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Articles 481 - 510 of 2152
Full-Text Articles in Medical Specialties
Science Or Technology: A Challenge For Clinical Neurosciences, Stanton B. Elias
Science Or Technology: A Challenge For Clinical Neurosciences, Stanton B. Elias
Henry Ford Hospital Medical Journal
No abstract provided.
Interventional Neuroradiology: Henry Ford Hospital Experience With Transcatheter Embolization Of Vascular Lesions In The Head, Neck, And Spine, Bharat A. Mehta, Clifford R. Jack Jr., Roushdy S. Boulos, Suresh C. Patel, James I. Ausman, Ghaus M. Malik
Interventional Neuroradiology: Henry Ford Hospital Experience With Transcatheter Embolization Of Vascular Lesions In The Head, Neck, And Spine, Bharat A. Mehta, Clifford R. Jack Jr., Roushdy S. Boulos, Suresh C. Patel, James I. Ausman, Ghaus M. Malik
Henry Ford Hospital Medical Journal
Innovative developments over the past 15 years have resulted in increased sophistication and effectiveness of therapeutic neuroembolization procedures. As a result, percutaneous transcatheter embolization has assumed an increasingly important role in the management of patients with vascular lesions of the head, neck, and spine. By reducing bleeding during surgery, this technique can markedly facilitate the surgical approach to difficult vascular lesions. The technique may also be applied in cases where surgery is contraindicated. Therapeutic neuroembolization has been performed in 23 patients with vascular lesions of the head, neck, or spine at Henry Ford Hospital. Devascularization of the extraaxial blood supply …
The Effect Of Sta-Mca Bypass On Regional Cerebral Blood Flow In Ischemic Foci, Wendy M. Robertson, K. M. A. Welch, James R. Ewing, James I. Ausman, Fernando G. Diaz
The Effect Of Sta-Mca Bypass On Regional Cerebral Blood Flow In Ischemic Foci, Wendy M. Robertson, K. M. A. Welch, James R. Ewing, James I. Ausman, Fernando G. Diaz
Henry Ford Hospital Medical Journal
The effect of STA-MCA bypass on regional cerebral bloodflow (rCBF) is unclear Since asymmetries of rCBF have previously been shown to identify the focus of maximal cerebral ischemia, a study was performed to assess the effects of surgical revascularization on rCBF in this focus. Sixteen candidates for STA-MCA bypass were studied preoperatively and postoperatively. The rCBF vms measured by the '"Xenon inhalation technique with eight contralateral probe pairs. The probe pair with the maximal percentage difference in initial slope index (ISI) was identified and corresponded to the clinically involved hemisphere in 14 patients. Following surgery, the ISI increased in the …
Psychocardiologic Perspectives Of Coronary Artery Disease, Richard Ketai
Psychocardiologic Perspectives Of Coronary Artery Disease, Richard Ketai
Henry Ford Hospital Medical Journal
The importance of mind, emotion, and behavior as they relate to the heart, particularly coronary artery disease, is growing in recognition. A review of the research shows increasingly sophisticated demonstrations of links unifying heart function and mind. "Psychocardiology" would be an appropriate term for the diverse areas of interest which focus on the psychosocial correlates of heart disease. This paper illustrates this concept through a review of psychosocial and behavioral aspects of coronary artery disease.
Intussusception Of The Appendix And Endometriosis, Roberta E. Sonnino, Mohammed R. Ansari
Intussusception Of The Appendix And Endometriosis, Roberta E. Sonnino, Mohammed R. Ansari
Henry Ford Hospital Medical Journal
Intussusception of the appendix, though uncommon, is usually diagnosed during surgery. Endometriosis in an intussuscepted appendix is rarely described. A case of appendiceal intussusception of a rare morphologic type associated with endometriosis is presented, and the literature is briefly reviewed. Etiology, classification, and diagnosis are discussed.
Anti-Hla Antibodies Complicating Infectious Mononucleosis With Thrombocytopenia And Neutropenia, Warren L. Kupin, Maria Sawdyk
Anti-Hla Antibodies Complicating Infectious Mononucleosis With Thrombocytopenia And Neutropenia, Warren L. Kupin, Maria Sawdyk
Henry Ford Hospital Medical Journal
A case concerning a 21-year-old male college student with thrombocytopenia and neutropenia complicating infectious mononucleosis is presented. Although the patient had no prior history of alloimmunization, a broad spectrum anti-HLA antibody was strongly positive in his serum. Concomitant with resolution of the hematologic abnormalities, the titer of the antibody diminished. This case is unique both in the severity of the thrombocytopenia and neutropenia and for the circulating HLA antibody most likely of viral origin.
Postinfarction Papillary Muscle Rupture: A New M-Mode Echocardiographic Sign, Dipankar S. Dasgupta, I. A. D'Cruz
Postinfarction Papillary Muscle Rupture: A New M-Mode Echocardiographic Sign, Dipankar S. Dasgupta, I. A. D'Cruz
Henry Ford Hospital Medical Journal
A 58-year-old man with acute inferior wall infarction developed a loud systolic murmur hypotension, and pulmonary edema four days after onset of infarction. M-mode echocardiography demonstrated an unusual diastolic echo that appeared between the mitral valve leaflets. Complete rupture of the posterior papillary muscle was confirmed at surgery for mitral valve replacement.
The Ec-Ic Bypass Study: Does It Answer The Question?, Fernando G. Diaz, James I. Ausman
The Ec-Ic Bypass Study: Does It Answer The Question?, Fernando G. Diaz, James I. Ausman
Henry Ford Hospital Medical Journal
No abstract provided.
Intraocular Lens Implant Image Quality: The Optico-Retinal Interface, David D. Bogorad
Intraocular Lens Implant Image Quality: The Optico-Retinal Interface, David D. Bogorad
Henry Ford Hospital Medical Journal
Improvements in intraocular lens implants during the past ten years have revolutionized cataract surgery. Both anterior and posterior chamber lenses are currently in wide use, but the optical superiority of the posterior chamber location has yet to be demonstrated. To do so, a more detailed analysis is required of visual function than is clinically routine. Also required is appreciation that the retina is an integral part of the eye's optical system because of its directional characteristics, which are known as the Stiles-Crawford effect. The optical quality of the pseudophakic eye is affected by the optics of the implant, its centration, …
Some Unusual Foreign Bodies In The Anterior Segment Of The Eye And The Orbit, Saul Sugar
Some Unusual Foreign Bodies In The Anterior Segment Of The Eye And The Orbit, Saul Sugar
Henry Ford Hospital Medical Journal
No abstract provided.
Glaucoma Filtration Surgery: A Personal Review, Saul Sugar
Glaucoma Filtration Surgery: A Personal Review, Saul Sugar
Henry Ford Hospital Medical Journal
No abstract provided.
Editorial: Corneal Stability With Rigid Gas Permeable Lens Refitting, Robert J. Crossen
Editorial: Corneal Stability With Rigid Gas Permeable Lens Refitting, Robert J. Crossen
Henry Ford Hospital Medical Journal
No abstract provided.
Malnutrition And Length Of Stay - A Relationship?, Marvin D. Anderson, Gladys Collins, Gloria Davis, Brack A. Bivins
Malnutrition And Length Of Stay - A Relationship?, Marvin D. Anderson, Gladys Collins, Gloria Davis, Brack A. Bivins
Henry Ford Hospital Medical Journal
The admission nutrition status of 135 consecutive general medical patients admitted to a single nursing unit was evaluated using a simple questionnaire and available laboratory studies. A statistical analysis of the data obtained indicates that prolonged length of stay may be related to admission nutritional status.
Evaluation Of Peutz-Jeghers Syndrome In A Family, Kayhan Ozkan
Evaluation Of Peutz-Jeghers Syndrome In A Family, Kayhan Ozkan
Henry Ford Hospital Medical Journal
Five cases of Peutz-Jeghers syndrome in one family have been studied, and a review of the history and features of the syndrome are presented. This syndrome was detected in four of six siblings and in the father. Three family members underwent surgery after small-bowel obstruction was diagnosed. A gastric polyp was removed from a fourth family member. Rectal bleeding dominated the clinical picture in two patients. Colonic polyps were also found in the three patients who had small-bowel polyps. One of the four affected siblings had mucocutaneous pigmentation, but no evidence of intestinal polyps was detected. The five affected family …
Orbital Metastasis With Enophthalmos: A Review Of The Literature, David M. Reifler
Orbital Metastasis With Enophthalmos: A Review Of The Literature, David M. Reifler
Henry Ford Hospital Medical Journal
Orbital metastasis is associated with enophthalmos in up to one third of all cases. After analyzing the clinical and pathologic features In 25 reported cases of enophthalmic orbital metastasis, the condition was found to almost exclusively affect females, usually in the 60 to 70 age group. The right orbit was the most commonly affected. The primary lesion was located in the breast in 19 (76%) cases and in the abdomen in 6 (24%) cases. In one third of the cases, the manifestations of the orbital metastasis were recognized before diagnosing the primary lesion. The most common presenting features were diplopia …
Childhood Lead Poisoning, Raj P. Warrier, Jan Waisanen, Sam R. Kottamasu, Sayeed Sultana, K. Ratnakar Kini, William L. Kestenberg, John Strauthers, Craig Foreback
Childhood Lead Poisoning, Raj P. Warrier, Jan Waisanen, Sam R. Kottamasu, Sayeed Sultana, K. Ratnakar Kini, William L. Kestenberg, John Strauthers, Craig Foreback
Henry Ford Hospital Medical Journal
Although lead encephalopathy is rare, lead intoxication continues to be a significant problem in Detroit. Neuropsychological effects may occur even at low levels of lead. Since treatment of lead poisoning consists of a painful series of injections, it is imperative that more attention be given to the prevention of this disease. To confirm the magnitude of the problems, our experience with lead poisoning during a three-year period at Henry Ford Hospital's Pediatric Department is reviewed.
Immunocytologic Methods In The Diagnosis Of Orbital Tumors, David M. Reifler, Sudha R. Kini, John S. Kennerdell, Andrew Dekker, Leslie J. Fisher
Immunocytologic Methods In The Diagnosis Of Orbital Tumors, David M. Reifler, Sudha R. Kini, John S. Kennerdell, Andrew Dekker, Leslie J. Fisher
Henry Ford Hospital Medical Journal
The pathologic diagnosis was supported or confirmed in three out of four cases that had an adequate cytologic specimen. The results demonstrate that adjunctive immunocytologic techniques can be used in combination with fine-needle aspiration for a variety of orbital tumors. The pathologic diagnosis was supported or confirmed in three out of four cases that had an adequate cytologic specimen. The results demonstrate that adjunctive immunocytologic techniques can be used in combination with fine-needle aspiration for a variety of orbital tumors.
Hereditary Sclerocornea, David Barsky, Steven P. Dunn
Hereditary Sclerocornea, David Barsky, Steven P. Dunn
Henry Ford Hospital Medical Journal
A rare case of total hereditary sclerocornea is presented along with clinical history, histopathology, and a review of the possible pathogenesis and current literature on the subject. It is quite possible that imperfect cleavage of the anterior chamber angle may be the predisposing factor in scleralization of the cornea due to a failure of neural crest cell differentiation. If surgical intervention to correct for the corneal opacification is indicated, corneal transplantation should be performed as soon as possible after birth, similar to the indications for removal of dense congenital cataracts to avoid deprivation amblyopia.
Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao
Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao
Henry Ford Hospital Medical Journal
No abstract provided.
The Pseudo-Leukocyte-Specific/Nuclear Membrane Antinuclear Antibody Pattern: A Puzzle, Thomas K. Burnham
The Pseudo-Leukocyte-Specific/Nuclear Membrane Antinuclear Antibody Pattern: A Puzzle, Thomas K. Burnham
Henry Ford Hospital Medical Journal
We report an antinuclear antibody (ANA) pattern—the pseudo-leukocyte-specific/nuclear membrane (PLS/NM) ANA pattern—that is puzzling because it usually reacts with only a few cells on human spleen imprints but with most epidermal and numerous dermal nuclei of normal human skin sections. The designation "pseudo-leukocyte-specific" was chosen because it is generally seen in only a few nuclei on human spleen imprints, thereby resembling the true leukocyte-specific ANA pattern. A few small round nuclei fluoresce homogeneously, surrounded by a bright wall, suggesting nuclear membrane (NM) fluorescence. The term "nuclear membrane" was added to the name because the NM appearance is even more prominent …
Dermatomyositis Complicated By Thrombotic Thrombocytopenic Purpura, Maria A. Sawdyk, Jeffrey Jundt
Dermatomyositis Complicated By Thrombotic Thrombocytopenic Purpura, Maria A. Sawdyk, Jeffrey Jundt
Henry Ford Hospital Medical Journal
A 65-year-old woman who had a documented history of dermatomyositis was hospitalized for evaluation of a syncopal attack. During the course of her stay, she experienced progressive neurologic dysfunction, hemolytic anemia, and thrombocytopenia. A clinical diagnosis of thrombotic thrombocytopenia purpura (TTP) was made, and therapy was initiated with glucocorticoids, plasmapheresis, plasma infusion, and antiplatelet medication. The pathogenesis of TTP has not been cleady elucidated. However, reports in the literature have postulated immune damage of the endothelium with demonstration of IgM and complement deposits as the origin of the condition. Further, there are reported cases of TTP associated with collagen disorders …
Clinical Trials: Ii. Randomization And Sample Size, Barbara Tilley, Anthony Schork
Clinical Trials: Ii. Randomization And Sample Size, Barbara Tilley, Anthony Schork
Henry Ford Hospital Medical Journal
This second in a series of articles focuses on clinical trials. Information is provided on determining sample size and on methods of randomization including simple and single- and double-consent randomization, and blocked, stratified, and adaptive procedures to randomize patients to a study group.
Enteroclysis For The Examination Of The Small Bowel, Robert D. Halpert, Peter J. Feczko, Cathrine E. Keller, Judith Iorio
Enteroclysis For The Examination Of The Small Bowel, Robert D. Halpert, Peter J. Feczko, Cathrine E. Keller, Judith Iorio
Henry Ford Hospital Medical Journal
Detailed evaluation of the small bowel is difficult because of its inaccessibility. The small bowel follow-through examination using barium, has low diagnostic sensitivity. Enteroclysis, the injection of contrast material through a duodenal or jejunal tube, offers a newer and highly sensitive method of radiological evaluation. Our paper describes the technique, clinical indications, and side effects of enteroclysis.
Mammography: Still The Imaging Standard, Cathrine E. Keller, A. Christine Watt
Mammography: Still The Imaging Standard, Cathrine E. Keller, A. Christine Watt
Henry Ford Hospital Medical Journal
Breast carcinoma is the leading cause of cancer death in women in the United States. Recent technological advances have resulted in multiple imaging methods designed to improve the detection of breast cancer. These imaging methods are discussed. Mammography remains the most accurate imaging method used to evaluate the breast. Automated waterpath whole-breast ultrasound is the most useful adjunctive examination to mammography at the present time.
Diagnostic Imaging In The 1980s: Quo Vadis?, James H. Thrall, Robert D. Halpert
Diagnostic Imaging In The 1980s: Quo Vadis?, James H. Thrall, Robert D. Halpert
Henry Ford Hospital Medical Journal
No abstract provided.
Computed Tomographic And Sonographic Characterizations Of Central Nervous System Masses, Beatrice L. Madrazo, William P. Sanders, Bharat Mehta, Manuel Dujovny, Michael A. Sandler, David P. Chason, Jacob L. Chason, James I. Ausman
Computed Tomographic And Sonographic Characterizations Of Central Nervous System Masses, Beatrice L. Madrazo, William P. Sanders, Bharat Mehta, Manuel Dujovny, Michael A. Sandler, David P. Chason, Jacob L. Chason, James I. Ausman
Henry Ford Hospital Medical Journal
We present our experience with 15 central nervous system masses evaluated preoperatively with computed tomography and by intraoperative sonography. Cysts were seen as sharply circumscribed, thin-walled masses, near water density by computed tomography, and echo-free by sonography. Inflammatory masses were well demarcated by tomography with areas of edema and ring enhancement but were poorly marginated and variable in appearance by sonography. Primary brain tumors presented as round, solid or complex masses best evaluated by intraoperative sonography in those cases where poor contrast enhancement resulted in limited characterization of the mass by computed tomography. Our experience suggests a very high degree …
Digital Subtraction Angiography Of The Abdomen: Henry Ford Hospital Experience, Rajinder P. Sharma, Gary A. Krasicky, Matthew W. Burke, Sadasiva B. Jampala, P. C. Shetty, Dennis P. Swanson
Digital Subtraction Angiography Of The Abdomen: Henry Ford Hospital Experience, Rajinder P. Sharma, Gary A. Krasicky, Matthew W. Burke, Sadasiva B. Jampala, P. C. Shetty, Dennis P. Swanson
Henry Ford Hospital Medical Journal
Digital subtraction angiography (DSA) produces high-contrast digital images of the abdominal vasculature with minimum patient discomfort. We summarize the Henry Ford Hospital experience with DSA in evaluating various abdominal vascular disorders. The methods and merits of intravenous and intraarterial approaches, the advantages and disadvantages compared with those of conventional angiography, and the current limitations of DSA are discussed.