Medicine and Health Sciences Commons^™

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Pseudomonas Arthritis And Osteomyelitis In Heroin Addiction: Report Of Three Cases, Paul M. Ross, Robert C. Nestor, Kent K. Wu

Henry Ford Hospital Medical Journal

Pseudomonas-caused sternoclavicular arthritis and osteomyelitis has received little attention in the medical literature. The authors present three cases including one case of bilateral sternoclavicular joint involvement. Prompt recognition, operative debridement, and institution of adequate chemotherapy result in dramatic clinical response.

Left Atrial Myxoma With An Atrial Septal Defect: Report Of A Case, Daniel T. Anbe, Edward Arciniegas, Henry Green, Ellet H. Drake

Henry Ford Hospital Medical Journal

A case of a left atrial myxoma presented unusual features including (1) association with an atrial septal defect, (2) attachment of the myxoma to the posterior wall of the left atrium, (3) probable paradoxical pulmonary embolization from the left atrium, and (4) probable ball valve effect of the myxoma in the atrial septal defect.

Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush

Henry Ford Hospital Medical Journal

The authors' experience with the rare entity of sclerosing cholangitis suggests that several anatomical patterns of involvement of the extrahepatic biliary tract may occur. The involvement may include the intraluminal ducts segmentally or diffusely, or the process may primarily be external to the ducts as pericholedochitis. It may or may not represent one component of a systemic disease, particulady autoimmune disease. Although involvement may be diffuse, progression may be slow and compatible with many years of life. Long time followup is essential before any value can be assigned to a given modality of treatment. Carcinoma of the ductal system may …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Purpura Fulminans Secondary To Serratia Marcescens Septicemia, Thomas L. Connolly, John R. Fischer

Henry Ford Hospital Medical Journal

A 35-year-old woman developed Serratia marcescens septicemia and purpura fulminans with evidence of disseminated intravascular coagulation. She was successfully treated with heparin sodium and antibiotics.

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.

Villous Adenoma Of The Appendix: A Case Report, R. P. Pai, C. Grodsinsky

Henry Ford Hospital Medical Journal

Villous adenoma of the appendix was found in an inflammatory mass in the ileocecal area. The patient presented with signs of acute abdomen. On an emergency basis, with an unprepared bowel, exteriorization of the ileocecal area was thought to be the procedure of choice.

Treatment Of The Hyperventilation Syndrome, Hans Von Brauchitsch

Henry Ford Hospital Medical Journal

A review oi the literature on the hyperventilation syndrome reveals a variety of treatment approaches and a virtual absence of controlled studies of this common problem. Attempts to treat the condition by changing the respiratory pattern through mechanical means can be traced back to the first century A.D. The "paper bag method" of treatment has many psychological drawbacks and is often unsuccessful. Several avenues of drug treatment have been explored: acidifiers, minor tranquilizers, antidepressants, and stimulants. Reports of success with insight-oriented intensive psychotherapy are scarce. Some forms of group psychotherapy have been tried with success. The model of the "medical …

Methadone And Its Rationale In The Treatment Of Narcotic Dependency, Walter J. Cassidy

Henry Ford Hospital Medical Journal

An effective methadone maintenance program must do more than dispense measured doses in a well-organized clinic. It should attempt to effect changes in the patient's personality and coping mechanisms, social situation, and other conditioning factors which maintain his involvement in narcotics.

Volume 17, Issue, Canadian Medical Association

Canadian Journal of Surgery

The mission of CJS is to contribute to the effective continuing medical education of Canadian surgical specialists, using innovative techniques when feasible, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.

Visit the journal website at http://canjsurg.ca/ for more.

Volume 17, Issue 6, Canadian Medical Association

Canadian Journal of Surgery

The mission of CJS is to contribute to the effective continuing medical education of Canadian surgical specialists, using innovative techniques when feasible, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.

Visit the journal website at http://canjsurg.ca/ for more.

The Effects Of Progressive Relaxation And Myoelectric Feedback On Respiratory Resistance In Bronchial Asthmatics, Daphne Browne Shah

Loma Linda University Electronic Theses, Dissertations & Projects

For the individual with bronchial asthma, an asthmatic attack can be a life threatening experience. A theory of bronchial asthma as a conditioned response has been recently proposed by several investigators. It was suggested that this conditioned response may be modified by lowering the arousal level, and as a result, decreasing the asthmatic response.

The problem identified in this exploratory study was to measure the effects of relaxation on the smaller or peripheral airways of a convenience sample of six asthmatic subjects fourteen to seventy years of age. It was hypothesized that an increased degree of total body relaxation would …

Opinions And Expectations Of Nursing Home Administrators, Jordan I. Kosberg

The Journal of Sociology & Social Welfare

From a comparative analysis of 214 nursing homes in the Chicago area, it was found that the nursing home field is composed of institutions with great variations in treatment resources available to the residents (Kosberg and Tobin, 1972). While the determination of organizational correlates to the extent of treatment resources was the major objective of the study, an exploration of the attitudes of a sample of nursing home administrators was undertaken in an effort to learn of possible relationships between attitudes and the characteristics of facilities.

There is a commonly-held assumption that not only the academic background of an administrator …

Volume 17, Issue 5, Canadian Medical Association

Canadian Journal of Surgery

The mission of CJS is to contribute to the effective continuing medical education of Canadian surgical specialists, using innovative techniques when feasible, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.

Visit the journal website at http://canjsurg.ca/ for more.

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 1974), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 1974 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• PCOM Inaugurates a President
• Dr. Rowland's Inaugural Address
• Dedication of Overmont House
• Convocation
• Meet the Class of 1978
• Recent Appointments
• News from the College
• News from the Health Care Centers
• People
• Faculty Notes
• In Memoriam

Age At Menarche: Accuracy Of Recall After Thirty-Nine Years, Albert Damon, Carl J. Bajema

Peer Reviewed Publications

Among 143 women whose menarcheal age was documented during a longitudinal growth study, recall 39 years after the even gave the following results: menarche was recalled as 0.2 years after earlier than the actual date (p<0.05), the standard deviation of recalled age was 0.3 years larger (p<0.01), and the coefficient of correlation, r, between actual and recalled age was 0.60 +/- s.e. 0.05.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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.

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.

Sphincterotomy For Biliary And Pancreatic Disease: Indications And Technique, Jorge Puig La Calle, Francisco Badosa

Henry Ford Hospital Medical Journal

Division of the sphincter of Oddi has a definite place i n the surgical treatment of disorders of the biliary tract and pancreas. Sphincterotomy may be indicated as a matter of necessity; for convenience (utility), and as a prophylactic measure (for security). The papilla may be conveniently exposed by antegrade bougienage with filiform passed through the common duct before duodenotomy. The first hundred and the last hundred of a series of 400 sphincterotomies were reviewed. In the first group, the procedure was done in almost onethird of the opera tions forbiliaryand pancreatic disease, while in the second group, it was …

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, …

Surgical Implications Of Intestinal Amebiasis, Eduardo Camacho

Henry Ford Hospital Medical Journal

Three thousand two hundred fifty cases of intestinal amebiasis (25%), out of 13,000 consecutive cases, were studied. It was found that 2,275 (70%) had clinical manifestations of the disease, and 975 (30%) were carriers. From the 2,275 with abdominal signs, 1,250 cases (51%) resembled the clinical picture of the chronic irritable colon syndrome. Antiamebic therapy was effective in all of these cases. On the other hand, 1,255 (49%) had acute and severe manifestations of amebic-ulcerative proctocolitis with serious complications, including amebic granulomata (40 cases or 3.2%) and ulcer perforation (14 cases or 1.2%). Because amebic ulcerative proctocolitis is dangerous, the …

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.

Prenatal Instruction Of Breast Feeding Mothers, Anita Berry

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of prenatal instruction on the success of a group of mothers who desired to breast feed their infants. It was hypothesized that mothers receiving information on how to nurse their infants, how to prevent complications and how to cope with common problems of breast feeding would have a higher success rate than those not so instructed.

Criteria for success was that the mothers would have an adequate supply of milk to meet the nutritional demands of their infant without supplementation, would have fewer and less severe complications, and would express a higher degree of …

Traumatic Fat Embolism: Recent Clinical Experience In Combined Arterial Injury And Long Bone Fracture, John F. Lee, Roger F. Smith, Joseph P. Elliott Jr.

Henry Ford Hospital Medical Journal

Fat embolization is a frequent accompaniment of long bone fracture; however, this phenomenon only occasionally leads to the clinically recognized traumatic fat embolism syndrome. Three recent cases are presented of fat embolization following long bone fractures and associated with penetrating arterial injury. Consequences illustrated ranged from asymptomatic fat globules in the urine, through serious pulmonary insufficiency, to central nervous system damage with death. Treatment should be directed at effective mechanical ventilatory support to avoid hypoxemia.

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.

Foreword, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.