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Articles 7711 - 7740 of 9413

Full-Text Articles in Public Health

Anti-Hla Antibodies Complicating Infectious Mononucleosis With Thrombocytopenia And Neutropenia, Warren L. Kupin, Maria Sawdyk Mar 1986

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.

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Postinfarction Papillary Muscle Rupture: A New M-Mode Echocardiographic Sign, Dipankar S. Dasgupta, I. A. D'Cruz Mar 1986

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.

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The Ec-Ic Bypass Study: Does It Answer The Question?, Fernando G. Diaz, James I. Ausman Mar 1986

The Ec-Ic Bypass Study: Does It Answer The Question?, Fernando G. Diaz, James I. Ausman

Henry Ford Hospital Medical Journal

No abstract provided.

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Intraocular Lens Implant Image Quality: The Optico-Retinal Interface, David D. Bogorad Dec 1985

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, …

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Some Unusual Foreign Bodies In The Anterior Segment Of The Eye And The Orbit, Saul Sugar Dec 1985

Some Unusual Foreign Bodies In The Anterior Segment Of The Eye And The Orbit, Saul Sugar

Henry Ford Hospital Medical Journal

No abstract provided.

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Glaucoma Filtration Surgery: A Personal Review, Saul Sugar Dec 1985

Glaucoma Filtration Surgery: A Personal Review, Saul Sugar

Henry Ford Hospital Medical Journal

No abstract provided.

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Editorial: Corneal Stability With Rigid Gas Permeable Lens Refitting, Robert J. Crossen Dec 1985

Editorial: Corneal Stability With Rigid Gas Permeable Lens Refitting, Robert J. Crossen

Henry Ford Hospital Medical Journal

No abstract provided.

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Malnutrition And Length Of Stay - A Relationship?, Marvin D. Anderson, Gladys Collins, Gloria Davis, Brack A. Bivins Dec 1985

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.

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Evaluation Of Peutz-Jeghers Syndrome In A Family, Kayhan Ozkan Dec 1985

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 …

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Orbital Metastasis With Enophthalmos: A Review Of The Literature, David M. Reifler Dec 1985

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 …

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Childhood Lead Poisoning, Raj P. Warrier, Jan Waisanen, Sam R. Kottamasu, Sayeed Sultana, K. Ratnakar Kini, William L. Kestenberg, John Strauthers, Craig Foreback Dec 1985

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.

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Front Matter Dec 1985

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Immunocytologic Methods In The Diagnosis Of Orbital Tumors, David M. Reifler, Sudha R. Kini, John S. Kennerdell, Andrew Dekker, Leslie J. Fisher Dec 1985

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.

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Hereditary Sclerocornea, David Barsky, Steven P. Dunn Dec 1985

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.

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Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao Dec 1985

Primary Hyperparathyroidism: Changing Patterns In Presentation And Treatment Decisions In The Eighties, D. Sudhaker Rao

Henry Ford Hospital Medical Journal

No abstract provided.

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The Pseudo-Leukocyte-Specific/Nuclear Membrane Antinuclear Antibody Pattern: A Puzzle, Thomas K. Burnham Dec 1985

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 …

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Dermatomyositis Complicated By Thrombotic Thrombocytopenic Purpura, Maria A. Sawdyk, Jeffrey Jundt Dec 1985

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 …

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Clinical Trials: Ii. Randomization And Sample Size, Barbara Tilley, Anthony Schork Dec 1985

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.

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Back Matter Dec 1985

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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The Effectiveness Of Stimulation Therapy For The Cognitively Impaired Elderly, Sylvia H. Old Sep 1985

The Effectiveness Of Stimulation Therapy For The Cognitively Impaired Elderly, Sylvia H. Old

Community & Environmental Health Theses & Dissertations

The effectiveness of stimulation therapy for the cognitively impaired elderly living in an institution was assessed. Residents with varying degrees of cognitive impairment were treated with twenty, thirty-minute daily periods of reality orientation, reminiscence, resocialization, remotivation, and other stimulating therapies and were compared with a control group_ receiving no intervention. Treatment effects were assessed with a variety of instruments reflecting functioning across several domains. Included were ability to perform both basic self-care functions and activities of daily living, cognitive performance, affect, and satisfaction with the care received and the living environment in the nursing home. The experimental group was divided …

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Enteroclysis For The Examination Of The Small Bowel, Robert D. Halpert, Peter J. Feczko, Cathrine E. Keller, Judith Iorio Jun 1985

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.

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Mammography: Still The Imaging Standard, Cathrine E. Keller, A. Christine Watt Jun 1985

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.

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Front Matter Jun 1985

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Diagnostic Imaging In The 1980s: Quo Vadis?, James H. Thrall, Robert D. Halpert Jun 1985

Diagnostic Imaging In The 1980s: Quo Vadis?, James H. Thrall, Robert D. Halpert

Henry Ford Hospital Medical Journal

No abstract provided.

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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 Jun 1985

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 …

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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 Jun 1985

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.

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Current Concepts Of Metabolic Functional Imaging With Positron Emitters, John W. Keyes Jr. Jun 1985

Current Concepts Of Metabolic Functional Imaging With Positron Emitters, John W. Keyes Jr.

Henry Ford Hospital Medical Journal

Positron emitting radionuclides have unique properties that make them nearly ideal as radioactive tracers for in vivo metabolic studies. Using positron emission tomographic (PET) scanning and positron-labeled radiopharmaceuticals, one can study local glucose metabolism in tissues, blood flow, oxygen utilization, protein synthesis, and many other functions noninvasively in normal subjects and patients who have various diseases. A review of some of these techniques and the relative advantages and problems associated with the PET approach is presented.

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Back Matter Jun 1985

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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The Incidence Of Calculi In Focal Nonshadowing Echogenicity In The Gallbladder, Michael A. Sandler, Eileen M. Biunno, Martin L. Gross, Beatrice L. Madrazo Jun 1985

The Incidence Of Calculi In Focal Nonshadowing Echogenicity In The Gallbladder, Michael A. Sandler, Eileen M. Biunno, Martin L. Gross, Beatrice L. Madrazo

Henry Ford Hospital Medical Journal

Sonography is valuable in the accurate diagnosis of gallstones. All but the smallest stones attenuate sound, a phenomenon known as acoustic shadowing. However, when small focal nonshadowing opacities are present, the diagnostic question is whether they represent small calculi. In a four-year review of sonographic studies performed at Henry Ford Hospital, 12 patients in whom this sonographic finding was present underwent cholecystectomies, and seven had calculi (58%). If the presence of gallstones is the factor that will determine whether surgery will be performed, we recommend a repeat examination to confirm the presence of the focal opacities and to elicit acoustic …

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Applications Of Magnetic Resonance Imaging In Clinical Urology, Barbara A. Demas, Hedvig Hricak Jun 1985

Applications Of Magnetic Resonance Imaging In Clinical Urology, Barbara A. Demas, Hedvig Hricak

Henry Ford Hospital Medical Journal

During the past two years, the value of magnetic resonance imaging (MRI) in the diagnosis and staging of a variety of urologic neoplasms has been demonstrated, and the ability of MRI to determine sites of renal obstruction and causes of posttransplant renal failure have been reported. Its excellent soft-tissue contrast resolution has allowed accurate delineation of regional anatomy in the kidney, prostate gland, urinary bladder, urethra, uterus, and vagina. The importance of MRI in the urologic diagnosis is expected to increase as clinical imaging systems become widely available.

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