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Full-Text Articles in Medical Specialties

The Impact Of Rheumatic Disease On Society, James C. Leisen, Howard Duncan Mar 1979

The Impact Of Rheumatic Disease On Society, James C. Leisen, Howard Duncan

Henry Ford Hospital Medical Journal

No abstract provided.


Arthritis, Ancient And Modern: Guidelines For Field Workers, Aidan Cockburn, Howard Duncan, Jeanne M. Riddle Mar 1979

Arthritis, Ancient And Modern: Guidelines For Field Workers, Aidan Cockburn, Howard Duncan, Jeanne M. Riddle

Henry Ford Hospital Medical Journal

No abstract provided.


A Survey Of Joint Disease At The Libben Site, Ottawa County, Ohio, Marc A. Kelley Mar 1979

A Survey Of Joint Disease At The Libben Site, Ottawa County, Ohio, Marc A. Kelley

Henry Ford Hospital Medical Journal

No abstract provided.


Front Matter Mar 1979

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Osteoarthritis, Howard Duncan Mar 1979

Osteoarthritis, Howard Duncan

Henry Ford Hospital Medical Journal

No abstract provided.


Ankylosing Spondylitis, Carlina V. Jimenea Mar 1979

Ankylosing Spondylitis, Carlina V. Jimenea

Henry Ford Hospital Medical Journal

No abstract provided.


Gout And Pseudogout, Gilbert B. Bluhm Mar 1979

Gout And Pseudogout, Gilbert B. Bluhm

Henry Ford Hospital Medical Journal

No abstract provided.


Arthritis: A Radiologic Overview, Gordon H. Beute Mar 1979

Arthritis: A Radiologic Overview, Gordon H. Beute

Henry Ford Hospital Medical Journal

No abstract provided.


The Search For "Arthritis" In Antiquity: Paleoarthritis Workshop, T. A. Reyman Mar 1979

The Search For "Arthritis" In Antiquity: Paleoarthritis Workshop, T. A. Reyman

Henry Ford Hospital Medical Journal

No abstract provided.


Arthritis In Dry Bones: Diagnostic Problems, Claire M. Cassidy Mar 1979

Arthritis In Dry Bones: Diagnostic Problems, Claire M. Cassidy

Henry Ford Hospital Medical Journal

No abstract provided.


An Ischemic Infarct In Medulla And Cervical Cord, Ezzatollah Shivapour, Gilbert B. Solitare Dec 1978

An Ischemic Infarct In Medulla And Cervical Cord, Ezzatollah Shivapour, Gilbert B. Solitare

Henry Ford Hospital Medical Journal

This report documents an unusual case of an occlusion of the anterior spinal artery of the medulla oblongata. The patient presented with involvement of the left accessory nerve and weakness of ipsilateral extremities. The diagnosis of an ischemic infarct in the distribution of the left proximal portion of the anterior spinal artery was made. Bulbar weakness, quadriplegia, and respiratory arrest developed. Postmortem examination, 23 days after onset, revealed an old infarct in the medulla which appeared as a more recent hemorrhagic infarct throughout the cervical cord.


Front Matter Dec 1978

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Clinical Notes: 201tl Chloride Uptake By Non-Hodgkins Lymphoma: Radiographic Exhibit, Daniel S. Marks, Keenan L. Carroll Dec 1978

Clinical Notes: 201tl Chloride Uptake By Non-Hodgkins Lymphoma: Radiographic Exhibit, Daniel S. Marks, Keenan L. Carroll

Henry Ford Hospital Medical Journal

This report describes intense uptake of 201Tl in a patient with histiocytic lymphoma. The activity seen was greater than with 67Ga. Use of 201Tl as an alternative imaging agent is advocated.


Mixed Connective Tissue Disease And Systemic Lupus Erythematosus In One Family, Michael R. Lubetsky, Howard Duncan Dec 1978

Mixed Connective Tissue Disease And Systemic Lupus Erythematosus In One Family, Michael R. Lubetsky, Howard Duncan

Henry Ford Hospital Medical Journal

A mother with mixed connective tissue disease (MCTD) and a daughter with systemic lupus erythematosus (SLE) were simultaneously diagnosed and treated in August, 1977. Multiple cases of SLE occurring in the same family are not rare, but the frequency with which systemic lupus erythematosus and mixed connective tissue disease occurs in the same family is not known, and the reports are few. This report describes these two cases and suggests that mixed connective tissue disease may be part of the spectrum of systemic lupus erythematosus.


Letters To The Editor Dec 1978

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.


Back Matter Dec 1978

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Scanning Electron Microscopy Of The Surface Of Human Duodenum In Patients With And Without Duodenal Ulcer Disease, Bernard M. Schuman, Klaus Ritter, John H. L. Watson, Jessica Goodwin Dec 1978

Scanning Electron Microscopy Of The Surface Of Human Duodenum In Patients With And Without Duodenal Ulcer Disease, Bernard M. Schuman, Klaus Ritter, John H. L. Watson, Jessica Goodwin

Henry Ford Hospital Medical Journal

Endoscopic biopsy specimens of normal human duodenum from patients with duodenal ulcer disease were studied by light microscopy and by scanning electron microscopy. For scanning, the tissue was dried by the critical point-drying technique. SEM criteria for both normal and abnormal duodenal surfaces were determined. SEM evidence for the presence of "tuft cells" similar to those found on the surface of rat duodenum was found in both the normal and abnormal human material. Although other reports have described the favorable effects of carbenoxolone sodium treatment on duodenal ulcer disease, our SEM studies of four patients found that this treatment had …


Endoscopic Retrograde Cholangiopancreatography At Henry Ford Hospital: 1972-1977, Bernard M. Schuman, Kian H. Wong, R. Salimi, A. N. Adham Dec 1978

Endoscopic Retrograde Cholangiopancreatography At Henry Ford Hospital: 1972-1977, Bernard M. Schuman, Kian H. Wong, R. Salimi, A. N. Adham

Henry Ford Hospital Medical Journal

Between 7972 and /977, 440 patients underwent endoscopic retrograde cholangiopancreatography (FRCP) at Henry Ford Hospital. The procedure was found to be most useful for identifying the site and nature of an extrahepatic obstruction, the diagnosis of pancreatic cancer, and the preoperative evaluation of chronic pancreatitis. One death occurred as a result of cholangitis in a patient with cancer of the pancreas. Review of the data has led us to refine our indications for FRCP. It has been shown to be a valuable technique with a low incidence of complications in evaluating pancreaticobiliary disease. Based on our study, it would be …


In Vitro And Clinical Studies Of Cefaclor, A New Cephalosporin, Daria Kiani, Tom Madhavan, Keith Burch, Don Pohlod, Evelyn Fisher, Edward L. Quinn Dec 1978

In Vitro And Clinical Studies Of Cefaclor, A New Cephalosporin, Daria Kiani, Tom Madhavan, Keith Burch, Don Pohlod, Evelyn Fisher, Edward L. Quinn

Henry Ford Hospital Medical Journal

In vitro susceptibility studies of 246 clinical isolates demonstrated that this antibiotic was effective against Group A beta hemolytic streptococci, alpha hemolytic streptococci, S. pneumoniae, both penicillinase producing and nonpenicillinase producing Staphylococci, Klebsiella pneumoniae, and Proteus mirabilis. Cephalothin susceptible E. coii were also susceptible to cefaclor. Pseudomonas aeruginosa, Serratia sp., Enterobacter Sp., and Streptococcus faecalis were uniformly resistant to cefaclor. The efficacy and safety of this antibiotic were studied in 27 patients with urinary tract, soft tissue, and respiratory infections. Patients with urinary tract infections became abacteriuric after 48 hours. Patients with soft tissue infections responded well within the first …


Seizures And Brain Tumor In Neurologically Intact Adult Patients: Role Of Computerized Tomography (Ct Scan), Jamshid Seifi, Roushdy S. Boulos, Robert D. Teasdall Dec 1978

Seizures And Brain Tumor In Neurologically Intact Adult Patients: Role Of Computerized Tomography (Ct Scan), Jamshid Seifi, Roushdy S. Boulos, Robert D. Teasdall

Henry Ford Hospital Medical Journal

CT scan of 13 patients with adult onset of seizures who were neurologically intact and otherwise asymptomatic revealed a supratentorial mass in all. Significant EEG abnormalities were recorded in five, and the isotope brain scan was positive in eight. In three patients, both studies were normal. Angiograms confirmed the location of tumor, and histology was established following craniotomy. The value of the CT scan as a screening test for detecting brain tumor in this group of seizure patients is evident.


Bone Erosion In Rheumatoid Arthritis, Howard Duncan, Catharina H. E. Mathews, Michael M. Crouch, A. M. Parfitt Dec 1978

Bone Erosion In Rheumatoid Arthritis, Howard Duncan, Catharina H. E. Mathews, Michael M. Crouch, A. M. Parfitt

Henry Ford Hospital Medical Journal

A histological study of fully mineralized bone sections was made on thirty joints surgically removed from patients with rheumatoid arthritis. The patterns of bone erosion fell into three groups: 1) that due to multinucleated osteoclasts; 2) areas of apparent bone erosion occupied exclusively by mononuclear cells; and 3) changes produced by an osteocyte which could either enlarge the lacuna space in which it resided or demineralize a region of bone in its immediate vicinity. Tissues taken from knee and hip specimens frequently showed all three cellular patterns of bone erosion, while the sections from finger joints rarely container multinucleated osteoclasts …


Caloric Restriction And Bile Salt Dynamics In Intact And Cholecystectomized Syrian Hamsters, J. Sanfield, W. T. Beher, G. J. Lin, R. Haamen Dec 1978

Caloric Restriction And Bile Salt Dynamics In Intact And Cholecystectomized Syrian Hamsters, J. Sanfield, W. T. Beher, G. J. Lin, R. Haamen

Henry Ford Hospital Medical Journal

In vivo studies of bile salt absorption and distribution using 14C-taurocholate were made in fed and fasted, intact and cholecystectomized Syrian hamsters. There was no significant difference in the rate of ileal 14C-bile salt absorption or the distribution of 14C-bile salts among the compartments of the enterohepatic circulatory system in any of the animals. The results showed that the sphincter of Oddi is patent in fasting, intact and cholecystectomized hamsters. They also suggested that the diminished bile salt pool seen in fasted, cholecystectomized but not in intact hamsters arises from a) a primary, fasting-induced decrease in liver enzyme activity involved …


Expanded Polytetrafluoroethylene (Ptfe) And External Velour Grafts As Small Artery Substitutes In Dogs, Farouq Samhouri, Luis H. Toledo-Pereyra, Stanley G. Dienst, Roger F. Smith Dec 1978

Expanded Polytetrafluoroethylene (Ptfe) And External Velour Grafts As Small Artery Substitutes In Dogs, Farouq Samhouri, Luis H. Toledo-Pereyra, Stanley G. Dienst, Roger F. Smith

Henry Ford Hospital Medical Journal

This experimental study compared the clinical patency, angiographic appearance, and histology of 4 mm polytetrafluoroethylene (PTFE) and external double velour grafts which were used as external iliac artery substitutes in dogs. At one week there were no significant differences. However, at two months, none of the PTFE grafts were open, whereas six of the seven external double velour grafts were patent (p<0.05). Thus, in this study the 4 mm PTFE grafts are poor substitutes for canine iliac replacement.


A Comparison Of Kidney Preservation Methods By Oxidative Phosphorylation Studies, Devprakash Samuel, Stanley G. Dienst Sep 1978

A Comparison Of Kidney Preservation Methods By Oxidative Phosphorylation Studies, Devprakash Samuel, Stanley G. Dienst

Henry Ford Hospital Medical Journal

An oxygen consumption assay using adenosine diphosphonucleotide (ADP) was performed on canine kidneys to measure the efficiency of oxidative phosphorylation. The purpose of the assay was to establish a respiratory control index (RCI) that could be used to evaluate kidneys preserved by different methods. Of the four methods tested, perfusion yielded the best results after 24-hour preservation. Additionally, four pairs of human cadaver kidneys were evaluated with the same assay. Some correlation existed between the RCI values of the nontransplanted kidney in each pair and the clinical viability of its transplanted mate.


Effect Of Donor Pretreatment On The Graft Survival Of Human Cadaver Kidneys, Stanley G. Dienst, Krishna D. Valjee, Luis H. Toledo-Pereyra Sep 1978

Effect Of Donor Pretreatment On The Graft Survival Of Human Cadaver Kidneys, Stanley G. Dienst, Krishna D. Valjee, Luis H. Toledo-Pereyra

Henry Ford Hospital Medical Journal

The effect of donor pretreatment on perfused cadaver kidney allografts was evaluated in 40 recipients at Henry Ford Hospital over a two-year period. Ofthe 40,23 received kidneys from donors pretreated with 40 mg/K each of cyclophosphamide and methylprednisolone during the first year of the study and up to 70 mg/K during the second year. Our results indicated that donor pretreatment for five to eight hours did not consistently improve survival rates in pretreated perfused cadaver kidneys following transplantation. The use of cyclophosphamide for donor pretreatment does not prevent the use of continuous perfusion to preserve human kidneys. Dosages up to …


Radionuclide Evaluation Of Renal Transplant Patients, Daniel S. Marks Sep 1978

Radionuclide Evaluation Of Renal Transplant Patients, Daniel S. Marks

Henry Ford Hospital Medical Journal

Radionuclide examinations provide considerable information in evaluating patients who have received renal transplants. In the uncomplicated case, baseline data should be obtained so that subsequent changes in renal function can be better documented. In the complicated case, rapid delineation of the problem may result in more effective therapy. Serial examinations with several radiopharmaceuticals represent the best nuclear approach to the transplant patient. This paper describes the application and performance of these tests as currently performed at Henry Ford Hospital.


Treatment Of Uremic Diabetic Patients: Hemodialysis Or Transplantation?, Godofredo Santiago, Cosme Cruz, Francis Dumler, Pedro Cortes, Stanley Dienst, Sandra Parnell, Maxine Uniewski, Nathan W. Levin Sep 1978

Treatment Of Uremic Diabetic Patients: Hemodialysis Or Transplantation?, Godofredo Santiago, Cosme Cruz, Francis Dumler, Pedro Cortes, Stanley Dienst, Sandra Parnell, Maxine Uniewski, Nathan W. Levin

Henry Ford Hospital Medical Journal

Eighty-one patients with chronic renal failure associated with or secondary to diabetic nephropathy were treated with dialysis and/or transplant. Twenty-five had juvenile diabetes and 56 had adult onset diabetes. Juvenile diabetics did poorly on hemodialysis with 13 patients having a 19% four-year survival rate, whereas those who had cadaveric transplantation did well with a four-year patient and graft survival rate of 56% in nine patients. The three juvenile diabetics who received related kidney grafts are presently alive with good function. Patients with adult onset diabetes did well on hemodialysis with a four-year survival rate of 63% in 45 patients. In …


Front Matter Sep 1978

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.


Common Sense And Surgical Research, Melvin A. Block Sep 1978

Common Sense And Surgical Research, Melvin A. Block

Henry Ford Hospital Medical Journal

No abstract provided.


Effect Of Acute Posttransplant Renal Failure On The Survival Of Perfused Cadaver Kidneys, Krishna D. Valjee, Luis H. Toledo-Pereyra, Stanley G. Dienst, Heung K. Oh, Daniel S. Marks, Pedro Cortes, Cosme Cruz, Godofredo Santiago, Nathan W. Levin Sep 1978

Effect Of Acute Posttransplant Renal Failure On The Survival Of Perfused Cadaver Kidneys, Krishna D. Valjee, Luis H. Toledo-Pereyra, Stanley G. Dienst, Heung K. Oh, Daniel S. Marks, Pedro Cortes, Cosme Cruz, Godofredo Santiago, Nathan W. Levin

Henry Ford Hospital Medical Journal

Between 7973 and 7977 we encountered 22 cases of acute renal failure after transplantation in 70 patients who received perfused cadaver kidneys. Nearly two-thirds of 76 nonfunctioning grafts were lost due to subsequent superimposed rejection, often undetected and, hence, untreated. Thirty-one percent of the 76 recovered function. The recovery rate, we believe, can be improved by earlier diagnosis and treatment of rejection and by avoiding invasive diagnostic procedures in the early postoperative period. If the oliguric period extends beyond two weeks, a closed percutaneous renal biopsy is justified. The diagnosis of rejection and/or other abnormality as well as subsequent treatment …