Digital Commons Network^™

C. Paul Hodgkinson, Md, Dorothy Porter

Henry Ford Hospital Medical Journal

No abstract provided.

Functional Endoscopic Sinus Surgery: Morbidity And Early Results, Michael S. Benninger, Samuel A. Mickelson, Kathleen Yaremchuk

Henry Ford Hospital Medical Journal

Functional endoscopic sinus surgery is a new alternative to conventional sinus surgery as a means of managing recalcitrant sinus disease. This approach to sinus pathology focuses on the importance of the functional ostiomeatal complex and anterior ethmoid sinuses in the pathogenesis of sinus disease. In an effort lo assess the morbidity and initial results of this procedure, 85 cases were reviewed. A total of 82% of the patients had bilateral maxillary and ethmoid sinusitis, and 45% had pansinusitis, frequently associated with allergic rhinitis (56%) and nasal polyps (58%). A total of 82% of the patients were operated on as outpatients …

Sensorineural Hearing Loss And The Diagnosis Of Acoustic Neuroma, Edwin M. Monsell, Jack P. Rock

Henry Ford Hospital Medical Journal

Sensorineural hearing loss and tinnitus are gradually receiving more attention in medicine due to advances in diagnosis and treatment. Acoustic neuromas can now be detected when they are small, and early microsurgical removal results in the lowest overall morbidity. We examine the historical development of acoustic neuroma management, discuss current diagnosis and treatment, and present illustrative cases from our recent experience. Complaints of tinnitus and hearing loss, especially when unilateral, require appropriate medical evaluation.

Hemangiomas Of The Nasal Septum And Paranasal Sinuses, Lisa Marie Sheppard, Samuel A. Mickelson

Henry Ford Hospital Medical Journal

Hemangiomas of the nasal septum and paranasal sinuses are rare; only 62 cases of septal hemangiomas and 32 cases of maxillary sinus/maxilla hemangiomas have been reported in the English literature. Hemangiomas should be considered in the differential diagnosis of any nasal mass lesion because biopsy may result in profuse bleeding and even death. We report the clinical presentation, differential diagnosis, etiology, and histologic appearance of paranasal sinus hemangiomas occurring in four of our patients.

Abnormal Coagulation Profiles In Tonsillectomy And Adenoidectomy Patients, Jonathan L. Schmidt, Kathleen L. Yaremchuk, Samuel A. Mickelson

Henry Ford Hospital Medical Journal

Preoperative coagulation profile screening is routinely performed in otolaryngology before tonsillectomy and adenoidectomy surgery in the United States. Recently there has been controversy as to whether this routine testing is necessary. To evaluate the need for this testing, we reviewed a series of patients with particular attention to abnormal coagulation profiles. Of 91 consecutive patients undergoing tonsillectomy, adenoidectomy, or both, four had abnormal preoperative coagulation profiles. Of these patients, one had von Willebrand disease, one had hypofibrinoginemia, and two had a transient acquired lupus-like anticoagulant. The latter condition, which causes a temporary prolongation of the activated partial thromboplastin time, is …

Infant Hearing Screening 1984 To 1989: The Henry Ford Hospital Experience, Gary P. Jacobson, Mary Jo Burtka, Jeanne A. Wharton, Craig W. Newman, Neil Shepherd, Robert G. Turner

Henry Ford Hospital Medical Journal

From 1984 to 1989 the Infant Hearing Screening (IHS) program at Henry Ford Hospital identified 1,300 infants as being "at risk" for hearing loss. The prevalence of significant sensorineural hearing loss in this sample was 1.4%. Additionally, 80 infants who passed the IHS program and reached 3 years of age were found to have normal hearing sensitivity by conventional audiometric techniques (ie, no false-negative predictions). There were three false-positive predictions. It was discovered that infants of low birthweight (ie, < 1,500 g) were three times more likely to fail IHS than those whose weight exceeded 1,500 g. A higher return rate was found for infants failing an initial hearing screening conducted in the neonatal intensive care unit in comparison to those screened as outpatients one week postdischarge. The sensitivity and specificity of behavioral observation audiometry were 43% and 92%, respectively, when brainstem auditory-evoked potentials was used as the criterion validity measure.

Cocaine-Induced Hepatonephrotoxicity: A Case Report, Guillermo P. Gubbins, Rhett M. Schiffman, Ravindra S. Alapati, Surinder K. Batra

Henry Ford Hospital Medical Journal

Hepatotoxicity due to cocaine has been well described in animal models. There are few reports on cocaine-induced hepatic injury in humans; however, its link to rhabdomyolysis and renal failure is better known. We report a case of reversible acute hepatonephrotoxicity associated with recreational cocaine use. The proposed mechanisms responsible for its hepatic and renal toxicity are reviewed.

Computerized Literature Searching In The Ambulatory Setting Using Paperchase®, Byron K. Wolffing

Henry Ford Hospital Medical Journal

PaperChase®, a self-service computerized literature search (SSCLS) service, was compared to conventional resources for accessing recent medical information by assessing user attitudes, search costs, and number of searches performed. The study was designed as a randomized controlled trial using survey instruments before and after the intervention. Accounting of PaperChase searches was monitored electronically, and costs of librarian searches were provided by the hospital library. Participants included 57 physicians in several specialties who were members of a group practice located in a suburban ambulatory care center. Responses were received from 67%. The experimental group received free, unlimited access to PaperChase over …

Surgical Removal Of Metastatic Renal Adenocarcinoma To The Midbrain Tectum: A Case Report, Frank J. Tomecek, James I. Ausman, Ghaus M. Malik

Henry Ford Hospital Medical Journal

A patient with adenocarcinoma of the kidney metastatic lo the quadrigeminal plate of the midbrain presented with acute obstructive hydrocephalus and early tonsillar herniation. Because the majority of these carcinomas are resistant to radiation therapy, only limited treatment choices were available. Initially, a ventriculoperitoneal shunt relieved the hydrocephalus and neurologic symptoms. After a short course of improvement, with decompressed ventricles demonstrated by postoperative computed tomography, the patient developed additional neurologic signs, leading to the decision to excise the metastatic tumor. Convalescence was complicated but the patient survived for six months, succumbing to respiratory failure presumably caused by lung metastases.

Management Of Advanced Endodermal Sinus Tumor Of The Ovary With Preservation Of Reproductive Function, Michael L. Hicks, Shari L. Maxwell, Wooshin Kim

Henry Ford Hospital Medical Journal

Endodermal sinus tumor of the ovary occurs primarily in children and young adults. This tumor is classified as a germ cell tumor which comprises approximately 5% of all ovarian tumors. In the past, patients with this highly malignant tumor had low survival. However, with the evolution of effective adjunctive chemotherapeutic regimens, specifically vincristine, actinomycin D, and cyclophosphamide, survival rates have improved. In an attempt to continuously improve survival rates, other combination chemotherapeutic regimens are currently under investigation. Unlike epithelial ovarian malignancies, endodermal sinus tumor can be monitored by a specific tumor marker, alpha-fetoprotein (AFP). Serum levels of AFP can be …

Evaluation Of The Predictive Power Of Progesterone Receptor Levels In Primary Breast Cancer: A Comparison With Other Criteria In 559 Cases With A Mean Follow-Up Of 74.8 Months, Robert A. Huseby, Helen E. Ownby, Sam Brooks, Jose Russo

Henry Ford Hospital Medical Journal

A total of 559 women with primary breast cancer treated by modified radical mastectomy were followed for a mean of 74.8 months to evaluate the relationship of sex hormone receptor content in the tumor with time to first recurrence and to death due to breast cancer. The prognostic significance of progesterone receptor (PgR) status was evaluated in terms of estrogen receptor (ER) status, age (< 49 years, > 50 years), extent of lymph node involvement, tumor size, and morphologic characteristics. Overall, patients with PgR positive (> 9 femtomoles/10 mg wet weight tissue) tumors experienced a significantly longer period to both first recurrence and …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Home Safety-The Challenge To Public Health, Ray Ranson

The Journal of Sociology & Social Welfare

Home accidents are now a leading cause of death and injury particularly in young children and the elderly. For example, 3.1 million accidents occur in the home every year in the United Kingdom with no signs of diminishment. More effective systems of accident recording, monitoring, investigation, intercollaboration and education are urgently needed to redress this epidemic. More attention needs to be given to preventive safety design in architect training and adoption of home safety design standards and legislation. The major threat to public health which home accidents represent must not go unchallenged.

Pms And Eosinophilia-Myalgia Syndrome, Mary Guinan

School of Public Health Faculty Research

No abstract provided.

Ua12/2/1 College Heights Herald, Vol. 65, No. 34, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Poynter, Chris. Pearce-Ford Tower Dwellers Asking for Breath of Fresh Air
• Howard, Laura. Still Here, Paul Cook’s Duties Mount
• Lockert, Anya. Officials Blame ’83 Act for Low Ratio of Blacks – Desegregation Plan
• Regents Ask for Students’ Opinions
• Bricking, Tanya. More Cooks to Stir Recipe for Budget – Thomas Meredith
• Committee Will Study Athletic Reports
• Rubber Ducky Business Has Holiday Boom
• Wessling, Susan. Group Works to Ban Public Smoking
• Students Need AIDS Education
• Chattin, John. Editorial Cartoon – AIDS Skeleton
• Bright Ideas Projecting New Image …

A Baseline Case: The Woburn Wells G And H Superfund Site, Steven Konkel

Environmental Health Science Faculty and Staff Research

This section profiles the types of disputes which arose at the Woburn Wells G and H Superfund site in Woburn, Mass. The Woburn Wells G and H case serves as a baseline because it demonstrates how obstacles cause delays and impasses. This section contains an overview of what has transpired since the discovery of contaminants in two of the town municipal wells, Well G and H.

Management Of Swallowing Disorders: A Program For Professionals Working In Rural Areas, Kathleen D. Sims Mcsd/Ccc-Slp, Sue Reinsel-Garcia Otr/L, Kathy M. Love Ma/Ccc-Slp, Elizabeth Kohler Ed.D., O.T.R., University Of Montana Rural Institute

Health and Wellness

Research indicates that 74% of all nursing home patients experience eating difficulties sometime during their stay (Trupe, Siebens, & Siebens, 1984). Additionally, 59% of patients suffering from stroke experience some degree of dysphagia and aspiration difficulties (Echelard, Thoppil, & Melvin 1984). A significant number of the high risk dysphagia patients described above suffer from life threatening aspiration pneumonia. Consequently the management of swallowing disorders (Dysphagia) is of critical concern to hospital and nursing home personnel. Patients specficially at risk for dysphagia, according to recent studies, include those with head injury, stroke (CVA), and cerebral palsy. Also, patients experiencing cancer of …

Domestic Violence: Physicians A Link To Prevention, Mary Guinan

School of Public Health Faculty Research

Domestic violence may result in more injuries and fatalities for women than automobile crashes, muggings, and rapes combined, but according to a recent editorial, physicians largely ignore the problem. Evidence showed that a majority of women treated at an emergency facility for injuries resulting from violent acts of spouses or other persons known to the victims were discharged without any arrangement being made for their future safety. Physicians rarely inquired about an injury victim's past sexual or physical abuse, living arrangements, or future prospects of safety.

Amwa Endorses Uniform Mammography Screening, Mary Guinan

School of Public Health Faculty Research

Breast cancer is gaining on us at an increasing rate each year. In 1990 in the United States alone we expect about 145,000 new cases and 45,000 breast cancer deaths in women. What are we doing about it? What is AMWA doing, and what are women physicians doing- for themselves and their patients? Can we do anything? The answer is yes, we can. We can reduce mortality considerably if the cancer is detected early. The five-year survival rate for women with breast cancer diagnosed in its early (localized) stages is 90%, but for women with cancer diagnosed after it has …

Act-Up/Ri Fight Aids Poster, Act-Up/Ri, Risd Archives

Health

ACT-UP/RI Fight AIDS poster. "Get off your butt and demonstrate. Act Up, Fight Back, Fight AIDS"

Detection Of Shigella In Feces Using Dna Amplification, Gad Frankel, Lee Riley, Jorge A. Giron, Janice Valmassoi, Adam Friedmann, Nancy Strockbine, Stanley Falkow, Gary K. Schoolnik

United States Public Health Resources

A rapid diagnostic method employing a polymerase chain reaction procedure (PCR) was used to identify Shigella and enteroinvasive Escherichia Coli. This procedure amplified a region of the invasive-associated locus (ial) from a crude DNA extract of feces. A synthetic 21-base oligonucleotide corresponding to the ial gene sequence was shown to specifically hybridize only with enteroinvasive E. Coli (EIEC) strains and Shigella species. Upon PCR amplification, a 320-base pair fragment was generated in DNA extracted from feces reconstituted with EIEC or Shigella flexneri but not in DNA from 70 normal stools lacking these organisms and could be readily …

Pesticide Exposures And Other Agricultural Risk Factors For Leukemia Among Men In Iowa And Minnesota, Linda Morris Brown, Aaron Blair, Robert Gibson, George D. Everett, Kenneth P. Cantor, Leonard M. Schuman, Leon F. Burmeister, Stephanie F. Van Lier, Fred Dick

United States Public Health Resources

Mortality surveys and death certificate studies have suggested an association between leukemia and farming. To investigate whether exposure to carcinogens in an agricultural setting is related to risk of leukemia, the authors conducted a population-based case-control inter view study of 578 white men with leukemia and 1245 controls living in Iowa and Minnesota. Consistent with recent mortality studies, there were slight, but significant, elevations in risk for all leukemia (odds ratio (OR) 1.2) and chronic lymphocytic leukemia (OR 1.4) for farmers compared to nonfarmers. There were no significant associations with leukemia for exposure to specific fungicides, herbicides (including 2.4-1) and …

Assisted Noncoital Reproduction: A Comparative Analysis, George P. Smith Ii

Scholarly Articles

This article, written in the last ten years of the 20th century, presents an historical metric of geopolitical, socio-legal, ethical, medical, and religious responses to noncoital reproduction in Australia, Britain, Germany, and the United States — as well as the various efforts of the United Nations — to protect reproductive freedoms as human rights. From this analysis will come an understanding of how these responses shape normative values, principles, regulatory policies and laws which in turn seek — at various levels — to monitor and even control scientific inquiry, advance social justice and safeguard procreative liberties for women. The U.S. …

Indian Health Service Managed Health Care Strategies Workshop, Indian Health Service

Native Health Database Full Text

During the week of November 5-8, 1990, the Indian Health Service sponsored the Managed Health Care Strategies Workshop for tribal health programs and interested lHS staff. As part of the continuing effort to seek methods to improve health care delivery, this training workshop provided practical management tools to achieve cost savings while ensuring that health care procured from the private sector is appropriate in terms of cost and quality.

La Conservation Des Forêts Au Népal: Encourager La Participation Des Femmes, Augusta Molnar

Poverty, Gender, and Youth

Ce numéro de SEEDS porte sur les moyens mis en oeuvre pour faire participer les femmes à un programme gouvernemental visant à preserver et à restituer la forêt au Népal. Comme il arrive fréquemment lors de la mise en place de projets aussi vastes ayant une portée generale, les femmes n'étaient pas un centre d'intérêt spécifique au moment de la conception du projet. Cependant, lorsque les activités ont demarré, les responsables népalais du projet et leurs collègues de l'étranger se sont tres vite rendus compte que le succès du programme dépendait de la participation directe des femmes aux activités du …

The Muek-Lek Women's Dairy Project In Thailand, Aruna Rao

Poverty, Gender, and Youth

This issue of SEEDS describes a project that was started in 1985 to encourage the growth of a new agricultural sector, dairy farming, in Thailand. While the major aim of the project was to increase incomes of rural families in the Muek-Lek Land Reform Area in Saraburi Province, Central Thailand, it also sought to integrate women into dairying activities, and offer these women, whether married or single, access to credit. The Muek-Lek Dairy Project is unique in that it channeled government resources and secured commercial bank financing to make women the key participants in a relatively new and growing agricultural …

La Construcción Colectiva Para Las Mujeres (The Women's Construction Collective): Edificando Para El Futuro, Ruth Mcleod

Poverty, Gender, and Youth

Este número de SEEDS se enfoca en un programa creado para integrar a la mujer de ingresos bajos a la industría de la construcción en Jamaica. En dos años, hubo 34 mujeres que recibieron cursos básicos del programa y de capacitación más avanzados. Más del 90 por ciento de estas mujeres fueron empleadas; la mayoría son carpinteras y albaniles. La historia de cómo se identificó este campo como fuente potencial de ingresos para la mujer, y cómo se desarrolló el proyecto respondiendo a las circunstancias siempre cambiantes, presenta muchas lecciones útiles. Este proyecto será de especial interés para aquellos que …

Man/Hombre/Homme: Meeting Male Reproductive Health Care Needs In Latin America, Debbie Rogow, Judith Bruce, Ann Leonard

Poverty, Gender, and Youth

This edition of Quality/Calidad/Qualité answers the following question: how can family planning programs understand and better serve the interests of men? The proposals in the article are derived from the experience of PRO-PATER, in São Paulo, Brazil, and briefly, from the activities of the Profamilia Men’s Clinic in Colombia. The experiences of both PRO-PATER and Profamilia suggest that, although the reproductive health needs of men may be different from those of women, they are still very interested. It is clear that there is abundant demand for high-quality services that offer convenience, confidentiality, information, attentive providers, and attention to reproductive health …

Hospital Quality Assurance And Outcomes Of Hospitalization, Patricia A. Rowell

Theses and Dissertations

This study was undertaken to address the need of professionals responsible for assuring the quality of hospital care for a framework for understanding and evaluating quality assurance mechanisms and their impact on hospital quality of care. Primary data were collected from 70 Virginia short term acute care general hospitals on the design and resources of their quality assurance programs in 1986. Adverse outcome data for 1986 were collected from the Medical Society of Virginia Review Organization. Hospital structural data were obtained from the American Hospital Association computer data base and the Federal Register. The intermediate outcome variables are: rate of …

Bibliography: Women, Aids, & Activism, Polly Thistlethwaite

Publications and Research

This annotated bibliography of the ACT UP/NY Women & AIDS Book Group's Women, AIDS & Activism reflects the scientific, feminist, gay, lesbian, HIV-community work that informed the book's production and ACT UP/NY's activism up to 1990. Book Group members: Marion Banzhaf, Cynthia Chris, Kim Christensen, Alexis Danzig, Risa Denenberg, Zoe Leonard, Deb Levine, Samuel Lurie, Monica Pearl, Catherine Gund, Polly Thistlethwaite, Judith Walker, and Brigitte Weil. Additional members of the original Women and AIDS Handbook Group included Jamie Bauer, Heidi Dorow, Maria Maggenti, Ellen Neipris, Ann Northrop, Sydney Pokorney, Karen Ramspacher, Maxine Wolfe, and Brian Zabcik.