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Articles 421 - 450 of 2166
Full-Text Articles in Public Health
Pulmonary Complications Of Aids: Henry Ford Hospital Experience Between January 1984 And July 1986, Barry Lesser, Joan Price, Phillip Bruno, Evelyn J. Fisher, John Popovich Jr., Michael S. Eichenhorn
Pulmonary Complications Of Aids: Henry Ford Hospital Experience Between January 1984 And July 1986, Barry Lesser, Joan Price, Phillip Bruno, Evelyn J. Fisher, John Popovich Jr., Michael S. Eichenhorn
Henry Ford Hospital Medical Journal
We have retrospectively reviewed our bronchoscopic experience in patients with suspected pulmonary complications of the acquired immunodeficiency syndrome (AIDS) or AIDS-related complex at Henry Ford Hospital between 1984 and 1986. The charts of 52 patients, representing a total of 87 bronchoscopic examinations, were available for review. The bronchoscopic findings as well as correlative chest roentgenograms and arterial blood gases are reviewed, and implications for therapy are discussed.
The Aids Challenge: A Psychosocial Perspective, Madelyn S. Plotkin, Margaret Dietz Domanski
The Aids Challenge: A Psychosocial Perspective, Madelyn S. Plotkin, Margaret Dietz Domanski
Henry Ford Hospital Medical Journal
No abstract provided.
Ultrasonic Evaluation In The Management Of Postpartum Infection, Chang Y. Lee, Beatrice L. Madrazo, Sheryl Parks, Michael Sandler
Ultrasonic Evaluation In The Management Of Postpartum Infection, Chang Y. Lee, Beatrice L. Madrazo, Sheryl Parks, Michael Sandler
Henry Ford Hospital Medical Journal
To evaluate the effectiveness of ultrasound in the management of postpartum problems, ultrasonographic examination was performed on 98 patients with suspected postpartum infection. The study includes only those patients who did not respond to antibiotic treatment for at least 48 hours and those patients who were readmitted to the hospital with suspected postpartum infection. Echogenic tissue was found in the uterine cavity in 12 patients, and significant fluid collection was found in 24 patients. Gas collection appeared in the uterine cavity in five patients and around the uterine incision in four patients. Fluid collection was found around the uterine incision …
Bilateral Anterior Cerebral Artery Occlusion In An Alcohol Abuser With Sickle-Cell Trait, Thomas H. Swanson, John L. Zinkel, Patti L. Peterson
Bilateral Anterior Cerebral Artery Occlusion In An Alcohol Abuser With Sickle-Cell Trait, Thomas H. Swanson, John L. Zinkel, Patti L. Peterson
Henry Ford Hospital Medical Journal
The contribution of ethanol ingestion to brain infarction is unclear, although many studies suggest that the two may be causally related. We report an unusual case of bilateral anterior cerebral artery occlusion in a young female ethanol abuser with sickle-cell trait whose platelets showed hyperaggregability during epinephrine and adenosine diphosphate-induced aggregation experiments. It is concluded that ethanol withdrawal and dehydration along with direct effects of ethanol on platelet aggregation may result in cerebral artery thrombosis. Sickling of red blood cells in the distal circulation also may be a compounding factor, but this is not proven.
Use Of A "Permission Giving" Patient Checklist In Identification Of Social And Sexual Problems, William B. Anderson
Use Of A "Permission Giving" Patient Checklist In Identification Of Social And Sexual Problems, William B. Anderson
Henry Ford Hospital Medical Journal
A checklist derived from the ACOG bulletin entitled "Communication of Sexual Problems in Office Gynecology" was given to 614 women. The findings demonstrate that social and sexual concerns are encountered frequently in the practice of clinical gynecology and that a checklist is effective in identifying these concerns.
The Ambulatory Care "Gold Rush?", Michael A. Slubowski
The Ambulatory Care "Gold Rush?", Michael A. Slubowski
Henry Ford Hospital Medical Journal
No abstract provided.
Echocardiographic Features Of Metastatic Pericardial And Myocardial Malignancy, Carey Green, Mohsin Alam, Howard S. Rosman, Jeffrey B. Lakier
Echocardiographic Features Of Metastatic Pericardial And Myocardial Malignancy, Carey Green, Mohsin Alam, Howard S. Rosman, Jeffrey B. Lakier
Henry Ford Hospital Medical Journal
Clinical and echocardiographic features of a patient with extensive metastasis to the pericardium and myocardium are presented. Echocardiography revealed pericardial effusion, markedly thickened pericardium, and myocardium with increased echogenicity. These findings were subsequently confirmed during surgery and autopsy, which revealed marked tumor encasement of the heart and pericardial myocardial infiltration.
Health Care Delivery System: Current Trends And Prospects For The Future, Vinod K. Sahney, Douglas S. Peters, Stanley R. Nelson
Health Care Delivery System: Current Trends And Prospects For The Future, Vinod K. Sahney, Douglas S. Peters, Stanley R. Nelson
Henry Ford Hospital Medical Journal
No abstract provided.
Issues Facing Group Practice In The 1990s, Bruce W. Steinhauer
Issues Facing Group Practice In The 1990s, Bruce W. Steinhauer
Henry Ford Hospital Medical Journal
No abstract provided.
The Employer-Purchaser Impact On Health Care Delivery And Financing, Robert Asmussen
The Employer-Purchaser Impact On Health Care Delivery And Financing, Robert Asmussen
Henry Ford Hospital Medical Journal
No abstract provided.
Alternative Delivery Systems: The Changing Role Of The Physician, David Siegel, Douglas Klegon
Alternative Delivery Systems: The Changing Role Of The Physician, David Siegel, Douglas Klegon
Henry Ford Hospital Medical Journal
No abstract provided.
No Miracle Remedies In Sight For Financing Health Care For The Poor, John M. Kuder
No Miracle Remedies In Sight For Financing Health Care For The Poor, John M. Kuder
Henry Ford Hospital Medical Journal
No abstract provided.
Marketing Physician Practices: Developing An Action Plan For Success, Barbara Steiner, Douglas Klegon, William Conway, Patricia Mccarthy
Marketing Physician Practices: Developing An Action Plan For Success, Barbara Steiner, Douglas Klegon, William Conway, Patricia Mccarthy
Henry Ford Hospital Medical Journal
No abstract provided.
Money And Manpower In Graduate Medical Education, David C. Leach
Money And Manpower In Graduate Medical Education, David C. Leach
Henry Ford Hospital Medical Journal
No abstract provided.
Radiographic Features Of Anterior Cruciate Ligament Reconstruction, Mark I. Burnstein, Burton I. Ellis, Robert A. Teitge, Martin L. Gross, Christopher K. Shier
Radiographic Features Of Anterior Cruciate Ligament Reconstruction, Mark I. Burnstein, Burton I. Ellis, Robert A. Teitge, Martin L. Gross, Christopher K. Shier
Henry Ford Hospital Medical Journal
Anterior cruciate ligament disruption is a common injury that occurs in contact sports such as football. The treating orthopedic surgeon may elect any of a variety of therapeutic options. Surgical management may consist of primary repair of the torn ligament or replacement of the torn ligament with graft material, known as anterior cruciate ligament reconstruction (ACER). Many physicians, including radiologists, are unfamiliar with the surgical procedure or the expected postoperative radiographic appearance of ACER. Assessment of radiographs following ACER, as with many surgical procedures, requires understanding of the surgical procedure. We present our experience in assessing the postoperative radiographs of …
The First-Bite Syndrome, William S. Haubrich
The First-Bite Syndrome, William S. Haubrich
Henry Ford Hospital Medical Journal
Patients presenting with esophageal disorders often describe what can be called a "first-bite syndrome." The condition can be discerned by its characteristic clinical features. It may be a variant of diffuse esophageal spasm. While in a majority of patients it is a benign functional disturbance, it can be a harbinger of carcinoma. When of functional origin, it is amenable, in most cases, to relatively simple medical management.
Characteristics, Mortality, And Outcome Of Infants Weighing Over 2500 Grams Who Require Intensive Care, Anthony Udo-Inyang, Chang Y. Lee
Characteristics, Mortality, And Outcome Of Infants Weighing Over 2500 Grams Who Require Intensive Care, Anthony Udo-Inyang, Chang Y. Lee
Henry Ford Hospital Medical Journal
Documentations of morbidity and mortality of infants weighing over 2500 g who require intensive care, along with research to improve their outcome, have not received adequate emphasis in the literature. From 1981 to 1984 these infants accounted for 495 (40.1%) admissions and 16 (9.8%) deaths in Henry Ford Hospital's neonatal intensive care unit. The most common diagnoses were hematologic diseases (24.6%), meconium aspiration (20.4%), respiratory distress/asphyxia (17.2%), congenital anomalies (13.8%), and infants of diabetic mothers (10.7%). Infant mortality was 56.2% from congenital anomalies. 25% from meconium aspiration, 6.2% from infection, 6.2% from maternal accident, and 6.2% from accidental neonatal asphyxia. …
Clinical And Laboratory Study Of Sickle Cell/Β-Thalassemia, Koichi Maeda, Ellis J. Van Slyck, Robert C. Hawley
Clinical And Laboratory Study Of Sickle Cell/Β-Thalassemia, Koichi Maeda, Ellis J. Van Slyck, Robert C. Hawley
Henry Ford Hospital Medical Journal
We have studied 39 patients doubly heterozygous for sickle cell/β-thalassemia, 12 with sickle cell/βo- thalassemia and 27 with sickle cell/β+-thalassemia. Generally, sickle cell/βo-thalassemia is considered more severe than sickle cell/β+-thalassemia. In our study, however clinical complications in the group with sickle cell/β+-thalassemia were seen almost as frequently as in the group with sickle cell/βo-thalassemia. A wide variety of clinical manifestations were seen in both groups of patients.
Small Cell Carcinoma Of The Lung In The Intensive Care Unit, Paul Harkaway, Cynthia Glines, Michael Eichenhorn, Paul Kvale, Robert Chapman, John Popovich Jr.
Small Cell Carcinoma Of The Lung In The Intensive Care Unit, Paul Harkaway, Cynthia Glines, Michael Eichenhorn, Paul Kvale, Robert Chapman, John Popovich Jr.
Henry Ford Hospital Medical Journal
The outcome of 29 patients with a diagnosis of small cell carcinoma of the lung admitted to the medical intensive care unit (MICU) from 1980 through 1984 was reviewed retrospectively. Respiratory failure was the most common admitting diagnosis (23 patients [80%]). followed by cardiopulmonary arrest (three patients [10%]), and hypotension (three patients [10%] ). Only five patients survived to leave the MICU, and only two of these patients lived longer than two months after MICU discharge. Of the features examined, the absence of sepsis was the only statistically significant predictor of MICU survival. Treatment of the malignancy did not appear …
Robert K. Nixon, Md, Robert J. Priest
Robert K. Nixon, Md, Robert J. Priest
Henry Ford Hospital Medical Journal
No abstract provided.
Barium Granuloma Mimicking Rectal Carcinoma, Freda L. Arlow, Diane M. D'Angelo
Barium Granuloma Mimicking Rectal Carcinoma, Freda L. Arlow, Diane M. D'Angelo
Henry Ford Hospital Medical Journal
No abstract provided.
Restrictive Cardiomyopathy, Remigio Garcia, Mohsin Alam
Restrictive Cardiomyopathy, Remigio Garcia, Mohsin Alam
Henry Ford Hospital Medical Journal
Restrictive obliterative cardiomyopathy, with emphasis on amyloid infiltration of the heart, is discussed. The presence of right-sided failure associated with low-voltage electrocardiographic complexes may simulate constrictive pericarditis. Intractable congestive heart failure is the most frequent presentation of amyloid heart disease, and the average survival from diagnosis is 14 months. Digitalis sensitivity and fatal arrhythmias are notoriously common. Other important, although less common, restrictive cardiomyopathies include 1) hemochromatosis, which is the only reversible cause of heart failure in this group: and 2) endomyocardial fibrosis, which is rarely seen in temperate zones but which is amenable to surgical palliation. Many questions regarding …
Potassium And Heart Failure, Howard S. Rosman, Mihai Gheorghiade, Sidney Goldstein
Potassium And Heart Failure, Howard S. Rosman, Mihai Gheorghiade, Sidney Goldstein
Henry Ford Hospital Medical Journal
No abstract provided.
Beta-Adrenergic Blocking Agents In Congestive Heart Failure, Sidney Goldstein
Beta-Adrenergic Blocking Agents In Congestive Heart Failure, Sidney Goldstein
Henry Ford Hospital Medical Journal
Although recent physiologic studies suggest that increased catecholamine release in humans may in the long run represent an adverse homeostatic mechanism, this catecholamine release is acutely important in permitting human response to stress. Clinical interventions with beta-adrenergic blocking agents have showed a salutary effect on cardiac function in patients with severe heart failure: in patients with heart failure associated with myocardial infarction, these agents may help improve mortality rates. These studies indicate that the drugs are well tolerated when used carefully in these high-risk patients.
New Positive Inotropic Agents, Syed M. Jafri, James A. Bristol
New Positive Inotropic Agents, Syed M. Jafri, James A. Bristol
Henry Ford Hospital Medical Journal
Current therapy for heart failure remains inadequate. New positive inotropic agents that augment myocardial contractility have been introduced. The positive inotropic effects of these nonglycoside, nonsympathomimetic agents are due, at least in part, to inhibition of cardiac phosphodiesterase activity and hence to an increase in myocardial cyclic AMP levels. These agents also have vasodilator properties through their effects on the enzyme phosphodiesterase in the vascular smooth muscle. Recent developments in the preclinical pharmacology, mechanism of action, and clinical experience with these new inotrope vasodilators are presented in this review. The role these drugs will play in revising our therapeutic strategy …