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Journal

1988

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Articles 1 - 30 of 336

Full-Text Articles in Medicine and Health Sciences

Paraplegia Due To Decompression Sickness (19 Cases), Horng-Jeng Shyn Dec 1988

Paraplegia Due To Decompression Sickness (19 Cases), Horng-Jeng Shyn

Rehabilitation Practice and Science

Nineteen cases of paraplegia due to decompression sickness were experienced from May 1983 to August 1985. All were the male fishermen. Their ages ranged from twenty-three yeras to fifty yeras.There were five with complete thoracic cord injury, seven with imcomplete thoracic cord injury and one with complete lumber cord injury, six with imcomplete lumber cord injury. All the patients had received hyperbaric treatment and rehabilitation. There were six persons with severe spasticity during discharge. Others had the symptom of mild incontinence. The study shows that early treatment may reduce complication. The most frequent seasons were spring & summer. The majority …


Psychomotor Development In Children With Congental Heart Disease, Tsui-Fen Yang, Betau Hwang, Tao-Chang Hsu Dec 1988

Psychomotor Development In Children With Congental Heart Disease, Tsui-Fen Yang, Betau Hwang, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to assess the psychomotor development in children with congenital heart disease, analyzes the degree of developmental delay and investigate the possible factors that result in psychomotor developmental delay in these cases. Form August 1986 to July 1987, 169 cases with congenital heart disease and 92 normal children as control group were studied. The Kansas Development Screening Chart, which was designed by Dr. Holmes, was used to assess the psychomotor development in these 261 children. The degree in psychomotor factors such as sex, nutritional status, cyanosis, age, number of hospitalization and history of congestive heart …


F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu Dec 1988

F-Response Study In C-Spine Degenerative Joint Disease Patient, Chen-Ming Chiu, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to compare the significant difference of F Response between normal and C-spine DJD groups and compare one another among different age groups. We chose 10 patients with C-spine DJD in each age groups of 50-60, 60-70, 70-80 age groups. Everyone recived Ulnar and Median N nerve conduction study with subsequent 20 times F responses.The results revealed 1) in Spine DJD with radiclopathy groups, these are prolonged F lateny & decreased F persistence compared to normal groups. 2) no significant difference in F amplitude, F spike, M amplitude, M surface and NCV between normal and …


Isolated Cataplexy: A Familial Study, Kristyna M. Hartse, Frank J. Zorick, Jeanne M. Sicklesteel, Thomas Roth Dec 1988

Isolated Cataplexy: A Familial Study, Kristyna M. Hartse, Frank J. Zorick, Jeanne M. Sicklesteel, Thomas Roth

Henry Ford Hospital Medical Journal

Four members of a family, a mother, her two sons, and the mother's second cousin, presented with a history of isolated cataplexy without excessive daytime sleepiness or other symptoms typical of narcolepsy. They were polygraphically monitored during one night followed by a day of multiple nap tests. No subject manifested objective daytime sleepiness as measured by short latencies to sleep onset during daytime naps, and no subject exhibited periods of sleep onset rapid eye movement sleep in either the night or nap recordings. The incidence of isolated cataplexy in this family was traced by history through six generations. We conclude …


Front Matter Dec 1988

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


The Expanding Spectrum Of Pediatric Practice, Jeffrey M. Devries Dec 1988

The Expanding Spectrum Of Pediatric Practice, Jeffrey M. Devries

Henry Ford Hospital Medical Journal

No abstract provided.


Duplication And Deletion 11q23-Q24 Recombinants In Two Offspring Of An Intrachromosomal Insertion ("Shift") Carrier, Miriam G. Forsythe, Hugh Walker, Lester Weiss, Jacquelyn R. Roberson, Maria J. Worsham, V. Ramesh Babu, Daniel L. Van Dyke Dec 1988

Duplication And Deletion 11q23-Q24 Recombinants In Two Offspring Of An Intrachromosomal Insertion ("Shift") Carrier, Miriam G. Forsythe, Hugh Walker, Lester Weiss, Jacquelyn R. Roberson, Maria J. Worsham, V. Ramesh Babu, Daniel L. Van Dyke

Henry Ford Hospital Medical Journal

Few examples of intrachromosomal insertions have been described. These usually result from deletion of a segment of chromosome material, with insertion of the deleted material elsewhere on the same chromosome. Previous insertional translocations have been identified through a proband who has either a deletion or a duplication of the inserted segment. We describe a family which has two probands, one with a duplication and one with a deletion of the inserted segment. The unbalanced chromosomes probably resulted from an uneven number of crossovers between the breakpoints in the chromosome 11 of the father, who carries a balanced intrachromosomal insertion of …


Perinatal Idiopathic Hemochromatosis, Usha B. Raju, Sudhakar Ezhuthachan, Chan K. Ma Dec 1988

Perinatal Idiopathic Hemochromatosis, Usha B. Raju, Sudhakar Ezhuthachan, Chan K. Ma

Henry Ford Hospital Medical Journal

We report the clinicopathologic features of an infant who died of a rare form of perinatal cirrhosis associated with idiopathic hepatic and extrahepatic parenchymal siderosis. The infant appeared normal at birth but soon became severely ill, following a progressively downhill course associated with hypoglycemia, metabolic acidosis, bleeding diathesis, jaundice, and shock. The infant died at 7 days of age. The manifestations were those of hepatic failure but mimicked sepsis and disseminated intravascular coagulation. Cirrhosis, giant cell transformation, and parenchymal iron deposition characteristic of perinatal idiopathic hemochromatosis, a recently emerging clinicopathologic entity of unknown etiology, were present in this infant. These …


Bladder Catheter Knotting: A Case Report, Mark G. Goetting Dec 1988

Bladder Catheter Knotting: A Case Report, Mark G. Goetting

Henry Ford Hospital Medical Journal

No abstract provided.


The Development Of Pediatrics In The United States, Jay H. Mayefsky Dec 1988

The Development Of Pediatrics In The United States, Jay H. Mayefsky

Henry Ford Hospital Medical Journal

No abstract provided.


Serum Creatinine Concentrations In Healthy Newborns: Reference Ranges During The First Five Days Of Life, Jennie Andreson, Jaime Alfredo Zegarra, Carlos Alberto Estrada, Francis Dumler Dec 1988

Serum Creatinine Concentrations In Healthy Newborns: Reference Ranges During The First Five Days Of Life, Jennie Andreson, Jaime Alfredo Zegarra, Carlos Alberto Estrada, Francis Dumler

Henry Ford Hospital Medical Journal

Serum creatinine concentrations were studied in 52 healthy, full-term infants (29 males and 23 females) during the first five days of life. At birth, mean serum creatinine concentration was 0.76 ± 0.13 mg/dL. At 6 hours of life, values increased to 0.97 ± 0.11 mg/dL (P < 0.001) and remained elevated for 24 hours. Values then returned to baseline so that serum creatinine concentrations were 0.81 ± 0.15 mg/dL at 48 hours and 0.6l ± 0.15 mg/dL at 3 to 5 days of age. At birth, serum creatinine concentrations were higher in males than in females (0.80 ± 0.13 versus 0.71 ± 0.11 mg/dL, respectively; P < 0.009). However, the increases in serum creatinine concentration observed after birth were similar in both sexes. This is the first report of a prospective longitudinal study of serum creatinine concentrations between birth and 3 to 5 days of age in a Hispanic population. In addition, data were analyzed by sex. The results are a useful reference for normal serum creatinine concentrations in early life.


Ovarian Failure In A Chromosomally Competent Adolescent Female: A Case Report, T. Jann Caison-Sorey Dec 1988

Ovarian Failure In A Chromosomally Competent Adolescent Female: A Case Report, T. Jann Caison-Sorey

Henry Ford Hospital Medical Journal

Primary ovarian failure in adolescence is uncommon. This report depicts such a case in a 17 1/2-year old girl whose investigation revealed elevations in the follicle-stimulating hormone and luteinizing hormone levels in association with a low estrogen level. The blood leukocyte chromosome analysis with Giemsa banding revealed a 46,XX chromosomal complement. Pelvic ultrasound disclosed a rudimentary uterus and a small left ovary. Hormonal replacement has resulted in advancement of secondary sexual characteristics and monthly withdrawal bleeding.


Validation Of Electronic Rectal Thermometry, Mark G. Goetting, Karen Stratton Dec 1988

Validation Of Electronic Rectal Thermometry, Mark G. Goetting, Karen Stratton

Henry Ford Hospital Medical Journal

Electronic rectal thermometry is performed routinely in most medical centers. While electronic thermometry has been validated at the oral site, rectal measurement has not. We performed a controlled study on 84 children comparing mercury-in-glass and electronic thermometry at the rectal site. No significant difference occurred in temperatures between the two methods. We conclude that the electronic thermometer is a valid instrument to measure rectal temperature.


A Practical Approach To Infantile Apnea, Gregory Preston Dec 1988

A Practical Approach To Infantile Apnea, Gregory Preston

Henry Ford Hospital Medical Journal

No abstract provided.


Pediatric Emergency Care: A Survey Of Michigan Emergency Departments, David J. Treloar, Gregory Preston, Fred Lamb Dec 1988

Pediatric Emergency Care: A Survey Of Michigan Emergency Departments, David J. Treloar, Gregory Preston, Fred Lamb

Henry Ford Hospital Medical Journal

Recent studies suggest a lack of preparation in emergency medical systems for pediatric patients. Michigan emergency departments were surveyed to determine their degree of preparedness regarding equipment, space, and pediatric on-call coverage. More than 50% of responding emergency departments did not have a pediatrician on call and lacked a pediatric "crash cart," and 34% had to send their personnel to other areas in the hospital to obtain pediatric equipment during resuscitations. This survey suggests a lack of preparation for pediatric emergencies in Michigan.


The Circumcision Decision: A Plea For Informed Consent, Theresa Spinelli Dec 1988

The Circumcision Decision: A Plea For Informed Consent, Theresa Spinelli

Henry Ford Hospital Medical Journal

No abstract provided.


The Pediatrician's Guide To Food Allergy, John A. Anderson Dec 1988

The Pediatrician's Guide To Food Allergy, John A. Anderson

Henry Ford Hospital Medical Journal

Food allergy occurs in as many as 5% of infants less than 1 year old. Most food sensitivities disappear by age 3 to 4. Most immunologically mediated food allergy reactions are due to type I IgE mechanisms, with skin, gastrointestinal, and respiratory signs and symptoms the most common manifestations. U sing the double-blind, placebo-controlled food challenge (DBPCFC) technique and atopic dermatitis as a model, the most common foods to which children are allergic are cow's milk, eggs, peanuts, wheat, fish, and soy proteins. Anaphylactic sensitivity in older children often involves crustacean seafoods (eg, shrimp), nuts, peanuts, fish, and eggs. Such …


Attention Deficit Disorder: An Overview, Wiley C. Rasbury Dec 1988

Attention Deficit Disorder: An Overview, Wiley C. Rasbury

Henry Ford Hospital Medical Journal

No abstract provided.


Prevalence Of Respiratory Symptoms And Allergic Sensitivity In Multiply Handicapped Children, Dennis R. Ownby, Mary Logan, Ruth Ann Belfi Dec 1988

Prevalence Of Respiratory Symptoms And Allergic Sensitivity In Multiply Handicapped Children, Dennis R. Ownby, Mary Logan, Ruth Ann Belfi

Henry Ford Hospital Medical Journal

Among the many challenges of providing care for children with multiple physical and developmental handicaps is the proper management of their respiratory difficulties. This study was designed to evaluate the prevalence of respiratory symptoms in children attending a multidisciplinary clinic for handicapped children. We also used several methods to estimate the prevalence of allergic sensitivity in children with respiratory complaints. Questionnaires concerning respiratory symptoms were completed by the parents of 104 patients. The most frequent complaint reported was snoring in 41% of the children. Of the 39% who had multiple respiratory symptoms, 85% had detectable allergen- specific IgE to cat, …


Child Life: Meeting The Psychosocial Needs Of Children And Families In The Hospital, Christine O. Newman, Carol G. Klingbeil, Roberta B. Abrams Dec 1988

Child Life: Meeting The Psychosocial Needs Of Children And Families In The Hospital, Christine O. Newman, Carol G. Klingbeil, Roberta B. Abrams

Henry Ford Hospital Medical Journal

No abstract provided.


Adolescent Pregnancy And Sexually Transmitted Diseases: Case Report, Ruby L. Holloway, Richard Smith Dec 1988

Adolescent Pregnancy And Sexually Transmitted Diseases: Case Report, Ruby L. Holloway, Richard Smith

Henry Ford Hospital Medical Journal

More than 1 million teenagers become pregnant every year in the United States. Nearly one-half of the pregnancies are carried to term, while a similar number end in abortion. In Michigan this amounts to approximately 34,000 teenage pregnancies (ages 15 to 19). These adolescent patients have a high incidence of sexually transmitted diseases (STDs). Of the pregnant teens at Henry Ford Hospital. 60% present with one or more STDs. We discuss the case of a 13-year-old pregnant girl who presented at five weeks estimated gestation with gonorrhea, chlamydia, and appendiceal perforation, resulting in subsequent spontaneous abortion. Further discussion focuses on …


The Role And Success Of School-Based Clinics, Terence A. Joiner Dec 1988

The Role And Success Of School-Based Clinics, Terence A. Joiner

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Dec 1988

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Setting Up An Adolescent Clinic In A Suburban Pediatric Office Group Practice, Patricia K. Stoltz, Kathleen B. Blumer Dec 1988

Setting Up An Adolescent Clinic In A Suburban Pediatric Office Group Practice, Patricia K. Stoltz, Kathleen B. Blumer

Henry Ford Hospital Medical Journal

Teenagers in the United States experience significant mortality and morbidity because of high-risk behaviors. Adolescents need routine health supervision aimed at reducing these risks. A Teen Clinic within the Pediatrics Clinic at the Henry Ford Hospital Fairlane Center offers separate facilities, longer appointments, and an emphasis on adolescent issues. This plan is a model for practitioners in various office settings who seek to improve adolescent care.


การสำรวจสุขภาพอนามัยของผู้สูงอายุที่ตำบลเกาะจันทน์ อำเภอพนัสนิคม จังหวัดชลบุรี, จรวย ศรีทอง, มนต์ชัย ชาลาประวรรตน์, บุษบา มาตระกูล, ศักดิ์ชัย พิมลเสถียร, จิตร สิทธิอมร, บุญธรรม จิระจันทน์, ศรีจิตรา บุนนาค, สมพล เล็กเฟื่องฟู, วีรศักดิ์ เหลืองจามิกร, พินัย มะโนทัย Dec 1988

การสำรวจสุขภาพอนามัยของผู้สูงอายุที่ตำบลเกาะจันทน์ อำเภอพนัสนิคม จังหวัดชลบุรี, จรวย ศรีทอง, มนต์ชัย ชาลาประวรรตน์, บุษบา มาตระกูล, ศักดิ์ชัย พิมลเสถียร, จิตร สิทธิอมร, บุญธรรม จิระจันทน์, ศรีจิตรา บุนนาค, สมพล เล็กเฟื่องฟู, วีรศักดิ์ เหลืองจามิกร, พินัย มะโนทัย

Chulalongkorn Medical Journal

No abstract provided.


ผลของการฝึกสมาธิต่อระดับคอร์ติซอลในเลือด การทำงานของระบบไหลเวียนเลือด ระบบหายใจ และรีแอคชันไทม์, วิไล ชินธเนศ, ราตรี สุดทรวง, คงเดช เวฬุวัน, สุนนา ภูวพานิช Dec 1988

ผลของการฝึกสมาธิต่อระดับคอร์ติซอลในเลือด การทำงานของระบบไหลเวียนเลือด ระบบหายใจ และรีแอคชันไทม์, วิไล ชินธเนศ, ราตรี สุดทรวง, คงเดช เวฬุวัน, สุนนา ภูวพานิช

Chulalongkorn Medical Journal

No abstract provided.


อัตราการตายและการติดโรคในเป็ดจากการทดลองฉีดเชื้อไวรัสกาฬโรคเป็ดสายพันธุ์ท้องถิ่น, เกรียงศักดิ์ สายธนู, โสมทัต วงศ์สว่าง, สันติ ถุงสุวรรณ Dec 1988

อัตราการตายและการติดโรคในเป็ดจากการทดลองฉีดเชื้อไวรัสกาฬโรคเป็ดสายพันธุ์ท้องถิ่น, เกรียงศักดิ์ สายธนู, โสมทัต วงศ์สว่าง, สันติ ถุงสุวรรณ

The Thai Journal of Veterinary Medicine

จากการศึกษาอัตราการตายและการติดโรคในเป็ดที่ได้รับการฉีดด้วยไวรัสกาฬโรคเป็ดสายพันธุ์ท้องถิ่นเข้าทางกล้ามเนื้อที่อก พบว่าระยะฟักตัวของโรคจะนาน 4 - 6 วัน อัตรา การตายและการติดโรค 100%


Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu Dec 1988

Functional Outcome In Digital Reconstruction With Toe Transfer: Preliminary Report, Yiu-Chung Lau, May-Kuen Wong, Fu-Chan Wei, Shin-Han Wu

Rehabilitation Practice and Science

The functional outcome of 34 cases of digital ampution with toe-to-digit reconstruction in Chang-Gung Memorial hospital, from Jan 1984 to Jan 1987, were evaluated by questionaires.The age of the patients were from 16 to 48 years old, with male in majority (82.3%). Nearly all of them were occupational injury. There were 20 cases with right hand injury, most of them should change hand dominance even after reconstruction surgery (63.2%). In the patients having single thumb loss, whether the reconstruction surgery was used by big toe or second toe, there were no difference in functional deficits of precision pinch (85.7%) and …


Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen Dec 1988

Prosthetic Fitting For Limb Amputee In 15 Years (1971-1985), Ming-Chuan Lin, I-Nan Lien, Tong-Tsu Chen

Rehabilitation Practice and Science

The prosthetic workshop of National Taiwan University Hospital was established in 1970. There were 665 amputees recieved prosthetic fitting at the workshop from the beginning of 1971 to the end of 1985. Among these amputees, 307 patients were the victims of black-foot-disease, and has ben reported previously. Therefore, the present study included the rest of 358 amputees, 278 males and 80 females with male/female ratio 3.5: 1. The site of extremity involved were 160 in right and 198 in left, which revealed no significant difference statistically (p>0.05). In total 358 cases, there were 105 upper extremity amputees and 253 lower …


Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu Dec 1988

Cauda Equina Syndrome And Lumbar Disc Herniation, Chinn-Dong Chung, Chorng-Sonq Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Hearniation of lumbar disc (HIVD) causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. Cauda equina syndrome (CES) has been described as a complex of low back pain, bilateral or unilateral sciatica, saddle anesthesia and motor weakness in the lower extremities that may progress to paraplegia with bowel and urinary bladder incontinence. The onset of bladder and rectal paralysis with saddle anesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Three C.E.S. cases out of 169 H.I.V.D. cases who had been operated in our hospital were …