Perry Point Research Articles

DIABETES AND PANHYPOPITUITARISM

Case Reports1 July 1954DIABETES AND PANHYPOPITUITARISMBEN ROTHFELD, M.D., J. M. RODAS, M.D.BEN ROTHFELD, M.D.Search for more papers by this author, J. M. RODAS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-1-140 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONThe syndrome of panhypopituitarism was first clearly defined in 1914 by Simmonds.1He felt that the pathogenesis of this disease post partum was due to the embolic occlusion of the arterial blood supply, with resultant ischemic necrosis of the pituitary. That this was not the true pathogenesis was shown by Sheehan in a series of papers.2-4In these papers he proved that the etiology in cases developing post partum was that the blood supply of the gland after delivery is normally reduced rapidly. If further reduced by circulatory collapse the blood flow may reach an extremely low level. Thrombosis...Bibliography1. Simmonds M: Über Hypophysisschwund mit tödlichem Ausgang, Deutsche med. Wchnschr. 40: 322-323 (Feb.) 1914. CrossrefGoogle Scholar2. Sheehan HL: Postpartum necrosis of the anterior pituitary, J. Path. and Bact. 45: 189-214 (July) 1947. CrossrefGoogle Scholar3. Sheehan HL: Postpartum necrosis of anterior pituitary. Pathological and clinical aspects, J. Obst. and Gynec. Brit. Emp. 45: 456-489 (June) 1938. CrossrefGoogle Scholar4. Sheehan HL: Simmonds' disease due to post-partum necrosis of the anterior pituitary, Quart. J. Med. 8: 277-309 (Oct.) 1939. Google Scholar5. SheehanSummers HLK: The syndrome of hypopituitarism, Quart. J. Med. 18: 319-378 (Oct.) 1949. MedlineGoogle Scholar6. Calder RM: Anterior pituitary insufficiency (Simmonds' disease), Bull. Johns Hopkins Hosp. 50: 87, 1932. Google Scholar7. LyallInnes AJA: Diabetes mellitus and the pituitary gland: a case of diabetes with intercurrent pituitary lesion and concomitant improvement of diabetes, Lancet 1: 318, 1935. CrossrefGoogle Scholar8. KotteVonderahe JHAR: The Houssay phenomenon in man: a case of diabetes mellitus, infarct of anterior pituitary and terminal hypoglycemia, J. A. M. A. 114: 950, 1940. Google Scholar9. FeldmanRobertsSisselmanLipetz FJBSB: Coincidence of diabetes mellitus and hypopituitarism, Arch. Int. Med. 79: 322-332 (Mar.) 1947. CrossrefGoogle Scholar10. VandenbroeckFerin JJ: L'influence de l'insuffisance hypophysaire sur le cours du diabetique pancreatique. Une observation humaine. Les effets de la gonadotrophine serique d'origine equine chez la femme, Ann. d'endocrinol. 8: 366-369, 1947. Google Scholar11. MarzulloHandelsman ERMB: Pituitary necrosis and diabetes mellitus, J. Clin. Endocrinol. 11: 537-547 (May) 1951. CrossrefGoogle Scholar12. Williams FW: Pituitary necrosis in diabetic during pregnancy, Diabetes 1: 37-40 (Jan.) 1952. CrossrefMedlineGoogle Scholar13. de BodoKurtzAncowitzKiang RCMASP: Loss of insulin hypersensitivity and development of diabetes in hypophysectomized dogs produced by purified growth hormone, Proc. Soc. Exper. Biol. and Med. 74: 524-526 (July) 1950. CrossrefMedlineGoogle Scholar14. MayerSilides JD: A quantitative method of determination of the diabetogenic activity of growth hormone preparations, Endocrinology 52: 54-56 (Jan.) 1953. CrossrefMedlineGoogle Scholar15. Young FG: Banting Memorial Lecture: Endocrine approach to problem of diabetes, Proc. Am. Diabetes A. 10: 11-22, 1950. Google Scholar16. Houssay BA: Carbohydrate metabolism, New England J. Med. 214: 971-982 (May) 1936. CrossrefGoogle Scholar17. Selye H: Textbook of endocrinology, 1949, Univ. de Montreal, p. 206-207. Google Scholar18. Williams RH: Textbook of endocrinology, 1950, Saunders, Philadelphia, p. 16-17. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Perry Point, Maryland*Received for publication January 5, 1954.From the Medical Service, Veterans Administration Hospital, Perry Point, Maryland.Published with permission of the Chief Medical Director, Department of Medicine and Surgery, Veterans Administration, who assumes no responsibility for the opinions expressed or conclusions drawn by the authors. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHormonal Diabetes Secondary to Extrapancreatic EndocrinopathiesHormonal DiabetesThe Coincidence of Diabetes Mellitus and Pituitary InsufficiencyAmelioration of Diabetes Mellitus after Pituitary InfarctionThe Houssay phenomenon in man 1 July 1954Volume 41, Issue 1Page: 140-146KeywordsBloodBlood flowEtiologyMedical servicesNecrosisPanhypopituitarismPathogenesisSurgeryThrombosis ePublished: 1 December 2008 Issue Published: 1 July 1954 PDF downloadLoading ...

Money: a rehabilitation incentive for mental patients.

An attempt has been made to combine a culturally powerful incentive common to mental hospital environment and society with the motivational system of certain hospitalized psychiatric patients to effect a successful rehabilitation. This has taken the form of monetary reward for socially acceptable productive activity, which forms a bridge between hospital adjustment and "outside" adjustment. It allows the individual to set his own ultimate goals and rewards. It initiates and demands group activity for obtaining the reward. It makes the mental patient undertake normal behavior for normal rewards. At Perry Point Veterans Administration Hospital, the theory was translated to the practical application of a member-employee system under which certain psychiatric patients were discharged to work as hospital employees with monetary rewards and certain subsidiary benefits. Of 20 patients only 3 were readmitted to the hospital. Remarkable personal adjustment resulted with improvements in appearance, behavior, and self-esteem. It enabled a financial saving to the government of approximately $69,379.55 per year. It has given current occupational-therapy and manual-arts procedures a higher goal and purpose. It gives the placement officer a recent work history to facilitate his task with industrialists. It permits former mental patients to be hired on the same basis as normal individuals. It is proposed to develop the member-employee system to the point of grading hours and tasks to various levels of patient adjustment. It has proved to be a most effective intermediate extramural rehabilitation process.

Principles and Practice of Rehabilitation

Journal Article Principles and Practice of Rehabilitation Get access Principles and Practice of Rehabilitation. By John Eisele Davis, M.A., Sc.D., Veterans Administration Facility, Perry Point, Md. Cloth. Price, $3. Pp. 211. New York: A. S. Barnes and Company, 1943. Physical Therapy, Volume 24, Issue 5, September-October 1944, Page 224, https://doi.org/10.1093/ptj/24.5.224a Published: 01 September 1944

Principles and Practice of Recreational Therapy for the Mentally Ill

Journal Article Principles and Practice of Recreational Therapy for the Mentally Ill Get access Principles and Practice of Recreational Therapy for the Mentally Ill. By John E. Davis, B. A., M. A., Senior Physical Director, Veterans Administration Facility, Perry Point, Maryland, Fellow of the American Physical Education Association. In collaboration with Dr. William Rush Duntun, Jr., Editor of “Occupational Therapy and Rehabilitation,” Instructor in Psychiatry, The Johns Hopkins University. Cloth. Price $3.00. Pp. 206. New York. A. S. Barnes and Co. Inc., 1936. Physical Therapy, Volume 16, Issue 4, July 1936, Page 169, https://doi.org/10.1093/ptj/16.4.169 Published: 01 July 1936

Health Work in a Model Village: Second Annual Report of the Department of Health, Perry Point, MD

Health Work in a Model Village: Second Annual Report of the Department of Health, Perry Point, MD