Digital Commons Network^™

Factors That Influence Prepared Childbirth Couples' Use Of Epidural Anesthesia For Labor And Delivery, Terri S. Chambers

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify factors that influence a Prepared Childbirth couple's decision to utilize epidural anesthesia for labor and delivery. Review of the literature indicated a high correlation between epidural use for uncomplicated labors and deliveries and a high incidence of maternal complications and low neonatal neurological and behavioral scores.

A sample of twenty-nine couples was used in this prospective, non-experimental field study for the research. Data were collected utilizing two developed demographic and factual event tools, Rotter's Internal-External Locus of Control Tool and Spanier's Dyadic Marital Adjustment Tool.

Three hypotheses were developed and data were …

Preferred Provider Organizations: Developmental Indicators, Marcia Anne Guida

Community & Environmental Health Theses & Dissertations

The purpose of this research was to determine what factors, if any, led to the development of a preferred provider organization and if these factors were related to sponsorship. A survey instrument was developed and mailed to a random sampling of 90 existing preferred provider organizations' executive directors for their completion. A Two-Factor Contingency Table Analysis was compiled. Chi-square, and the Contingency factor, C, were computed and tested at the .05 level of significance. First and second preference analyses were done on the responses to developmental indicators. Mean percentages were tallied for: sponsorship, tax status, alternative delivery systems in the …

Dual-Purpose Activity Versus Single-Purpose Activity In An Institutionalized Geriatric Population, Rita M. Yoder

Masters Theses

The use of purposeful, goal-directed activity has traditionally been a central theme for occupational therapy. In dual-purpose activity the participant has two goals: successful task completion and the making of adaptive responses in the activity process. This study compares the extent to which a dual-purpose activity (stirring for the purpose of exercise and baking cookies) enhances performance in contrast to a single-purpose activity (stirring for the purpose of exercise alone) in an institutionalized geriatric population.

Thirty women between 70 and 92 years of age were randomly assigned to either the single- or dual-purpose activity. Duration, exertion, and discontinuities were measured …

Interventional Neuroradiology: Henry Ford Hospital Experience With Nonembolization Procedures, Clifford R. Jack, Bharat A. Mehta, Roushdy S. Boulos, Suresh C. Patel, James I. Ausman, Ghaus M. Malik

Henry Ford Hospital Medical Journal

Innovative technical developments over the past two decades have resulted in the development of a variety of useful interventional procedures for minimally invasive treatment of a variety of head and neck lesions. We have had experience with four different types of nonembolization interventional neuroradiologic procedures at Henry Ford Hospital from 1981 through 1985. Percutaneous transluminal angioplasty of six external carotid artery stenoses has been performed in five patients. Five were successful, and the artery became occluded in one patient. Intracarotid BCNU infusion was performed successfully in five patients with recurrent astrocytoma. Intraarterial streptokinase infusion was performed in one patient with …

Dnr — A God-Like Decision, Dwain Gade

Henry Ford Hospital Medical Journal

No abstract provided.

Recovery Following Acute Pontine Hemorrhage, Janice M. T. Redmond, B. K. Ahmad

Henry Ford Hospital Medical Journal

Massive pontine hemorrhage does not always carry a fatal prognosis. A case report is presented in which many of the features usually associated with a fatal outcome were seen: severe disturbance of consciousness with early onset of coma, decerebrate posturing, systolic BP ranging from 200 mm Hg to 250 mm Hg, and hypopnea. Intensive supportive therapy was instituted during the critical phase, and the patient recovered. Electrophysiological studies helped to define the neurological deficit.

The Phenomenon Of Multiple Stretch Reflexes, Robert D. Teasdall

Henry Ford Hospital Medical Journal

Multiple stretch reflexes occur in muscles adjacent to or remote from the tap. The response may be ipsilateral or bilateral. These reflexes are encountered not only in normal subjects with brisk stretch reflexes but particularly in patients with lesions of the upper motor neuron. The concussion obtained by the blow is conducted along bone to muscle. Muscle spindles are stimulated, and in this manner independent stretch reflexes are produced in these muscles. This mechanism is responsible for the phenomenon of multiple stretch reflexes. The thorax and pelvis play important roles in the contralateral responses by transmitting these mechanical events across …

Nutritional Support Of The Brain Injured Patient: Five Years Of Clinical Study In Perspective, Diana L. Twyman, Brack A. Bivins

Henry Ford Hospital Medical Journal

No abstract provided.

High-Frequency Ventilation: Current Status, John Popovich Jr.

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Muscle Pathology In Total Knee Replacement For Severe Osteoarthritis: A Histochemical And Morphometric Study, Mark A. Glasberg, Janet R. Glasberg, Richard E. Jones

Henry Ford Hospital Medical Journal

We evaluated a series of 12 biopsies from 11 patients with total knee replacements for severe osteoarthritis. All 12 biopsies showed denervation atrophy, while five cases had significant myopathic changes. Morphometric studies indicated a positive atrophy factor (greater than 150) in the type I myofibers in seven cases, the IIA myofibers in nine cases, and the IIB myofibers in all 12 cases. Type I predominance occurred in six cases, IIA paucity in two cases, and IIB paucity in two cases. The results indicate that patients with severe osteoarthritis of the knee have both significant neuropathic and myopathic changes in quadriceps …

Catamenial Hemoptysis: A Case Report, Paul S. Harkaway, Michael S. Eichenhorn

Henry Ford Hospital Medical Journal

A young woman presented with recurrent hemoptysis temporally associated with menstruation. Catamenial hemoptysis, an extremely uncommon disorder, is usually caused by the presence of ectopic endometrial tissue within the lung. The use of progesterone suppressed menstruation and hemoptysis during four months of treatment. Chest x-ray was normal.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Science Or Technology: A Challenge For Clinical Neurosciences, Stanton B. Elias

Henry Ford Hospital Medical Journal

No abstract provided.

Interventional Neuroradiology: Henry Ford Hospital Experience With Transcatheter Embolization Of Vascular Lesions In The Head, Neck, And Spine, Bharat A. Mehta, Clifford R. Jack Jr., Roushdy S. Boulos, Suresh C. Patel, James I. Ausman, Ghaus M. Malik

Henry Ford Hospital Medical Journal

Innovative developments over the past 15 years have resulted in increased sophistication and effectiveness of therapeutic neuroembolization procedures. As a result, percutaneous transcatheter embolization has assumed an increasingly important role in the management of patients with vascular lesions of the head, neck, and spine. By reducing bleeding during surgery, this technique can markedly facilitate the surgical approach to difficult vascular lesions. The technique may also be applied in cases where surgery is contraindicated. Therapeutic neuroembolization has been performed in 23 patients with vascular lesions of the head, neck, or spine at Henry Ford Hospital. Devascularization of the extraaxial blood supply …

The Effect Of Sta-Mca Bypass On Regional Cerebral Blood Flow In Ischemic Foci, Wendy M. Robertson, K. M. A. Welch, James R. Ewing, James I. Ausman, Fernando G. Diaz

Henry Ford Hospital Medical Journal

The effect of STA-MCA bypass on regional cerebral bloodflow (rCBF) is unclear Since asymmetries of rCBF have previously been shown to identify the focus of maximal cerebral ischemia, a study was performed to assess the effects of surgical revascularization on rCBF in this focus. Sixteen candidates for STA-MCA bypass were studied preoperatively and postoperatively. The rCBF vms measured by the '"Xenon inhalation technique with eight contralateral probe pairs. The probe pair with the maximal percentage difference in initial slope index (ISI) was identified and corresponded to the clinically involved hemisphere in 14 patients. Following surgery, the ISI increased in the …

Psychocardiologic Perspectives Of Coronary Artery Disease, Richard Ketai

Henry Ford Hospital Medical Journal

The importance of mind, emotion, and behavior as they relate to the heart, particularly coronary artery disease, is growing in recognition. A review of the research shows increasingly sophisticated demonstrations of links unifying heart function and mind. "Psychocardiology" would be an appropriate term for the diverse areas of interest which focus on the psychosocial correlates of heart disease. This paper illustrates this concept through a review of psychosocial and behavioral aspects of coronary artery disease.

Intussusception Of The Appendix And Endometriosis, Roberta E. Sonnino, Mohammed R. Ansari

Henry Ford Hospital Medical Journal

Intussusception of the appendix, though uncommon, is usually diagnosed during surgery. Endometriosis in an intussuscepted appendix is rarely described. A case of appendiceal intussusception of a rare morphologic type associated with endometriosis is presented, and the literature is briefly reviewed. Etiology, classification, and diagnosis are discussed.

Anti-Hla Antibodies Complicating Infectious Mononucleosis With Thrombocytopenia And Neutropenia, Warren L. Kupin, Maria Sawdyk

Henry Ford Hospital Medical Journal

A case concerning a 21-year-old male college student with thrombocytopenia and neutropenia complicating infectious mononucleosis is presented. Although the patient had no prior history of alloimmunization, a broad spectrum anti-HLA antibody was strongly positive in his serum. Concomitant with resolution of the hematologic abnormalities, the titer of the antibody diminished. This case is unique both in the severity of the thrombocytopenia and neutropenia and for the circulating HLA antibody most likely of viral origin.

Postinfarction Papillary Muscle Rupture: A New M-Mode Echocardiographic Sign, Dipankar S. Dasgupta, I. A. D'Cruz

Henry Ford Hospital Medical Journal

A 58-year-old man with acute inferior wall infarction developed a loud systolic murmur hypotension, and pulmonary edema four days after onset of infarction. M-mode echocardiography demonstrated an unusual diastolic echo that appeared between the mitral valve leaflets. Complete rupture of the posterior papillary muscle was confirmed at surgery for mitral valve replacement.

The Ec-Ic Bypass Study: Does It Answer The Question?, Fernando G. Diaz, James I. Ausman

Henry Ford Hospital Medical Journal

No abstract provided.

Rapport Du Groupe De Travail Québécois Sur Les Aspects Cliniques Des Affections Vertébrales Chez Les Travailleurs, Walter O. Spitzer

Rapports de recherche scientifique

No abstract provided.

Ua60/5/1 Scrapbook, Junior American Dental Hygienist's Association

Student Organizations

Scrapbook documenting 1986 of the Junior American Dental Hygienist's Association at WKU. People included in the scrapbook are: Tamara Rae, Pam Rhodes, Nancy Delph, Susan Bryant, Debbie Yates, Leigh Word, and Melanie Banks.

Two Toxin-Converting Phages From Escherichia Coli 0157:H7 Strain 933 Encode Antigenically Distinct Toxins With Similar Biologic Activities, Nancy A. Strockbine, Lilian R. M. Marques, John W. Newland, H. Williams Smith, Randall K. Holmes, Alison D. O'Brien

United States Public Health Resources

Escherichia coli 0157:H7 strain 933 contains two distinct toxin-converting phages (933J and 933W). The biologic activities and antigenic relationship between the toxins produced by 933J and 933W lysogens of E. coli K-12, as well as the homology of the genes that encode the two toxins, were examined in this study. The 933J and 933W toxins, like Shiga toxin produced by Shigella dysenteriae type 1, were cytotoxic for the same cell lines, caused paralysis and death in mice, and caused fluid accumulation in rabbit ileal segments. The cytotoxic activity of 933J toxin for HeLa cells was neutralized by anti-Shiga toxin, whereas …

Intimations Of Life: Extracorporeality And The Law, George P. Smith Ii

Scholarly Articles

This article will study and evaluate the efforts of the state and the federal government to approach the problem of procreational autonomy and to resolve the perimeters of its recognition and application. In order to posit a framework for principled decision making, an analysis of the Australian and British efforts to deal with this problem, respectively, through their Waller and Warnock Commissions, will be undertaken together with a consideration of the famous case of Melbourne's "orphan" Rios embryos where, for the very first time, the issue of excess fertilized embryos was presented.

The thesis to be postulated here is simple: …

Accidents Types Des Monteurs De Lignes Du Secteur De La Construction (Annexe), Évelyne Kedl, Lucie Laflamme, Lyne Marinacci

Rapports de recherche scientifique

La première phase du projet dont il est ici question vise à résumer, en un nombre limité d’accidents types, les circonstances dans lesquelles les monteurs de lignes se blessent le plus souvent et les caractéristiques les plus courantes de leurs lésions. À cette fin, les fichiers "pairés" d’accidents des trois entrepreneurs participants et de la CESST ont servi à décrire 236 accidents en utilisant un total de 15 variables. Le traitement de ces données, rétrospectives, a conduit à la reconstruction de six classes d’accidents différentes les unes des autres.

Ces classes se distinguent d’abord par le genre de l’accident. Nos …

Accidents Types Des Monteurs De Lignes Du Secteur De La Construction, Évelyne Kedl, Lucie Laflamme, Lyne Marinacci

Rapports de recherche scientifique

La première phase du projet dont il est ici question vise à résumer, en un nombre limité d’accidents types, les circonstances dans lesquelles les monteurs de lignes se blessent le plus souvent et les caractéristiques les plus courantes de leurs lésions. À cette fin, les fichiers "pairés" d’accidents des trois entrepreneurs participants et de la CESST ont servi à décrire 236 accidents en utilisant un total de 15 variables. Le traitement de ces données, rétrospectives, a conduit à la reconstruction de six classes d’accidents différentes les unes des autres.

Ces classes se distinguent d’abord par le genre de l’accident. Nos …

Book Review. The Law And The Public's Health, 2nd Ed. By Kenneth R. Wing, Roger B. Dworkin

Articles by Maurer Faculty

No abstract provided.

Can Mental Health Professionals Predict Judicial Decisionmaking? Constitutional And Tort Liability Aspects Of The Right Of The Institutionalized Mentally Disabled To Refuse Treatment: On The Cutting Edge, Michael L. Perlin

Touro Law Review

No abstract provided.

The Women's Construction Collective: Building For The Future, Ruth Mcleod

Poverty, Gender, and Youth

This edition of SEEDS focuses on a project developed to integrate low-income women into Jamaica's construction industry. In two years, 34 women passed through the project's basic training and skills upgrading courses. More than 90 percent of these women became employed, the majority as masons and carpenters. The story of how this field was identified as a potential source of income for women, and how the project developed and evolved in response to changing circumstances, presents many useful lessons. These should be of particular interest to those seeking to identify employment areas where women's participation is feasible and in helping …