IN all but one of 150 cultures studied by anthropologists, a family member or friend, usually a woman, remained with a mother during labor and delivery (Raphael D. Unpublished data). Before childbirth moved from the home to the hospital, it was also the ...

THE cause of nonspecific vaginitis is controversial, perhaps because criteria used to define the syndrome have varied. Although the vaginal microbial flora in nonspecific vaginitis was not found to be distinctive in two recent reports, ^{1 , 2} a previous ...

SUDDEN cardiac death accounts for approximately two thirds of the 600,000 annual deaths attributable to coronary-artery disease in the United States. The majority of these deaths are instantaneous, occurring within seconds or minutes in persons who are ...

EXPLOSIVE anesthetics are used in tens of thousands of surgical procedures each year, ¹ and millions of dollars are spent each year to permit their continued availability (Pearlman LA, Gabel RA, Fineberg HV. Unpublished data). However, the use of ...

PERIPHERAL neuropathy has been associated with plasma-cell dyscrasia, ¹ but it is not known whether the monoclonal immunoglobulins react with peripheral-nerve antigens. We report on a patient with a peripheral neuropathy associated with an IgMk monoclonal ...

IT has only been a decade since the "mononuclear phagocyte system" was defined, linking monoblasts, promonocytes, monocytes, and the structurally heterogeneous tissue macrophages. Cells of this lineage develop over several days in the marrow, emigrate ...

THE legal issues of health planning have not often been examined in this column. The regulatory aspects of control of the health-care industry have produced a shifting picture of health planning that is extremely difficult to describe at any given time, ...

Presentation of Case

An 82-year-old man was admitted to the hospital because of suspected failure of his electronic pacemaker.

He was well until five years earlier, when left hemiparesis developed, and he was admitted to the hospital. On the second ...

Until the report of Gardner and Dukes appeared in 1954, ¹ any woman with a vaginal discharge not due to trichomoniasis, candidiasis, or gonorrhea was thought to have "nonspecific vaginitis." The initial reports of Gardner and Dukes in 1954 and 1955^{1 , 2} ...

There are two major groups of acquired demyelinative neuropathies — acute and chronic. The acquired demyelinative neuropathies constitute about 40 per cent of all cases of polyneuropathy in adults¹ and share a distinct pattern of clinical, ...

Rovner — Miah Henry Rovner, M.D., of Melrose, died on May 12. He was in his 76th year.

Dr. Rovner received his degree from Tufts College Medical School in 1932. He was a member of the American Medical Association.

Dr. Rovner is survived by his wife, a ...

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: Malignant hyperthermia (MH) is a genetic myopathy in which metabolic acidosis, hyperkalemia, muscle rigidity, and hyperthermia during anesthesia contribute to cardiac arrest, rhabdomyolysis, coma, renal failure, brain damage, and death if ...

To the Editor: Although historically survival of patients treated for primary osteosarcoma has been poor, ¹ recent observations indicate that this prognosis is improving.² Several authors have suggested that adjuvant chemotherapy after surgery has ...

No extract is available for articles shorter than 400 words.

To the Editor: The findings of Blake et al. in the February 7 issue of the Journal suggest that Vibrio cholerae 01 can multiply and persist in the environment for long periods without additional fecal contamination while causing little or no clinical ...

No extract is available for articles shorter than 400 words.

To the Editor: Over the past several years, I have been increasingly amazed and often disappointed by the advice about epilepsy that physicians give to patients. With the best of intentions and a desire to spare the patient embarrassment and difficulty, ...

To the Editor: In the May 22 issue of the Journal, Dr. Arthur C. Upton of the National Cancer Institute expressed the opinion that Chivian et al., writing in the October 4, 1979, issue, exaggerated the risk of cancer after the Three Mile Island incident ...

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.

To the Editor: As much as I usually enjoy Lewis Thomas's column, I was dismayed at his nostalgic maunderings in the March 27 issue concerning the smell of burning leaves and his apparently serious entreaty to dispose of leaves in this way. A place where ...

No extract is available for articles shorter than 400 words.

One reads this work with mixed emotions. On the one hand, it is delightful and well written. On the other, it proves to be frustrating, irritating, and unsettling.

The book is a delight to read because its Part I provides one of the clearest and most ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Appraising a new book may be done by weighing it for content and interest or by determining if it meets the author's intentions. Setting the matter of content aside for the moment, let us ask, What of the authors and their intentions?

There are 75 ...

No extract is available for articles shorter than 400 words.

In the preface to the new edition of the Textbook of Dermatology the editors state that they aim "to provide a textbook which is soundly based in science, but which is, nevertheless, essentially a practical work of reference for the serious student of ...

The purpose of this textbook is to provide the biochemical foundation required to understand "the causes and consequences of various disorders." In the interest of brevity, the author avoids discussions of historical development and experimental methods, ...

Dr. Phillips' text is designed to offer specific guidelines for the management of disorders of the heart and circulatory system; each clinical entity is separated into a series of pathophysiologic problems and therapeutic steps. The book is divided into ...

At a time when the quality of medical care is under critical scrutiny, this book constitutes a valuable reference for those interested in medical education. The book reviews the efforts of organizations and institutions to insure the competence of ...

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.

Anatomy, Histology, and ...

DIABETES

The Scientific Program of the American Diabetes Association–New England Affiliate will be held at Mount Auburn Hospital Auditorium in Cambridge, Mass., on October 8.

Contact the Association, 377 Elliot St., Newton Upper Falls, MA 02164; or call (...