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Articles 54511 - 54540 of 62668

Full-Text Articles in Medicine and Health Sciences

Calcium Channel Blockers In The Management Of Myocardial Infarction Patients, Mihai Gheorghiade Sep 1991

Calcium Channel Blockers In The Management Of Myocardial Infarction Patients, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.


Doctors At Risk: A Problem As Viewed By Decision Analysis, Leonard P. Caccamo, Kimbroe J. Carter, Barbara A. Erickson, William R. Johnson, Edward Kessler Sep 1991

Doctors At Risk: A Problem As Viewed By Decision Analysis, Leonard P. Caccamo, Kimbroe J. Carter, Barbara A. Erickson, William R. Johnson, Edward Kessler

RISK: Health, Safety & Environment (1990-2002)

The authors closely analyze a case in which a Peer Review Organization cited a physician for treatment with potential for significant adverse effect. They also critique the regulatory scheme under which peer review occurs and conclude that such regulation interferes with physicians' primary obligations, fails to encourage cost-effective behavior and may decrease the quality of medical care.


Front Matter Sep 1991

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Neuroendocrine Responses To Acute Myocardial Infarction, Arlene B. Levine, T. Barry Levine Sep 1991

Neuroendocrine Responses To Acute Myocardial Infarction, Arlene B. Levine, T. Barry Levine

Henry Ford Hospital Medical Journal

No abstract provided.


Recovery Of Left Ventricular Function Following Acute Myocardial Infarction, Hani N. Sabbah, Paul D. Stein, Mihai Gheorghiade Sep 1991

Recovery Of Left Ventricular Function Following Acute Myocardial Infarction, Hani N. Sabbah, Paul D. Stein, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

No abstract provided.


Biochemical Diagnosis Of Myocardial Infarction, Craig C. Foreback Sep 1991

Biochemical Diagnosis Of Myocardial Infarction, Craig C. Foreback

Henry Ford Hospital Medical Journal

A rapid, sensitive, and specific marker for the diagnosis of acute myocardial infarction (MI) and the assessment of reperfusion following thrombolytic therapy has been sought by research workers for years. Creatine kinase-MB (CK-MB) is the best biochemical marker currently available to the cardiologist and the emergency room physician for the assessment of patients presenting with symptoms of acute Ml. CK-MB is best measured using immunoassay techniques at 3- to 4-hour time intervals during the first 12 hours after onset of.symptoms. Other currently available markers include lactate dehydrogenase and its isoenzymes and myoglobin. Future developments include assays for troponin, reported to …


The Role Of Echocardiography In Acute Myocardial Infarction, Mohsin Alam Sep 1991

The Role Of Echocardiography In Acute Myocardial Infarction, Mohsin Alam

Henry Ford Hospital Medical Journal

Our institutional experience with two-dimensional echocardiography and color flow Doppler tests, as welt as a review of the literature, reveals that echocardiography is useful in diagnosing myocardial infarction. Furthermore, complications of myocardial infarction such as mitral regurgitation with or without papillary muscle rupture, acquired ventricular septal defect, true and false left ventricular aneurysms, left ventricular thrombi, right ventricular infarction, and pericardial effusion in the setting of acute infarction can he detected by cardiac ultrasound. Echocardiography is also useful in assessing prognosis of postinfarction patients based on degree of left ventricular dysfunction. This test, however, is not 100% sensitive and specific …


Antiplatelet And Anticoagulant Therapy In Acute Myocardial Infarction, Syed M. Jafri Sep 1991

Antiplatelet And Anticoagulant Therapy In Acute Myocardial Infarction, Syed M. Jafri

Henry Ford Hospital Medical Journal

No abstract provided.


Thrombolytic Therapy In Acute Myocardial Infarction: An Emergency Department Perspective, Bradford L. Walters Sep 1991

Thrombolytic Therapy In Acute Myocardial Infarction: An Emergency Department Perspective, Bradford L. Walters

Henry Ford Hospital Medical Journal

No abstract provided.


Lidocaine Prophylaxis In Acute Myocardial Infarction, James E. Tisdale Sep 1991

Lidocaine Prophylaxis In Acute Myocardial Infarction, James E. Tisdale

Henry Ford Hospital Medical Journal

The prophylactic administration of lidocaine for the prevention of primary ventricular fibrillation (VF) following suspected acute myocardial infarction (Ml) is controversial. The incidence of primary VF following acute Ml ranges from 1.8% to 10.5%. "Warning arrhythmias" have not been shown to be reliable predictors of VF. In-hospital prophylactic administration of lidocaine has been shown to decrease the incidence of primary VF. whereas prehospital administration has not. However, prophylactic administration of lidocaine has not been shown to have a beneficial effect on mortality and may in fact increase mortality. The incidence of lidocaine-induced adverse effects during prophylaxis ranges from 4% to …


Diagnosis And Management Of Tachycardias After Myocardial Infarction, Charles R. Webb Sep 1991

Diagnosis And Management Of Tachycardias After Myocardial Infarction, Charles R. Webb

Henry Ford Hospital Medical Journal

No abstract provided.


Role Of Coronary Angioplasty In Acute Myocardial Infarction, Susheel K. Sharma, Kenneth Retter, Fareed Khaja Sep 1991

Role Of Coronary Angioplasty In Acute Myocardial Infarction, Susheel K. Sharma, Kenneth Retter, Fareed Khaja

Henry Ford Hospital Medical Journal

No abstract provided.


Surgical Treatment Of Acute Myocardial Infarction, Arthur R. Dresdale, Gaetano Paone Sep 1991

Surgical Treatment Of Acute Myocardial Infarction, Arthur R. Dresdale, Gaetano Paone

Henry Ford Hospital Medical Journal

In recent years, advances in surgical techniques and perioperative management of cardiac surgical patients have facilitated more aggressive operative treatment of many serious and even catastrophic complications of acute myocardial infarction (Ml). In addition, improved understanding of the natural history of these complications has helped to optimize the indications for and timing of surgical intervention. The role of emergency revascularization for postinfarction angina, evolving acute MI, cardiogenic shock after acute MI, and failed percutaneous transluminal angioplasty has expanded with overall satisfactory to excellent results. Surgical treatment of mechanical complications of acute Ml such as free-wall rupture, acute ischemic mitral insufficiency, …


Caring For The Acute Myocardial Infarction Patient: A Nursing Perspective, Denise L. Crimaldi Adams, Sandra R. Perez Sep 1991

Caring For The Acute Myocardial Infarction Patient: A Nursing Perspective, Denise L. Crimaldi Adams, Sandra R. Perez

Henry Ford Hospital Medical Journal

Cardiac nursing is nearly 30 years old. Changes in the rote of cardiac nursing have directly corresponded to the three distinct medical phases of care for the acute myocardial infarction patient—arrhythmia detection, pump failure, and limiting infarct size. Nursing care delivery in the cardiac setting, the cardiac patient, and the role of the cardiac nurse each have undergone changes over the years, which together has provided a challenge to health care delivery. Future effects of technological and pharmacologic advances, social changes, and nursing professional practice issues on cardiac care delivery are imperative to consider as health care moves into the …


Incomplete Versus Complete Myocardial Infarction, Mihai Gheorghiade, Sidney Goldstein Sep 1991

Incomplete Versus Complete Myocardial Infarction, Mihai Gheorghiade, Sidney Goldstein

Henry Ford Hospital Medical Journal

Incomplete myocardial infarction (MI), when compared with a complete Ml. is characterized by a small infarct size and a large mass of viable but jeopardized myocardium within the perfusion zone of the infarct-related vessel that is manifested clinically by early recurrent infarction. The pathophysiology involves early spontaneous or thrombolytic reperfusion. Clinical (i.e., residual ischemia), electrocardiographic, and echocardiographic findings and magnitude of serum cardiac enzyme elevations should be taken into account in diagnosing an incomplete MI.


Post Myocardial Infarction Risk Stratification: 1991 Perspective, Michael Lesch Sep 1991

Post Myocardial Infarction Risk Stratification: 1991 Perspective, Michael Lesch

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Sep 1991

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Management Of Cardiogenic Shock Complicating Acute Myocardial Infarction: The Henry Ford Hospital Experience And Review Of The Literature, Ali R. Moosvi, Mihai Gheorghiade, Sidney Goldstein, Fareed Khaja Sep 1991

Management Of Cardiogenic Shock Complicating Acute Myocardial Infarction: The Henry Ford Hospital Experience And Review Of The Literature, Ali R. Moosvi, Mihai Gheorghiade, Sidney Goldstein, Fareed Khaja

Henry Ford Hospital Medical Journal

Cardiogenic shock complicating acute myocardial infarction (MI) carries a high mortality which in some series prior to 1980 exceeded 80%. Neither the use of inotropic and vasopressor agents nor intraaortic balloon counterpulsation was found to improve survival in this group of patients. Intravenous thrombolytic agents improve survival in patients with acute MI, but their role in cardiogenic shock is unknown. Reports of the use of surgical and mechanical interventions in patients with severe left ventricular dysfunction were examined to determine if there was any benefit to be derived from restoring blood flow to ischemic areas of the myocardium. It was …


Experimental Studies Of Sereny Test Andsusceptibility Test For The Pathogenicity Ofanaerobic Propionibacteria, Narathorn Dhamabutra, Padungsri Vichivanives, Anchalee Chiabchalard, Amornrat Tatsanakit Sep 1991

Experimental Studies Of Sereny Test Andsusceptibility Test For The Pathogenicity Ofanaerobic Propionibacteria, Narathorn Dhamabutra, Padungsri Vichivanives, Anchalee Chiabchalard, Amornrat Tatsanakit

Chulalongkorn Medical Journal

No abstract provided.


Endocardial Candidiasis In A Burn Patient, Prayong Moolla-Or, Chavit Roongruangratna Sep 1991

Endocardial Candidiasis In A Burn Patient, Prayong Moolla-Or, Chavit Roongruangratna

Chulalongkorn Medical Journal

No abstract provided.


การวินิจฉัยปาราสิตด้วยกล้องจุลทรรศน์อิเลคตรอน, Mai Ratanavararak., Medhi Kulkumthorn Sep 1991

การวินิจฉัยปาราสิตด้วยกล้องจุลทรรศน์อิเลคตรอน, Mai Ratanavararak., Medhi Kulkumthorn

Chulalongkorn Medical Journal

No abstract provided.


Serum Immunoglobulin-G Subclasses Levels In Normalthai Young Adults, Kamjorn Tatiyakavee, Reutai Sakulramrung, Chintana Chirathaworn Sep 1991

Serum Immunoglobulin-G Subclasses Levels In Normalthai Young Adults, Kamjorn Tatiyakavee, Reutai Sakulramrung, Chintana Chirathaworn

Chulalongkorn Medical Journal

No abstract provided.


The Aged Population In The Geriatric Clinical Chulalongkorn Hospital, S. Chompootaweep, S. Jitapunkul, P. Lohsoonthorn, Phunthumchinda K., L. Ruammake, S. Bunnag Sep 1991

The Aged Population In The Geriatric Clinical Chulalongkorn Hospital, S. Chompootaweep, S. Jitapunkul, P. Lohsoonthorn, Phunthumchinda K., L. Ruammake, S. Bunnag

Chulalongkorn Medical Journal

No abstract provided.


Evaluation Of Rapid Immunoperoxidase Assaycompared With Micro-If Test To Detectchlamydia Trachomatis Antibodies, Wimon Chanchaem, Pongpun Nunthapisud, Reutai Sakulramrung Sep 1991

Evaluation Of Rapid Immunoperoxidase Assaycompared With Micro-If Test To Detectchlamydia Trachomatis Antibodies, Wimon Chanchaem, Pongpun Nunthapisud, Reutai Sakulramrung

Chulalongkorn Medical Journal

No abstract provided.


Transvaginosonography In Endometrialadenocarcinoma: A New Therapeutic Approach, Damrong Tresukosol, Pairoj Witoonpanich, Sukhit Phaosavasdi Sep 1991

Transvaginosonography In Endometrialadenocarcinoma: A New Therapeutic Approach, Damrong Tresukosol, Pairoj Witoonpanich, Sukhit Phaosavasdi

Chulalongkorn Medical Journal

No abstract provided.


Bilirubin Encephalopathy In Adult, Samruay Shuangshoti, Pongsak Wannakrairot Sep 1991

Bilirubin Encephalopathy In Adult, Samruay Shuangshoti, Pongsak Wannakrairot

Chulalongkorn Medical Journal

No abstract provided.


Platelet, Serotonin And Migraine, A. Srikiatkhachorn Sep 1991

Platelet, Serotonin And Migraine, A. Srikiatkhachorn

Chulalongkorn Medical Journal

No abstract provided.


การเกิดโรคอิเพอร์ริโทรซูนในลูกสุกรหย่านม, จิรา วายุโซติ, ลัดดา ตรงวงศา, ทัศนีย์ ชมภูจันทร์, ชิต ศิริวรรณ์ Sep 1991

การเกิดโรคอิเพอร์ริโทรซูนในลูกสุกรหย่านม, จิรา วายุโซติ, ลัดดา ตรงวงศา, ทัศนีย์ ชมภูจันทร์, ชิต ศิริวรรณ์

The Thai Journal of Veterinary Medicine

ลูกสุกรหย่านม 5 ตัว อายุ 45-60 วัน ถูกส่งมายังสถาบันสุขภาพสัตว์และผลิตสัตว์แห่งชาติ ด้วยอาการป่วยเรื้อรัง อาการเด่นชัดคือ ตัวเหลือง ซีด ซึม เบื่ออาหาร มีไข้และร่างกายทรุด โทรม จากการตรวจเลือดพบเชื้อ Eperythrozoon suis จำนวนมาก ผลทางโลหิตวิทยา พบว่าเม็ดเลือดแดงอัดแน่น (PCV) และฮีโมโกลบินต่ำกว่าปกติ จากการผ่าซากสุกรทั้ง 5 ตัว พบชั้นใต้ ผิวหนังเหลืองและบวมนำ หัวใจมีสีเหลือง โดยเฉพาะที่ coronary fat มีการบวมน้ำร่วมด้วย ตับมีสีเหลือง บวม เนื้อแน่น บางตัวพบจุดเนื้อตายสีขาวแทรกอยู่ในเนื้อตับ น้ำดีในถุงน้ำดีมีลักษณะข้น ม้ามโต บวมและนิ่ม พบปอดบวมและช่องท้องอักเสบในสุกร 1 ตัว ผลตรวจทางจุลพยาธิวิทยา พบฮีโมซิเดอร์รินจำนวนมากในตับ เนื้อตับพบลักษณะของ vacuolar และหย่อมเนื้อตาย ม้ามมีเลือดคั่ง ได้ทำการรักษาลูกสุกรป่วยที่เหลือด้วยยา oxytetracycline ปรากฏว่าลูกสุกรมีอาการดีขึ้นและ ตรวจไม่พบเชื้อหลังการรักษา


การรักษา Papilloma ที่ผิวหนังช้าง ด้วยศัลยกรรมเยือกแข็ง : รายงานสัตว์ป่วย, อติชาต พรหมาสา Sep 1991

การรักษา Papilloma ที่ผิวหนังช้าง ด้วยศัลยกรรมเยือกแข็ง : รายงานสัตว์ป่วย, อติชาต พรหมาสา

The Thai Journal of Veterinary Medicine

รายงานการรักษา papilloma ที่ผิวหนังในช้างเอเซีย (Elephas maximus) 2 รายโดยใช้ ศัลยกรรมเยือกแข็ง (cryosurgery)


Anthelmintic Activity Of Closantel Against Fasciola Gigantica And Other Parasites In Cattle, Vichitr Sukhapesna, Darunee Tuntasuvan, Worapong Suriyajantratong Sep 1991

Anthelmintic Activity Of Closantel Against Fasciola Gigantica And Other Parasites In Cattle, Vichitr Sukhapesna, Darunee Tuntasuvan, Worapong Suriyajantratong

The Thai Journal of Veterinary Medicine

Anthelmintic activity of a single subcutaneous injection of closantel at the dose of 2.5 milligrams per kilogram of body weight was determined by the critical test method against Fasciola gigantica and other parasites in 5 naturally infected cattle. Closantel was shown to remove 100 per cent of mature F. gigantica. The drug was also 100 per cent effective against mature Mecistocirrus digitatus, Oesophagostomum radiatum and Bunostomum phlebotomum, whereas it was ineffective against Paramphistomum spp.