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Articles 5581 - 5610 of 6879

Full-Text Articles in Public Health

Intracardiac Phonocardiography In Subaortic Stenosis, Paul D. Stein, Hani N. Sabbah, Daniel T. Anbe, Fareed Khaja, Gordon M. Folger Jr. Jun 1978

Intracardiac Phonocardiography In Subaortic Stenosis, Paul D. Stein, Hani N. Sabbah, Daniel T. Anbe, Fareed Khaja, Gordon M. Folger Jr.

Henry Ford Hospital Medical Journal

The purpose of this study is to explore the value of intracardiac sound recordings for the verification of subaortic stenosis. Intracardiac sound was measured in ten patients with subaortic obstructions. Seven had idiopathic hypertrophic subaortic stenosis, two had a subvalvular membrane, and one had a subvalvular tunnel. In each patient, a systolic murmur was recorded within the left ventricle distal to the obstruction. The murmur was of lower amplitude distal to the aortic valve, and it was of even lower amplitude or absent proximal to the obstruction. In the presence of entrapment, no intraventricular murmur occurred although an apparent subvalvular …

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Clinical Notes: Bacteremia Associated With Colonoscopy, A. Suarez, B. Schuman, E. Quinn, T. Neblett Jun 1978

Clinical Notes: Bacteremia Associated With Colonoscopy, A. Suarez, B. Schuman, E. Quinn, T. Neblett

Henry Ford Hospital Medical Journal

Twenty-eight patients had a total of 168 blood cultures before and at regular intervals during colonoscopy. No bacteremia was found. Based on our results and other reports, we recommend antibiotic prophylaxis during colonoscopy only for those patients with prosthetic heart valves and for those with valvular heart disease who also have advanced liver disease.

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Emergency Transvenous Cardiac Pacing, Carl E. Bartecchi Jun 1978

Emergency Transvenous Cardiac Pacing, Carl E. Bartecchi

Henry Ford Hospital Medical Journal

A single pacemaker electrode catheter placement procedure, using the subclavian route and a semi-floating pacemaker catheter, was utilized in 120 consecutive patients who required emergency cardiac pacing. Stable pacing was achieved in a high percentage with few complications.

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Noninvasive Techniques In The Evaluation Of Arterial Disease, J. Dennis Baker Jun 1978

Noninvasive Techniques In The Evaluation Of Arterial Disease, J. Dennis Baker

Henry Ford Hospital Medical Journal

This paper reviews noninvasive technology currently being applied in clinical peripheral vascular laboratories for the evaluation of obstructive arterial disease in the lower extremities and in the cerebral circulation. Lower extremity, arterial insufficiency can be assessed by pressures measured with a Doppler flowmeter or by oscillometric tracings obtained with a Pulse Volume Recorder. Carotid artery stenosis is studied by: 1) ocular pneumoplethysmography, which indirectly measures ophthalmic artery pressure; 2) oculoplethysmography, which compares pulse arrival time at the two eyes; and 3) the Doppler ophthalmic test, which detects the flow pattern in the ophthalmic artery. The main uses of the tests …

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Front Matter Jun 1978

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Distant Metastasis Of Locally Controlled Supraglottic Laryngeal Carcinoma: A Report Of Two Cases, Charles N. Ford, William W. Finch, Roger W. Kwong Jun 1978

Distant Metastasis Of Locally Controlled Supraglottic Laryngeal Carcinoma: A Report Of Two Cases, Charles N. Ford, William W. Finch, Roger W. Kwong

Henry Ford Hospital Medical Journal

Two cases of supraglottic laryngeal carcinoma are presented in which distant metastasis occurred after adequate local control had been established. The metastasizing tendency of this lesion is discussed, and the efficacy of combined therapeutic approaches in treating these cases is questioned. Submitted

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What's New In Crohn's Disease Treatment, Francis J. Owens Jun 1978

What's New In Crohn's Disease Treatment, Francis J. Owens

Henry Ford Hospital Medical Journal

Progress in the management of Crohn's disease is limited by our inability to compare different patients. Two methods of evaluating the severity of disease have recently been published. Of these, the National Cooperative Crohn's Disease Study (NCCDS) method has been utilized in a study reported on at several national meetings but still in progress. Antibiotics in intensive prolonged dosage, e.g. ampicillin, 500 mg qid for several months, have recently been reported to benefit greater than 90% of patients not responding to conventional therapy. Metronidazole and dapsone continue to be mentioned in letters to journals. Sulfasalazine has been found useful in …

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Refractory Hypercalcemia In Sarcoidosis: Exacerbation By Thiazide Diuretics, Differentiation From Primary Hyperparathyroidism, And Possible Role Of Prolactin, A. M. Parfitt Jun 1978

Refractory Hypercalcemia In Sarcoidosis: Exacerbation By Thiazide Diuretics, Differentiation From Primary Hyperparathyroidism, And Possible Role Of Prolactin, A. M. Parfitt

Henry Ford Hospital Medical Journal

Hypercalcemia in a patient with sarcoidosis was made worse by a thiazide diuretic initially given to control hypercalciuria alone. The hypercalcemia was unusually resistant to corticosteroid treatment during the summer even after the thiazide diuretic had been discontinued. Lack of response to corticosteroid together with decreased tubular reabsorption of phosphate and increased tubular reabsorption of calcium suggested associated primary hyperparathyroidism, but PTH was undetectable by immunoassay, and nephrogenous cyclic AMP excretion was zero. Amenorrhea, galactorrhea and hyperprolactinemia were found to be due to a pituitary tumor which was removed. The experience with this patient suggests that: 1) exacerbation of hypercalcemia …

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Effect Of Glucagon And Methylprednisolone On Pancreatectomized Recipients Of Whole Pancreas Allografts, Luis H. Toledo-Pereyra, Michael Zammit, Krishna D. Valjee Jun 1978

Effect Of Glucagon And Methylprednisolone On Pancreatectomized Recipients Of Whole Pancreas Allografts, Luis H. Toledo-Pereyra, Michael Zammit, Krishna D. Valjee

Henry Ford Hospital Medical Journal

Glucagon alone or in combination with methylprednisolone was an adequate therapeutic adjuvant for pancreatectomized recipients of whole pancreas allografts. All recipients were minimally immunosuppressed with azathioprine, 5.0 mg/K/day for three days, then 2.5 mg/K/day. The morphological, functional, and survival response after whole pancreas transplantation indicated a trend of improvement in the treated groups. Only the groups of dogs receiving glucagon alone or in combination with methylprednisolone survived more than two weeks after transplantation. This therapy has proven to be effective for whole pancreas transplantation.

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Letters To The Editor Jun 1978

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

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1977 Publications Of The Staff Of Henry Ford Hospital Jun 1978

1977 Publications Of The Staff Of Henry Ford Hospital

Henry Ford Hospital Medical Journal

No abstract provided.

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Back Matter Jun 1978

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Studies On Uveitis Part Ii: Hypotheses With Case Reports, Philip C. Hessburg Mar 1978

Studies On Uveitis Part Ii: Hypotheses With Case Reports, Philip C. Hessburg

Henry Ford Hospital Medical Journal

A number of patients with and without uveitis are used to show that this study of aqueous microbiology suggests the following hypotheses: 1. Routine techniques currently used in most microbiology laboratories overlook classical and variant bacteria which might be isolated from clinical specimens with improved microbiological techniques. 2. Bacterial forms may be present in other ocular tissue when not present in the aqueous. 3. Polymicrobial infections probably occur rather frequently, especially in chronic or subacute inflammatory states. 4. Alterations in various host factors may subject some persons to a greater incidence of inflammatory episodes including uveitis. 5. Antibiotics used in …

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Front Matter Mar 1978

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Effect Of Perfusate Osmolarity On Hearts Preserved Under Hypothermic Pulsatile Perfusion For 24 Hours, Luis H. Toledo-Pereya, Manuel Chee, Richard C. Lillehei Mar 1978

Effect Of Perfusate Osmolarity On Hearts Preserved Under Hypothermic Pulsatile Perfusion For 24 Hours, Luis H. Toledo-Pereya, Manuel Chee, Richard C. Lillehei

Henry Ford Hospital Medical Journal

Canine hearts preserved under hypothermic pulsatile perfusion (24 hours) with an osmolarity of 340 mOsm/L had better preservation and transplantation response than hearts perfused at an osmolarity of 310 and 270 mOsm/L. The hearts perfused at 340 mOsm /L survived an average of 22.6 days after transplantation. This survival was significantly (p>0.05) better than that observed after fresh transplantation (13.4 days average). Hearts perfused at 270 mOsm /L had a significantly (p>0.05) lower survival after transplantation (5.8 days average) than the fresh allografts or the hearts perfused at 310 or 340 mOsm / L. Similar survival times were …

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Retroperitoneal Ganglioneuroma: A Case Report And Review Of Literature, Mohammed R. Ansari, Vellore Ramakrishnan, K. S. Rajan Mar 1978

Retroperitoneal Ganglioneuroma: A Case Report And Review Of Literature, Mohammed R. Ansari, Vellore Ramakrishnan, K. S. Rajan

Henry Ford Hospital Medical Journal

Ganglioneuroma, a tumor of neural crest origin, is a rare neoplasm; to encounter it in an adult over 50 years of age is very rare. This report describes the case of a 56-year-old man who was seen at Henry Ford Hospital with an abdominal mass confirmed as ganglioneuroma on histopathology. Experience at Henry Ford Hospital and the available literature on the subject are reviewed.

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The Quantitative Determination Of 3-Oxo-Bile Acids, W. T. Beher, G. J. Lin, J. Sanfield, S. Stradnieks Mar 1978

The Quantitative Determination Of 3-Oxo-Bile Acids, W. T. Beher, G. J. Lin, J. Sanfield, S. Stradnieks

Henry Ford Hospital Medical Journal

A new method for the rapid quantification of 3-oxo-bile acids has been developed. From 5 to 120 μg of oxo-acid in aqueous or ethanolic media are reduced with sodium borohydride. The resulting 3α- and 3β-hydroxy acids are then oxidized in a reaction catalyzed by 3-hydroxysteroid dehydrogenase, during which nicotinamide adenine dinucleotide (NAD) is reduced to NADH. The absorbance of the reaction mixture is determined at 340 nm and is directly proportional to the amount of 3-oxo-acid in the original sample. The method is fully compatible with that used in determining 3α-hydroxy-bile acids.

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Chondrosarcoma: A Report Of 65 Cases, Kent K. Wu, Edwin R. Guise, Harold M. Frost, C. Leslie Mitchell Mar 1978

Chondrosarcoma: A Report Of 65 Cases, Kent K. Wu, Edwin R. Guise, Harold M. Frost, C. Leslie Mitchell

Henry Ford Hospital Medical Journal

A statistical analysis is presented of 65 cases of chondrosarcoma treated at Henry Ford Hospital from 1916 to 1976, with adequate follow-up data.

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Letters To The Editor Mar 1978

Letters To The Editor

Henry Ford Hospital Medical Journal

No abstract provided.

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Back Matter Mar 1978

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Prehistoric Cremations From Nogales, Arizona *, Karl J. Reinhard, Jeff H. Shipman Jan 1978

Prehistoric Cremations From Nogales, Arizona *, Karl J. Reinhard, Jeff H. Shipman

Karl Reinhard Publications

In October, 1969, the Highway Salvage Section of the Arizona State Museum conducted emergency salvage excavations in conjunction with the construction of the Tucson-Nogales Highway. Ten cremations were recovered from a backhoe trench which had been placed within the city limits of Nogales, Arizona. Analysis of the cremations indicated cultural contact between the Trincheras culture of Sonora, Mexico, and the Hohokam culture of the Santa Cruz River Valley in southern Arizona.

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Front Matter Dec 1977

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Colonoscopic Polypectomy In A Preschool-Age Child, Carlos A. Ricotti, Bernard M. Schuman Dec 1977

Colonoscopic Polypectomy In A Preschool-Age Child, Carlos A. Ricotti, Bernard M. Schuman

Henry Ford Hospital Medical Journal

Colonoscopy Is a procedure used worldwide in the adult population. Here we report the case of a colonoscopic polypectomy in a preschool-age child, and we show once more that the procedure Is a safe one to perform In children if the appropriate precautions are taken.

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Studies On Uveitis Part I: Aqueous Studies, Philip C. Hessburg Dec 1977

Studies On Uveitis Part I: Aqueous Studies, Philip C. Hessburg

Henry Ford Hospital Medical Journal

Aqueous microbiological and cytological studies were performed on 134 anterior chamber taps done on 118 patients both with and without uveitis. Cell wall defective bacterial forms (CWDF) were recovered from about 40% of these aqueous specimens and classical bacteria were recovered from 12%. A statistically significant difference could not be found between the incidence of bacterial cell wall defective forms in the various anatomical types of uveitis. There were hints from this work that the presence of CWDF In the aqueous was more frequent in younger patients with uveitis, early in the uveitis attack, if there were multiple foci of …

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Effect Of Steroids On Patients With Postoperative Bowel Anastomotic Dysfunction, Luis H. Toledo-Pereya, Ignacio Guzman, Earl G. Yonehiro Dec 1977

Effect Of Steroids On Patients With Postoperative Bowel Anastomotic Dysfunction, Luis H. Toledo-Pereya, Ignacio Guzman, Earl G. Yonehiro

Henry Ford Hospital Medical Journal

Ten patients who developed anastomotic edema following large or small intestinal anastomosis had a rapid recovery after treatment with dexamethasone. The clinical and radiologic picture of adynamic ileus disappeared rapidly. There were no Immediate or long-term (more than two years) complications or side effects associated with the use of dexamethasone. This preliminary report indicates that dexamethasone may be a beneficial agent In the control of anastomotic edema.

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Legionnaires' Disease: Description Of A Sporadic Case, Louis D. Saravolatz, Gene Tilchen Dec 1977

Legionnaires' Disease: Description Of A Sporadic Case, Louis D. Saravolatz, Gene Tilchen

Henry Ford Hospital Medical Journal

This first case of Legionnaires' disease seen at Henry Ford Hospital is described. A previously healthy 72-year-old man developed progressive pneumonia in September, 1977; it was unresponsive to treatment with cephalothin. However, he rapidly recovered when the treatment was changed to oral erythromycin. Diagnosis was established by serologic studies done at the Center for Disease Control. This pneumonia occurred in a sporadic form with no evidence of secondary cases.

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Long-Term Survival After Onset Of Blast Crisis In Chronic Granulocytic Leukemia: Case Report And Therapeutic Considerations, Ellis J. Van Slyck, Ahmad Samhouri Dec 1977

Long-Term Survival After Onset Of Blast Crisis In Chronic Granulocytic Leukemia: Case Report And Therapeutic Considerations, Ellis J. Van Slyck, Ahmad Samhouri

Henry Ford Hospital Medical Journal

Current analysis indicates a median survival of 3.6 months in 356 cases of chronic granulocytic leukemia after onset of blast transformation. Thirty-five (10.0%) complete remissions (CR), all of short duration, were observed. Closer scrutiny of the reported clinical experience offers clues for improving this poor outlook. A 76% CR rate can be extracted from this total experience by identifying cases treated with cytoslne arabinoside combined with one or more other agents. In isolated reports, weekly vincristine and prednisone have yielded good remission rates. Two general morphologic types of blasts can be distinguished by cytochemical stains and other features: lymphoid and …

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Primary Hepatic Tumors In Women On Oral Contraceptives, V. Maciel, H. Allen, C. Grodsinsky Dec 1977

Primary Hepatic Tumors In Women On Oral Contraceptives, V. Maciel, H. Allen, C. Grodsinsky

Henry Ford Hospital Medical Journal

Liver cell adenoma and focal nodular hyperplasia have been recognized as rare benign tumors. Their relationship with the use of oral contraceptives has been suggested since 1973. At Henry Ford Hospital, we have had four patients, ages 19, 23, 25,and 30, on oral contraceptives who presented with different clinical pictures suggesting acute abdomen. A hepatic tumor was suspected preoperatively in one patient, was found at laparotomy for biliary tract disease in two other cases, while the fourth patient presented with acute intra-abdominal hemorrhage. Hepatic resection was performed successfully in all with no mortality. The clinical presentation and diagnostic and surgical …

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Back Matter Dec 1977

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Walter Dandy — Super-Surgeon, J. Dewitt Fox Sep 1977

Walter Dandy — Super-Surgeon, J. Dewitt Fox

Henry Ford Hospital Medical Journal

A profile of this famed neurosurgeon is presented with human interest anecdotes collected primarily from his residents, the men who knew him best. The major contributions from his hand included not only new operations, diagnostic ventriculography and pneumoencephalography, but also 769 outstanding papers and five books, the last, a monumental work of 600 pages, "The Brain," which is the section on brain in Lewis' "Practice of Surgery."

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