. Abrams

Henry Ford Hospital Medical Journal

No abstract provided.

Community-Based Primary Care, Sarah Banks-Lang

Henry Ford Hospital Medical Journal

No abstract provided.

The Office Of Minority Health, Michigan Department Of Public Health: Expanding The Bridges Of Access To Close The Gap, Cheryl Anderson-Small

Henry Ford Hospital Medical Journal

No abstract provided.

Policy Options To Improve Access To Health Care For The Unemployed Uninsured, David R. Nerenz, Barry M. Zajac, Denise P. Repasky, Patricia E. Doyle

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Health Care: A Universal Right, C. Patrick Babcock

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1990, Loma Linda University

Commencement Programs

CONTENTS

2 | 1990 Events of Commencement

3 | Academic Procession

4 | The Speakers

7 | The Honorees

10 | The Zapara Awards

Order of Program

• School of Medicine, 12
• School of Dentistry, 18
• Graduate School, 25
• School of Nursing, 30
• School of Public Health, 34
• School of Allied Health Professions, 41

A Comparison Of Smoking Cessation Methods In Normal Smokers And Smokers With Chronic Obstructive Pulmonary Disease, Mary Beth Mueller

Open Access Master's Theses (through 2010)

This research was designed to investigate whether there would be a difference in mean exhaled carbon monoxide levels and mean number of cigarettes smoked for two randomized groups of smokers.Smoking cessation therapy was manipulated in smokers with a chronic, productive cough (COPD) and those who were asymptomatic (normal). Individual therapy was compared to self-help therapy.The main purpose of this study was an attempt to define the smoking cessation therapy that worked best for each of these two groups.With the information gained from this research, it was hoped that educating different types of smokers (those with and without lung disease) about …

Ua12/2/1 Magazine, Wku Student Affairs

WKU Administration Documents

Special magazine edition of the College Heights Herald:

• Summers, Kaye. Simple Gifts: The Shakers’ Story – South Union Shakers
• Albrecht, Dana. Western Graduate O’Brian McKinley Enjoys Thrill of Being Paramedic

Communication Barriers Between Teenagers & Parents About Sex & Sex-Related Topics: A Survey Of Teenagers In Sex Education Class, Karen Bonnell

Masters Theses & Specialist Projects

Public concern about teenage pregnancy and the threat of sexually transmitted diseases like AIDS make sex education information vital for today's teenagers. A 1986 Harris survey of 1,000 teenagers cited parents as their primary source of sex education information, but 42% said they would be too nervous or afraid to bring up the subject of contraception or birth control with their parents. States like Kentucky have mandated sex education courses for all public schools to provide necessary instruction for teenagers.

This study identifies communication barriers which teenagers say prevent communication with their parents about sex and sex-related topics. Questionnaires were …

The Aids Project Newsletter, Vol.3, No.1 (Spring 1990), John Moore, The Aids Project

AIDS Project Newsletter (1987-1991)

No abstract provided.

Long-Term Care Policy: Where Are We Going?, Gerontology Institute, University Of Massachusetts Boston, Omb Watch

Gerontology Institute Publications

Millions of Americans suffer from physical or mental conditions that make it difficult for them to live fully independent lives. These are the frail elderly, disabled and chronically ill persons of all ages, and many mentally ill or mentally retarded persons. They need help to manage daily activities, whether they live in their own homes or in nursing homes.

Such care can be extremely expensive, since it often must be provided for many years, even a lifetime. Today, those costs are met largely by the individuals themselves or by their families and by public programs for low-income persons.

For many …

Health Care: An Economic Priority, Dolores L. Mitchell

New England Journal of Public Policy

Economic advancement for women may be inextricably linked to the state of their health and access to health care. This article warns that the debates and public policy dilemmas over health care delivery systems, their costs, who pays, and issues of coverage and utilization demands weigh greatly on women and their families. The author suggests that women especially must be careful consumers of health care plans and outlines some qualities they should seek in choosing such plans.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Cervicofacial Actinomycosis In Children, Michael E. Friduss, Dennis R. Maceri

Henry Ford Hospital Medical Journal

Actinomycotic infections, once common in humans and cattle, are now rare causes of disease in man. This general group of organisms belongs taxonomically between the true bacteria and the fungi; however, the organisms behave clinically like true anaerobes. The organism, although phagocytized by the host cells, is not killed. Therefore, d is defined as a facultative intracellular parasite of the host. The protean manifestations of actinomycotic infections often mimic infectious processes, such as osteomyelitis or granulomatous disease, as well as neoplasia. It is therefore important for the surgeon to include actinomycosis in the differential diagnosis of cervicofacial masses in children …

Zollinger-Ellison Syndrome: Methods Of Diagnosis And Treatment, Ravi R. Sarin, Ajay K. Sangal, Timothy T. Schubert, Jan Rival

Henry Ford Hospital Medical Journal

Until two decades ago the Zollinger-Ellison syndrome (ZES) was difficult to diagnose and stage accurately. Total gastrectomy was often the ultimate treatment. Improvements in the measurement of serum gastrin and in radiographic imaging have greatly improved the precision of diagnosis and staging. Treatment with histamine-2 receptor antagonists and proton pump blockers have eliminated the need for gastrectomy, and current surgical intervention is directed at cure through removal of the localized gastrinoma. We reviewed the management of eight patients with this diagnosis seen at Henry Ford Hospital from 1983 to 1988. Time from first presentation to diagnosis varied from two months …

A Tribute To Henry Ford Hospital, Jan Rival

Henry Ford Hospital Medical Journal

No abstract provided.

Denker Rhinotomy For Inverted Papilloma Of The Nose And Paranasal Sinuses, Samuel A. Mickelson, Richard D. Nichols

Henry Ford Hospital Medical Journal

Inverted papilloma of the nose and paranasal sinuses is an unusual benign neoplasm that has the propensity for local tissue destruction and an association with malignant degeneration. The tumor represents an inverted growth of epithelium rather than outward proliferation. It most commonly arises from the lateral nasal wall with growth into the nose and paranasal sinuses and only rarely originates from the septum. Presenting symptoms are usually unilateral nasal obstruction and clear rhinorrhea. Surgical excision is the recommended treatment though the aggressiveness ofthe approach has varied. Transnasal local excision has been associated with a high recurrence rate. Lateral rhinotomy with …

Management Of Chronic Staphylococcal Osteomyelitis Of The Temporal Bone: The Use Of Hyperbaric Oxygen, Vanessa G. Schweitzer

Henry Ford Hospital Medical Journal

Hyperbaric oxygen (HBO) is an effective adjunct in the management of selected otolaryngologic problems including radiation-induced necrosis of the temporal hone, malignant external otitis, mandibular osteoradionecrosis and refractory osteomyelitis, soft tissue head and neck necrotizing fasciitis, compromised skin flaps and grafts, acute air or gas embolism, and otologic barotrauma. We describe the management of a patient with insidious Staphylococcus aureus osteomyelitis of the temporal bone by the use of HBO preoperatively and postoperatively in conjunction with surgical debridement. The possible application of angiogenic agents and tetracycline hone-labeling in combination with HBO therapy in the management of refractory neurotologic disease is …

Entry Of The Hearing Impaired Into The Health Care System, Kathleen Yaremchuk, Jonathan Schmidt, Linda Dickson

Henry Ford Hospital Medical Journal

The current system of referral of patients complaining of hearing loss usually requires a dual appointment with otolaryngology and audiology. Most of these patients have sensorineural hearing loss for which there is rarely surgical or medical treatment. This study tests the hypothesis that these patients would receive appropriate treatment and that health care dollars would be saved if an audiological assessment could identify those patients who require medical or surgical care. One hundred consecutive patients whose sole complaint was hearing loss were evaluated using audiograms and "hearing abilities questionnaires" by five audiologists using subjective and objective criteria to determine the …

Metastatic Carcinoma Of The Jaws: Report Of A Case, Jack L. Clark

Henry Ford Hospital Medical Journal

Primary malignant tumors of the mouth and jaws usually do not present a diagnostic challenge to oral surgeons or otolaryngologists. However, recognition of metastatic tumors in the mouth and jaws is much more difficult. A case is presented of metastatic carcinoma from the lung to the soft tissue of the oral cavity. Histopathology of the lesions in the lung and oral cavity as well as the chest x-ray and the Panorex x-ray are presented. The patient refused palliative treatment, became malnourished, and died. A review of the pertinent literature is also presented.

Management Of Voice Disorders, Alex F. Johnson, Barbara H. Jacobson, Michael S. Benninger

Henry Ford Hospital Medical Journal

Voice disorders are commonly seen in general medical practice. In some cases voice disorders represent the presenting symptom for serious underlying disease. It is important for clinicians from internal medicine, pediatrics, and family practice to be able to identify those factors in the history or observed vocal symptoms which suggest need for referral for comprehensive voice evaluation as well as to understand the distinct but complementary roles of the specific disciplines (otolaryngology and speech-language pathology) involved in diagnosis and treatment of patients with voice disorders.

The Bouveret Syndrome: An Unusual Cause Of Hematemesis, Alaa A. Salah-Eldin, Mostafa A. H. Ibrahim, Ravindra Alapati, Saleh Muslah, Timothy T. Schubert, Bernard M. Schuman

Henry Ford Hospital Medical Journal

Gallstones are usually silent. Less commonly, patients with cholelithiasis develop symptoms and/or complications; biliary fistula occurs in 3% to 5% of the cases. When a large stone is passed and occludes the duodenum, gastric outlet obstruction (the Bouveret syndrome) may result. In reported cases, the stones are usually larger than 2.5 cm. The usual presenting symptoms are those of bowel obstruction: abdominal pain, nausea, and vomiting. Less commonly, the patients experience melena and, rarely, hematemesis. We describe a patient who had the largest stone reported to cause hematemesis rather than bowel obstruction and to be diagnosed endoscopically. The 5 X …

Variability Of Quantitative Sensory Testing: Implications For Clinical Practice, Janice Redmond, Didier Cros, Bhagwan T. Shahani

Henry Ford Hospital Medical Journal

The conventional estimation of motor, sensory, and mixed nerve conduction velocities reflects activity in the fastest conducting, heavily myelinated nerve fibers that are only a small proportion of the total. Unmyelinated and thinly myelinated fibers are not evaluated by this technique and numerically represent the largest group of fibers in human cutaneous nerves. The availability of new quantitative techniques to study this aspect of sensory function is an important addition to standard electrodiagnosis. Patient understanding and cooperation is essential because subjective responses are evaluated. We evaluated a reference range for 20 healthy subjects as well as variability on repeated testing. …

Systemic Dissemination Of Pneumocystis Carinii In A Patient With Acquired Immunodeficiency Syndrome, Mahul B. Amin, Michael P. Abrash, Eugene Mezger, Gary F. Sekerak

Henry Ford Hospital Medical Journal

Pneumocystis carinii is usually considered a respiratory tract pathogen; however, there are reported cases of limited and generalized dissemination of the organism from the lungs of immunocompromised patients. We present the autopsy findings of a 29-year-old male with acquired immunodeficiency syndrome (AIDS) and recurrent Pneumocystis carinii pneumonia who developed abnormal liver function tests. The patient had received aerosolized pentamidine because of toxic reactions to other modes of therapy. The postmortem examination revealed Pneumocystis in the lungs, liver, spleen, kidney, myocardium, thymus, pancreas, thyroid gland, bilateral parathyroid and adrenal glands, gastrointestinal mucosa, perihilar and mesenteric lymph nodes, and bone marrow. A …

Single Coronary Artery, Guo Jingxuan, Mao Jieming, Yan Weidong, Liu Changjiang, Chen Mingzhe

Henry Ford Hospital Medical Journal

No abstract provided.

Practical Value Of Echo Doppler Evaluation Of Aortic And Mitral Stenosis: A Comparative Study With Cardiac Catheterization, Jihad Bitar, Lori Douthat, Mohsin Alam, Howard S. Rosman, Mark Lebeis, Sidney Goldstein, Fareed Khaja

Henry Ford Hospital Medical Journal

This retrospective analysis compares data derived by echocardiography and cardiac catheterization in the evaluation of aortic and mitral valve stenosis. Sixty-seven patients, aged 69 ± 12 years, underwent 76 catheterization procedures. In all studies the Doppler recording was technically adequate. In 64 studies of patients with aortic stenosis, correlation was good between the gradient obtained at catheterization (peak 51 ± 28 mm Hg, mean 48 ± 24 mm Hg) and the Doppler gradient (peak 73 ± 29 mm Hg, mean 41 ±17 mm Hg) (R = 0.78 peak, 0.77 mean). In 15 studies the aortic valve area, 0.8 ± 0.2 …