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Full-Text Articles in Medical Specialties

Intraoperative Transanal Fiberoptic Colonoscopy: Report Of Six Cases, Thomas A. Fox Jr., Peter A. Haas Mar 1977

Intraoperative Transanal Fiberoptic Colonoscopy: Report Of Six Cases, Thomas A. Fox Jr., Peter A. Haas

Henry Ford Hospital Medical Journal

Intraoperative transanal fiberoptic colonoscopy is presented as an alternative to transcolonic procedures to remove colonic polyps, or to excise or biopsy other intraluminal lesions. This method should be considered when the standard transanal colonoscopy has failed. The results with this procedure have been excellent. The method also can be applied to patients who have colonic lesions and are to undergo elective procedures such as hysterectomy and cholecystectomy.


Early Vagotomies At Henry Ford Hospital: An Historical Vignette And A Follow-Up, James C. Gruenberg, Conrad R. Lam Mar 1977

Early Vagotomies At Henry Ford Hospital: An Historical Vignette And A Follow-Up, James C. Gruenberg, Conrad R. Lam

Henry Ford Hospital Medical Journal

Over a one-year period beginning in April, 1946, nine transthoracic vagotomies were done at the Henry Ford Hospital. Three of the patients had had a partial gastrectomy previously and the operation was done for recurrent bleeding from marginal ulcers. Thirty years later, an attempt was made to ascertain the present condition of these patients. Long term follow-ups were possible on six patients and follow-ups of one, six and 14 years on the others. All nine patients had immediate relief of ulcer pain and cessation of bleeding if present. No subsequent drainage operation was required for the six patients with primary …


Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research Mar 1977

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.


Front Matter Mar 1977

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


The Clinical Variations Of Hereditary Spastic Paraplegia In Four Families, Davood M. Danadoost, Charles E. Jackson, Robert D. Teasdall Mar 1977

The Clinical Variations Of Hereditary Spastic Paraplegia In Four Families, Davood M. Danadoost, Charles E. Jackson, Robert D. Teasdall

Henry Ford Hospital Medical Journal

Hereditary spastic paraplegia was diagnosed in 19 patients belonging to four families. All had spastic gait and upper motor neuron signs in lower limbs. In family A, the disease was expressed in this manner, although one member had muscle wasting in an upper limb. There was additional involvement of the posterior columns in six of the eight affected members of family B and cerebellar ataxia was noted in upper limbs of three of them. Posterior columns were also involved in three of the four affected members of family C. The disease was transmitted in these three families by an autosomal …


Technetium Pyrophosphate Myocardial Scanning In Acute Myocardial Infarction, Arunkumar N. Mehta, Sidney Goldstein, Daniel S. Marks, Albert Kasenter, William R. Eyler Mar 1977

Technetium Pyrophosphate Myocardial Scanning In Acute Myocardial Infarction, Arunkumar N. Mehta, Sidney Goldstein, Daniel S. Marks, Albert Kasenter, William R. Eyler

Henry Ford Hospital Medical Journal

Technetium 99m pyrophosphate (99mTCPyP) accumulates in recently infarcted myocardium and can be detected by external imaging techniques. This study was performed to evaluate the ability of this isotope to identify the presence of acute myocardial infarction. In 82 patients admitted to a coronary care unit with chest pain of varying etiology, scan was positive in all 13 patients with acute transmural myocardial infarction and in 23 of 27 patients with nontransmural myocardial infarction. The scan was negative in 37 of 42 patients without evidence of recent infarction. Four of the remaining five patients in this group had unstable angina pectoris. …


Painless Dissecting Aneurysm Of The Thoracic Aorta: Report Of Eight Cases Masquerading As Gross Aortic Insufficiency, Severe Hypertension, Myocardial Infarction And Mediastinal Enlargement., Remigio Garcia, Peter Torbey, Daniel T. Anbe, Ellet H. Drake Mar 1977

Painless Dissecting Aneurysm Of The Thoracic Aorta: Report Of Eight Cases Masquerading As Gross Aortic Insufficiency, Severe Hypertension, Myocardial Infarction And Mediastinal Enlargement., Remigio Garcia, Peter Torbey, Daniel T. Anbe, Ellet H. Drake

Henry Ford Hospital Medical Journal

In a review of 68 patients with dissecting thoracic aorta aneurysm (DTAA), eight patients (11.7%) were found to have painless dissection. Three of the eight patients presented with gross aortic insufficiency (Al). Angiography on a fourth patient, who had severe hypertension, showed Type III DTAA. Three other patients had either dilatation of the ascending aorta or a possible mediastinal mass, according to chest roentgenograms. One patient received treatment for suspected myocardial infarction with cardiogenic shock. A high index of suspicion in patients with unexplained Al, severe hypertension and a mediastinal mass or dilatation of the ascending aorta, coupled with the …


Research Seminar — May 5,1977 — At Henry Ford Hospital Mar 1977

Research Seminar — May 5,1977 — At Henry Ford Hospital

Henry Ford Hospital Medical Journal

No abstract provided.


Use Of Technetium-99 Myocardial Scanning For Identification Of Intraoperative Myocardial Infarctions, Virender D. Parekh, Sidney Goldstein, Donald Magillican, Daniel Marks Dec 1976

Use Of Technetium-99 Myocardial Scanning For Identification Of Intraoperative Myocardial Infarctions, Virender D. Parekh, Sidney Goldstein, Donald Magillican, Daniel Marks

Henry Ford Hospital Medical Journal

Technedum 99m stannous pyrophosphate (TcPyP) myocardial scans were obtained in 42 selected nonconsecutive patients within 12 days following open heart operations for both valve replacement (19 patients) and coronary bypass (23 patients) procedures. The scans were correlated with elevation of serum lactic dehydrogenase, glutamic oxalacetic transaminase and the electrocardiograms obtained serially in the postoperative period. TcPyP scan was more specific than enzyme studies and it was more sensitive than the electrocardiogram. All new Q waves were associated with a positive scan but there were five positive scans which were not associated with new Q waves. Myotomy and direct surgical trauma …


Rationale And Results Of Anatomic Repair Of Esophageal Hiatus Hernia, Conrad R. Lam Dec 1976

Rationale And Results Of Anatomic Repair Of Esophageal Hiatus Hernia, Conrad R. Lam

Henry Ford Hospital Medical Journal

A logical method of repair of esophageal hiatus hernia based on anatomic principles was proposed nearly 25 years ago by the late Phillip Allison. There was general agreement that his operation had advantages, but because of a disappointing number of recurrences and problems with reflux, more complicated operations were devised. Some of these involved plication of the stomach around the lower esophagus (Nissen, Belsey). In a series of 562 operations for hiatus hernia at the Henry Ford Hospital, there has been no significant deviation from the Allison technic. Complicating lower esophageal rings (Schatzki) have been excised. There has been no …


Front Matter Dec 1976

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Susceptibility At High Inoculum Of Penicillin-Resistant Staphylococcus Aureus To Six Cephalosporins, Andres Suarez, Ramon Del Busto, Edward L. Quinn, Donald Pohlod Dec 1976

Susceptibility At High Inoculum Of Penicillin-Resistant Staphylococcus Aureus To Six Cephalosporins, Andres Suarez, Ramon Del Busto, Edward L. Quinn, Donald Pohlod

Henry Ford Hospital Medical Journal

Six cephalosporins (currently available for clinical use or undergoing clinical trials) were tested by tube dilution method against high inoculum (107 colony forming units) of 37 strains of penicillin resistant Staphylococcus aureus. 3.1 μg/ml of cephalothin inhibited 100% of strains while higher concentrations of cefoxitin, cephapirin, cefamandole, cephalexin and cephradine were required. The percent of strains with minimal inhibitory concentration higher than 3.1 μg/ml ranged between 10.8% (cefoxitin) and 100% (cephradine). These findings support the observation that cephalothin is less susceptible to inactivation than the other cephalosporins. Although the exact clinical implication of these findings has not been established, …


Miliary Tuberculosis And Disseminated Intravascular Coagulation: A Case Report, Mohsin Alam, George Bower Dec 1976

Miliary Tuberculosis And Disseminated Intravascular Coagulation: A Case Report, Mohsin Alam, George Bower

Henry Ford Hospital Medical Journal

A case of miliary tuberculosis complicated by respiratory insufficiency and disseminated intravascular coagulation was treated successfully with antituberculosis drugs, ventilatory support, and heparin, packed red cells, platelet transfusions and plasma. Tuberculosis is a rare cause of disseminated intravascular coagulation.


High Dose In-Continuity Irradiation Of Para-Aortic And Pelvic Nodes For Carcinoma Of The Prostate. The First Three-And-One-Half Years, Joel Elliot White, Murray Boles Dec 1976

High Dose In-Continuity Irradiation Of Para-Aortic And Pelvic Nodes For Carcinoma Of The Prostate. The First Three-And-One-Half Years, Joel Elliot White, Murray Boles

Henry Ford Hospital Medical Journal

A technique for treating the para-aortic nodes to a high dose of irradiation in continuity with the pelvis has been developed at Henry Ford Hospital and recently described by one of the authors. The "nine-field technique" was initially used in late 1973 to treat two patients with advanced prostatic carcinoma who had grossly involved para-aortic nodes. Since that time, 16 additional patients with carcinoma of the prostate, one patient with carcinoma of the urinary bladder, and one patient with carcinoma of the cervix have been treated by this technique. This paper analyzes sequelae and complications of the technique and mentions …


Osteogenic Sarcoma: Report Of One Hundred And Fifty-Seven Cases, Kent K. Wu, Edwin R. Guise, Harold M. Frost, C. Leslie Mitchell Dec 1976

Osteogenic Sarcoma: Report Of One Hundred And Fifty-Seven Cases, Kent K. Wu, Edwin R. Guise, Harold M. Frost, C. Leslie Mitchell

Henry Ford Hospital Medical Journal

This study presents the clinical features, roentgenographic manifestations, pathological features, abnormal laboratory studies, treatment and prognosis of 157 cases of osteogenic sarcoma. The series is the fifth largest ever reported. The authors favor prompt surgical ablation followed by controlled intensive chemotherapy as a prophylactic or combined chemotherapy and radiation therapy for metastatic osteogenic sarcoma. All case reports but one present rare or unusual situations.


In Memoriam: Robert C. Horn, Jr., M.D., Gerald Fine, John W. Rebuck Dec 1976

In Memoriam: Robert C. Horn, Jr., M.D., Gerald Fine, John W. Rebuck

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Dec 1976

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Subvalvular Aortic Stenosis Associated With Dynamic Outflow Tract Obstruction: A Case Report, Armando Cesar Madrazo, Daniel T. Anbe, James J. Karo, Peter Torbey, Ellet H. Drake, Fareed Khaja, Sidney Goldstein Sep 1976

Subvalvular Aortic Stenosis Associated With Dynamic Outflow Tract Obstruction: A Case Report, Armando Cesar Madrazo, Daniel T. Anbe, James J. Karo, Peter Torbey, Ellet H. Drake, Fareed Khaja, Sidney Goldstein

Henry Ford Hospital Medical Journal

Hemodynamic and angiographic findings are described in a 27-year-old patient, who had undergone surgical operation for subvalvular membranous aortic stenosis. Left ventriculography revealed persistence or regrowth of the subvalvular fibrous ring, and hemodynamic data revealed associated dynamic obstruction of the left ventricular outflow tract. The authors emphasize the importance of uncovering associated dynamic obstruction by provocative maneuvers and use of Beta blockers.


Front Matter Sep 1976

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Prolonging Oxygen Consumption During Preservation Of Canine Kidneys By The Addition Of Continuous Dialysis, Daniel Dall'olmo, Stanley G. Dienst Sep 1976

Prolonging Oxygen Consumption During Preservation Of Canine Kidneys By The Addition Of Continuous Dialysis, Daniel Dall'olmo, Stanley G. Dienst

Henry Ford Hospital Medical Journal

Kidneys were preserved by continuous pulsatile perfusion and their metabolic rate monitored by O2 consumption. Experiments were carried out to determine if dialyzing the perfusate to supply metabolic substrates would aid in kidney preservation. A control group was compared against two experimental groups at 25°C. Average preservation time before fall off of oxygen consumption differed for each group: control - 8 hours, dialysis with amino acids - 6 hours, dialysis with amino acids and cofactors - 11 hours. Results indicated that, if suitable concentrations of metabolic substrates and cofactors were used, the preserved kidneys maintained higher levels of O2 consumption …


Oral Contraceptives And Myocardial Infarction: Report Of Three Cases And Review Of The Literature, Mohsin Alam, Remigio Garcia, Ellet H. Drake Sep 1976

Oral Contraceptives And Myocardial Infarction: Report Of Three Cases And Review Of The Literature, Mohsin Alam, Remigio Garcia, Ellet H. Drake

Henry Ford Hospital Medical Journal

Three cases are presented of young women who had myocardial infarctions possibly due to coronary thrombosis related to oral contraceptive therapy. These patients had none or very few risk factors for coronary artery disease. In two of the patients, selective coronary arteriograms showed normal results on the third and tenth week after the diagnosis was established. The pathogenesis of coronary artery thrombosis in patients receiving oral contraceptives containing estrogen is still controversial, but it appears to be the result of its multifactorial effect on the platelets, coagulation factors, vessel wall, blood pressure, postprandial blood sugar and abnormalities of lipid metabolism.


A Screening, Referral, And Follow-Up Program For High Blood Pressure At Henry Ford Hospital: Part Ii. Results Of Referral And Follow-Up, John C. Erfurt, Andrea Foote, John R. Caldwell Sep 1976

A Screening, Referral, And Follow-Up Program For High Blood Pressure At Henry Ford Hospital: Part Ii. Results Of Referral And Follow-Up, John C. Erfurt, Andrea Foote, John R. Caldwell

Henry Ford Hospital Medical Journal

This is the second of two articles on the Henry Ford Hospital screening, referral, and follow-up program for high blood pressure. The first reported on the screening results of the program, along with associated epidemiological findings. This article presents the results of referral and follow-up. During the period of March 27 through December 11, 1975, 808 people were screened; 196 (24%) were found to have uncontrolled high blood pressure and were referred to physicians for diagnosis and possible treatment for hypertension. The program is currently following up with these people and their physicians to insure successful referral and maintenance of …


Penetrating Abdominal Trauma: A Morbidity And Mortality Report Of A Growing Social Problem, F. Samhouri, C. Grodsinsky, T. A. Fox Jr. Sep 1976

Penetrating Abdominal Trauma: A Morbidity And Mortality Report Of A Growing Social Problem, F. Samhouri, C. Grodsinsky, T. A. Fox Jr.

Henry Ford Hospital Medical Journal

The management of penetrating abdominal wounds has become a necessity in most larger metropolitan hospitals. Most of these wounds are produced by low velocity gunshots, but some are stab wounds. Several recent advances have contributed to the more successful management of penetrating abdominal wounds. These include: 1) improvement in on-site care by various emergency medical services, 2) more rapid transportation of the injured to a facility equipped to care for such patients, 3) vigorous resuscitative and diagnostic measures, 4) prompt and adequate surgical intervention, 5) improvements in anesthesia techniques, and 6) improvements in blood banks. From 1969 to 1974, 843 …


Use Of The Weibull Distribution For Analysis Of A Clinical Therapeutic Study In Rheumatoid Arthritis, W. R. Mccrum, J. T. Sharp, G. B. Bluhm Sep 1976

Use Of The Weibull Distribution For Analysis Of A Clinical Therapeutic Study In Rheumatoid Arthritis, W. R. Mccrum, J. T. Sharp, G. B. Bluhm

Henry Ford Hospital Medical Journal

This paper introduces the use of the Weibull distribution function for the analysis of small samples of clinical data. It is compared with the use of the conventional analysis of variance in determining the results of a study comparing the use of gold salts and a placebo in the treatment of rheumatoid arthritis. Although the samples were small, 14 control patients and 13 who were treated, analysis of variance determined several significant differences between the two groups. The use of the Weibull distribution, however, not only confirmed these differences, but also determined several more differences between the two groups that …


Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research Sep 1976

Publications Of The Staff Of The Henry Ford Hospital And The Edsel B. Ford Institute For Medical Research

Henry Ford Hospital Medical Journal

No abstract provided.


Sideroblastic Anemias, Louis D. Saravolatz Jul 1976

Sideroblastic Anemias, Louis D. Saravolatz

Henry Ford Hospital Medical Journal

Sideroblastic anemias are reviewed with emphasis on clinical features, biochemical studies, treatment modalities and prognosis. A classification of these anemias based on etiology is also provided.


A Screening, Referral, And Follow-Up Program For High Blood Pressure At Henry Ford Hospital: Part I. Results Of Screening, Andrea Foote, John C. Erfurt, John R. Caldwell Jun 1976

A Screening, Referral, And Follow-Up Program For High Blood Pressure At Henry Ford Hospital: Part I. Results Of Screening, Andrea Foote, John C. Erfurt, John R. Caldwell

Henry Ford Hospital Medical Journal

Data are reported on the screening results from the Henry Ford Hospital screening, referral and follow-up program for high blood pressure. The report covers the period of March 27 through December 11, 1975, during which time 808 people were screened in the hospital lobby. Thirty-nine percent were found upon initial screening to have high blood pressure readings or previously diagnosed hypertension. Of these people, 70% were already under treatment for hypertension, but only 21% showed adequate blood pressure control (with readings below 140/90 mm Hg). Those with high readings were referred to their physicians. A paper on the results of …


Susceptibility Of Clinical Isolates Of Bacteria To Cefamandole, Cefoxitin And Cephalothin, R. Del Busto, A. Suarez, E. Quinn, D. Pohlod Jun 1976

Susceptibility Of Clinical Isolates Of Bacteria To Cefamandole, Cefoxitin And Cephalothin, R. Del Busto, A. Suarez, E. Quinn, D. Pohlod

Henry Ford Hospital Medical Journal

The in vitro susceptibility was determined of 274 isolates to cephalothin and two new antibiotics, cefamandole and cefoxitin. Cefamandole was comparable to cephalothin in preventing growth of cultures of the gram positive organisms except for penicillin-resistant Staphylococcus aureus which was more sensitive to cephalothin. Cefamandole was more active than cephalothin against all the gram negative bacteria including Haemophilus influenzae and in addition it was active against many strains of Enterobacter sp. Cefoxitin was less active than cephalothin against the gram positive organisms but it was more active against most of the gram negative bacteria. In addition. It was active against …


Front Matter Jun 1976

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


The Association Of Acute Cerebellar Encephalopathy And Neuroblastoma, M. Reza Jahadi, John G. Whitcomb, Ratnaker Kini, Robert H. High Jun 1976

The Association Of Acute Cerebellar Encephalopathy And Neuroblastoma, M. Reza Jahadi, John G. Whitcomb, Ratnaker Kini, Robert H. High

Henry Ford Hospital Medical Journal

Acute cerebellar encephalopathy is a rare neurological disorder associated with neuroblastoma and is characterized by ataxia, somatic myoclonus and opsoclonus. The pathogenesis which underlies the relationship between the two conditions is obscure. One patient with neuroblastoma and acute cerebellar encephalopathy Is reported. The occurrence of neuroblastoma and acute cerebellar encephalopathy In this case may be coincidental but, on the basis of frequent recent reports of this association, a possible relationship between these two entities is entertained. It is therefore recommended that all patients with acute cerebellar encephalopathy be surveyed for unapparent neuroblastoma. The search should include chest and skeletal X-rays, …