Medicine and Health Sciences Commons^™

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.

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.

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.

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

Newsletter, Volume 19, Number 04, September 1974

Newsletter: A Report to Physicians of Texas Archives

• Corynebacteria Effective Against Pulmonary Metastases in Mice
• Fast Neutron Therapy For Cancer Patients
• 19th Clinical Conference – Cancer Chemotherapy
• WIC Honors Frances Goff
• Research Medical Library Installs Audiovisual Carrel
• Clinical Abstracts
• Patient Care Continuity Stressed
• MDAH Dial Access Continues Service
• New Staff

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 …

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.

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

Digest

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

• The President: A Profile
• PCOM's First Chancellor
• The 83rd Commencement
• Alumni Weekend
• Alumni Board of Directors
• Reunions
• Commencement Dinner
• Student Awards
• Faculty Promotions
• People
• News from the College; CME Programs
• News from the Hospital and Centers
• Faculty Notes
• The Class of 1974
• Alumni News Briefs
• In Memoriam

Newsletter, Volume 19, Number 03, June 1974

Newsletter: A Report to Physicians of Texas Archives

• 27th Annual Symposium Focus: Pharmacology in Chemotherapy
• Enzyme Linked to Lung Cancer
• New Betatron Completed
• Clinical Abstracts
• Clark Renamed to Panel
• New Staff

A Cephalometric Study Of Mandibulo-Facial Disostosis In Monozygotic Twins Using Computerized Methods, Lyn M. Lamberton

Loma Linda University Electronic Theses, Dissertations & Projects

An investigation using computerized cephalometrics has been conducted to consider the cephalometric factors responsible for the characteristic appearance evident in individuals afflicted with Mandibulo-Facial Dysostosis. A pair of Negro monozygotic affected twins were studied using the other 10 non-affected members of the family as a control to minimize the environmental and hereditary factors. The Rocky Mountain Data System was utilized to analyze the lateral and frontal cephalometric radiographs of each individual using Ricketts Analysis and the data were subjected to statistical tests to determine the factors contributory to the syndrome. Age and size were considered and adjustments were made to …

Cephalometric Norms For The Mexican Population Using The Ricketts, Steinar, And Tweed Analyses, Eduardo A. Velarde

Loma Linda University Electronic Theses, Dissertations & Projects

In order to investigate the characteristics of the facial complex of the Mexican and to compare them with the Caucasian, a sample of 40 subjects, 31 males and nine females, of Latin American origin from Chihuahua, Chihuahua, Mexico, with a mean age of 16.6 years, were selected for this study. The criteria for selection were visual and only individuals with clinical normal, Angle Class I occlusion were chosen.

Lateral head Roentgenograms were obtained and cephalometric evaluation of the Skeletal and Dental Pattern was carried out using the Ricketts, Steiner, and Tweed Analyses.

The mean values for the Mexican were compared …

Correspondence, Asa S. Knowles, President, Northeastern University To William Bergen, D.O., 1974 April 18, Asa S. Knowles

William F. Bergen, D.O. Collection

Letter from Asa S. Knowles, President, Northeastern University to William Bergen describing efforts to create a medical school and allied health professions programs at Northeastern University.

Technical Consideration Regarding Direction And Perfusion Of Blood Flow In Patients Undergoing Sta-Mca Anastomosis, G. Austin, J. Thompson, D. Laffin, W. Hayward

The Dr. George M. Austin Neurology Research Collection

Technical Consideration Regarding Direction and Perfusion of Blood Flow in Patients Undergoing STA-MCA Anastomosis. G. Austin, M.D., J. Thompson, M.D., D. Laffin, W. Hayward. Presented at Neurol. Surgeons International Association, St. Louis, Missouri, April 21-25, 197[4], 9 pg.