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Clinical Experience With Radioisotopic Powered Cardiac Pacemakers, Nicholas P. D. Smyth, Tomas Hernandez, Alvin Johnson

Henry Ford Hospital Medical Journal

Significant increase in the useful lifetime of the implantable cardiac pacemaker has been made possible by the development of a radioisotope power source. This paper reports experience with two models, the AEC-ARCO Nu-5 (fixed rate) and the Medtronic Model 9000 (ventricular inhibited demand). Five of the former models were implanted in 1973, and six of the latter more recently. Both types of units have functioned well.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Foreword, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.

The Relationship Of The Cold Nodule To Carcinoma Of The Thyroid, Douglas M. Evans

Henry Ford Hospital Medical Journal

Fifty-two cases with histologically proven carcinoma of the thyroid were studied. With some variation as to the expected incidence of the several cell types of tumor, possibly due to the small size of this series, the distribution of these cases encompassed all histologic types. Fifty-three (53%) percent of the cases where pre-operative I131 scans were recorded showed a positive, or "cold" scan. Fifty-five (55%) percent of all lesions showed extension of disease beyond the confines of the thyroid gland. This experience indicates that, although thyroid scintiscans provide useful information to be correlated with other data, there are distinct limitations to …

Colon Interposition In The Management Of Total Gastric And Esophageal Stricture Following Lye Ingestion, Walter H. Janke, Ing-Sei Hwang

Henry Ford Hospital Medical Journal

A case is presented in which ingestion of 300 CCS of liquid lye as a suicidal attempt resulted in caustic esophagogastritis, followed by a fibrotic process involving the entire esophagus and stomach down to the first portion of the duodenum. Successful colon bypass was performed from the cervical esophagus to the second portion of the duodenum.

Surgical Treatment Of Chronic Pancreatitis, Carlos Grodsinsky

Henry Ford Hospital Medical Journal

Over a two-year period, 30 patients with chronic pancreatitis have been observed by the author. Thirteen had surgical treatment. Three had laparotomy and drainage only when recurrence of acute inflammation was encountered. One had excision of a cyst of the tail of the pancreas. Another had drainage of a retroperitoneal necrotic collection. A patient with duodenal stenosis from scarring of the head of the pancreas was treated by gastro-jejunostomy. Seven patients had subtotal pancreatectomies. There was no mortality in the latter group, and six are asymptomatic. Information about the duct may be obtained in many cases by endoscopic retrograde cannulation, …

Vagotomy With Pyloroplasty Or Antrectomy: A Comparison Of Results In The Treatment Of Duodenal Ulcer, Richard L. Collier, John H. Wylie Jr.

Henry Ford Hospital Medical Journal

During the years 1970-73, 776 operations were performed for the relief of duodenal ulcer. Truncal vagotomy was done in all cases, and to this was added antrectomy in 92 cases and pyloroplasty in 24 cases. In the followup, three-fourths of the patients in both groups said they were satisfied with the result. There were four recurrences in the smaller pyloroplasty group. In this series, antrectomy with vagotomy appears to be the best operation for duodenal ulcer disease.

Diffuse Lymphoma Of Small Intestine And Colon: Case Report With Discussion, S. A. Swenson Jr., James L. Omel

Henry Ford Hospital Medical Journal

A case is reported of malignant lymphoma of the small and large bowel associated with ulcerative colitis. Primary lymphoma of the gastrointestinal tract is relatively uncommon. The dual association with colitis is rare. Prior to laparotomy, diagnosis of lymphoma is difficult because, of the many possible presenting complaints, none are specific. Treatment is basically surgical excision with postoperative radiation.

The Management Of Small Carcinomas Of The Rectum And Distal Sigmoid Colon, M. A. Block

Henry Ford Hospital Medical Journal

Of 23 patients with carcinomas less than two centimeters in diameter located in the rectum and distal sigmoid colon, evidence of invasion was present in seven. Resections were performed for six patients, with two eventually dying from the carcinoma. Individualized management should consider the presence or absence of invasive carcinoma, appropriate resection for invasive carcinoma, biopsy of the base of the lesion if feasible when observation is planned, repeated sigmoidoscopic examinations for noninvasive carcinoma, and later resection if recurrence with invasion develops. Although approximately half of the carcinomas were associated with villous tumors, this factor was not significant in the …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Exploration Of The Incidence Of Identified Emotional Disorders In Selected General Hospitals Of Nebraska, Arlene M. Van Horn

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive-comparative survey using content analysis of medical records has been done to determine the frequency with which emotional disorders are identified by medical personnel in the population hospitalized in small general hospitals in north-central Nebraska.

A systematic, random sample of medical records was taken from two hospitals arbitrarily included in the study on the basis of bed capacity and distance from mental health facilities.

Each medical record that was reviewed has been placed in a category based on whether an emotional disorder was identified in it by the medical personnel, or whether it contained recorded behaviors that could indicate …

Relief Society Grain Storage Program, 1876-1940, Jessie L. Embry

Theses and Dissertations

This thesis will describe and interpret the development of this Relief Society wheat storage program from its inception in 1876 to 1940 when the program was transferred to the General Church Welfare Committee. Emphasis will be placed on the sisters' attempts to store grain and the problems they encountered. The thesis will also discuss the effects of outside forces on the program and the different ways the sisters used the grain. The final chapter will deal with the relationship between the movement and the history of the Relief Society and its parent organization, the Mormon Church.

Oral History Interview: Josephine R. Gorby, Josephine R. Gorby

0064: Marshall University Oral History Collection

Josephine Gorby was born on February 24, 1908. She began her teaching career in a one-room school in Wimmer, McDowell County, WV. In 1931 she began teaching in Lawrence County, OH. Mrs. Gorby’s interview focuses on growing up on a farm near Proctorville, OH, her experiences as an educator, her family’s experience during World War I, and the 1937 flood of the Ohio River and its tributaries. In the audio clip provided, Mrs. Gorby discusses the impact of the 1937 flood on the school house in Athalia, OH. During her interview, she also focuses on the construction and use of …

Primary Pulmonary Hypertension - Disease Or Symptom? A Retrospective Reclassification Of 33 Cases, D. S. Dasgupta, Ellet H. Drake

Henry Ford Hospital Medical Journal

The hypertension which follows an intrinsic increase in pulmonary vascular resistance may be easily diagnosed by utilizing current catheterization and radiologic techniques. The real challenge is establishing a rational etiology in a given case before final pathological examination. Data from 33 proven cases are presented in an attempt to show that most ofthe proposed etiologic concepts may be represented in a large clinical series. Congenital and familial factors, multiple pulmonary embolization with resulting vasospastic sequela, arteritis, and degenerative states, were encountered, together with such specific clinical entities as scleroderma and systemic lupus erythematosus. Because the term "Primary Pulmonary Hypertension" implies …

Malignant Intrathoracic Hurthle-Cell Tumor: Report Of A Case With 12-Year Survival Following Three Palliative Operations, Conrad R. Lam

Henry Ford Hospital Medical Journal

A 55-year-old man had a large superior mediastinal tumor producing obstructive symptoms. The tumor was removed through an upper median sternotomy incision. It was found to be composed of so-called Hurthle-cells, which are of thyroid origin, and the pathologist's interpretation was that it was of low grade malignancy. A pulmonary metastatic nodule was excised five years later, and 8 1/2 years after the original operation, a nodule was removed from a pectoral muscle. The patient lived 12 years and then expired with multiple metastases, but he was relatively asymptomatic until the last few months.

Adenoidcystic Carcinoma Of The Larynx, Kamil Muzaffar, Donald S. Bolstad

Henry Ford Hospital Medical Journal

A case of adenoid cystic carcinoma of the larynx is presented. It was managed by wide field laryngectomy and neck dissection.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Experimental Evaluation Of The New Galen Disposable Bubble Oxygenator, Ung-Gill Jeong, Julio C. Davila

Henry Ford Hospital Medical Journal

To assess the performance of the new Galen bubble oxygenator, two groups of 10 female mongrel dogs underwent three hours of total cardiopulmonary bypass. Adequate oxygenation and tissue perfusion as well as low hemolysis were demonstrated in both groups. Platelets were lower than the control in both groups due partly to hemodilution. Calculation of calorie transfer rate during cooling and rewarming demonstrated that the Bentley heat exchanger was more efficient. However, since water flow rate through this unit is limited, the net performance of the Galen was slightly better.

Medical Conference: Gaucher's Disease, Ellis J. Van Slyck, Lester Weiss, Robert Waldmann

Henry Ford Hospital Medical Journal

The middle-aged man whose case is discussed here harbored Type 7 Gaucher's disease in subtle form. This hereditary disorder was partly disguised by a long history of peptic ulcer. Still a third cause for anemia was eventually uncovered in a surprise conclusion. The major discussion deals with the clinical aspects, microscopic pathology, genetics, and biochemistry of Gaucher's disease and related sphingolipidoses.

Fifty Years Of General Hospital Psychiatry, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

No abstract provided.

How Psychotherapy Heals, Jerome D. Frank

Henry Ford Hospital Medical Journal

This paper, accompanied by the discussions and the preceding introduction, was delivered May 9, 1974 as part of an anniversary celebration commemorating a half century of existence for the psychiatric unit at Henry Ford Hospital. Established in 1924 by the late Thomas J. Heldt, M.D., as a division of neuropsychiatry in the department of medicine, the unit is generally believed to be the first to be incorporated into a general hospital anywhere. It was - and is - conducted without physical restraints of any kind, without isolation of patients, and without segregation of men and women.

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.

Commencement Program 1974, Loma Linda University

Commencement Programs

CONTENTS

2 | 1974 Events of Commencement

3 | The Academic Procession

4 | Conferring of Degrees

6 | Candidates for Degrees

24 | Awards

26 | Academic Costume

29 | Waymarks

The Effect Of Nutrition Education On The Diet Of Pregnant Teenagers, Dorothy Whiteside

Loma Linda University Electronic Theses, Dissertations & Projects

For optimal growth and development during the teens, there needs to be sufficient intake of food to meet the nutritional requirements. Pregnancy during that time increases the nutritional needs. Studies have shown that teenage girls generally have poor eating habits, not meeting the nutritional requirements.

The purpose of this study was to determine whether special nutrition education classes would improve eating habits of a group of pregnant teenagers. Case studies were used as the method to report the findings. A health education class in a special day program for pregnant girls was used as the setting for this study. The …

Granular Cell Myoblastoma Of The Larynx, Kamil Muzaffar, Iftikhar Salahuddin, Fred Averbuch, Richard D. Nichols

Henry Ford Hospital Medical Journal

Granuloma cell myoblastoma ofthe larynx is a relatively uncommon tumor. A review of the literature reveals only 52 cases reported. The lesion is a benign growth which is often asymptomatic, though most commonly associated with hoarseness. The treatment of choice is local surgical excision. Four successfully treated cases are reported. All four patients are Negro — three females and one male.

Phenotypic Males With 46, Xx Karyotype: Report Of Two New Cases, G. R. Rubio, Lester Weiss, J. F. Nunez, M. Saeed Uz Zafar

Henry Ford Hospital Medical Journal

Two sex chromatin positive phenotypic males were found to have 46, XX karyotypes. Both had small testes and elevated gonadotropins with low testosterone levels. Semen analysis could not be obtained but one man claimed to have a daughter. In one patient, mosaicism was suggested by the finding in a single cell of a chromosome morphologically resembling a Y. A second cell line was not found in the other patient. Possible explanations for the development of a male phenotype in the absence of demonstrable Y chromosome include the existence of two cell lines or mosaicism, an autosomal sex determining gene and …

Removal Of An Intra-Abdominal French Catheter Through The Laparoscope, Asghar Afsari

Henry Ford Hospital Medical Journal

Use of refined instruments for the removal of an intra-abdominal foreign body has enhanced the indication for operative laparoscopy. In particular instances, laparoscopy has proven more advantageous than laparotomy. This case report illustrates removal of an intra-abdominal rubber catheter via a laparoscopic procedure with a double puncture technique.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Professional Standards Review Organization: Past, Present And Future, Robert M. O'Bryan

Henry Ford Hospital Medical Journal

No abstract provided.

Correction Of D-Loop, D-Transposition Of The Great Arteries And Sub-Pulmonary Stenosis With A Dacron Conduit And Stented Porcine Xenograft Valve, Lorenzo Gonzalez-Lavin, Gordon M. Folger

Henry Ford Hospital Medical Journal

Total correction of transposition of the great arteries and left ventricular outflow tract obstruction has become feasible in recent years. Certain modifications are needed, however, to improve the long term function of the valved conduit required in the procedure. A stented porcine xenograft valve, sutured into a woven Dacron tubular graft, was used successfully in the total correction of such a malfunction. The patient described is the first so treated at the Henry Ford Hospital. The main advantage of this technique is its practicality. Both Dacron tubular grafts and stented porcine xenograft valves are commercially available. This approach is applicable …