Medicine and Health Sciences Commons^™

Caring Choices: Decision-Making About Treatment For Catastrophically Ill Newborns, Betty Wolder Levin

Publications and Research

Decision making for catastrophically ill newborns has recently emerged as a social issue. Advances in biomedical technology and practice, and changes in other economic, social and political factors have led to controversy about norms to guide treatment choice. While much has been written on how such decisions should be made, there has been little social science research on how such decisions are actually made.

The purpose of this dissertation is to elucidate the way that clinicians think about treatment decisions for catastrophically ill newborns. The focus is on decision making with respect to the limitation of treatment in those situations …

An Epidemiologic Investigation Of Central Nervous System Cancers Among Workers At Diverse Nuclear Facilities (Brain Cancer, Radiation)., Arvind Vithalbhai Carpenter

All ETDs from UAB

No abstract provided.

Cancer In Louisiana: 1986, Volume 3, Louisiana Tumor Registry, Sandra L. Robinson, Pelayo Correa, Vivien W. Chen, Jean Fike Craig, Frank D. Groves

Policy & Position Papers

Mission To collect and report complete, high-quality, and timely population-based cancer data in Louisiana to support cancer research, control, and prevention. Vision To reduce suffering and death from cancer using information collected by the Louisiana Tumor Registry. History Cancer registration in Louisiana began in 1947 at the Charity Hospital Tumor Registry in New Orleans. In 1974, as part of its Surveillance, Epidemiology and End Results (SEER) Program, the National Cancer Institute provided funds for a population-based cancer incidence and survival registry covering Jefferson, Orleans, and St. Bernard parishes. Five years later, the Louisiana Tumor Registry (LTR) was transferred to the …

Tumor Registry 1949-1984, Louisiana Tumor Registry, R. Davilene Carter, David Faddis, Edward T. Krementz, Sandra L. Owens, Jane D. Rodriguez, Joseph V. Schlosser, Robert G. Weilbaecher

Policy & Position Papers

This Charity Hospital Tumor Registry monograph covers the period 1948 through 1975, and includes all patients with a diagnosis of cancer who were seen at Charity Hospital of Louisiana at New Orleans. A total of 45,493 cases were abstracted of which 41,049 are described in the monograph. This Registry includes skin cancer and all in situ cancers as well as 189 benign mixed tumors of the salivary gland, 262 meningiomas of the brain, 191 carcinoid tumors of the intestine, and 58 granulosa cell tumors of the ovary. Excluded from analysis were 4,444 cases because of lack of histologic confirmation or …

The Effect Of Caffeine On Distance Running Performance, Mark J. Kasper

Masters Theses

No abstract provided.

The Effects Of Short-Term Fasting On Fat Utilization During Jogging, Dianne M. Smith

Masters Theses

No abstract provided.

The Nucleus Of A Public Health Strategy To Combat Aids, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Since acquired immune deficiency syndrome (AIDS) was first identified in I98I, its rate of spread among a primarily young and vibrant population has chilled the medical and lay communities. Today, the public response is sober and oriented toward the examination of specific policies that could lessen the impact of the disease. After six years' experience it is now feasible to propose a strategy for combating AIDS. Consensus around the policies outlined in this article should form the nucleus of the public health strategy to combat AIDS before the intervention of an effective vaccine or treatment.

Analyse De Contenu Des Rapports D'Enquête D'Accidents Graves Et Mortels Chez Les Charpentiers-Menuisiers : Résumé, Lucie Mercier

Rapports de recherche scientifique

Les accidents graves et mortels constituent des événements dont les coûts économiques et sociaux sont très élevés. Aussi, font-ils l'objet d'inspection du travail et donnent-ils lieu à des rapports d'enquête. Les rapports d'inspection du ministère du Travail et de la Main-d'œuvre (MTMO) et de la Commission de la santé et de la sécurité du travail du Québec (CSST) sont exigés par la Loi.

L'objectif de ce travail est d'utiliser les rapports d'enquête d'inspection pour l'analyse des accidents et l'amélioration de la prévention des accidents des charpentiers-menuisiers.

Nous tenterons d'abord de cerner quel est le contenu des rapports, leur contexte d'application …

L'Exposition Des Opérateurs De Débusqueuses À Des Vibrations Globales Du Corps, Paul-Émile Boileau, Henri Scory

Rapports de recherche scientifique

Ce rapport de recherche présente les résultats de mesures de vibrations effectuées durant l'été 1985, sur 14 débusqueuses réparties dans sept chantiers forestiers du Québec.

Ces mesures avaient pour but de documenter les niveaux d'exposition auxquels sont soumis les opérateurs de débusqueuses et d'évaluer l'ampleur du problème relativement aux normes actuelles traitant des vibrations globales du corps (VGC). Dans un deuxième temps, l'étude visait à identifier des correctifs potentiels capables de réduire les vibrations à des niveaux acceptables.

De ce fait, l'étude effectuée à la Direction des laboratoires devait ainsi répondre à une demande de l'Association de sécurité des exploitations …

L'Exposition Des Opérateurs De Débusqueuses À Des Vibrations Globales Du Corps : Résumé, Paul-Émile Boileau, Henri Scory

Rapports de recherche scientifique

Les débusqueuses sont des véhicules tout-terrain utilisées dans les opérations forestières pour transporter les arbres abattus de leur point d'abattage à la jetée où ils sont empilés. Les opérateurs de ces véhicules sont exposés à des vibrations globales du corps, d'où les risques d'atteintes à la colonne vertébrale représentant un problème particulier. Bien qu'il y ait peu de doutes que les vibrations globales du corps puissent contribuer à aggraver certaines lésions lombaires, leur effet spécifique sur la morbidité des travailleurs exposés demeure difficile à établir ^[1].

[1] SPEAR,C.,KELLER,C. et al. "Morbidity patterns among heavy equipment operators exposed to …

Analyse De Contenu Des Rapports D'Enquête D'Accidents Graves Et Mortels Chez Les Charpentiers-Menuisiers, Lucie Mercier

Rapports de recherche scientifique

Les rapports d'enquête d'inspection du ministère du Travail et de la Main-d'œuvre (MTMO) et de la Commission de la santé et de la sécurité du travail (CSST) sont à peu près la seule source d'information disponible sur les accidents très graves et mortels atteignant les travailleurs.

À partir de ce matériel, nous avons développé un projet-pilote dont l'objectif était d'utiliser ces deux types de rapports d'inspection pour 1'analyse des accidents graves et mortels afin d'améliorer la prévention chez les charpentiers-menuisiers.

Nous avons retenu le métier de charpentier-menuisier de 1'industrie de la construction parce qu'en plus de bien connaître ce métier, …

Vitamin C And Allelic Variants For Complement Factors C3, C4 And B In Acute Necrotizing Ulcerative Gingivitis (Ascorbate, Epidemiology)., Sandra Louise Melnick

All ETDs from UAB

No abstract provided.

Intraocular Lens Implant Image Quality: The Optico-Retinal Interface, David D. Bogorad

Henry Ford Hospital Medical Journal

Improvements in intraocular lens implants during the past ten years have revolutionized cataract surgery. Both anterior and posterior chamber lenses are currently in wide use, but the optical superiority of the posterior chamber location has yet to be demonstrated. To do so, a more detailed analysis is required of visual function than is clinically routine. Also required is appreciation that the retina is an integral part of the eye's optical system because of its directional characteristics, which are known as the Stiles-Crawford effect. The optical quality of the pseudophakic eye is affected by the optics of the implant, its centration, …

Some Unusual Foreign Bodies In The Anterior Segment Of The Eye And The Orbit, Saul Sugar

Henry Ford Hospital Medical Journal

No abstract provided.

Glaucoma Filtration Surgery: A Personal Review, Saul Sugar

Henry Ford Hospital Medical Journal

No abstract provided.

Editorial: Corneal Stability With Rigid Gas Permeable Lens Refitting, Robert J. Crossen

Henry Ford Hospital Medical Journal

No abstract provided.

Malnutrition And Length Of Stay - A Relationship?, Marvin D. Anderson, Gladys Collins, Gloria Davis, Brack A. Bivins

Henry Ford Hospital Medical Journal

The admission nutrition status of 135 consecutive general medical patients admitted to a single nursing unit was evaluated using a simple questionnaire and available laboratory studies. A statistical analysis of the data obtained indicates that prolonged length of stay may be related to admission nutritional status.

Evaluation Of Peutz-Jeghers Syndrome In A Family, Kayhan Ozkan

Henry Ford Hospital Medical Journal

Five cases of Peutz-Jeghers syndrome in one family have been studied, and a review of the history and features of the syndrome are presented. This syndrome was detected in four of six siblings and in the father. Three family members underwent surgery after small-bowel obstruction was diagnosed. A gastric polyp was removed from a fourth family member. Rectal bleeding dominated the clinical picture in two patients. Colonic polyps were also found in the three patients who had small-bowel polyps. One of the four affected siblings had mucocutaneous pigmentation, but no evidence of intestinal polyps was detected. The five affected family …

Orbital Metastasis With Enophthalmos: A Review Of The Literature, David M. Reifler

Henry Ford Hospital Medical Journal

Orbital metastasis is associated with enophthalmos in up to one third of all cases. After analyzing the clinical and pathologic features In 25 reported cases of enophthalmic orbital metastasis, the condition was found to almost exclusively affect females, usually in the 60 to 70 age group. The right orbit was the most commonly affected. The primary lesion was located in the breast in 19 (76%) cases and in the abdomen in 6 (24%) cases. In one third of the cases, the manifestations of the orbital metastasis were recognized before diagnosing the primary lesion. The most common presenting features were diplopia …

Childhood Lead Poisoning, Raj P. Warrier, Jan Waisanen, Sam R. Kottamasu, Sayeed Sultana, K. Ratnakar Kini, William L. Kestenberg, John Strauthers, Craig Foreback

Henry Ford Hospital Medical Journal

Although lead encephalopathy is rare, lead intoxication continues to be a significant problem in Detroit. Neuropsychological effects may occur even at low levels of lead. Since treatment of lead poisoning consists of a painful series of injections, it is imperative that more attention be given to the prevention of this disease. To confirm the magnitude of the problems, our experience with lead poisoning during a three-year period at Henry Ford Hospital's Pediatric Department is reviewed.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Immunocytologic Methods In The Diagnosis Of Orbital Tumors, David M. Reifler, Sudha R. Kini, John S. Kennerdell, Andrew Dekker, Leslie J. Fisher

Henry Ford Hospital Medical Journal

The pathologic diagnosis was supported or confirmed in three out of four cases that had an adequate cytologic specimen. The results demonstrate that adjunctive immunocytologic techniques can be used in combination with fine-needle aspiration for a variety of orbital tumors. The pathologic diagnosis was supported or confirmed in three out of four cases that had an adequate cytologic specimen. The results demonstrate that adjunctive immunocytologic techniques can be used in combination with fine-needle aspiration for a variety of orbital tumors.

Hereditary Sclerocornea, David Barsky, Steven P. Dunn

Henry Ford Hospital Medical Journal

A rare case of total hereditary sclerocornea is presented along with clinical history, histopathology, and a review of the possible pathogenesis and current literature on the subject. It is quite possible that imperfect cleavage of the anterior chamber angle may be the predisposing factor in scleralization of the cornea due to a failure of neural crest cell differentiation. If surgical intervention to correct for the corneal opacification is indicated, corneal transplantation should be performed as soon as possible after birth, similar to the indications for removal of dense congenital cataracts to avoid deprivation amblyopia.

Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao

Henry Ford Hospital Medical Journal

No abstract provided.

The Pseudo-Leukocyte-Specific/Nuclear Membrane Antinuclear Antibody Pattern: A Puzzle, Thomas K. Burnham

Henry Ford Hospital Medical Journal

We report an antinuclear antibody (ANA) pattern—the pseudo-leukocyte-specific/nuclear membrane (PLS/NM) ANA pattern—that is puzzling because it usually reacts with only a few cells on human spleen imprints but with most epidermal and numerous dermal nuclei of normal human skin sections. The designation "pseudo-leukocyte-specific" was chosen because it is generally seen in only a few nuclei on human spleen imprints, thereby resembling the true leukocyte-specific ANA pattern. A few small round nuclei fluoresce homogeneously, surrounded by a bright wall, suggesting nuclear membrane (NM) fluorescence. The term "nuclear membrane" was added to the name because the NM appearance is even more prominent …

Dermatomyositis Complicated By Thrombotic Thrombocytopenic Purpura, Maria A. Sawdyk, Jeffrey Jundt

Henry Ford Hospital Medical Journal

A 65-year-old woman who had a documented history of dermatomyositis was hospitalized for evaluation of a syncopal attack. During the course of her stay, she experienced progressive neurologic dysfunction, hemolytic anemia, and thrombocytopenia. A clinical diagnosis of thrombotic thrombocytopenia purpura (TTP) was made, and therapy was initiated with glucocorticoids, plasmapheresis, plasma infusion, and antiplatelet medication. The pathogenesis of TTP has not been cleady elucidated. However, reports in the literature have postulated immune damage of the endothelium with demonstration of IgM and complement deposits as the origin of the condition. Further, there are reported cases of TTP associated with collagen disorders …

Clinical Trials: Ii. Randomization And Sample Size, Barbara Tilley, Anthony Schork

Henry Ford Hospital Medical Journal

This second in a series of articles focuses on clinical trials. Information is provided on determining sample size and on methods of randomization including simple and single- and double-consent randomization, and blocked, stratified, and adaptive procedures to randomize patients to a study group.

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Commencement Program 1985 (School Of Allied Health Professions), Loma Linda University

Commencement Programs

CONTENTS

2 | Awarding of Diplomas

3 | Candidates for Degrees and Awards

Ua28/1 The Personnel File, Wku Human Resources

WKU Administration Documents

Newsletter published by WKU Human Resources for the faculty and staff. Special issue regarding the Wellness Program.