Digital Commons Network^™

Job Satisfaction Of Home Care Case Managers: An Evaluative Look At One Home Care Corporation, Scott A. Bass, Richard Rowland

Gerontology Faculty Publication Series

Senior Home Care Services — Boston III, Inc. is a six year old private non-profit corporation with an annual budget of nearly $5 million. The agency currently delivers services to approximately 2,500 functionally impaired senior citizens per month in the Boston neighborhoods of South Boston, East Dorchester/Mattapan, East Boston, Beacon Hill, West End, North End, Charlestown, and South Cove. Over 5 7% of the case management staff has worked at the agency less than one year and 92.9% of the case management staff has worked at SHC for less than two years. The high turnover rate is well known to …

Anywhere But Here: An Introduction To State Control Of Hazardous-Waste Facility Location, A. Dan Tarlock

Articles by Maurer Faculty

No abstract provided.

Women And Handicrafts: Myth And Reality, Jasleen Dhamija

Poverty, Gender, and Youth

This issue of SEEDS reviews handicrafts as a means of providing income to women. In some instances, crafts are a solid source of income and can also provide women with a link to their own cultural heritage. In most instances, however, crafts production concentrates women in an area that is labor intensive and exploitative, providing a meager income for long hours of work. Handicrafts can be a means of increasing income for women in some settings, but only under the conditions outlined in this report, since crafts are specialized activities which have limited markets and offer limited potential as a …

Your Child's Teeth (1981), American Dental Association, Bureau Of Health Education And Audiovisual Services, American Society Of Dentistry For Children

Patient Dental Health Education Materials 1929-1981

No abstract provided.

Health Problems Of Selected Lds Missionaries Throughout The World, Susan Jensen

Theses and Dissertations

The purpose of this study on Mormon missionaries was to determine the effect of health on missionary activity time, age, sex, months in field, laboring city population, monthly mission cost, living conditions, diet, pre-existing conditions, adequacy of medical care, nativity, effectiveness, emotional health, interpersonal relationships, and motivation and enthusiasm. In addition the research attempted to ascertain the effect of the selected independent factors on ill missionary lost time.

As an outcome of the statistical analysis performed on this study's sample the following results were obtained. Respiratory disorders, gastrointestinal difficulties and orthopedic injuries were the most common health problems. Well missionaries …

Habitat, The New United Nations Initiative In Human Settlements, Norman Miller, James F. Hornig

Dartmouth Scholarship

Habitat, the synonym for the United Nations Center for Human Settlements, is a new UN agency with a staggering mandate. Its charge is to assist developing nations in settlement policy and planning, in slum upgrading, urban renewal, and in the development of shelter materials. The upgrading of infrastructural services, such as those involving finance, loans, building codes, and regulatory laws, are a part of the mandate, as are such basic elements as clean water, electricity, and sewage removal. Still further, the agency, which is headquartered in Nairobi, Kenya, is charged with helping generate rational land-use policies, gaining public participation, and …

A Study Of Nata Certification Candidates' Perception Of Preparation Before And After Taking The Certification Exam, Richard J. Lloyd

Masters Theses

No abstract provided.

Lomax Norms For Eastern Illinois University Women Athletes On The Twelve Minute Run, Linda J. Lomax

Masters Theses

No abstract provided.

Physical Education Program For Autistic Children, Karen Sue Moss Smith

Masters Theses

No abstract provided.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Henry Ford Hospital Clinicopathological Conference: Hypercoagulable State In Cancer Of The Pancreas In A 57-Year-Old Man

Henry Ford Hospital Medical Journal

No abstract provided.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Phleborheography: A Correlative Study With Venography, Joseph P. Elliott Jr., John H. Hageman, Ann C. Belanger, Roger F. Smith

Henry Ford Hospital Medical Journal

The Vascular Laboratory of Henry Ford Hospital has used the Cranley-Grass Phleborheograph (PRG) as the primary noninvasive method to determine the presence or absence of deep venous thrombosis (DVT) in the lower limbs since December 1977. In order to determine its proper role and clinical reliability, we compared the diagnostic accuracy of phleborheography with contrast venography. From December 1977 through December 1978, 483 cases (963 limbs) were successfully examined by PRG. Ofthese, 111 cases (216 limbs) also had contrast venography. The PRG was confirmed as normal in 151 out of 157 (6 false negatives). There were 53 abnormal PRCs, with …

Glucose Phosphate Isomerase Deficiency: Unusual Acute Hemolytic Crisis In A Middle-Aged Woman, Koichi Maeda, Sheikh M. Saeed, Raymond W. Monto, Ernest Beutler

Henry Ford Hospital Medical Journal

Hereditary hemolytic anemia associated with glucose phosphate isomerase (GPI) deficiency was first reported in 1967. Since then, about 30 cases have been reported in the literature; their ages ranged between 1 and 26 years. We present a case of glucose phosphate isomerase deficiency in a 56-year-old woman. Steroid therapy seemed to resolve our patient's acute stage. Since it has not been mentioned previously, further evaluation is necessary. Consideration of this deficiency may be helpful in investigating hemolytic anemia, regardless of the patient's age.

Intensity Of The Second Heart Sound: Relation Of Physical, Physiological And Anatomic Factors To Auscultatory Evaluation, Paul D. Stein, Hani Sabbah

Henry Ford Hospital Medical Journal

The intensity of the heart sound depends upon: 1) the distensibility of the aortic and pulmonary valves; 2) hemodynamic factors that cause the valves to distend and vibrate; 3) viscosity of the blood and its ability to inhibit diastolic valve motion; 4) the configuration of the aorta, pulmonary artery, and ventricle and the ability of the walls of the great vessels and ventricles to absorb or reflect sound energy; and 5) the capability of sound to be transmitted to the chest wall. Recognizing how these physical, physiological, and anatomic factors interact can help us to interpret auscultation of the intensity …

A Selective Approach To Bleeding Esophageal Varices, Glyn G. Jamieson, Irwin B. Faris, John Ludbrook

Henry Ford Hospital Medical Journal

It is possible that the best results of treatment for bleeding esophageal varices will come when a selective approach is used. In patients bleeding acutely and in patients with poor liver function shunt operations should be avoided, and a direct attack on the varices with either sclerosant therapy, percutaneous obliteration, or staple gun gastro-esophageal transsection should be carried out. In patients who have stopped bleeding, or those in whom elective treatment is being undertaken, the best operation at present appears to be selective distal splenorenal shunt.

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

Effects Of Analgesia On The Newborn, Linda Roe

Masters Theses & Specialist Projects

Obstetric analgesia and anesthesia is an important concern today. The purpose of this study was to evaluate the effects of analgesia used in labor and delivery on the mother and newborn. The information obtained in this study evaluated the amount, time and types of analgesia and the effects on the mother and the newborn.

Previous research has indicated adverse effects of analgesia and anesthesia on both mother and newborn, but conclusive results have not been obtained. Depressed respiratory function, increased use of oxygen, and low Apgar scores are among the effects reported for the newborn. Decreased uterine function, decreased satisfaction …

Commencement Program 1980 (Summer Conferring Of Degrees), Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

8 | Candidates for Degrees

15 | Awards

Evaluation Of The Impact Of A Health Education Program On The Rate Of Recurrent Urinary Tract Infections In A Selected Female Outpatient Population, Lo Lumsden

Community & Environmental Health Theses & Dissertations

The present study attempted to assess the impact of a health education program focused on those preventive measures or avoidance behaviors an individual could incorporate. into daily living to reduce the incidence of urinary tract . infections. An experimental group, consisting of seventeen volunteers was exposed to a health. education program, and then compared to a seventeen member control group. A statistically significant reduction in the incidence of cystitis, occurred within the experimental group after health education intervention. The results were not statistically significant when the experimental post-test was compared with the control post-test.

The Effects Of Family Counseling On The Treatment Of Juvenile Status Offenders Of The Norfolk Juvenile And Domestic Relations Court, Valerie Karen Freeman

Community & Environmental Health Theses & Dissertations

The present study was conducted as a service to ~e Norfolk Juvenile and Domestic Relations Court, to determine if the family counseling service administered by the Diversion Department, could significantly reduce the recidivism rate among juvenile status offenders (JSOs). A retrospective design was employed in order to examine the records of 74 JSOs, who came in contact with the Intake Department of the Norfolk Juvenile Court in 1978. The recidivism rate was recorded, and data analyzed from a two year intervention period. Ss consisted of 37 JSOs who received family counseling (experimental group), and 37 JSOs who did not receive …

Recurrent Klebsiella Meningitis Following Trans-Sphenoidal Hypophysectomy For Nelson's Syndrome: Chloramphenicol Resistance During Relapse, Tom Madhavan, Daria Kiani, Louis Saravolatz, Keith Burch, Raymond C. Mellinger

Henry Ford Hospital Medical Journal

Three episodes of meningitis due to Klebsiella pneumoniae occurred in a young man following cerebral surgery. The patient had the features of Nelson's syndrome, and a chromophobe adenoma was removed by trans-sphenoidal resection. Intravenous chloramphenicol was effective in producing a temporary clinical response during the first episode of meningitis, but the organism became resistant to chloramphenicol during the second episode. Combined parenteral and intralumbar administration of gentamicin resulted in temporary improvement only. Subsequently, the subcutaneous cerebrospinal fluid (CSF) reservoir of Ommaya provided a safe, convenient way to administer prolonged intraventricular therapy which, combined with a definitive procedure to correct the …

Occult Cushing's Syndrome Presenting With Osteoporosis, M. Kleerekoper, Sudhaker D. Rao, B. Frame, R. D. Larocque, T. Feigelman, V. Matkovic, L. V. Avioli

Henry Ford Hospital Medical Journal

Osteoporosis is a frequent complication both of endogenous hypercortisolism and of long-term treatment with corticosteroids, but only rarely is it the major clinical feature with the more characteristic features absent or minimally present. In the two patients presented, hypercortisolism was uncovered only during routine evaluation of osteoporosis. This presentation is probably due to slow progression of the disease and is often associated with so-called black adenoma of the adrenal gland. Secondary causes should be sought in all patients with seemingly "senile" or "postmenopausal" osteoporosis.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Richmond W. Smith Jr., Raymond C. Mellinger

Henry Ford Hospital Medical Journal

No abstract provided.

The Presentation Of Thyroid Malignancy In The Geriatric Patient, Joel I. Hamburger

Henry Ford Hospital Medical Journal

Of 334 patients with thyroid carcinoma, 36 were age 65 or older. The sex distribution of the geriatric patients did not significantly differ from that of the younger patients. Older patients had significantly fewer papillary carcinomas and significantly more anaplastic and medullary carcinomas and lymphomas than younger patients. Papillary and follicular carcinomas of geriatric patients were large (4 cm or larger) significantly more often than those of the younger patients. Only one of 53 patients with very small (1 cm or less) papillary and follicular carcinomas was in the older group.

The Impact Of Needle Biopsy On The Preoperative Diagnosis Of Thyroid Nodules, J. Martin Miller, Joel I. Hamburger, Sudha R. Kini

Henry Ford Hospital Medical Journal

This study compares the noninvasive evaluation of 1,075 patients with "cold" thyroid nodules with the evaluation provided by needle biopsy. It also compares the treatment of this group with that of a similar group of 1,094 patients treated before biopsies were available. The results of these comparisons indicate that needle biopsy: 1) halved the number of surgical candidates; 2) doubled the percentage of cancers in the surgical specimens; 3) reduced the risk that a thyroid cancer would not be operated upon; and 4) accomplished all of the above with a substantial financial saving in overall patient management.

Richmond Smith As A Clinical Investigator: His Work On Adult Periosteal Bone Expansion And Nutritional And Endocrine Aspects Of Osteoporosis In Light Of Current Concepts, A. M. Parfitt

Henry Ford Hospital Medical Journal

This paper discusses Richmond Smith's contributions to the field of metabolic bone disease from 1949 to 1969 in light of current concepts. He was the first to demonstrate continuing periosteal bone expansion in adults, a phenomenon of great biologic interest which is best explained if adult bone remodelling is qualitatively similar on all surfaces. He was the first to show that persons with less bone than normal have an increased risk of subsequent fracture, and so are more likely to benefit from preventive treatment. He found that blood vitamin D levels were lower in osteoporotic subjects than in controls, but …

Femoral Expansion In Aging Women: Implications For Osteoporosis And Fractures, Richmond W. Smith Jr., Richard R. Walker

Henry Ford Hospital Medical Journal

In femoral radiographs of 2030 aging women, the diameter of the midshaft periosteum increased as cortical thickness declined. Since the cortical area enlarged, periosteal accretion exceeded endosteal resorption. Since the section modulus increased more than did cortical area, the ratio of flexural failure resistance to crush resistance increased, in apparent contrast to the changes observed in the femoral neck.

Research In The Service-Oriented Institution, Richmond W. Smith Jr.

Henry Ford Hospital Medical Journal

No abstract provided.