Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Henry Ford Hospital Medical Journal

1990

Articles 31 - 60 of 76

Full-Text Articles in Medicine and Health Sciences

Implementation Of The Washington State Basic Health Plan, Thomas L. Kobler Jun 1990

Implementation Of The Washington State Basic Health Plan, Thomas L. Kobler

Henry Ford Hospital Medical Journal

No abstract provided.


Infant Mortality And Prenatal Care, Richard E. Smith Jun 1990

Infant Mortality And Prenatal Care, Richard E. Smith

Henry Ford Hospital Medical Journal

No abstract provided.


Subacute Care In Urban Hospitals: A Case For Urban Swingbeds, Sarah A. Grim Jun 1990

Subacute Care In Urban Hospitals: A Case For Urban Swingbeds, Sarah A. Grim

Henry Ford Hospital Medical Journal

No abstract provided.


Children: Their Future Is Now, Robert H. Sweeney Jun 1990

Children: Their Future Is Now, Robert H. Sweeney

Henry Ford Hospital Medical Journal

No abstract provided.


Healthy Infant Program: An Alternate Approach To Families Of Drug-Exposed Infants, Mildred Thompson Jun 1990

Healthy Infant Program: An Alternate Approach To Families Of Drug-Exposed Infants, Mildred Thompson

Henry Ford Hospital Medical Journal

No abstract provided.


Urban Health: Challenges And Opportunities, Iris R. Shannon Jun 1990

Urban Health: Challenges And Opportunities, Iris R. Shannon

Henry Ford Hospital Medical Journal

No abstract provided.


The Challenges Of Urban Health Care Delivery, Edward J. Connors Jun 1990

The Challenges Of Urban Health Care Delivery, Edward J. Connors

Henry Ford Hospital Medical Journal

No abstract provided.


Countycare Summary, Edward H. Mcnamara, Vernice Davis-Anthony, Deborah L. Scott Jun 1990

Countycare Summary, Edward H. Mcnamara, Vernice Davis-Anthony, Deborah L. Scott

Henry Ford Hospital Medical Journal

No abstract provided.


Adolescent Health Problems: A Model For Their Solution, Roberta B. Abrams Jun 1990

Adolescent Health Problems: A Model For Their Solution, Roberta B. Abrams

Henry Ford Hospital Medical Journal

No abstract provided.


Community-Based Primary Care, Sarah Banks-Lang Jun 1990

Community-Based Primary Care, Sarah Banks-Lang

Henry Ford Hospital Medical Journal

No abstract provided.


Epidemiology For Identifying Community Problems, John B. Waller Jr. Jun 1990

Epidemiology For Identifying Community Problems, John B. Waller Jr.

Henry Ford Hospital Medical Journal

No abstract provided.


The Real-World Issues In Access To Care, David M. Kinzer Jun 1990

The Real-World Issues In Access To Care, David M. Kinzer

Henry Ford Hospital Medical Journal

No abstract provided.


Fighting The Pushers In Minority America, Caswell A. Evans Jr. Jun 1990

Fighting The Pushers In Minority America, Caswell A. Evans Jr.

Henry Ford Hospital Medical Journal

No abstract provided.


The Office Of Minority Health, Michigan Department Of Public Health: Expanding The Bridges Of Access To Close The Gap, Cheryl Anderson-Small Jun 1990

The Office Of Minority Health, Michigan Department Of Public Health: Expanding The Bridges Of Access To Close The Gap, Cheryl Anderson-Small

Henry Ford Hospital Medical Journal

No abstract provided.


The Epidemic Of Violence And Its Impact On The Health Care System, Deborah Prothrow-Stith Jun 1990

The Epidemic Of Violence And Its Impact On The Health Care System, Deborah Prothrow-Stith

Henry Ford Hospital Medical Journal

No abstract provided.


Minority Health And Public Policy: Developing An Agenda Toward The Year 2000, Warren W. Hewitt Jr. Jun 1990

Minority Health And Public Policy: Developing An Agenda Toward The Year 2000, Warren W. Hewitt Jr.

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Jun 1990

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


The Other National Debt, Bruce W. Steinhauer, David C. Leach, Mary West, Sheila Keefe Jun 1990

The Other National Debt, Bruce W. Steinhauer, David C. Leach, Mary West, Sheila Keefe

Henry Ford Hospital Medical Journal

No abstract provided.


Future Directions For Urban Health Care, Symond R. Gottlieb, Gail L. Warden, Iris R. Shannon, Seth L. Foldy, David M. Kinzer Jun 1990

Future Directions For Urban Health Care, Symond R. Gottlieb, Gail L. Warden, Iris R. Shannon, Seth L. Foldy, David M. Kinzer

Henry Ford Hospital Medical Journal

No abstract provided.


Policy Options To Improve Access To Health Care For The Unemployed Uninsured, David R. Nerenz, Barry M. Zajac, Denise P. Repasky, Patricia E. Doyle Jun 1990

Policy Options To Improve Access To Health Care For The Unemployed Uninsured, David R. Nerenz, Barry M. Zajac, Denise P. Repasky, Patricia E. Doyle

Henry Ford Hospital Medical Journal

No abstract provided.


Front Matter Mar 1990

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Functional Endoscopic Sinus Surgery: Morbidity And Early Results, Michael S. Benninger, Samuel A. Mickelson, Kathleen Yaremchuk Mar 1990

Functional Endoscopic Sinus Surgery: Morbidity And Early Results, Michael S. Benninger, Samuel A. Mickelson, Kathleen Yaremchuk

Henry Ford Hospital Medical Journal

Functional endoscopic sinus surgery is a new alternative to conventional sinus surgery as a means of managing recalcitrant sinus disease. This approach to sinus pathology focuses on the importance of the functional ostiomeatal complex and anterior ethmoid sinuses in the pathogenesis of sinus disease. In an effort lo assess the morbidity and initial results of this procedure, 85 cases were reviewed. A total of 82% of the patients had bilateral maxillary and ethmoid sinusitis, and 45% had pansinusitis, frequently associated with allergic rhinitis (56%) and nasal polyps (58%). A total of 82% of the patients were operated on as outpatients …


Sensorineural Hearing Loss And The Diagnosis Of Acoustic Neuroma, Edwin M. Monsell, Jack P. Rock Mar 1990

Sensorineural Hearing Loss And The Diagnosis Of Acoustic Neuroma, Edwin M. Monsell, Jack P. Rock

Henry Ford Hospital Medical Journal

Sensorineural hearing loss and tinnitus are gradually receiving more attention in medicine due to advances in diagnosis and treatment. Acoustic neuromas can now be detected when they are small, and early microsurgical removal results in the lowest overall morbidity. We examine the historical development of acoustic neuroma management, discuss current diagnosis and treatment, and present illustrative cases from our recent experience. Complaints of tinnitus and hearing loss, especially when unilateral, require appropriate medical evaluation.


Entry Of The Hearing Impaired Into The Health Care System, Kathleen Yaremchuk, Jonathan Schmidt, Linda Dickson Mar 1990

Entry Of The Hearing Impaired Into The Health Care System, Kathleen Yaremchuk, Jonathan Schmidt, Linda Dickson

Henry Ford Hospital Medical Journal

The current system of referral of patients complaining of hearing loss usually requires a dual appointment with otolaryngology and audiology. Most of these patients have sensorineural hearing loss for which there is rarely surgical or medical treatment. This study tests the hypothesis that these patients would receive appropriate treatment and that health care dollars would be saved if an audiological assessment could identify those patients who require medical or surgical care. One hundred consecutive patients whose sole complaint was hearing loss were evaluated using audiograms and "hearing abilities questionnaires" by five audiologists using subjective and objective criteria to determine the …


Denker Rhinotomy For Inverted Papilloma Of The Nose And Paranasal Sinuses, Samuel A. Mickelson, Richard D. Nichols Mar 1990

Denker Rhinotomy For Inverted Papilloma Of The Nose And Paranasal Sinuses, Samuel A. Mickelson, Richard D. Nichols

Henry Ford Hospital Medical Journal

Inverted papilloma of the nose and paranasal sinuses is an unusual benign neoplasm that has the propensity for local tissue destruction and an association with malignant degeneration. The tumor represents an inverted growth of epithelium rather than outward proliferation. It most commonly arises from the lateral nasal wall with growth into the nose and paranasal sinuses and only rarely originates from the septum. Presenting symptoms are usually unilateral nasal obstruction and clear rhinorrhea. Surgical excision is the recommended treatment though the aggressiveness ofthe approach has varied. Transnasal local excision has been associated with a high recurrence rate. Lateral rhinotomy with …


Hemangiomas Of The Nasal Septum And Paranasal Sinuses, Lisa Marie Sheppard, Samuel A. Mickelson Mar 1990

Hemangiomas Of The Nasal Septum And Paranasal Sinuses, Lisa Marie Sheppard, Samuel A. Mickelson

Henry Ford Hospital Medical Journal

Hemangiomas of the nasal septum and paranasal sinuses are rare; only 62 cases of septal hemangiomas and 32 cases of maxillary sinus/maxilla hemangiomas have been reported in the English literature. Hemangiomas should be considered in the differential diagnosis of any nasal mass lesion because biopsy may result in profuse bleeding and even death. We report the clinical presentation, differential diagnosis, etiology, and histologic appearance of paranasal sinus hemangiomas occurring in four of our patients.


Abnormal Coagulation Profiles In Tonsillectomy And Adenoidectomy Patients, Jonathan L. Schmidt, Kathleen L. Yaremchuk, Samuel A. Mickelson Mar 1990

Abnormal Coagulation Profiles In Tonsillectomy And Adenoidectomy Patients, Jonathan L. Schmidt, Kathleen L. Yaremchuk, Samuel A. Mickelson

Henry Ford Hospital Medical Journal

Preoperative coagulation profile screening is routinely performed in otolaryngology before tonsillectomy and adenoidectomy surgery in the United States. Recently there has been controversy as to whether this routine testing is necessary. To evaluate the need for this testing, we reviewed a series of patients with particular attention to abnormal coagulation profiles. Of 91 consecutive patients undergoing tonsillectomy, adenoidectomy, or both, four had abnormal preoperative coagulation profiles. Of these patients, one had von Willebrand disease, one had hypofibrinoginemia, and two had a transient acquired lupus-like anticoagulant. The latter condition, which causes a temporary prolongation of the activated partial thromboplastin time, is …


Management Of Chronic Staphylococcal Osteomyelitis Of The Temporal Bone: The Use Of Hyperbaric Oxygen, Vanessa G. Schweitzer Mar 1990

Management Of Chronic Staphylococcal Osteomyelitis Of The Temporal Bone: The Use Of Hyperbaric Oxygen, Vanessa G. Schweitzer

Henry Ford Hospital Medical Journal

Hyperbaric oxygen (HBO) is an effective adjunct in the management of selected otolaryngologic problems including radiation-induced necrosis of the temporal hone, malignant external otitis, mandibular osteoradionecrosis and refractory osteomyelitis, soft tissue head and neck necrotizing fasciitis, compromised skin flaps and grafts, acute air or gas embolism, and otologic barotrauma. We describe the management of a patient with insidious Staphylococcus aureus osteomyelitis of the temporal bone by the use of HBO preoperatively and postoperatively in conjunction with surgical debridement. The possible application of angiogenic agents and tetracycline hone-labeling in combination with HBO therapy in the management of refractory neurotologic disease is …


Cervicofacial Actinomycosis In Children, Michael E. Friduss, Dennis R. Maceri Mar 1990

Cervicofacial Actinomycosis In Children, Michael E. Friduss, Dennis R. Maceri

Henry Ford Hospital Medical Journal

Actinomycotic infections, once common in humans and cattle, are now rare causes of disease in man. This general group of organisms belongs taxonomically between the true bacteria and the fungi; however, the organisms behave clinically like true anaerobes. The organism, although phagocytized by the host cells, is not killed. Therefore, d is defined as a facultative intracellular parasite of the host. The protean manifestations of actinomycotic infections often mimic infectious processes, such as osteomyelitis or granulomatous disease, as well as neoplasia. It is therefore important for the surgeon to include actinomycosis in the differential diagnosis of cervicofacial masses in children …


Metastatic Carcinoma Of The Jaws: Report Of A Case, Jack L. Clark Mar 1990

Metastatic Carcinoma Of The Jaws: Report Of A Case, Jack L. Clark

Henry Ford Hospital Medical Journal

Primary malignant tumors of the mouth and jaws usually do not present a diagnostic challenge to oral surgeons or otolaryngologists. However, recognition of metastatic tumors in the mouth and jaws is much more difficult. A case is presented of metastatic carcinoma from the lung to the soft tissue of the oral cavity. Histopathology of the lesions in the lung and oral cavity as well as the chest x-ray and the Panorex x-ray are presented. The patient refused palliative treatment, became malnourished, and died. A review of the pertinent literature is also presented.