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Articles 54661 - 54690 of 62668

Full-Text Articles in Medicine and Health Sciences

Book Review, John M. Gleason Mar 1991

Book Review, John M. Gleason

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

Review of the following book: ROBERT THOMPSON, JR., SUBSTANCE ABUSE AND EMPLOYEE REHABILITATION (BNA Books 1990) [485 pp.] Appendices, bibliography, index, table of cases. LC-90-2629; ISBN 0-87179-649-X

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Regulation Vs. The Market: The Case Of Bicycle Safety (Part Ii), Ross D. Petty Mar 1991

Regulation Vs. The Market: The Case Of Bicycle Safety (Part Ii), Ross D. Petty

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

In this part, Professor Petty examines bicycle Risk in detail, comparing the accomplishments of the CPSC's bicycle standard with market forces resulting in, e.g., the development and use of hardshell bicycle helmets. Moreover, he briefly discusses the role of tort liability in managing Risk. Ultimately he concludes that, in the case of bicycle safety, regulation has failed to be as effective as other forces tending to reduce bicycle injuries. [Part I appears at 77.]

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Nutrition Support Of Hiv+ Patients, Johanna T. Dwyer Mar 1991

Nutrition Support Of Hiv+ Patients, Johanna T. Dwyer

Henry Ford Hospital Medical Journal

Case management strategies for the nutritional support of patients infected with the human immunodeficiency virus (HIV) are evolving as the disease becomes less rapidly fatal and more chronic. Nutritional status changes in advanced HIV infection are similar in many respects to protein-calorie malnutrition. Current clinical effort and research focuses on the beneficial effects of preserving lean body mass and keeping asymptomatic patients in good nutritional status by preventing micronutrient deficiencies and by treating preexisting nutritional problems rather than attempting to intervene late in the disease's course, after secondary malnutrition has already developed. Nutrition support and intervention trials only late in …

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Human Growth Hormone Treatment: Henry Ford Hospital Experience 1964-1990, David C. Leach Mar 1991

Human Growth Hormone Treatment: Henry Ford Hospital Experience 1964-1990, David C. Leach

Henry Ford Hospital Medical Journal

Treatment with human growth hormone (GH) at Henry Ford Hospital began in 1964 and has included 145 patients. A total of 68 patients were treated with extracted hormone and 77 with recombinant GH. The appearance of Creutzfeldt-Jakob disease, now five cases worldwide, in patients treated with extracted hormone abruptly stopped its use in the United States. The development of recombinant GH in 1985 has resulted in greater availability of treatment. Diagnostic criteria are now more liberal and certain patients without GH deficiency, i.e., those with the Turner syndrome, are now being successfully treated with GH. GH is expensive and its …

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Chronic Pancreatitis Progressing To Duodenal Obstruction In The Absence Of Classic Symptoms, John R. Condit Jr., Dominic K. H. Wong Mar 1991

Chronic Pancreatitis Progressing To Duodenal Obstruction In The Absence Of Classic Symptoms, John R. Condit Jr., Dominic K. H. Wong

Henry Ford Hospital Medical Journal

We report the case of a 34-year-old alcoholic who was initially seen in March 1985 because of acute pancreatitis. A mass was demonstrated in the head of the pancreas. Serial sonogram and computed tomography scans over 4 1/2 years revealed progressive encroachment of the duodenum without symptoms attributable to obstruction. In 1989, three separate endoscopies with multiple biopsies showed chronic inflammation and strictures. Hypotonic duodenography confirmed stricture and obstructed duodenum. Surgical intervention is being considered. Duodenal obstruction secondary to chronic pancreatitis is rare. It may proceed subclinically for several years independent of continued alcohol use. Only when obstruction became severe …

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Back Matter Mar 1991

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Front Matter Mar 1991

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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A Thyroid Testing Algorithm: Results Of A Pilot Study, Hossam Ibrahim, Malachi J. Mckenna, Carolyn S. Feldkamp Mar 1991

A Thyroid Testing Algorithm: Results Of A Pilot Study, Hossam Ibrahim, Malachi J. Mckenna, Carolyn S. Feldkamp

Henry Ford Hospital Medical Journal

We conducted a pilot study to evaluate an algorithm for thyroid function testing consisting of initial serum thyrotropin values, measured by a sensitive immunoradiometric assay (TSH-IRMA) followed by a computer-directed decision to order further studies. We divided 216 outpatients according to their serum TSH-IRMA values as follows: suppressed (< 0.1 mU/L, group I); low (0.1 to 0.4 mU/L, group II); normal (0.5 to 5.0 mU/L, group III); and high (> 5.0 mU/L, group IV). Thyroxine (T4), resin uptake (RU). and free thyroxine index (FTI) tests on groups I, Il, and IV revealed that T4 and RU were normal for most patients in all groups and FTI was normal in 80% of group 1, 93.4 % of group ll, and 93.3% of …

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Measurement Of Left Ventricular Ejection Fraction Using Gated 99mtc-Sestamibi Myocardial Planar Images: Comparison To Contrast Ventriculography, David A. Parker, Ramon L. Lloret, Francesco Barilla, Lori Douthat, Mihai Gheorghiade Mar 1991

Measurement Of Left Ventricular Ejection Fraction Using Gated 99mtc-Sestamibi Myocardial Planar Images: Comparison To Contrast Ventriculography, David A. Parker, Ramon L. Lloret, Francesco Barilla, Lori Douthat, Mihai Gheorghiade

Henry Ford Hospital Medical Journal

Using the new myocardial perfusion agent 99mTc-sestamibi and multigated acquisition on a nuclear medicine gamma camera, the left ventricular ejection fraction (LVEF) was derived in 13 patients with coronary artery disease (CAD). Cross-sectional activity profiles were used to measure the left ventricle from end-diastolic and end-.systolic images. Several different geometric methods were then utilized to derive ejection fractions from the nuclear data. Comparison of the resultant ejection fractions to those obtained from contrast ventriculography showed significant correlation for all geometric methods (P < 0.01,S y X x = 6.2 to 9.6). We conclude that in patients with CAD one or more of these simple geometric methods can provide a useful estimate of the LVEF when performing 99mTc-sestamibi multigated myocardial perfusion imaging.

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Disturbances In Lipid Metabolism Associated With Chylothorax And Its Management, Malachi J. Mckenna, Jau-Wen Chu, Dorothy M. Kahkonen Mar 1991

Disturbances In Lipid Metabolism Associated With Chylothorax And Its Management, Malachi J. Mckenna, Jau-Wen Chu, Dorothy M. Kahkonen

Henry Ford Hospital Medical Journal

Changes in circulating lipid status were studied in a 70-year-old woman during management of chylothorax that included chest drainage, pleuroperitoneal shunting, and a successful thoracic duct ligation. Hypolipidemia with a relative decline in high-density lipoprotein (HDL) cholesterol was apparent at presentation. Following recovery, serum HDL cholesterol rose to the upper limit of normal. Apolipoprotein A-l (Apo A-l) was discordantly raised during the period of pleuroperitoneal shunting. We speculate that diversion of chylomicrons to the liver with subsequent hydrolysis accounted for a release of Apo A-l particles into the circulation at a time when the formation of HDL was compromised by …

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Suzanne Falgout's Review Of Martha C. Ward's Nest In The Wind: Adventures In Anthropology On A Tropical Island, Suzanne Falgout Mar 1991

Suzanne Falgout's Review Of Martha C. Ward's Nest In The Wind: Adventures In Anthropology On A Tropical Island, Suzanne Falgout

Pacific Studies

No abstract provided.

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The Phenomenology Of Cushing's Syndrome: One Patient's Account, Andrew Armstrong, J. David Fachnie Mar 1991

The Phenomenology Of Cushing's Syndrome: One Patient's Account, Andrew Armstrong, J. David Fachnie

Henry Ford Hospital Medical Journal

Cushing's syndrome caused by ectopic secretion of adrenocorticotropic hormone (ACTH) is often a serious disease and a diagnostic dilemma. In the reported patient, the source of ACTH proved to he a benign pulmonary carcinoid tumor. The patient describes his trying experiences through the six months from initial diagnosis to definitive therapy.

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Cushing's Disease: Dilemmas Of Diagnosis And Management, M. Saeed-Uz-Zafar, Raymond C. Mellinger, Max Wisgerhof Mar 1991

Cushing's Disease: Dilemmas Of Diagnosis And Management, M. Saeed-Uz-Zafar, Raymond C. Mellinger, Max Wisgerhof

Henry Ford Hospital Medical Journal

Determining the cause of Cushing's disease and correcting the abnormality presents a continuing challenge to the clinician despite remarkable advances in diagnostic and therapeutic techniques. We present seven cases to illustrate 1) the classic disorder cured by pituitary adenomectomy: 2) persistence of the disease after adenomectomy: 3) Cushing's disease manifesting in the puerperium and remitting with dopamine agonist therapy: 4) a patient whose disease relapsed at least five times during 20 years of treatment by adrenalectomy, pituitary radiation, mitotane, and pituitary adenomectomy; 5) the Nelson syndrome; 6) the ectopic adrenocorticotropic hormone (ACTH) syndrome in a patient with dexamethasone suppressible urinary …

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Hyperandrogenemia And Virilization With Simultaneous Pituitary And Adrenal Adenomas, Jeffrey A. Jackson, Raymond C. Mellinger Mar 1991

Hyperandrogenemia And Virilization With Simultaneous Pituitary And Adrenal Adenomas, Jeffrey A. Jackson, Raymond C. Mellinger

Henry Ford Hospital Medical Journal

We describe a postmenopausal woman who presented with virilizing hyperandrogenemia and was found to have an intrasellar tumor and a large left adrenal mass. Pathologic studies showed an undifferentiated hypophyseal adenoma with immunostaining for chromogranin only and a benign adrenocortical adenoma. In light of current understanding of the regulation of adrenal androgen secretion and adrenocortical mitogenesis, we postulate that this case may be explained by secretion of adrenal androgen-stimulating and mitogenic factors by the pituitary tumor.

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Contemporary Approach To Thyroid Disease Emphasizing Use Of High-Sensitivity Thyrotropin Assays, Carolyn S. Feldkamp, Malachi J. Mckenna Mar 1991

Contemporary Approach To Thyroid Disease Emphasizing Use Of High-Sensitivity Thyrotropin Assays, Carolyn S. Feldkamp, Malachi J. Mckenna

Henry Ford Hospital Medical Journal

Capabilities of new high-sensitivity immunoradiometric assays for thyroid-stimulating hormone (TSH-IRMA) to distinguish among hypothyroid, euthyroid, and hyperthyroid subjects and patient groups with low TSH for nonthyroidal causes suggested an algorithmic approach (directed TSH) to the evaluation of patients with suspected thyroid disease. Utilizing the algorithm, a TSH-IRMA result outside normal limits (0.5 to 5.0 mUlL) generates follow-up tests on the same sample. The interpretation of thyroid function tests (TSH-IRMA, thyroxine, resin uptake, free thyroxine index) and associated studies in the context of different clinical settings is reviewed. The approach is a cost-effective and efficient utilization of laboratory services.

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An Ambulatory Approach To Self-Care Of Diabetes, Fred W. Whitehouse, Iris J. Whitehouse, Mary Sue Cox, Dorothy M. Kahkonen Mar 1991

An Ambulatory Approach To Self-Care Of Diabetes, Fred W. Whitehouse, Iris J. Whitehouse, Mary Sue Cox, Dorothy M. Kahkonen

Henry Ford Hospital Medical Journal

Managing the insulin-requiring diabetic patient in an ambulatory selling includes metabolic regulation of the diabetes and education in its self-care. Means of achieving these goals include structured group or one-on-one individualized sessions. Third party policies relating to ambulatory care are challenged and their need for fiscal support emphasized. During the coming decade, diabetic patients should 1) have access to ambulatory care programs for metabolic regulation and education in self-care. 2) expect third party support of these programs, and 3) heighten their own priorities on diabetes care to ensure quality management of their diabetes.

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Vertebral Compression Fractures At The Onset Of Acute Lymphoblastic Leukemia In A Child, M. Beatriz Oliveri, Carlos A. Mautalen, Carlos A. Rodriguez Fuchs, M. Del Carmen Romanelli Mar 1991

Vertebral Compression Fractures At The Onset Of Acute Lymphoblastic Leukemia In A Child, M. Beatriz Oliveri, Carlos A. Mautalen, Carlos A. Rodriguez Fuchs, M. Del Carmen Romanelli

Henry Ford Hospital Medical Journal

A child with acute lymphoblastic leukemia, spinal osteoporosis with vertebral compression fractures, and hypercalcemia appearing early in the course of the hematologic disease was followed for two and a half years. Bone mineral density (BMD). measured by single photon absorptiometry at the radial shaft. was within normal limits for age and sex. However, x-rays of vertebrae and vertebral BMD. measured by dual photon absorptiometiy, showed marked demineralization. Despite leukemic remission, the spinal osteoporosis became worse and the patient required aggressive treatment for eight months. Treatment included 50 units of calcitonin subcutaneously every other day. 1.000 mg/day of oral calcium, and …

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Primary Hyperparathyroidism And Monoclonal Gammopathy, D. Sudhaker Rao, Rosella Antonelli, Kevin R. Kane, John E. Kuhn, Celina Hetnal Mar 1991

Primary Hyperparathyroidism And Monoclonal Gammopathy, D. Sudhaker Rao, Rosella Antonelli, Kevin R. Kane, John E. Kuhn, Celina Hetnal

Henry Ford Hospital Medical Journal

Coexistent primary hyperparathyroidism and monoclonal gammopathy, although rare, has been reported previously by a number of investigators. We report four patients with such an occurrence who were seen between 1976 and 1988. Another patient with primary hyperparathyroidism also had multiple myeloma and was in remission for 12 years. These patients represent approximately 1% of the 386 patients with primary hyperparathyroidism seen during the same 12-year period. Although several mechanisms have been proposed to explain this concurrence, we believe it is the result of a chance occurrence. A review of the literature, an estimate of the chance occurrence of coincidental monoclonal …

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Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part I : Clinical Aspects), Kammant Phanthumchinda, Sompongse Suwanwalaikorn, Srichitra C. Bunnag, Sek Aksaranugraha, Montchai Chalaprawat Mar 1991

Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part I : Clinical Aspects), Kammant Phanthumchinda, Sompongse Suwanwalaikorn, Srichitra C. Bunnag, Sek Aksaranugraha, Montchai Chalaprawat

Chulalongkorn Medical Journal

No abstract provided.

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Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part Iii : Prognostic Factors), Sompongse Suwanwalaikom, Kammant Phanthumchinda, Sek Arksaranugraha, Srichitra C. Bunnag, Montchai Chalaprawat Mar 1991

Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part Iii : Prognostic Factors), Sompongse Suwanwalaikom, Kammant Phanthumchinda, Sek Arksaranugraha, Srichitra C. Bunnag, Montchai Chalaprawat

Chulalongkorn Medical Journal

No abstract provided.

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Intrathoracic Complications Of Ludwig's Angina, Saowaros Kittichaowanun, Yothin Kurowat, Kanate Vaewvichit, Amnuay Cutchavaree Mar 1991

Intrathoracic Complications Of Ludwig's Angina, Saowaros Kittichaowanun, Yothin Kurowat, Kanate Vaewvichit, Amnuay Cutchavaree

Chulalongkorn Medical Journal

No abstract provided.

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สิ่งแวดล้อม มลพิษ กับสำนึกนักวิทยาศาสตร์, Tada Sueblinvong Mar 1991

สิ่งแวดล้อม มลพิษ กับสำนึกนักวิทยาศาสตร์, Tada Sueblinvong

Chulalongkorn Medical Journal

No abstract provided.

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Retinoppathy Of Prematurity, P. Nantawan, P. Tritruengtassana Mar 1991

Retinoppathy Of Prematurity, P. Nantawan, P. Tritruengtassana

Chulalongkorn Medical Journal

No abstract provided.

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Vitamin And Derivative Structures :Self Study Computer Program, Tada Sueblinvong, Karnjorn Tatiyakavee, Boonyaporn Ongpipattanakul, Patarin Jaovisidha, Nuantip Karnolvarin, Roongrot Bhidayasiri, Poonputt Chotiprasidhi Mar 1991

Vitamin And Derivative Structures :Self Study Computer Program, Tada Sueblinvong, Karnjorn Tatiyakavee, Boonyaporn Ongpipattanakul, Patarin Jaovisidha, Nuantip Karnolvarin, Roongrot Bhidayasiri, Poonputt Chotiprasidhi

Chulalongkorn Medical Journal

No abstract provided.

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An Elderly Female Patient With Pneumonia And Abnormal Cardiac Shadow, P. Charoenlarp, S. Lertlum, Viratchai C., N. Suwanwela, P. Suwangool, V. Sridama Mar 1991

An Elderly Female Patient With Pneumonia And Abnormal Cardiac Shadow, P. Charoenlarp, S. Lertlum, Viratchai C., N. Suwanwela, P. Suwangool, V. Sridama

Chulalongkorn Medical Journal

No abstract provided.

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Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part Ii : Electro Diagnostic Aspect), Sek Aksaranugraha, Sunee Siripompanich, Panupong Asvakiat, Kammant Phanthumchinda, Sompongse Suwanwalaikom, C Srichitra Bunnag Mar 1991

Treatment Of Diabetic Distal Symmetrical Small-Fiberpolyneuropathy With Gangliosides.(Part Ii : Electro Diagnostic Aspect), Sek Aksaranugraha, Sunee Siripompanich, Panupong Asvakiat, Kammant Phanthumchinda, Sompongse Suwanwalaikom, C Srichitra Bunnag

Chulalongkorn Medical Journal

No abstract provided.

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Suicide In Micronesia: The 1920s And 1930s, David C. Purcell Jr. Mar 1991

Suicide In Micronesia: The 1920s And 1930s, David C. Purcell Jr.

Pacific Studies

No abstract provided.

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ผลของยาอาโทรปินต่อการขับแบเรียมซัลเฟตของกระเพาะอาหารสุนัข, ปราณี ตันติวนิช Mar 1991

ผลของยาอาโทรปินต่อการขับแบเรียมซัลเฟตของกระเพาะอาหารสุนัข, ปราณี ตันติวนิช

The Thai Journal of Veterinary Medicine

จากการป้อนแบเรียมซัลเฟตที่มีความเข้มข้น 30, 40 และ 50 % w/v ขนาด 10 ml/kg แก่สุนัข 15 ตัว ก่อนและหลังการฉีดอาโทรปีนขนาด 0.02 mg/lb เข้าใต้หนัง 15 นาที และถ่ายเอ็กซเรย์ที่ 0, 15, 30, 45, 60 นาที และทุก ๆ 60 นาที ตามลำดับ จนกว่าแบเรียมจะถูกขับออกหมดจากกระเพาะอาหาร พบว่าเวลาที่กระเพาะ อาหารเริ่มขับแบเรียมซัลเฟตออกและขับออกหมดก่อนและหลังการให้อาโทรปืน ไม่มีความ แตกต่างกันอย่างมีนัยสำคัญทางสถิติ ถ้าใช้แบเรียมที่มีความเข้มข้นสูง (50 % w/v) จะ ถูกขับออกจากกระเพาะอาหารได้เร็วกว่า แต่จะขับออกหมดช้ากว่าแบเรียมที่มีความเข้มข้นต่ำกว่า

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Prophy Laxis And Treatment Of Chicken Coccidiosis In Replacement Pullets With Toltrazuril, Manop Muagyai, Surasak Sirichokchatchawan, Virote Juranukul Mar 1991

Prophy Laxis And Treatment Of Chicken Coccidiosis In Replacement Pullets With Toltrazuril, Manop Muagyai, Surasak Sirichokchatchawan, Virote Juranukul

The Thai Journal of Veterinary Medicine

Toltrazuril in drinking water in the concentration of 25 and 50 ppm were given to 2 layer replacement pullet groups for 8 hours each period. To enhance immunity production, totrazuril using in the prevention programme was given as a single 5 and double 10 days intervals alternately in chickens 10 days of age onward. Group 3 was a non-medicated control. Clinical and subclinical of coccidiosis could be observed in week 6 in groups 1 and 3. The infected groups were treated with toltrazuril 25 and 50 ppm in drinking water for 24 and 8 hours respectively. Coccidiosis was not observed …

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Self-Empowerment Among Adults With Severe Physical Disability: A Case Study, Nancy A. Brooks Mar 1991

Self-Empowerment Among Adults With Severe Physical Disability: A Case Study, Nancy A. Brooks

The Journal of Sociology & Social Welfare

An independent living residential setting for severely physically disabled adults was studied through overt observation methods for twenty-two months. The purpose was observation of residents' council actions and expressions of group interests. The council displayed several phases of political structure and behavior. These phases were related to staff and administrative considerations as well as the residents emerging demonstrations of self-empowerment at the group level. The capacity for selfadvocacy emerges as a dynamic enterprise which is clearly related to the structure and interests of the service agency.

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