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Articles 991 - 1020 of 2152
Full-Text Articles in Medical Specialties
Spontaneous Asymptomatic Pneumoperitoneum, Fernando Canavati, Thomas A. Fox Jr.
Spontaneous Asymptomatic Pneumoperitoneum, Fernando Canavati, Thomas A. Fox Jr.
Henry Ford Hospital Medical Journal
A 65-year-old man developed a spontaneous asymptomatic pneumoperitoneum which was managed conservatively without exploratory laparotomy. However, the authors caution that repeated and careful examinations of the abdomen, observation of vital signs, and leucocyte counts must be made. Also, complete radiological examination of the gastrointestinal and respiratory tracts is necessary to eliminate a possible unrecognized lesion that might explain the origin of the spontaneous pneumoperitoneum.
Bacterial Endocarditis And Incarceration Of A Transvenous Pacemaker: Removal Under Cardiopulmonary By-Pass After Prolonged Traction Proved Ineffective, Remigio Garcia, Mehdi Hakimi-Naini
Bacterial Endocarditis And Incarceration Of A Transvenous Pacemaker: Removal Under Cardiopulmonary By-Pass After Prolonged Traction Proved Ineffective, Remigio Garcia, Mehdi Hakimi-Naini
Henry Ford Hospital Medical Journal
Transvenous electrode endocardial pacing of the right ventricle is the most simple and common modality of permanent pacing at present. The incidence of endocarditis is rare. Only two patients were found in our hospital series of over 200 who had permanent transvenous pacemakers implanted. A 40-year-old housewife developed staphylococcus aureus endocarditis secondary to local wound infection in the power pack pocket, requiring removal of the infected electrode under cardiopulmonary by-pass. Prolonged traction of the retained electrode proved ineffective. The mechanism of electrode entrapment is discussed.
Congestive Cardiomyopathy As An End Stage Of Toxoplasma Myocarditis, Mohsin Alam, Wolf F. C. Duvernoy, Edward L. Quinn, Evelyn J. Fisher
Congestive Cardiomyopathy As An End Stage Of Toxoplasma Myocarditis, Mohsin Alam, Wolf F. C. Duvernoy, Edward L. Quinn, Evelyn J. Fisher
Henry Ford Hospital Medical Journal
Congestive cardiomyopathy is a clinical entity which may be due to many different etiologies in addition to the primary type. The case presented defines the etiology in a 30-year-old patient as previous acute toxoplasma myocarditis. This diagnosis was corroborated by diagnostic rise of fluorescent antibody and Sabin-Feldman dye test titers and response to specific therapy. Toxoplasmosis has to be considered among the causes of congestive cardiomyopathy.
Amikacin: Clinical And Laboratory Studies, Erwin J. Haas, T. Madhavan, Evelyn J. Fisher, Frank Cox, Keith Burch, Edward L. Quinn, Richard D. Nichols
Amikacin: Clinical And Laboratory Studies, Erwin J. Haas, T. Madhavan, Evelyn J. Fisher, Frank Cox, Keith Burch, Edward L. Quinn, Richard D. Nichols
Henry Ford Hospital Medical Journal
Amikacin was evaluated in vitro against S aureus and a variety of gram negative bacilli. In concentrations of 12.5 μg/ml or less, it suppressed the growth of all organisms except 15% of Proteus mirabilis. Peak serum levels in patients, following a 7.5 mg/kg IM dose, averaged 21 μg/ml at one hour. Most of the drug appeared in the urine during the first six hours after administration. Of six patients receiving an adequate course of treatment, all but one were cured. Treatment in that patient also failed with a subsequent course of gentamicin and carbenicillin and he was cured only by …
The Bacteriology Of The Biliary Tract: A Preliminary Report., J. A. Sapala, J. L. Ponka, T. R. Neblett
The Bacteriology Of The Biliary Tract: A Preliminary Report., J. A. Sapala, J. L. Ponka, T. R. Neblett
Henry Ford Hospital Medical Journal
The bacterial flora of acute biliary tract disease has not been completely elucidated. The organisms identified most often were coliforms. Anaerobic culture technics were not precise enough to provide proper identification. In a 12-month study of 250 patients operated upon for inflammatory gallbladder disease, culture specimens were collected in a most strict and rigorous fashion. It was hoped that a more exact understanding of the relationship between bacteria and inflammatory biliary tract disease might be appreciated. Important technics were developed for gathering specimens, delivery to the laboratory and culturing. More meaningful results are to be expected In the future.
Depth Doses In The Region Of Overlap Of The Supraclavicular And Internal Mammary Portals In Postoperative Radiation Therapy Of Carcinoma Of The Breast, Joel E. White, Michael Reidy, Murray Boles
Depth Doses In The Region Of Overlap Of The Supraclavicular And Internal Mammary Portals In Postoperative Radiation Therapy Of Carcinoma Of The Breast, Joel E. White, Michael Reidy, Murray Boles
Henry Ford Hospital Medical Journal
Computer-generated depth-dose data was obtained for the region of overlap of the internal mammary and supraclavicular portals utilized in post-operative radiation therapy for carcinoma of the breast. A phantom arrangement was created and measurements were obtained and compared with computer-generated depth doses for this arrangement. The actual measured and computer-generated values agreed to within 3%. On the patients measured at the center of the overlap region, the dose was found to vary from 3323 rets to 2571 rets over a depth range of 2-6 cm. It is occasionally the practice to ignore small areas of overlap. The dose at the …
Pseudo-Atrioventricular Block Due To Premature Systoles With Concealed Conduction, Boguslaw Godlewski, Wolf F. C. Duvernoy, Remigio Garcia
Pseudo-Atrioventricular Block Due To Premature Systoles With Concealed Conduction, Boguslaw Godlewski, Wolf F. C. Duvernoy, Remigio Garcia
Henry Ford Hospital Medical Journal
Two patients are presented with EKC findings suggesting pseudo AV block Mobitz type II. Pseudo AV block was related to the presence of premature junctional or ventricular beats with concealed conduction. Response to therapy confirmed the initial diagnosis of pseudo AV block. Awareness of clinical conditions simulating type II second degree AV block is important because of the therapeutic implications and prognosis.
Utilization Of Mental Health Services For Children Relative To Social Class. A Pilot Study, H. K. Von Brauchitsch
Utilization Of Mental Health Services For Children Relative To Social Class. A Pilot Study, H. K. Von Brauchitsch
Henry Ford Hospital Medical Journal
Two groups of children were selected from those evaluated and treated over a two-year period. The study attempted to contrast the mental health care needs and the health care delivery system of children from the uppermost classes against those of the lowest classes. Very few diagnostic discriminators were found. Prevalence of intellectual dysfunctions In the lower classes and neuroses in the upper classes did not correlate with behavior pattern of "acting out" or "acting in." Autistic psychoses were found almost exclusively among the upper classes; suicidality almost exclusively In the lower classes. Upper class children were more frequently referred by …
A Rapid Flexible Method For Determining Bile Lipids, William T. Beher, Grace J. Lin, Sofia Stradnieks
A Rapid Flexible Method For Determining Bile Lipids, William T. Beher, Grace J. Lin, Sofia Stradnieks
Henry Ford Hospital Medical Journal
A rapid flexible method has been developed for the quantitative determination of bile lipids In gallbladder and hepatic bile and duodenal aspirates. Quantification of bile salts involves separation of bile salt conjugates from one another and other bile lipids by thin layer chromatography. The separated salts are determined using 3-hydroxysteroid dehydrogenase and gas liquid chromatography. Cholesterol is determined in petroleum ether extracts of saponified bile by application of the Lieberman-Burchard reaction. Phospholipid phosphorus is determined in purified bile lipid extracts by oxidation followed by application of Bartlett's modification of the Fiske- SubbaRow method.
Isolation Of Cell Wall Deficient Mycobacterium Tuberculosis From A Case Of Chronic Arthritis, W. D. Lebar, L. H. Mattman, L. Ross
Isolation Of Cell Wall Deficient Mycobacterium Tuberculosis From A Case Of Chronic Arthritis, W. D. Lebar, L. H. Mattman, L. Ross
Henry Ford Hospital Medical Journal
Synovial fluid from a case of pyarthrosis was cultured for fungi, mycobacteria, aerobes and anaerobes with negative results. A Cell Wall Deficient (CWD) form was isolated in numerous cultures which showed the physico-chemical reactions characteristic of wall deficient M. tuberculosis.
Fiberoptic Colonoscopic Polypectomies, Thomas A. Fox Jr., Bernard Schuman, Hubert M. Allen, E. Escobar
Fiberoptic Colonoscopic Polypectomies, Thomas A. Fox Jr., Bernard Schuman, Hubert M. Allen, E. Escobar
Henry Ford Hospital Medical Journal
The development of fiberoptic instruments which permit direct visualization of the entire colonic lumen has made possible the safe removal of polyps from any part of the colon. The avoidance of transabdominal colotomy and polypectomy significantly decreases the mortality and morbidity as well as the duration of hospital stay. We wish to present our experience in performing the endoscopic removal of 128 colonic polyps larger than 0.5 cm in size in 103 patients, located from the cecum to the sigmoid colon and beyond the reach of the rigid sigmoidoscope. The polypectomy procedures via the colonoscope were done without mortality and …
Penicillin-Resistant Viridans Streptococcus Endocarditis Related To The Administration Of Penicillin G Or Carbenicillin And Alterations In Mouth Flora, Keith Burch, Edward L. Quinn, Donald Romig, Frank Cox, Evelyn Fisher, T. Madhavan
Penicillin-Resistant Viridans Streptococcus Endocarditis Related To The Administration Of Penicillin G Or Carbenicillin And Alterations In Mouth Flora, Keith Burch, Edward L. Quinn, Donald Romig, Frank Cox, Evelyn Fisher, T. Madhavan
Henry Ford Hospital Medical Journal
Of 135 patients with streptococcal (non-group D) endocarditis seen at the Henry Ford Hospital (1957-1973), 133 had isolates which were penicillin- sensitive (inhibited by ≤ 0.2 μg/ml of penicillin C). The remaining two causative organisms were inhibited by 0.8 μg/ml of penicillin G and both of the infected patients received antibiotics just prior to the onset of endocarditis. The first patient received oral penicillin C for rheumatic fever prophylaxis and the second high dose parenteral carbenicillin. Using high dose parenteral therapy with ampicillin and streptomycin, the first patient was cured while the other patient relapsed. The second patient responded to …
A Modified Lateral Approach To The Hip Joint For Total Hip Replacement, Kent K. Wu
A Modified Lateral Approach To The Hip Joint For Total Hip Replacement, Kent K. Wu
Henry Ford Hospital Medical Journal
A modified lateral approach to the hip provides good exposure to the hip joint. It is safe, simple, direct and remote from the contaminated perineal area.
Kidney Cortex Lysosomal Acid Proteinase Activity During Induction Of A Protein-Losing Nephropathy With The Aminonucleoside Of Puromycin, Paul D. Bartlett, Laura Katona
Kidney Cortex Lysosomal Acid Proteinase Activity During Induction Of A Protein-Losing Nephropathy With The Aminonucleoside Of Puromycin, Paul D. Bartlett, Laura Katona
Henry Ford Hospital Medical Journal
Effects have been studied of induction of aminonucleoside-nephrosis in the rat on kidney cortex lysosomal acid proteinase activity (pH 3.2) and on such activity in the cytosol from which the lysosomes were isolated. In parallel with the onset of the massive proteinuria of the disease process but not preceding this effect, activity in the cytosol fraction was significantly increased. Significantly increased activity in the lysosomal fraction, on the other hand, was not observed until the proteinuria was well-established. Comparative study of the release of acid proteinase activity, from intact lysosomes isolated from normal and from aminonucleoslde-nephrotic rat kidneys, suggest-in the …
In Vivo Quantitation Of Adipose Tissue By Differential Absorptiometry Using Penetrating Isotopic Radiation, Luther E. Preuss, Frank B. Bolin, Claudius K. Bugenis
In Vivo Quantitation Of Adipose Tissue By Differential Absorptiometry Using Penetrating Isotopic Radiation, Luther E. Preuss, Frank B. Bolin, Claudius K. Bugenis
Henry Ford Hospital Medical Journal
The physical principles for determining tissue lipid content In vivo by selective radiation attenuation have been studied and are compared to other methods of body composition analysis. Two penetrating photon beams, each monoenergetic but of differing energies, are simultaneously passed through the low Z components of tissue and the relative beam absorption measured. A mathematical function incorporating the unabsorbed and absorbed photon beam intensities is applied to determine experimentally the relative proportion of fat and lean in the tissue. '"Cd is used as the radioactive source of both xrays and gamma radiation. Results of experiments on low 2 phantom material …
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.
Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush
Sclerosing Cholangitis: Surgical Significance, C. Grodsinsky, M. A. Block, B. E. Brush
Henry Ford Hospital Medical Journal
The authors' experience with the rare entity of sclerosing cholangitis suggests that several anatomical patterns of involvement of the extrahepatic biliary tract may occur. The involvement may include the intraluminal ducts segmentally or diffusely, or the process may primarily be external to the ducts as pericholedochitis. It may or may not represent one component of a systemic disease, particulady autoimmune disease. Although involvement may be diffuse, progression may be slow and compatible with many years of life. Long time followup is essential before any value can be assigned to a given modality of treatment. Carcinoma of the ductal system may …
Pseudomonas Arthritis And Osteomyelitis In Heroin Addiction: Report Of Three Cases, Paul M. Ross, Robert C. Nestor, Kent K. Wu
Pseudomonas Arthritis And Osteomyelitis In Heroin Addiction: Report Of Three Cases, Paul M. Ross, Robert C. Nestor, Kent K. Wu
Henry Ford Hospital Medical Journal
Pseudomonas-caused sternoclavicular arthritis and osteomyelitis has received little attention in the medical literature. The authors present three cases including one case of bilateral sternoclavicular joint involvement. Prompt recognition, operative debridement, and institution of adequate chemotherapy result in dramatic clinical response.
Left Atrial Myxoma With An Atrial Septal Defect: Report Of A Case, Daniel T. Anbe, Edward Arciniegas, Henry Green, Ellet H. Drake
Left Atrial Myxoma With An Atrial Septal Defect: Report Of A Case, Daniel T. Anbe, Edward Arciniegas, Henry Green, Ellet H. Drake
Henry Ford Hospital Medical Journal
A case of a left atrial myxoma presented unusual features including (1) association with an atrial septal defect, (2) attachment of the myxoma to the posterior wall of the left atrium, (3) probable paradoxical pulmonary embolization from the left atrium, and (4) probable ball valve effect of the myxoma in the atrial septal defect.
Treatment Of The Hyperventilation Syndrome, Hans Von Brauchitsch
Treatment Of The Hyperventilation Syndrome, Hans Von Brauchitsch
Henry Ford Hospital Medical Journal
A review oi the literature on the hyperventilation syndrome reveals a variety of treatment approaches and a virtual absence of controlled studies of this common problem. Attempts to treat the condition by changing the respiratory pattern through mechanical means can be traced back to the first century A.D. The "paper bag method" of treatment has many psychological drawbacks and is often unsuccessful. Several avenues of drug treatment have been explored: acidifiers, minor tranquilizers, antidepressants, and stimulants. Reports of success with insight-oriented intensive psychotherapy are scarce. Some forms of group psychotherapy have been tried with success. The model of the "medical …
Villous Adenoma Of The Appendix: A Case Report, R. P. Pai, C. Grodsinsky
Villous Adenoma Of The Appendix: A Case Report, R. P. Pai, C. Grodsinsky
Henry Ford Hospital Medical Journal
Villous adenoma of the appendix was found in an inflammatory mass in the ileocecal area. The patient presented with signs of acute abdomen. On an emergency basis, with an unprepared bowel, exteriorization of the ileocecal area was thought to be the procedure of choice.
Methadone And Its Rationale In The Treatment Of Narcotic Dependency, Walter J. Cassidy
Methadone And Its Rationale In The Treatment Of Narcotic Dependency, Walter J. Cassidy
Henry Ford Hospital Medical Journal
An effective methadone maintenance program must do more than dispense measured doses in a well-organized clinic. It should attempt to effect changes in the patient's personality and coping mechanisms, social situation, and other conditioning factors which maintain his involvement in narcotics.
Purpura Fulminans Secondary To Serratia Marcescens Septicemia, Thomas L. Connolly, John R. Fischer
Purpura Fulminans Secondary To Serratia Marcescens Septicemia, Thomas L. Connolly, John R. Fischer
Henry Ford Hospital Medical Journal
A 35-year-old woman developed Serratia marcescens septicemia and purpura fulminans with evidence of disseminated intravascular coagulation. She was successfully treated with heparin sodium and antibiotics.
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.
Cystic Duct Cholangiography, Leo Chaikof, T. L. Friedlich, R. A. Affifi, H. Weizel
Cystic Duct Cholangiography, Leo Chaikof, T. L. Friedlich, R. A. Affifi, H. Weizel
Henry Ford Hospital Medical Journal
A series of 837 cystic duct cholangiograms has been reviewed. The technique is simple and safe to carry out. It is not time consuming and does not require any unusual equipment. It has reduced the incidence of common duct exploration and has decreased the incidence of retained common duct stones. It is stressed that, unless the operative cholangiogram fulfills the criteria of a normal cholangiogram, especially in relation to size and tapering of the tower end of the duct, then common duct exploration should be earned out. Its almost routine use can only increase the general quality and accuracy of …
Sphincterotomy For Biliary And Pancreatic Disease: Indications And Technique, Jorge Puig La Calle, Francisco Badosa
Sphincterotomy For Biliary And Pancreatic Disease: Indications And Technique, Jorge Puig La Calle, Francisco Badosa
Henry Ford Hospital Medical Journal
Division of the sphincter of Oddi has a definite place i n the surgical treatment of disorders of the biliary tract and pancreas. Sphincterotomy may be indicated as a matter of necessity; for convenience (utility), and as a prophylactic measure (for security). The papilla may be conveniently exposed by antegrade bougienage with filiform passed through the common duct before duodenotomy. The first hundred and the last hundred of a series of 400 sphincterotomies were reviewed. In the first group, the procedure was done in almost onethird of the opera tions forbiliaryand pancreatic disease, while in the second group, it was …