Public Health Commons^™

Supportive Care Of The Leukemic Patient, Ellis J. Van Slyck

Henry Ford Hospital Medical Journal

The outlook for the patient with leukemia or lymphoma has been improved by the exponential expansion of basic scientific knowledge in physical chemistry and microbiology, added to much new clinical information based on large cooperative group studies. Most of this progress derives, not from a specific treatment for the disease, but from better understanding and use of multiple support measures. These include the availability of blood components, such as red blood cell, platelet and granulocyte concentrates, better protective isolation measures, and greater expertise in the recognition and treatment of bacterial, fungal, and viral infections in immunosuppressed patients. In addition, the …

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

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

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.

A Substance Abuse Prevention Plan Proposal For The State Of Michigan, William Lucien Macleod

Masters Theses

No abstract provided.

Moving Toward Integration: A Study Of Theory And Practice In Feminist Therapy, Susan Amelia Thomas

Dissertations and Theses

This thesis describes a study designed to explore the emerging field of feminist therapy. The goal was not to test the validity of feminist therapy, to probe the assumptions on which it is based, or to compare it to other forms of therapy but to characterize the theory and practice of feminist therapy as it now exists. Feminist therapy was seen as growing out of the cultural and historical context of the feminist movement, which includes a critique of society with emphasis on the particular psychological consequences for women, and a critique of psychotherapy, particularly Freudian psychotherapy, as oppressive to …

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

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.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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

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

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

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.

Commencement Program 1975, Loma Linda University

Commencement Programs

CONTENTS

2 | 1975 Events of Commencement

3 | Conferring of Degrees

7 | Candidates for Degrees

25 | Awards

26 | Academic Costume

29 | Waymarks

A Descriptive Study Of Women's Attitudes Towards Obtaining Or Not Obtaining Papanicolaou Smears, Linda J. Shults

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this study to identify the attitudes of a selected group of women which influenced their participation in Papanicolaou testing. These attitudes were inferred from the reasons women gave for obtaining the test. The subjects were randomly selected from the telephone book of a medium-sized town in Southern California. The 135 women who participated in the telephone interview were considered to be the respondents in the study.

A review of the literature revealed that through the annual use of the Papanicolaou smear, approximately 11,000 deaths every year from uterine and cervical cancer could be prevented, Attitudes …

Marital Status As A Discriminator And Treatment Variable Among Female Alcoholics, James C. Knapp

Dissertations and Theses

In this study marital status and the alcoholism or non-alcoholism of the spouse are hypothesized to be important factors affecting the female alcoholic's personality and treatability. Using as a sample group of women seen at a public treatment center for alcoholism, personality measurement variables were obtained from the Minnesota Multiphasic Personality Inventory and the Edwards Personal Preference Schedule. On the basis of these variables and of the additional variable of age, discrimination among this group of women was attempted using a stepwise discriminant analysis.

Classification of this group of women by marital status into four groups (1. alcoholic women with …

Chapel Transcript: Announcement Of The Oru School Of Medicine 4-8-1975, Oral Roberts

Chapel AV & Transcripts

The announcement by President Oral Roberts to the student body of Oral Roberts University that ORU plans to launch a School of Medicine led by Dr. James Winslow. He also announced other graduate schools: School of law, School of Business, School of Dentistry, School of Theology.

Informed Consent And Medical Experimentation, George H. Martin Jr.

IUSTITIA

Certain biomedical technologies already or almost already with us "threaten to reduce the meaning of man and to degrade the human spirit in the very process of becoming technologically feasible, long before the final stage of deployment and widespread use has been reached." It is this threat that has prompted me to consider certain medical and legal problems associated broadly with the human experimentation process. I shall be examining the concept of "informed consent" to both experimental medical therapy and nontherapeutic scientific experimentation as a means of protecting man from the potential ravages of a zealous application of scientific advances …

Pesticide Regulation And The Farm Worker, R. Craig Loveless

IUSTITIA

It has long been recognized that many pesticide products offer a potential hazard, which if unregulated, may result in injury or death. The development of highly toxic pesticides during the last decade has created a need for stricter regulation of pesticide use in the agricultural community. Specifically, the farm worker of today is in need of legislative protection from exposure to deadly chemical agents now being used to control pests and disease in the fields and orchards. Regulating the handling and use of these dangerous pesticides is but one way to protect the farmer, the farm worker, and the environment. …

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

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 …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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

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

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

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.

Daily Temperature Rhythm In Hospitalized Female Patients, Phyllis L. Mcelmurry

Loma Linda University Electronic Theses, Dissertations & Projects

The study was designed to determine the hour when temperature peaks occur in adult hospitalized females, and to find if factors such as age and natural or surgical menopause with replacement therapy affect the thermal circadian cycle. Previous studies indicated that the temperature peak occurs in afternoon or early evening, but there were no investigations to determine if aging, sex, or menopause affects the temperature cycle.

The sample included 62 female patients, 29 between 21 and 62 years of age, and 33 between 65 and 90 years. Each subject admitted to the study was screened against fifteen qualifying criteria. Some …

Comparative Evaluation Of Health Delivery Projects Serving The Navajo Population, Oklahoma City Area Indian Health Service Advisory Board, Inc.

Native Health Database Full Text

Report evaluating health delivery projects serving the Navajo population by the Oklahoma City Area Indian Health Service Advisory Board.

Your Dentist Is Involved (In The National Hight Blood Pressure Education Program) (1975), American Dental Association, National High Blood Pressure Education Program

Patient Dental Health Education Materials 1929-1981

No abstract provided.