Latter-day Saints Hospital Research Articles

Maternal-Fetal pH Difference and Fetal Scalp pH as Predictors of Neonatal Outcome

Departments of Obstetrics and Gynecology and Family and Community Medicine, University of Utah School of Medicine, and Latter-Day Saints Hospital, Salt Lake City, Utah

Cell may lose 'killer instinct'

Since discovery of the leukocyte subpopulation called natural killer (NK) cells, researchers have been studying what these that act like phagocytes do. Now, Salt Lake City investigators have clues as to what may happen in the absence of NK cells. The team, from the University of Utah College of Medicine and Latter-Day Saints Hospital, assayed for NK cell activity in 16 patients with idiopathic, dilated (congestive) cardiomyopathy. This disorder, while not well understood, is believed to involve immunologic and viral factors. The activity of the patients' mononuclear lymphocytes was assayed with a cell line commonly used as a target for NK cells. Results showed that NK cell activity was virtually absent in eight of the 16 patients. When those eight patients were retested six months later, NK cell activity had returned to normal in one—the only one among the eight who had quickly recovered from the cardiomyopathy. This could

Cancer of the head and neck in Utah

The population of Utah consists of 71.5 per cent Mormons, whose church discourages the use of tobacco and alcohol. The effect of this admonition has resulted in a cigarette consumption per capita that is 52 per cent of the United States average and a 43 per cent reduction in the incidence of cancer of the tongue, mouth, oropharynx, hypopharynx, and larynx. A study of the smoking habits of patients with cancer of the head and neck at the Latter-day Saints Hospital showed that the majority of patients with these lesions were smokers.

Using a dedicated small computer in conjunction with a time-shared system in a hospital intensive care unit

The digital computer has become a valuable tool for monitoring critically ill patients. Large computer systems, e.g., the time-shared system ( 1) at the Latter-Day Saints Hospital, offer the advantages of (1) base of programming, (2) central record keeping, (3) flexibility and (4) computing capability; whereas small dedicated computers offer the advantages of (1) simplicity, (2) stand-alone capability, and (3) reliability. This paper describes a system which uses a small computer (PDP-8) in conjunction with a large time-shared computer (CDC-3200) for automation of blood analysis in the pediatric intensive care unit of the Primary Children's Hospital in Salt Lake City.

Infections and Antibiotic Use in a Large Private Hospital, January 1971

In a survey of infections and antibiotic usage at the Latter-day Saints Hospital in January 1971, 10.6% of the patients had community-acquired infections and 8.5% had infections acquired in the hospital. At Boston City Hospital in 1970 these prevalence ratios were 20.6% and 12.0%, respectively. Although all types of infections were more prevalent at Boston City Hospital, the greatest difference was noted in the prevalences of community-acquired infections. Gram-negative bacilli accounted for 60% or more of all bacterial isolates from nosocomial infections at both hospitals. The less frequent use of percutaneous intravenous catheters at the Latter-day Saints Hospital was attributed to intravenous therapy teams. Use of antimicrobial agents was similar in both hospitals. Prevalence surveys are useful in comparative studies of hospitals only if observer bias is reduced by identical methods of study.

Electrocardiographic interpretation by computer

A program for the automatic interpretation of electrocardiograms using a general purpose digital computer has been under development at the Latter-day Saints Hospital. The analysis is performed using the orthogonal XYZ Franck lead system. This system was chosen in order to reduce the amount of data transmitted and analyzed by the computer. Interpretive statements are made concerning only the QRS and ST-T waves of the electrocardiogram at this time. Development is under way for interpretation of the P wave as well as arrhythmia diagnosis.

Papillary adenocarcinoma arising in a thyroglossal duct remnant.

BETWEEN 18 to 28 cases of papillary adenocarcinoma arising in a thyroglossal duct remnant have been reported in the medical and surgical literature. Recently, a case was discovered at the Latter-day Saints Hospital and is herein reported. Report of a Case A 31-year-old white woman (No. 48552) was admitted to the Latter-day Saints Hospital with the chief complaint of a swelling in her neck. She stated that six months prior to this hospitalization, during her seventh month of pregnancy, she noted the onset of a lump in her neck. She described the mass as sensitive but not painful. She had no pressure symptoms. Physical examination was normal for her age with the exception of a midline cervical mass measuring 3 × 3 cm which was cystic in consistency and located midway between the notch of thyroid cartilage and the hyoid bone. It did elevate with swallowing. Results of all laboratory

A STUDY OF DISPERSION OF AN INDICATOR IN THE CIRCULATION*

Annals of the New York Academy of SciencesVolume 115, Issue 2 p. 721-737 Part III. Physiology A STUDY OF DISPERSION OF AN INDICATOR IN THE CIRCULATION* K. K. Nicholes, K. K. Nicholes Latter-Day Saints Hospital, Salt Lake City, Utah Research fellow, National Heart Institute, U. S. Public Health Service.Search for more papers by this authorH. R. Warner, H. R. Warner Latter-Day Saints Hospital, Salt Lake City, Utah Recipient of Research Career Award, National Heart Institute, U. S. Public Health Service.Search for more papers by this authorEarl H. Wood, Earl H. Wood Mayo Clinic and Mayo Foundation, Rochester, Minn. Career Investigator, American Heart Association.Search for more papers by this author K. K. Nicholes, K. K. Nicholes Latter-Day Saints Hospital, Salt Lake City, Utah Research fellow, National Heart Institute, U. S. Public Health Service.Search for more papers by this authorH. R. Warner, H. R. Warner Latter-Day Saints Hospital, Salt Lake City, Utah Recipient of Research Career Award, National Heart Institute, U. S. Public Health Service.Search for more papers by this authorEarl H. Wood, Earl H. Wood Mayo Clinic and Mayo Foundation, Rochester, Minn. Career Investigator, American Heart Association.Search for more papers by this author First published: 01 July 1964 https://doi.org/10.1111/j.1749-6632.1964.tb00056.xCitations: 11 * This investigation was supported in part by Research Grants H-4664 and FR-00007 from the National Heart Institute, National Institutes of Health, U. S. Public Health Service. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume115, Issue2July 1964Pages 721-737 RelatedInformation

A PLAN OF ACTION IN CARDIAC ARREST. A DETAILED PLAN FOR TREATMENT OF HOSPITALIZED PATIENTS.

Even with mouth-to-mouth breathing and closed-chest cardiac massage, treatment of the usual hospital patient in cardiac arrest is difficult because equipment, medication, and several well-trained people must be mobilized to the patient's bedside within four minutes. A detailed plan of action for treatment in this emergency was therefore developed at the Latter-Day Saints Hospital in Salt Lake City in 1961. In the past 19 months, 18 patients have been successfully resuscitated; five of them are alive today. This plan has consistently been very successful in providing the patient with the necessary help well within the four-minute time limit. It was found, however, that successful resuscitation depended not only on planning and organization, but also on perseverance in continued orientation and training of personnel.

Nursing Care of the Patient with a Prosthetic Heart Valve

JD Mortensen Mrs. Briggs (B.S., University of Utah, Salt Lake City, Utah; M.S., Washington University, St. Louis, Mo.) was clinical supervisor on the cardiovascular unit at the Latter-Day Saints Hospital in Salt Lake City, and participated actively in the nursing care of heart surgery patients. She is now semi-retired caring for her family at home, and working part time. Dr. Mortensen (M.D., University of Southern California, Los Angeles, Calif.), a fellow of the American College of Surgeons, American College of Chest Physicians, and American Association for Thoracic Surgery, and a diplomate of the American Board of Surgery and Board of Thoracic Surgery, is a thoracic surgeon at the Rumel Chest Clinic and Latter-Day Saints Hospital and clinical instructor in surgery at the University of Utah School of Medicine, all in Salt Lake City.

Symposium on Use of Indicator-Dilution Technics in the Study of the Circulation

These are the published proceedings of a symposium held on Jan. 3, 1961, in Salt Lake City, sponsored jointly by the Council on Circulation of the American Heart Association and the Latter-Day Saints Hospital at Salt Lake City. It was first published as Part 2 of the March, 1962, issue of<i>Circulation Research</i>. Collected within the pages of this valuable little book are the thoughts, experiences, and discoveries of several of the most eminent investigators who have used the Stewart-Hamilton dye dilution principle. The organization of the symposium is admirable. The first 2 articles are devoted to nomenclature, symbols commonly used in indicator-dilution work, and the history of development of the technique. Three articles follow, examining in depth the theory and mathematical basis for the measurement of flow and volume by this method. Four articles discuss various types of indicators, their applications, and limitations. Two articles then assess the use

Developing an Evaluation Tool by Group Action

S IT POSSIBLE TO develop a method of personnel evaluation which will actually measure what it claims to measure and will, at the same time, prove acceptable to all who will be affected by it? This is a pressing problem today, not only for hospital and nursing service administrators, but also for industrial organizations, school systems, and all other agencies employing large numbers of personnel. At Latter-day Saints Hospital, we believe that the answer to the above question can be "yes," provided that all who will be involved

Developing an Evaluation Tool by Group Action

S IT POSSIBLE TO develop a method of personnel evaluation which will actually measure what it claims to measure and will, at the same time, prove acceptable to all who will be affected by it? This is a pressing problem today, not only for hospital and nursing service administrators, but also for industrial organizations, school systems, and all other agencies employing large numbers of personnel. At Latter-day Saints Hospital, we believe that the answer to the above question can be yes, provided that all who will be involved

Ischemic necrosis due to administration of metaraminol. Report of a case.

The use of sympathomimetic amines, such as arterenol (Levophed) bitartrate and metaraminol (Aramine) bitartrate, as vasopressor agents in the treatment of clinical hypotension has received widespread acceptance. The occurrence of ischemic necrosis secondary to the administration of arterenol has been well documented. 1 Due to the physiological similarity of these drugs it could be expected that such a complication would arise with extensive use of metaraminol. One such case was reported recently. 2 The following is a report of a similar case. A 62-year-old man was admitted to the Latter-day Saints Hospital on April 17, 1959, with the type of electrocardiographic changes found in patients with acute, posterior myocardial infarction, a white blood cell count of 11,200 per cubic millimeter, and a serum transaminase level of 56 Todd units. At the time of admission the patient's blood pressure was 130/100 mm. Hg in both arms, and his pulse rate was

Section of the neurovascular bundle: its effect on palatal bulk.

From the W.H.Groves Latter-Day Saints Hospital, Department of Plastic and Reconstructive Surgery, Salt Lake City, Utah ‡ Resident in Plastic Surgery

The dynamic pharyngeal flap; its selective use and electromyographic evaluation.

† Active Staff and Chief, Department of Plastic Surgery, W. H. Groves Latter-Day Saints Hospital, and Associate Clinical Professor, Department of Surgery, University of Utah, School of Medicine.

Pediatric anesthesia in plastic surgery.

From the Latter-Day Saints Hospital and the University of Utah College of Medicine, Department of Surgery, Divisions of Anesthesiology and Plastic Surgery, Salt Lake Cily, Utah

Psychiatric complications of mitral surgery; report of death after electroshock therapy.

We became aware that major psychiatric disturbances might complicate mitral surgery when two postoperative patients developed severe schizophrenic reactions. Both were hospitalized on the psychiatric service and treated with electroshock. The first patient responded dramatically and rapidly recovered. The second developed a respiratory arrest after the third electroshock treatment and died. The appearance of two schizophrenic reactions after mitral surgery prompted us to review the clinical records of all 37 adult patients who had undergone the operation at the Latter-Day Saints Hospital to determine the frequency of major psychiatric complications. Psychological data on these patients were understandably sparse, since the surgical staff had been concerned primarily with the difficult medical and surgical problems posed and had not anticipated any important emotional upsets. Nevertheless, despite the paucity of psychiatric information, the number of major psychiatric disorders reported in the clinical records was impressive. It was felt that these findings might be

UNILATERAL RENAL TUBERCULOSIS ASSOCIATED WITH HYPERTENSION

Case Reports1 August 1941UNILATERAL RENAL TUBERCULOSIS ASSOCIATED WITH HYPERTENSIONG. GILL RICHARDS, M.D., F.A.C.P.G. GILL RICHARDS, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-15-2-324 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBecause Goldblatt1 could, by removing the ischemic kidney in his experimental hypertensive dogs, cause a fall of blood pressure to normal, the possible clinical application of his results to cases of essential hypertension in man aroused considerable interest, particularly among internists and urologists. The following report deals with a case of unilateral renal tuberculosis with hypertension and the satisfactory result which has continued for 11 months after nephrectomy.CASE REPORTL. P., a married white male, aged 37 years, was admitted to the Latter-Day Saints Hospital on January 10, 1940, complaining of occipital headaches of extreme degree, fatigue, shortness of...Bibliography1. GOLDBLATT H: Studies on experimental hypertension due to renal ischemia, ANN. INT. MED., 1937, xi, 69-103. LinkGoogle Scholar2. BUTLER AM: Chronic pyelonephritis and arterial hypertension, Jr. Clin. Invest., 1937, xvi, 889-897. CrossrefGoogle Scholar3. BARNEYSUBY JDHI: Unilateral renal disease with arterial hypertension, New England Jr. Med., 1939, ccxx, 744-746. CrossrefGoogle Scholar4. CRABTREE EG: Hypertension in destructive infected unilateral lesions of the kidney, Trans. Am. Assoc. Genito-Urin. Surgeons, 1938, xxxi, 299-319. Google Scholar5. LEADBETTERBURLAND WFCE: Hypertension in unilateral renal disease, Jr. Urol., 1938, xxxix, 611-626. CrossrefGoogle Scholar6. BOYDLEWIS CHLG: Nephrectomy for arterial hypertension, Jr. Urol., 1938, xxxix, 627-635. CrossrefGoogle Scholar7. BARKERWALTERS NWW: Hypertension and chronic pyelonephritis: results of nephrectomy, Jr. Am. Med. Assoc., 1940, cxv, 912-916. CrossrefGoogle Scholar8. FITZ R: Hypertension, Mississippi Doctor, 1940, xvii, 531-541. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Salt Lake City, Utah*Received for publication December 27, 1940. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAtypical causes of curable renovascular hypertension: A reviewRenal hypertension secondary to renal tuberculosisAmelioration of Asthma and Hypertension after Nephrectomy for Renal TuberculosisUnilateral Nephrectomy in Hypertensive DiseaseHypertension in Unilateral Renal Disease 1 August 1941Volume 15, Issue 2Page: 324-328KeywordsBlood pressureFallsFatigueHypertensionKidneysNephrectomy ePublished: 1 December 2008 Issue Published: 1 August 1941 PDF downloadLoading ...