Montefiore Hospital Research Articles

Changes in child psychiatry training required by developmental-adaptive theory.

Department of Psychiatry, Montefiore Hospital and Medical Center, Bronx, New York, and Professor of Medical Center, Bronx, New York, and Professor of Psychiatry, Albert Einstein College of Medicine

A tomographic magnifying collimator system for the gamma camera.

HomeRadiologyVol. 102, No. 2 PreviousNext Nuclear MedicineA Tomographic Magnifying Collimator System for the Gamma CameraS. Rudin, K. L. Rider, H. E. HartS. Rudin, K. L. Rider, H. E. HartAuthor Affiliations Nuclear Medicine Section Montefiore Hospital and Medical CenterBronx, N. Y. 10467S. RudinK. L. RiderH. E. HartPublished Online:Feb 1 1972https://doi.org/10.1148/102.2.371MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractA system is proposed which increases the lateral resolution of the standard tomographic rotating collimator for the gamma camera. The angled parallel channel collimator is altered by focusing the channels so as to result in an angled convergent channel or magnifying collimator. It is shown that the magnified tomographic image at the camera crystal provided by the proposed system improves the detectability of higher spatial frequencies in the plane of interest. The intrinsic camera modulation transfer function for various frequencies and magnifications is calculated.Article HistoryAccepted: July 1971Published in print: Feb 1972 FiguresReferencesRelatedDetailsCited ByQuantitative evaluation of the depth effect in Muehllehner's tomographic camera27 May 2002 | Physics in Medicine and Biology, Vol. 22, No. 5Recommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 102, No. 2 Metrics Altmetric Score PDF download

Dental Service at Teamster Comprehensive Care Program, Montefiore Hospital and Medical Center

The Teamster Comprehensive Care Program at Montefiore Hospital and Medical Center, Bronx, NY, was a 2½-year pilot demonstration project. Complete medical and dental care was provided without charge to about 1,000 Teamster families. In dental care, fillings, radiographs, extractions, and oral prophylaxes accounted for almost 80% of the services received.

Facial dimple: its formation by a simple technique.

From the Albert Einstein College of Medicine and Montefiore Hospital and Medical Center, New York, N.Y.

NEUROLEPTANALGESIA FOR PERORAL ENDOSCOPY

Departments of Anesthesiology, Montefiore Hospital and Medical Center, and the Albert Einstein College of Medicine, Bronx, New York

The Surgical Management of Vascular Diseases

In 1969 a symposium on vascular diseases was held at Montefiore Hospital in New York under the direction of Dr. Haimovici, with the collaboration of a number of prestigious colleagues. Several of the original presentations were printed in their original lecture format. With so many eminent contributors working together, an outstanding volume should have been produced. The result is disappointing. An adequate presentation of recent progress in the expanding field of vascular surgery in only 250 pages of text requires clear objective synoptic writing, as well as a balanced selection of subjects. Several contributors met these requirements, notably in chapters on angiospastic vascular disorders, diseases of thoracic aorta [sic], aneurysms of the lower extremity, surgical management of cerebral-vascular insufficiency. A few chapters were so compressed as to be of negligible value. Unfortunately, some authors devoted their chapters to rather prejudiced presentations of personal hypotheses or techniques, while ignoring opposing and

Cellular and Metabolic Alterations in Obese Rats Treated with Monosodium Glutamate During the Neonatal Period

WALTER HEYMANN (Cleveland, Ohio): I think that is a fascinating business. To be obese without weighing too much is a frightening thought, and I wonder if you had any information on blood lipids, cholesterol, total lipids, other lipids. Dr. KNITTLE : No, we do not. I do not think that it is such an uncommon thing to be obese and weigh the same as a nonobese individual, if one defines obesity as an excessive accumulation of adipose cells and increase in cell size. H. GHADIMI (Brooklyn, N.Y.): The investigators have prudently avoided extrapolating their results to human infants. Nevertheless, presentation of their data at a pediatric society has the tacit implication that monosodium glutamate (MSG) may have undesirable effects in human infants. To say the least, this conclusion has been repeatedly published following OLNEY'S reports [Science 165: 1028 (1969) and 166: 386 (1969)]. Completely overlooking the difference between humans and other species, the parenteral administration of any substance cannot be accepted as analogous to ingestion. We happen to consume MSG by mouth. Giving an oral load of MSG as high as 600 mg/kg body weight to a human infant did not cause a significant increase in the plasma level of glutamine-glutamic acid. Even the peak values were rather close to the upper limit of normal. This means that the busy crossroad of glutamine-glutamic acid in the liver has no red light; that is, glutamine and glutamic acid are quickly and efficiently metabolized. Obviously, if the route of administration bypasses the liver, the situation is entirely different. My comments on the ‘fattening’ effect of MSG is that alanine and glutamine seem to participate in gluconeogenesis more than other amino acids in rats [PALEOLOGOS, C.; MUNTWYLER, E., and KESNER, L.: Alanine and glutamine levels in rat liver tissue. A direct relationship to gluconeogenic state. PSEBM 132:270 (1969)]. Dr. KNITTLE : We assiduously avoided not mentioning anything about humans, and I really will not be here to defend either the use or lack of use of MSG, either in baby foods or any other foods. I do not think that merely measuring levels of an amino acid circulating in the blood can give you enough information as to what it is doing on a cellular level. I do not want to imply that the giving of MSG is going to make all our babies fat. I merely present this as a very interesting tool which has shown marked alterations in the fat accumulation, and we have seen now in some studies that we do run into a number of individuals whose obesity, at least in its early stage, is exemplified primarily by an increase in cell lipid content, much higher than others of the same age who are of normal weight. I think the whole area of growth and development in critical periods has been very difficult to look at in terms of adipose tissue growth and development. Getting a tool that would directly eliminate the problem of large litter size is difficult because one's harvest here is not too good, and one cannot make very clearly defined critical period determinations. I would like to stress that I think this is a very useful tool. I certainly do not want to extrapolate anything from the rat into people, either in the area of adipose tissue or, for that matter, in the area of the brain. LAURENCE FINBERG (Montefiore Hospital, New York, N.Y.): Have you fed any animals monosodium glutamate rather than injecting them with it? Dr. KNITTLE: We are in the process of doing studies with feeding experiments, but I can only refer you to the article in Science by OLNEY, who has demonstrated quite conclusively that glutamate, asparatate, and cysteine given orally, in high doses, can produce lesions of the brain. Whether this will lead to obesity, I do not know. It is of interest, parenthetically, that in the one animal that we have autopsied, we have found no significant lesions in the arcuate area of the brain, as OLNEY described. So it is possible that obesity may be a phenomenon that is quite separate from the problem of brain damage. I think the possibility of the pancreas entering into this is very important. We are going to try to repeat this in the group treated orally. LYMAN A. PAGE (Stanford School of Medicine, Palo Alto, Calif.): Do you have data on whether the reduced size of other organs is due to reduced cell number? Dr. KNITTLE : We have no data now. We have organs in the deep freeze, and we will be doing DNA and protein ratios to determine cell number and size.

A Controlled Evaluation of the Effectiveness of Comprehensive Pediatric Care in Influencing Patient Compliance

A Controlled Evaluation of the Effectiveness of Comprehensive Pediatric Care in Influencing Patient Compliance

BASAL NARCOSIS FOR REPAIR OF CLEFT LIP IN INFANTS

Division of Anesthesiology, Montefiore Hospital and Department of Anesthesiology, Albert Einstein College of Medicine of Yeshiva University, New York, New York

Emergency Cardiac Pacing in Hyperkalemia

Hyperkalemia can be readily diagnosed when the history is available or characteristic tall peaked T waves are seen on the electrocardiogram. However, emergency treatment may be required in hyperkalemic patients, particularly in the absence of a history or typical electrocardiographic patterns. In the following case report the patient presented in severe congestive heart-failure with a ventricular rate of 20 per minute. Emergency cardiac pacing markedly improved the cardiac failure until more specific therapy was instituted. We believe this to be the first published report of cardiac pacing in hyperkalemia. <h3>Patient Summary</h3> A 77-year-old diabetic woman was admitted to Montefiore Hospital and Medical Center, Bronx, NY, with a six-hour history of marked congestive heart-failure, and severe epigastric pain. The patient had been hospitalized three months previously in moderate congestive failure and discharged on a regimen of daily digoxin (0.25 mg alternating with 0.50 mg), hydrochlorothiazide (50 mg), and potassium chloride (45

Serving the Aged: Educational Needs As Viewed by Practice

ELAINE M. BRODY, MSSA, is Director, Department of Social Work, Philadelphia Geriatric Center, Phila delphia, Pennsylvania. This is a combined and condensed version of two papers: Educational Needs as Viewed by Practice, which was prepared for the seminar, Gerontology and Higher Educa tion, sponsored by the New Jersey Division on Aging, Department of Community Affairs, Prince ton, N.J., February 24, 1968; and Augmenting and Preserving the Functioning Capacities of Aging Persons: The Geriatric Center and the Home for the Aged, which was presented at the Institute on Comprehensive Health Services for the Aging, Montefiore Hospital Association of Western Penn sylvania, Pittsburgh, Pa., September 11, 1967. knowledge and its utilization in meeting human needs, and between the accumulated fragments of knowledge and their meaning ful synthesis. In general, attitudes and approaches to the aged are those that de veloped in relation to other groups of peo ple, for other purposes, and during an earlier phase in history. They are not con sonant with current realities. In the main

Emergency cardiac pacing in hyperkalemia

Hyperkalemia can be readily diagnosed when the history is available or characteristic tall peaked T waves are seen on the electrocardiogram. However, emergency treatment may be required in hyperkalemic patients, particularly in the absence of a history or typical electrocardiographic patterns. In the following case report the patient presented in severe congestive heart-failure with a ventricular rate of 20 per minute. Emergency cardiac pacing markedly improved the cardiac failure until more specific therapy was instituted. We believe this to be the first published report of cardiac pacing in hyperkalemia. <h3>Patient Summary</h3> A 77-year-old diabetic woman was admitted to Montefiore Hospital and Medical Center, Bronx, NY, with a six-hour history of marked congestive heart-failure, and severe epigastric pain. The patient had been hospitalized three months previously in moderate congestive failure and discharged on a regimen of daily digoxin (0.25 mg alternating with 0.50 mg), hydrochlorothiazide (50 mg), and potassium chloride (45

Diarthrodial Joints Revisited

From the Medical Service, Montefiore Hospital, and the Department of Medicine, Albert Einstein College of, Medicine; the Study Group on Rheumatic Diseases, and the Departments of Medicine and Orthopedic Surgery, New York University College of Medicine, New York

POSTOPERATIVE ANTEROGRADE AMNESIA

Montefiore Hospital and Medical Center, New York, New York, and University of California, Berkeley, California

Delayed radiation necrosis of the hypothalamus. Report of a case simulating recurrent craniopharyngioma.

RADIATION therapy for intracranial neoplasms occasionally evokes necrosis of the brain.1,2The neurological deficits due to radiation necrosis are usually delayed, occurring several months to several years after the therapy; this may lead to an erroneous diagnosis of the recurrence of the original tumor.1-4This report concerns a case of radiation necrosis of the hypothalamus and optic chiasm following surgical and radiation therapy for a craniopharyngioma. Terminal endocrinological and neurological manifestations in this patient were clinically ascribed to recurrent craniopharyngioma. The pathological changes in the brain of this patient illustrate the significance of the vascular alterations in the production of delayed radiation necrosis. Report of a Case A 44-year-old woman was admitted to Montefiore Hospital and Medical Center in July 1965 because of progressive visual loss for several months and generalized headaches with occasional vomiting for two weeks. Her menopause occurred one year ago and since then,

The Loeb Center for nursing and rehabilitation, Montefiore Hospital and Medical Center, Bronx, New York

Resume L'article decrit le nouveau programme, plutot revolutionnaire, du Loeb Center for Nursing and Rehabilitation du Montefiore Hospital and Medical Center , une institution qui tient a la fois de l'hopital et du home. L'execution du programme est l'affaire du personnel infirmier, la medecine n'ayant qu'un role subordonne: l'idee fondamentale est que les patients realiseront leur potentiel maximal par un processus educatif. C'est pourquoi des infirmieres de metier formees comme educatrices assument tous les soins de nursing en mettant a profit les soucis de l'eleve, que celui-ci leur communique pendant ces soins comme le sens de ses examens, decisions, buts et actions, tandis qu'elles le voient ainsi que sa famille, qui peut venir en visite a toute heure du jour et de la nuit, a la lumiere des soins medicaux moins intensifs au cours de cette phase de son sejour a l'hopital. Le nursing est axe sur les soucis du patient et de sa famille au Centre Loeb, ce qui contraste avec l'hopital classique, ou le nursing est axe sur le travail et sur sa repartition parmi une hierarchie de personnel infirmier moins bien prepare, charge d'executer le travail. La difference reside dans la notion meme du nursing. A l'hopital classique elle consiste en une echelle progressive de fonctions. Au Centre Loeb, par contre, on part de la notion que d'une part les soins, les cures et les aspects essentiels, representant les soins de bien-etre physique, la pathologie et le traitement, et d'autre part la personne du patient vue comme un tout integre, procurent une maniere therapiquement plus efficace d'aborder la pratique du nursing et son organisation materielle. Aider les patients a penetrer au coeur de leurs difficultes par un enseignement qui facilite reellement la comprehension signifie que le patient doit etre invite a apprendre quelque chose de soi-meme comme une personne, autant qu'a se familiariser avec des faits qui seront fort utiles a sa guerison. L'article decrit une methode de communication selon Rogers modifiee et convenant au nursing, qui invite le patient a reveler et a decouvrir des sentiments decoulant de perceptions qui peuvent determiner un comportement maladif. Lorsque le patient les a identifies, ces sentiments sont devenus conscients et le patient peut en disposer pour decider de son comportement et le modifier en apprenant des manieres plus productives d'etre et de devenir. La pedagogie complexe necessaire pour permettre d'apprendre plus facilement de cette facon necessite des infirmieres de metier, dont les connaissances de biologie, de pathologie et du comportement humain different de celles des auxiliaires non professionnelles mal formees pour dispenser plus que des soins de reconfort. Les resultats obtenus jusqu'a present revelent un avantage economique de la moitie des frais d'hopital, des sejours abreges et moins de readmissions, ainsi que des progres personnels et sociaux des patients vers un comportement plus mur. Un plan de recherches bien controle est maintenant en voie d'execution pour verifier si les effets que ce programme a sur les patients sont significativement plus considerables pour justifier la generalisation des soins et de l'enseignement infirmiers, tres difficiles, mais tres fructueux.

LYSOSOMES AND PINOCYTOSIS IN HUMAN AND EXPERIMENTAL BRAIN TUMORS*

Annals of the New York Academy of SciencesVolume 159, Issue 2 p. 497-508 LYSOSOMES AND PINOCYTOSIS IN HUMAN AND EXPERIMENTAL BRAIN TUMORS* Carl H. Sutton, Carl H. Sutton Departments of Neurological Surgery and Pathology Albert Einstein College of Medicine and the Division of Neurosurgery and Lucy and Henry Moses Research Laboratories of the Laboratory Division Montefiore Hospital and Medical Center The Bronx, N. Y. These studies were carried out during the tenure of Special Fellowship no. CA–13,380 from the National Cancer Institute, United States Public Health Service.Search for more papers by this authorNorwin H. Becker, Norwin H. Becker Departments of Neurological Surgery and Pathology Albert Einstein College of Medicine and the Division of Neurosurgery and Lucy and Henry Moses Research Laboratories of the Laboratory Division Montefiore Hospital and Medical Center The Bronx, N. Y.Search for more papers by this author Carl H. Sutton, Carl H. Sutton Departments of Neurological Surgery and Pathology Albert Einstein College of Medicine and the Division of Neurosurgery and Lucy and Henry Moses Research Laboratories of the Laboratory Division Montefiore Hospital and Medical Center The Bronx, N. Y. These studies were carried out during the tenure of Special Fellowship no. CA–13,380 from the National Cancer Institute, United States Public Health Service.Search for more papers by this authorNorwin H. Becker, Norwin H. Becker Departments of Neurological Surgery and Pathology Albert Einstein College of Medicine and the Division of Neurosurgery and Lucy and Henry Moses Research Laboratories of the Laboratory Division Montefiore Hospital and Medical Center The Bronx, N. Y.Search for more papers by this author First published: July 1969 https://doi.org/10.1111/j.1749-6632.1969.tb48300.xCitations: 15 * This investigation has been supported by grants from the National Institutes of Health of the United States Public Health Service, including grant no. CA–08008 from the National Cancer Institute and grant no. NB–05257 from the National Institute for Neurological Diseases and Blindness. § The authors wish to express their gratitude to Melvin L. Tiell for technical assistance in the histochemical, electron microscopical, and biochemical analysis of tissue specimens, and to Robert Campanella for the preparation of medical illustrations. 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 onFacebookTwitterLinkedInRedditWechat Citing Literature Volume159, Issue2Research in the Experimental and Clinical Aspects of Brain TumorsJuly 1969Pages 497-508 RelatedInformation

To the Editor

Journal Article To the Editor Get access ANTHONY H. VAGNUCCI ANTHONY H. VAGNUCCI 1The Montefiore Hospital Pittsburgh, Pennsylvania 15213 Search for other works by this author on: Oxford Academic Google Scholar The Journal of Clinical Endocrinology & Metabolism, Volume 29, Issue 7, 1 July 1969, Pages 989–990, https://doi.org/10.1210/jcem-29-7-989 Published: 01 July 1969

The role of voluntary and governmental groups of physicians.

IN THIS presentation I shall assume that social and scientific progress have so altered nature of medical science as to mandate changes in way medical care is delivered. It is my belief that a wider application of group practice would ease but not eliminate what Surgeon General Stewart1-3has called the present crisis of unfulfilled health needs in United States. I am also assuming without further elaboration that health and society are interrelated and interdependent4-6and that both social and medical factors influence individual and collective health. Therefore, changes in medical care delivery may not, in themselves, necessarily improve national health. I propose to discuss group practice, to indicate its potential advantages for patient, physician and society, and to describe three medical groups operated by Montefiore Hospital, commenting briefly upon their similarities and differences and upon their possible role in house staff

Non-Neoplastic Intracranial Lesions

This joint effort from the departments of radiology, neurosurgery, neurology, and neuropathology of the Montefiore Hospital and Medical Center continues the transcription of conferences covering diseases of the nervous system. Earlier volumes of this series dealt with scalp, skull, meninges, and glial tumors of the brain. In this volume there is a wealth of information concerning congenital anomalies, trauma, infections, vascular malformations and occlusive disease, degenerative diseases, pseudotumor, etc. Radioisotopic and ultrasonic investigations are not included. In great part, the material is presented as brief case histories, followed by radiologic studies, clinical impressions, and operative or autopsy studies. A few (37 in all) references to pertinent articles are included. The greatest bulk of the book consists of radiograms. These seem not to be as well done as in the previous volumes, and often the details of sellar changes, calcifications, split sutures, etc, are better seen in the air or angiographic