Infections caused by enteric gram-negative bacilli are a major cause of morbidity and mortality in hospitalized patients.¹ Although gentamicin is the drug currently used most frequently to treat these infections, it is nephrotoxic and ototoxic,² and an ...

Patients with chronic symptomatic gastroesophageal reflux have decreased mean loweresophageal-sphincter pressure as compared to asymptomatic control subjects.^{1 2 3} Symptomatic improvement with bethanechol therapy⁴ or after fundoplication procedures is ...

Early recognition of symptomatic carotid-artery stenosis offers the possibility of stroke prevention. To determine the prevalence of radiologically evident carotid stenosis in patients with transient cerebral ischemic attacks, we analyzed 95 consecutive ...

The suggestion of forced altruism is abhorrent to most Americans. In contrast to some European countries, our laws do not require us to come to the aid of a person in peril.¹ Similarly, in the field of kidney transplantation, the idea of removing a kidney ...

Clinical Applications

Coronary-Artery Disease

Acute myocardial infarction. One of the striking developments in the past two years has been the ability to identify acutely infarcted myocardium with radiopharmaceuticals. Using 99mTc stannous pyrophosphate, ...

Hypoglycemia frequently develops in infants of diabetic mothers in the immediate postnatal period.^{1 , 2} Even in the presence of strict metabolic control during pregnancy, a greater decrease of blood glucose concentration is observed in the infants of ...

Endothelial cells line the insides of arteries, veins, capillaries and lymphatics, usually in a layer one cell thick. These cells have important roles in physiologic hemostasis, in the permeability of blood vessels and in mediation of their response to a ...

Presentation of Case

A 39-year-old woman was admitted to the hospital because of a mass in the neck.

She was well until three months previously, when a chronic, nonproductive cough developed; six weeks later the cough worsened. One month before entry a ...

Nowhere in medicine does the concept of altruism come into sharper focus than in the area of kidney donation: the donors face considerable pain and a small but measurable risk. In this issue of the Journal, Fost advocates that we extend the opportunity to ...

There is a plethora of statistics showing that the cost of health has risen considerably in the past few years and will continue to rise at an increasingly accelerating rate to the point where in two decades, as projected by some economists, it will ...

The Congress recently has passed and the President has signed into law the Health Professions Educational Assistance Act of 1976 (PL 94–484, 94th Congress). This act is a complex piece of legislation authorizing federal support for a variety of ...

DEATHS

Bornstein— Benjamin F. Bornstein, M.D., of Brookline, died on October 16. He was in his 71st year.

Dr. Bornstein received his degree from Tufts College Medical School in 1928. He was a member of the American College of Obstetrics and Gynecology.

He ...

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.

To the Editor: BCG immunotherapy is currently being used in Stage III and Stage IV malignant melanoma.¹ With the scarification and intratumor methods of administration both local and systemic complications have been reported.² The use of oral BCG (BCG, ...

No extract is available for articles shorter than 400 words.

To the Editor: An article by Roger J. Williams, Ph.D., D.Sc., in the December, 1976, issue of Executive Health contains information that may harm patients with senile cataracts that require operative treatment.

In a recent study¹ senile cataracts were ...

No extract is available for articles shorter than 400 words.

To the Editor: There is currently a controversy over the provision of the Health Educational Assistance Act of 1976 that makes federal capitation funds to individual medical schools in the United States contingent upon their making transfer places ...

To the Editor: Even if, as Greenberg suggests (November 25, 1976), we are faced with a situation in which some form of national health insurance is a foregone conclusion for the near future, it is the how as well as the when that should concern us. For, ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

This useful volume occupies a unique place in the literature since it is the only monograph on the subject of lactic acidosis. It should prove to be an invaluable reference work to those with an interest in the clinical or biochemical aspects of this ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Dr. Berci undertook an impossible task in attempting to cover, in one book, the state of the art of endoscopy through the natural orifices of the body and through openings made by endoscopists. He describes amnioscopy and transconioscopy, to mention both ...

Dr. Littleton, editor of this volume, is chairman of the Section of Radiology at the Guthrie Clinic and Robert Packer Hospital in Sayre, Pennsylvania, and professor of radiology at Hahnemann Medical College in Philadelphia. He is an internationally ...

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.

Respiratory System

Artificial ...

SEMINARS IN MEDICINE OF THE BETH ISRAEL HOSPITAL

Seminars in medicine of the Beth Israel Hospital will be held in the George Sherman Auditorium, Beth Israel Hospital, Boston on the following Tuesdays at 4 p.m.

COURSE ON ADVANCED CARDIAC LIFE SUPPORT

The ...