Medicine and Health Sciences Commons^™

Renal Involvement In Type 2 Diabetes Mellitus: A Clinicopathologic Study Of The Henry Ford Hospital Experience, Francis Dumler, Vijay Kumar, Raymond N. Romanski, Pedro Cortes, Nathan W. Levin

Henry Ford Hospital Medical Journal

To better understand renal dysfunction in type 2 diabetes mellitus, we studied the clinical and autopsy findings in comparable cohorts of 108 diabetic and 77 nondiabetic patients. In the diabetic group, no differences were noted between black and white patients in blood glucose concentrations, mean blood pressure, or the prevalence of diabetic glomerulosclerosis. However, the prevalence of renal insufficiency was significantly greater (P = 0.002) in black diabetics (58%) than in white diabetics (35%). black controls (28%), and white controls (20%). Logistic regression analysis demonstrated a significant association of renal insufficiency with diabetes (P = 0.006) and race (P = …

Primary Aldosteronism At Henry Ford Hospital In The 1980s, Max Wisgerhof

Henry Ford Hospital Medical Journal

This report describes the experience with the diagnosis and treatment of primary aldosteronism at Henry Ford Hospital since 1980. Of the 28 patients who received the diagnosis. 13 had unilateral primary aldosteronism and 15 had idiopathic hyperaldosteronism. Individual cases are used to demonstrate clinical points. The clue to the presence of primary aldosteronism in a hypertensive patient is hypokalemia. The diagnosis is established by showing 1) high plasma aldosterone after intravenous saline or high urinary aldosterone after treatment with sodium chloride orally, and 2) low stimulated plasma renin activity. Treatment with potassium supplement should be given during the testing. Unilateral …

Management Of Extramedullary Plasmacytomas, James A. Bonner, Jadranka Dragovic, Michael P. Abrash

Henry Ford Hospital Medical Journal

From 1965 through 1982. 12 patients with solitary, biopsy-proven extramedullary plasmacytomas (EMPs) were treated at our institution with surgery alone or biopsy followed by radiation therapy. The median age of the patients was 67 years, and the median-follow-up was 58 months. Of the seven patients who were treated by primary surgery, three developed recurrent or distant disease. Five patients underwent biopsy followed by radiation therapy, and none of their tumors progressed. Our series and a review of the literature show that occasionally EMPs will incompletely regress even after high doses of radiation (greater than 65 Gy); however, we recommend that …

Unusual Lymphomas Developing In Chronic Lymphocytic Leukemia, Sundara B. K. Raman, Sheikh M. Saeed, Joseph P. Abraham

Henry Ford Hospital Medical Journal

We report three patients with chronic lymphocytic leukemia (CLL) who developed malignant lymphomas of unusual character and modes of presentation. Two of the patients had received low doses of chlorambucil for several years before they developed malignant lymphoma, diffuse, large cell type (LCL). In one of these patients LCL manifested as a grossly evident osteolytic lesion. In the second patient LCL developed initially as a localized lesion in the iliac bone. Both patients died within a few weeks after LCL was diagnosed. The third patient, who was found to have CLL during a routine examination, did not receive any therapy …

T-Cell Lymphoma In Renal Transplant Recipient, Koichi Maeda, Leslie Bricker, Chan K. Ma, Michael J. Deegan

Henry Ford Hospital Medical Journal

A 35-year-old woman, who had a renal transplant flve years ago, developed malignant lymphoma of the mediastinum. The lymphoma was of lymphoblastic type and had T-cell immunophenotype. Most transplant-related lymphomas are of B-cell type. T-cell lymphoma in this setting is extremely rare, and the mechanism of development may be different from that of B-cell lymphomas.

Obstructing Giant Pseudopolyposis Of The Colon In Ulcerative Colitis, Roberta E. Sonnino, Farouck N. Obeid

Henry Ford Hospital Medical Journal

Pseudopolyposis of the colon is a well-recognized local complication of ulcerative colitis. Giant pseudopolyposis is uncommon, and its presentation as a complete obstruction of the colon is a rare occurrence. We report such a case, where retrograde flow of barium on double-contrast barium enema was completely obstructed at midtransverse colon. After resection by total abdominal colectomy, pathology examination ofthe specimen confirmed massive pseudopolyposis without malignancy. A brief review of the pathology and current literature is presented.

Ocular Irrigating Solutions: A Comparison Between Balanced Salt Solution And L-410 (Po-Eis), Philip C. Hessburg, Paul M. Johnston

Henry Ford Hospital Medical Journal

The ability of two ocular irrigating solutions to reduce postoperative corneal edema after intracapsular cataract extraction was compared using ultrasonic pachymetry. All patients had anterior chamber intraocular lenses implanted. The solutions were balanced salt solution and solution L-410 (PO-EIS), an eye irrigation solution containing dextran 40 and bicarbonate. Corneas irrigated with either solution showed no significant difference in postoperative edema. The use of L-410 (as an alternative to balanced salt solution) may not be necessary in intracapsular cataract extraction.

Melvin A. Block, Md, Gary B. Talpos

Henry Ford Hospital Medical Journal

No abstract provided.

Book Review: Guides To Clinical Aspiration Biopsy: Thyroid, John E. Brunner

Henry Ford Hospital Medical Journal

No abstract provided.

Functional Outcome Of Incomplete Spinal Cord Injuries, Fuk-Tan Tang, May-Kuen Wong, Thien-Siew Tan, Shih-Tseng Lee

Rehabilitation Practice and Science

Patients with incomplete spinal cord injury admitted to Chang Gung Memorial Hospital from July 1982 to December 1985 were analysed. Totally , 68 male and 9female patients could be followed up by questionaires. The average age of the was 39.6±9.5years. Among them, 34 cases (44.2%)received primary school education. Traffic accident was the leading cause of injury (37.3%), and falling from height was the second major cause(27.3%). The severity of injury was denoted by Yale Score. There was no statistic correlation between bony lesion and severity of injury. The recovery of bladder function was very good , only one patient need …

Musculo-Skeletal Problems In Fiddlers, Man-Wen Chen, I-Nan Lien

Rehabilitation Practice and Science

According to the questionnaries from 72 subjects of fiddle players, of whom 13 examined, the total rate of musculo-skeletal involvement was 80.6%. There was no obvious different rates between total subjects (including person who played piano or other instruments as a chief one) and the subjects who played violin or viola as a chief instrument.The symptoms occurred most frequently on left side. The ratio between left and right side was 1.9: 1.The most frequently involved muscles were trapezius, levator scapulae and serratus posterior superior. This was closely related to the posture of playing.

中華民國復健醫學會會章, N/A

Rehabilitation Practice and Science

No abstract provided.

Time Delayed Protein Complementation, Diana L. Lakusta

Loma Linda University Electronic Theses, Dissertations & Projects

The time delayed complementation of plant proteins was tested in weanling Sprague-Dawley male rats by measuring growth rates as well as plasma and tissue free amino acids. Diets of pinto beans with rice, corn or wheat were pair-fed in combination or alternating 4 times a day at 6 and 11 am, and 4 and 9 pm for 4 weeks. Plasma, liver and muscle samples were obtained 2 hours postprandial, a time determined most suitable for sacrifice, and analyzed for free amino acids via ion-exchange chromatography. There were no significant differences in growth of rats fed combination or alternating diets.during week …

Binding Of Steroid Hormones In Vitro By Water-Insoluble Dietary Fiber, Crystal G. Whitten

Loma Linda University Electronic Theses, Dissertations & Projects

Previous work conducted in our laboratory has shown that steroid hormones bind to natural (e.g., brans, oat hulls) and purified (e.g., cellulose, lignin) fiber components. To explore this relationship further, we assessed the in vitro binding of estrone, estradiol-17β, and testosterone to a water-insoluble fiber fraction obtained from composite food samples of 18 Seventh-day Adventist (SDA) nonvegetarian (NV), 20 SDA lacto-ovovegetarian (LOV), and 15 SDA vegan (V) men. Three-day dietary food records and 72-hr food composites were obtained contemporaneously from each subject. The LOV and V subjects consumed significantly more crude, dietary and water-insoluble fiber than the NV subjects. Water-insoluble …

Hyperosmotic Modification Of Brain Extracellular Space And Blood-Brain Barrier In The Rat As Observed By Electron Microscopy, Susan A. Meacham

Loma Linda University Electronic Theses, Dissertations & Projects

The highly selective permeability of cerebral blood vessels, termed the blood-brain barrier, is due to endothelial tight junctions (zonulae occludentes). Hyperosmotic solutions reversibly open the blood-brain barrier. The purpose of this study is to determine the immediate effect of hyperosmotic arabinose perfusion upon the cerebrovascular endothelium, the morphology of the cerebral cortex, and the cortical extracellular space.

Twelve adult male Sprague-Dawley rats were separated into three groups of four animals each: control, intermediate, and extreme. Controls were perfused with a Tyrode's solution prewash followed by trialdehyde fixative. The intermediate group received a prewash of 740 mmol/kg arabinose followed by the …

ภาวะการรับประทานของที่ไม่ใช่อาหารในเด็ก, อัมพล สูอำพัน

Chulalongkorn Medical Journal

No abstract provided.

Eosinophilic Meningoencephalomyelitis, Sumalee Siriaungkul, Saowanee Yenrudi

Chulalongkorn Medical Journal

No abstract provided.

โปรแกรมคอมพิวเตอร์ร่วมกับอุปกรณ์ควบคุมเครื่องฉายสไลด์ เพื่อประเมินความก้าวหน้า และความเข้าใจในบทเรียนด้วยตนเอง, พิสนธิ์ จงตระกูล, พิชัย บุณยะรัตเวช, ทายาท ดีสุดจิต, บุญนาท ลายสนิทเสรีกุล

Chulalongkorn Medical Journal

No abstract provided.

Social Support Reported By Adult Blacks With Cancer, Lynette M. Richcardson

All Theses

No abstract provided.

Icod Calendar Of International Conferences And Events, 健醫學會雜誌資料室 復

Rehabilitation Practice and Science

No abstract provided.

Investigation Of Vaccination And Social Economic Background In Poliomyelitis, May-Kuen Wong, Fuk-Tan Tang

Rehabilitation Practice and Science

Six hundred cases of poliomyelitis during the last burst out episode in Taiwan of 1982 were analysed. The age distributions of them were very young in majority, 267 cases were below 1 year old (44.5%), 108cases were 1 year old (18.0%), 67 cases were 2 years old (11.2%).Among them, 253 cases were never received any polio vaccination (42.2%), 186 cases only received vaccination for one time (31.0%), 72 cases received twice (12.0%), 52 cases received 3 times (8.7%), only 20 cases accept complete 4 times vaccination (3.3%). Another 17cases were unsure whether received this vaccination or not (2.8%). It was …

Somatosensory Evoked Potentials In Acute Traumatic Spinal Cord Injury And Its Prognostic Value, May-Kuen Wong, Yiu-Chung Lau, Mei-Yun Liaw

Rehabilitation Practice and Science

The somatosensory evoked potentials following tibial nerve stimulation were recorded in 18 patients with acute traumatic spinal cord injuries at 3 to 5 weeks. The results were correlated with the patient's neurological recovery.One cervical case had absent transmission in unilateral cortical SEP but still with good neurological recovery later on, one lumbar case had no recorded SEP either at L2 or cortical level got complete recovery within 3 months. Two thoracic SCI had only prolong latencies in SEP, but no any neurological recovery at all. There was no constant rule between prolong latencies to severity of dysfunction or degree of …

A Research Of Functional Orthotic Corrects The Forefoot Varum, Chorng-Song Chou, Tao-Chang Hsu

Rehabilitation Practice and Science

Fore foot varum is unsound from the biomechanic point of view, a lot of musculoskeletal discorders may be found, such as hallucis valgus with bunion, achillus tendinitis, chronic arch strain, shin splint, patellofemoral derangement and low back syndrome. ”Fore foot varum is unsound from the biomechanic point of view, a lot of musculoskeletal discorders may be found, such as hallucis valgus with bunion, achillus tendinitis, chronic arch strain, shin splint, patellofemoral derangement and low back syndrome. We tried to catch the negative cast of the foot in neutral position with P-Pcast and took the functional orthotic (Rohadura) from Langer Orthotic …

Acromioclavicular Derangement, Chinn-Dong Chung, Chrong-Song Chuo, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study were to evaluate the acromicolavicular joint factor eliciting the shoulder pain and limitation of movement. We collected 30cases with suspected the A-C joint lesion disclosed by physical examination from O.P.D of the Rehabilation Dept. V.G.H.-T.C sine Sept. '86 to March. '87. The physical findings were (1) local tenderness at the A-C joint area, (2) painful arc at 150 to 180 degree, (3) limited R. O.M. during horizontal adduction and elicited pain at the end range. The patient recieved intra-articular injection at the A-C joint with kenacort 0.5cc +2% xylocaine 0.5cc for therapeutic diagnosis. The patients …

Influence Of Reference Electrode To Motor Unit Potential Parameters: Ouantitative Comparison Between Monopolar And Concentric Needles, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to determine the influence of the reference electrode to the motor unit action potential parameters including amplitude, duration, surface area, phases and turns by reading the same recording area by monopolar and cocentric needles. A concentric needle was stuck into the subject's anterior tibialis muscle, online motor unit analysis was done by EMG-computer combinations. The sinal from the active recording electrode was shunted to another EMG-computer set for analysis of the same motor unit by adding a surface electrode as a reference electrode (monopolar needle recording pattern). After collecting 200 motor unit potentials, data …

Dance Injuries, Ching-Long Chou, Tao-Chang Hsu, Jiung-Jer Wu

Rehabilitation Practice and Science

Dancing population has been increaseing in Taiwan for the past 15years, but report of studing dance injuries are still few. Eighty-one theatrical dancing students (Male 18, Female 63 ) at National Institute of the Arts and Chinese Culture university were diagnosed and followed in our OPD to study the patterns, severity & mechanisms of dance injuries. A total of 260injuries in the students were reported. We found that the major injury sites by rate were back: 23.46%;ankle: 22.3%;knee: 21.45%; foot:9.23%; hip & thight: 9.6%; other site including: leg, shoulder, elbow, wrist were 14.2%. Approximately three fourths of the dancerelated injuries …

Neonatal Ck Value And Early Detection Of Duchenne Muscular Dystrophy, Yaw-Wei Wei, Chue-Fun Chen

Rehabilitation Practice and Science

Early detection of patients or carrier of Duchenne muscular dystrophy with elevated CK is well documented in the literature. The purpose of this study is to find out normal CK value of cord blood during paripurm, in order to provide a diagnostic reference of DMD. Totally 327 newborn infants were evaluated for the cord blood CK value during paripurm. It revealed the mean CK value was 117.９±61.1IU／(ranged from 31.4to 455IU/1)the mean cord blood CK value of the male newborn was 125.1±69.8IU/1 and that of the female was 110.9±52.9IU/1. It showed a significant sex difference (P＜0.05). There was no definite CK …

Cardiopulmonary Function In The Long Term Hemodialysis Patients During Bicycle Exercise, Baii-Jia Yang, Han-Shiang Chen, Jin-Shin Lai, Pui-Lan Wong, Tun-Jun Tsai

Rehabilitation Practice and Science

Long term hemodialysis of uremic patients can keep on their living, but they still have many problems like severe anemia, atherosclerosis, and decreasing physical fitness, etc.In this report, a symptomatic maximum bicycle execise test was given to 19 male and 11 female unremic patients who were in stable condition. This test was administered some 18-36 hours after hemodialysis. The patients experienced a progressive increase of resistance on the bicycle until the patient couldn't tolerate it. During exercise, oxygen uptake (VO2), pulmonary ventilation (VE), respiratory exchange ratio (R) and heart rate (HR) were measured breath-by-breath with a MGC-2000 system and lactate …

The Excitability Of Spinal Motoneurons In Stroke Patients, Hsin-Ying Chen, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

Thirty hemiplegics and 15normal persons were enrolled in this study. Measuring the recovery time of H reflex by dual stimulation technique to tibial nerve was performed to evaluate the excitability of spinal motoneurons. It was found that the recovery time of H reflex in normal persons and nonhemiplegic sides of hemiplegics was 57.0±27.3 msec and 57.3±21.4 msec respectively. The recovery time of hemiplegic sides was 37.5±12.8 msec and it was very significantly shorter than the normal ones. The shortening of the recovery time showed good correlation with the neurological recovery as well as the spasticity of the patients. These findings …

A Preliminary Chinese Version Of The Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, I-Wen Yuen, Tao-Chang Hsu

Rehabilitation Practice and Science

Content Subscales C1 to C5 and C9 to C11 the Luria-Nebraska Neuropsychological Battery were revised to make a Chinese version. It was administered to 48 brain-damaged patients of a rehabilitation center. Upon Cheching the difficulty levels of test items and the relative coefficients between items and subscales, we corrected 10 unsuitable items and dropped one. This second revision has 200items and 21 Factor Subscales. Mean scores and SD's of the brain-damaged group for every item and every subscale are presented. Finally, some suggestions for future study and application are made.