PATIENTS with chronic bifascicular and trifascicular conduction-system disease in whom symptomatic bradyarrhythmias develop require permanent pacemakers. However, the management of "asymptomatic" patients with these conduction abnormalities is unclear ...

ARGENTINE hemorrhagic fever is caused by the Junin virus, a member of the arenavirus group. The disease affects mainly young rural workers from a very rich agricultural region known as the humid pampa. First signs and symptoms begin eight to 14 days after ...

CONGENITAL dysfibrinogenemia is a well recognized disorder, but acquired dysfibrinogenemia has only recently been recognized. Acquired dysfibrinogenemia has been reported with primary hepatoma, ^{1 2 3}cancer metastatic to the liver⁴ and acute and chronic ...

THERE has been considerable discussion in recent years over the desirability of American citizens receiving their medical training in foreign medical schools. This controversy not only has involved medical educators but has permeated the public domain. ...

TITLE XIX, more often called Medicaid, has been in existence since the passage of Public Law 89–97, the Social Security Amendment of 1965. The purpose of this legislation was to extend the access of the poor and medically indigent to health-care services.

DURING the past 40 years a much more liberal approach to the indications for cataract surgery has developed. This tendency has been especially apparent in the United States, where the number of cataract operations performed per capita population ...

TROPICAL therapy with 3 per cent adenine arabinoside cream,¹ 0.5 per cent idoxuridine^{2 , 3} and photodynamic dyes⁴ has had no effect on the clinical course of mucocutaneous herpes simplex virus infection. Although higher concentrations of idoxuridine in ...

A FAMILY has been recently encountered in which at least four members have liver-cell adenomas. All affected family members are diabetic, two also have sclerocystic ovaries, and two ancestors have died with hepatocellular carcinoma. This unusual familial ...

Presentation of Case

First admission. A three-month-old girl was admitted to the hospital because of hypoglycemia.

She was born of a full-term pregnancy to a 28-yearold mother with one previous child. No medications were taken during gestation, and a ...

Whenever someone dies suddenly and unexpectedly, a bereaved relative is likely to say: "If only we had known, perhaps something could have been done." The cardiologist may respond: "Maybe a CABG [coronary-artery bypass graft] or a ventricular pacemaker ...

Currently in the Journal, a series of articles on ophthalmology is appearing in the Current Concepts format. Like similar series, these articles communicate the present state of the art in one specialty: ophthalmology. The articles are reviewing cataract, ...

Scholarship, which Samuel Johnson labeled an "epidemical conspiracy for the destruction of paper, " has its occasional, well publicized triumphs; the crimes generally go unreported. Such misprision occurs because there is usually no taxonomy to make the ...

COMMITTEE ON MATERNAL WELFARE

Rupture of the Cecum after Cesarean Section

A 36-year-old gravida 3, para 3 (one set of twins), was admitted at 32 weeks to a community hospital because of painless vaginal bleeding. Sent at once to a high-risk center for ...

To the Editor: We read with interest the article by Kanis et al.¹ describing a rapid (two months') decrease in plasma alkaline phosphatase in 10 hemodialyzed patients after bilateral nephrectomy as compared to plasma levels before operation. This ...

No extract is available for articles shorter than 400 words.

To the Editor: Progressive multifocal leukoencephalopathy,¹ a generally fatal demyelinating disease, tends to occur as a late opportunistic infection in immunodeficient adults. These patients have often suffered from leukemias, from granulomas or solid ...

No extract is available for articles shorter than 400 words.

To the Editor: In their article in the March 2 issue of the Journal Warnke and Levy propose that reactive lymphoid follicles can be differentiated from lymphoma nodules by the characterization of immunoglobulin light chains in direct immunofluorescence. ...

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.

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.

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.

INADVERTENT MODIFICATION OF THE IMMUNE RESPONSE

The Food and Drug Administration will host a symposium entitled "Inadvertent Modification of the Immune Response: the Effects of Foods, Drugs and Environmental Contaminants" at the United States Naval ...