ALTHOUGH it seems very likely that the renin-angiotensin system plays an important part in some types of hypertension its precise contribution to the pathogenesis of hypertension remains uncertain. Thus, for instance, plasma renin activity is frequently ...

ALVEOLAR hypoventilation may occur in clinically stable patients with myxedema although lung function is usually not seriously impaired.¹ Occasionally, the condition may be so severe that life-threatening respiratory failure ensues.^{2 , 3} The mechanism of ...

VENOUS thromboembolic disease is the most frequent complication after hip operations.^{1 2 3 4 5 6 7} Fatal pulmonary emboli occur in approximately 2 per cent of elective cases.^{6 , 8} Because the clinical diagnosis of thrombophlebitis is inaccurate,⁹ other ...

ONE of the most important functions of the Professional Standards Review Organization (PSRO) will be to discover problems in medical-care services and to stimulate the development of programs appropriate to their correction.¹ The PSRO will serve as a ...

IT is often said, and is undoubtedly true, that medical peer review is not a new concept unique to the Professional Standards Review Organization (PSRO) era. Nonetheless, PSRO provides the means for application of peer review at the level of the physician ...

INVESTIGATION of the literature gives evidence of a more important role for heredity in fertility and fertilization than appears to have been realized. Since both male and female contribute to the fertility level of the biologic unit, a diminished ...

THE functional assessment of myocardial performance includes a measurement of cardiac output. Such precise diagnostic information is particularly valuable in patients with cardiac disease who are undergoing catheterization or open-heart surgery. In the ...

DURING the past 10 years, we have observed that anisotropic intra-arterial fibers, similar to cotton or cellulose libers, are a common incidental finding in pathological specimens, found almost exclusively in post-mortem examination of patients who have ...

IN his first annual report¹ as chief medical officer at the Department of Health, Dr. Henry Yellowlees, who succeeded Sir George Godber, reviewed the trends in the state of the public health during 1973.

The most striking demographic feature of recent ...

Presentation of Case

A 64-year-old man was admitted to the hospital because of neutropenia.

He was well until two months previously, when he noticed a few "cold sores," accompanied by chilliness. Several days later he went to a physician, who admitted him ...

Traditionally, antihypertensive drug therapy has been empiric because the causes of hypertension could not be identified in most patients and, in consequence, blood-pressure responses to various forms of therapy could not be predicted. Among the new ...

No extract is available for articles shorter than 400 words.

Of the many outraged comments that the trial and conviction of Dr. Kenneth C. Edelin precipitated throughout the nation, that in the Washington Post was one of the harshest: "By convicting Dr. Kenneth C. Edelin for manslaughter, the State of Massachusetts ...

APPLICANTS FOR FELLOWSHIP

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Barnstable

Connolly, William James, 20 Gleason Street, Hyannis 02601. College of Medicine and Dentistry of New Jersey, New Jersey Medical ...

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To the Editor: Congratulations are due the authors of the recent article on the relation of licensure and competence of foreign medical graduates (FMG's) (N Engl J Med 292:137–141, 1975). This succinct article provides proof for the contention expressed ...

To the Editor: The recent upsurge in programs (audit, utilization, PSRO) to assess hospital care speaks well for the future standards of health care, but there is a disabling amount of duplication of presentation of material, and it must be brought under ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

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The receipt of the following books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.

Anesthesiology

The Year Book of ...

POSTGRADUATE COURSE IN PEDIATRICS

The annual course in general pediatrics, sponsored by Harvard Medical School's Department of Continuing Education, will be held at the Massachusetts General Hospital, May 19–23. In conjunction with the general course are ...

Acknowledging that what follows is akin to a playwright reviewing his own production, your correspondent will now recount a journalistic excursion through the minefields of medical orthodoxy.

I recently wrote an article in the Columbia University ...