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Articles 7621 - 7650 of 9413

Full-Text Articles in Medical Specialties

T-Lymphocyte Subset Studies To Monitor Patients With Aids And Aids-Related Complex, Hajime Hayashi, Eugene Mezger, Michael J. Deegan, Evelyn J. Fisher, Norman Markowitz Mar 1987

T-Lymphocyte Subset Studies To Monitor Patients With Aids And Aids-Related Complex, Hajime Hayashi, Eugene Mezger, Michael J. Deegan, Evelyn J. Fisher, Norman Markowitz

Henry Ford Hospital Medical Journal

Multiple specimens from 124 patients from our clinic were evaluated for T4/T8 cell ratio over three to 28 months. Twenty-nine of 30 patients with the acquired immunodeficiency syndrome (AIDS), 58 of 71 patients with AIDS-related complex (ARC), and four of 23 patients at risk showed initial T4/T8 cell ratios of less than 0.8. which either remained unchanged or decreased. Seventeen of 23 AIDS patients and two of 20 ARC patients with a consistently low ratio (0.3 or less) died during the follow-up period. This indicated that the severity of disease could be predicted by periodical T4/T8 cell ratio studies. These …

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Gastrointestinal Complications Of Aids: Radiologic Findings, Marc A. Bernstein, Jeremy J. Hollerman, Peter J. Feczko Mar 1987

Gastrointestinal Complications Of Aids: Radiologic Findings, Marc A. Bernstein, Jeremy J. Hollerman, Peter J. Feczko

Henry Ford Hospital Medical Journal

The acquired immunodeficiency syndrome (AIDS) is a significant health problem. Patients with this disease develop unusual infections and neoplasms, many within the gastrointestinal tract. Of the 66 AIDS patients seen over a three-year period at Henry Ford Hospital, 25 patients had AIDS-related gastrointestinal disease, with one death attributed to this cause. The radiologic findings and pathologic correlation of this experience are presented.

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Mechanical Ventilation: New Modes, Old Modes, John Popovich Jr. Mar 1987

Mechanical Ventilation: New Modes, Old Modes, John Popovich Jr.

Henry Ford Hospital Medical Journal

No abstract provided.

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The Clinicians' Guide To Creutzfeldt-Jakob Disease, Thomas H. Swanson Mar 1987

The Clinicians' Guide To Creutzfeldt-Jakob Disease, Thomas H. Swanson

Henry Ford Hospital Medical Journal

Creutzfeldt-Jakob disease, a transmissible, rapidly progressive dementia of unknown etiology, mimics Alzheimer's disease, presents in middle life, and affects many central nervous system structures. The disease progresses in three distinct stages, culminating in death. Its occurrence is sporadic and its distribution worldwide. Pathological changes are varied, but spongy degeneration of the neuropil is classic. Research on scrapie, the animal model of Creutzfeldt-Jakob disease, has demonstrated that this unconventional, slow disease is transmitted via a small (less than 50,000 mW) particle, which is composed principally of protein. How this infectious particle, variably named prion, virino, or slow virus, invokes disease or …

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Renal Involvement In The Acquired Immunodeficiency Syndrome: Presentation, Clinical Course, And Therapy, Robert Provenzano, Warren Kupin, Godofredo C. Santiago Mar 1987

Renal Involvement In The Acquired Immunodeficiency Syndrome: Presentation, Clinical Course, And Therapy, Robert Provenzano, Warren Kupin, Godofredo C. Santiago

Henry Ford Hospital Medical Journal

Acute renal failure developing during the clinical course of the acquired immunodeficiency syndrome (AIDS) has been related to complications of sepsis, nephrotoxic antibiotics, and recently to the development of glomerular lesions. Of 114 AIDS patients admitted to our hospital between January 1985 and June 1986. II patients (9.6%) developed acute renal failure. None of these II patients had a history of intravenous drug abuse or hypertension. All patients were male with an average age of 35 years old, 81% were black, and all were bisexual or homosexual. Renal failure was attributed to AIDS-related focal glomerulosclerosis (five cases), prerenal azotemia (one …

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A Tribute To C. Leslie Mitchell, Md, David Mitchell Mar 1987

A Tribute To C. Leslie Mitchell, Md, David Mitchell

Henry Ford Hospital Medical Journal

No abstract provided.

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Front Matter Mar 1987

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Aids Update, Evelyn J. Fisher Mar 1987

Aids Update, Evelyn J. Fisher

Henry Ford Hospital Medical Journal

No abstract provided.

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Primary Neurologic Complications Of The Acquired Immunodeficiency Syndrome, Stuart N. Kieran Mar 1987

Primary Neurologic Complications Of The Acquired Immunodeficiency Syndrome, Stuart N. Kieran

Henry Ford Hospital Medical Journal

No abstract provided.

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Pulmonary Complications Of Aids: Henry Ford Hospital Experience Between January 1984 And July 1986, Barry Lesser, Joan Price, Phillip Bruno, Evelyn J. Fisher, John Popovich Jr., Michael S. Eichenhorn Mar 1987

Pulmonary Complications Of Aids: Henry Ford Hospital Experience Between January 1984 And July 1986, Barry Lesser, Joan Price, Phillip Bruno, Evelyn J. Fisher, John Popovich Jr., Michael S. Eichenhorn

Henry Ford Hospital Medical Journal

We have retrospectively reviewed our bronchoscopic experience in patients with suspected pulmonary complications of the acquired immunodeficiency syndrome (AIDS) or AIDS-related complex at Henry Ford Hospital between 1984 and 1986. The charts of 52 patients, representing a total of 87 bronchoscopic examinations, were available for review. The bronchoscopic findings as well as correlative chest roentgenograms and arterial blood gases are reviewed, and implications for therapy are discussed.

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The Aids Challenge: A Psychosocial Perspective, Madelyn S. Plotkin, Margaret Dietz Domanski Mar 1987

The Aids Challenge: A Psychosocial Perspective, Madelyn S. Plotkin, Margaret Dietz Domanski

Henry Ford Hospital Medical Journal

No abstract provided.

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Ultrasonic Evaluation In The Management Of Postpartum Infection, Chang Y. Lee, Beatrice L. Madrazo, Sheryl Parks, Michael Sandler Mar 1987

Ultrasonic Evaluation In The Management Of Postpartum Infection, Chang Y. Lee, Beatrice L. Madrazo, Sheryl Parks, Michael Sandler

Henry Ford Hospital Medical Journal

To evaluate the effectiveness of ultrasound in the management of postpartum problems, ultrasonographic examination was performed on 98 patients with suspected postpartum infection. The study includes only those patients who did not respond to antibiotic treatment for at least 48 hours and those patients who were readmitted to the hospital with suspected postpartum infection. Echogenic tissue was found in the uterine cavity in 12 patients, and significant fluid collection was found in 24 patients. Gas collection appeared in the uterine cavity in five patients and around the uterine incision in four patients. Fluid collection was found around the uterine incision …

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Bilateral Anterior Cerebral Artery Occlusion In An Alcohol Abuser With Sickle-Cell Trait, Thomas H. Swanson, John L. Zinkel, Patti L. Peterson Mar 1987

Bilateral Anterior Cerebral Artery Occlusion In An Alcohol Abuser With Sickle-Cell Trait, Thomas H. Swanson, John L. Zinkel, Patti L. Peterson

Henry Ford Hospital Medical Journal

The contribution of ethanol ingestion to brain infarction is unclear, although many studies suggest that the two may be causally related. We report an unusual case of bilateral anterior cerebral artery occlusion in a young female ethanol abuser with sickle-cell trait whose platelets showed hyperaggregability during epinephrine and adenosine diphosphate-induced aggregation experiments. It is concluded that ethanol withdrawal and dehydration along with direct effects of ethanol on platelet aggregation may result in cerebral artery thrombosis. Sickling of red blood cells in the distal circulation also may be a compounding factor, but this is not proven.

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Back Matter Mar 1987

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Use Of A "Permission Giving" Patient Checklist In Identification Of Social And Sexual Problems, William B. Anderson Dec 1986

Use Of A "Permission Giving" Patient Checklist In Identification Of Social And Sexual Problems, William B. Anderson

Henry Ford Hospital Medical Journal

A checklist derived from the ACOG bulletin entitled "Communication of Sexual Problems in Office Gynecology" was given to 614 women. The findings demonstrate that social and sexual concerns are encountered frequently in the practice of clinical gynecology and that a checklist is effective in identifying these concerns.

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The Ambulatory Care "Gold Rush?", Michael A. Slubowski Dec 1986

The Ambulatory Care "Gold Rush?", Michael A. Slubowski

Henry Ford Hospital Medical Journal

No abstract provided.

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Letters To The Editor Dec 1986

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

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Echocardiographic Features Of Metastatic Pericardial And Myocardial Malignancy, Carey Green, Mohsin Alam, Howard S. Rosman, Jeffrey B. Lakier Dec 1986

Echocardiographic Features Of Metastatic Pericardial And Myocardial Malignancy, Carey Green, Mohsin Alam, Howard S. Rosman, Jeffrey B. Lakier

Henry Ford Hospital Medical Journal

Clinical and echocardiographic features of a patient with extensive metastasis to the pericardium and myocardium are presented. Echocardiography revealed pericardial effusion, markedly thickened pericardium, and myocardium with increased echogenicity. These findings were subsequently confirmed during surgery and autopsy, which revealed marked tumor encasement of the heart and pericardial myocardial infiltration.

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Front Matter Dec 1986

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Health Care Delivery System: Current Trends And Prospects For The Future, Vinod K. Sahney, Douglas S. Peters, Stanley R. Nelson Dec 1986

Health Care Delivery System: Current Trends And Prospects For The Future, Vinod K. Sahney, Douglas S. Peters, Stanley R. Nelson

Henry Ford Hospital Medical Journal

No abstract provided.

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Issues Facing Group Practice In The 1990s, Bruce W. Steinhauer Dec 1986

Issues Facing Group Practice In The 1990s, Bruce W. Steinhauer

Henry Ford Hospital Medical Journal

No abstract provided.

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The Employer-Purchaser Impact On Health Care Delivery And Financing, Robert Asmussen Dec 1986

The Employer-Purchaser Impact On Health Care Delivery And Financing, Robert Asmussen

Henry Ford Hospital Medical Journal

No abstract provided.

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Alternative Delivery Systems: The Changing Role Of The Physician, David Siegel, Douglas Klegon Dec 1986

Alternative Delivery Systems: The Changing Role Of The Physician, David Siegel, Douglas Klegon

Henry Ford Hospital Medical Journal

No abstract provided.

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No Miracle Remedies In Sight For Financing Health Care For The Poor, John M. Kuder Dec 1986

No Miracle Remedies In Sight For Financing Health Care For The Poor, John M. Kuder

Henry Ford Hospital Medical Journal

No abstract provided.

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Marketing Physician Practices: Developing An Action Plan For Success, Barbara Steiner, Douglas Klegon, William Conway, Patricia Mccarthy Dec 1986

Marketing Physician Practices: Developing An Action Plan For Success, Barbara Steiner, Douglas Klegon, William Conway, Patricia Mccarthy

Henry Ford Hospital Medical Journal

No abstract provided.

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Money And Manpower In Graduate Medical Education, David C. Leach Dec 1986

Money And Manpower In Graduate Medical Education, David C. Leach

Henry Ford Hospital Medical Journal

No abstract provided.

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Radiographic Features Of Anterior Cruciate Ligament Reconstruction, Mark I. Burnstein, Burton I. Ellis, Robert A. Teitge, Martin L. Gross, Christopher K. Shier Dec 1986

Radiographic Features Of Anterior Cruciate Ligament Reconstruction, Mark I. Burnstein, Burton I. Ellis, Robert A. Teitge, Martin L. Gross, Christopher K. Shier

Henry Ford Hospital Medical Journal

Anterior cruciate ligament disruption is a common injury that occurs in contact sports such as football. The treating orthopedic surgeon may elect any of a variety of therapeutic options. Surgical management may consist of primary repair of the torn ligament or replacement of the torn ligament with graft material, known as anterior cruciate ligament reconstruction (ACER). Many physicians, including radiologists, are unfamiliar with the surgical procedure or the expected postoperative radiographic appearance of ACER. Assessment of radiographs following ACER, as with many surgical procedures, requires understanding of the surgical procedure. We present our experience in assessing the postoperative radiographs of …

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The First-Bite Syndrome, William S. Haubrich Dec 1986

The First-Bite Syndrome, William S. Haubrich

Henry Ford Hospital Medical Journal

Patients presenting with esophageal disorders often describe what can be called a "first-bite syndrome." The condition can be discerned by its characteristic clinical features. It may be a variant of diffuse esophageal spasm. While in a majority of patients it is a benign functional disturbance, it can be a harbinger of carcinoma. When of functional origin, it is amenable, in most cases, to relatively simple medical management.

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Characteristics, Mortality, And Outcome Of Infants Weighing Over 2500 Grams Who Require Intensive Care, Anthony Udo-Inyang, Chang Y. Lee Dec 1986

Characteristics, Mortality, And Outcome Of Infants Weighing Over 2500 Grams Who Require Intensive Care, Anthony Udo-Inyang, Chang Y. Lee

Henry Ford Hospital Medical Journal

Documentations of morbidity and mortality of infants weighing over 2500 g who require intensive care, along with research to improve their outcome, have not received adequate emphasis in the literature. From 1981 to 1984 these infants accounted for 495 (40.1%) admissions and 16 (9.8%) deaths in Henry Ford Hospital's neonatal intensive care unit. The most common diagnoses were hematologic diseases (24.6%), meconium aspiration (20.4%), respiratory distress/asphyxia (17.2%), congenital anomalies (13.8%), and infants of diabetic mothers (10.7%). Infant mortality was 56.2% from congenital anomalies. 25% from meconium aspiration, 6.2% from infection, 6.2% from maternal accident, and 6.2% from accidental neonatal asphyxia. …

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Clinical And Laboratory Study Of Sickle Cell/Β-Thalassemia, Koichi Maeda, Ellis J. Van Slyck, Robert C. Hawley Dec 1986

Clinical And Laboratory Study Of Sickle Cell/Β-Thalassemia, Koichi Maeda, Ellis J. Van Slyck, Robert C. Hawley

Henry Ford Hospital Medical Journal

We have studied 39 patients doubly heterozygous for sickle cell/β-thalassemia, 12 with sickle cell/βo- thalassemia and 27 with sickle cell/β+-thalassemia. Generally, sickle cell/βo-thalassemia is considered more severe than sickle cell/β+-thalassemia. In our study, however clinical complications in the group with sickle cell/β+-thalassemia were seen almost as frequently as in the group with sickle cell/βo-thalassemia. A wide variety of clinical manifestations were seen in both groups of patients.

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