THE ability of an antiarrhythmic drug to prevent electrical induction of ventricular tachycardia by programmed ventricular extrastimulation in patients with spontaneously recurrent and electrically inducible ventricular tachycardia has accurately ...

PREVIOUS reviews of hypothalamic-pituitary sarcoidosis have reported diabetes insipidus as the most common endocrine abnormality.^{1 2 3} In their careful review of this problem, Winnacker et al.³ described posterior pituitary dysfunction (diabetes insipidus)...

THE recent nuclear-reactor incident at the Three Mile Island facility has renewed concern over the possible hazard of ionizing radiation to the thyroid from radioiodine isotopes derived from the fission process. Most of the many volatile radioiodine ...

FOR approximately 20 years there has been growing public concern over the cost and accessibility of health services. Public debate in the mid-1970's centered on comprehensive national health insurance that addressed both concerns. In the past two or three ...

ARSENIC intoxication can lead to severe multi-system illness, the cardiac manifestations of which have been infrequently stressed in the literature.^{1 , 2} To our knowledge, associated dysrhythmia has been described only once previously.³ We report a case ...

BABESIOSIS is a malaria-like illness produced by tick-borne protozoa that can cause a spectrum of disease in human beings, varying from subclinical infection to severe febrile illness with hemolytic anemia, hemoglobinuria, and renal failure.^{1 , 2} The ...

LACTIC acidosis associated with acute leukemia has been attributed to overproduction of lactic acid by the tumor cells, ^{1 2 3} whereas lactic acidosis in solid, nonhematologic neoplasia with hepatic involvement is considered to be due to reduced hepatic ...

Presentation of Case

An 18-year-old woman was admitted to the hospital because of abdominal pain and a neurologic disorder.

She was in excellent health until one year earlier, when she began to have progressive blurring of vision in the left eye. A ...

Over two years have passed since Prof. Alain Enthoven of Stanford University described in nontechnical language the rationale of his Consumer-Choice Health Plan (CCHP).¹ The proposal, developed initially at the request of Secretary Califano, of the ...

IN his new book,* Enthoven argues that giving the consumer a choice among large, competing medical-care providers is the best response to the problem of rising medical costs. Each year families are to enroll with one of several competing insurers or ...

The role of the American physician has changed over the past generation. The doctor seems to be taking responsibility for everyone all the time. People expect medical attention even when they feel fine. The profession is debating about how much time and ...

No extract is available for articles shorter than 400 words.

To the Editor: We wish to call attention to a well-documented aspect of the pharmacology of aspirin that should not be overlooked in the cardiovascular use of this drug. Acetylsalicylic acid (ASA) enters the systemic circulation in two forms: some is ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: The appropriate use of sympathomimetic drugs in neonates remains controversial. In an attempt to clarify current practices, we polled 67 neonatal training programs in the United States and Canada and received 45 replies. The questionnaire ...

To the Editor: We would like to reply to Dr. Dienstag's editorial (July 10 issue) on our paper "Antibodies to the Surface of Halothane-Altered Rabbit Hepatocytes in Patients with Severe Halothane-Associated Hepatitis."

The studies of Smith et al. in mice ...

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: The analysis of rates of sister-chromatid exchange (SCE) has been shown to be a sensitive method of measuring DNA damage.¹ SCE is increased after exposure to many mutagens and carcinogens² and in some viral illnesses.³ During a study of ...

To the Editor: Pasteurella multocida has been reported rarely as a cause of spontaneous bacterial peritonitis and septicemia in patients with hepatic cirrhosis.^{1 2 3} Among four previous case reports in cirrhotic patients with clinically discernible ...

To the Editor: With concern over the rising cost of heating oil, many citizens have sought alternative means to heat their homes. During the summer and fall of 1979, a survey of 6000 households in New England estimated that 3 million cords of wood had ...

To the Editor: When I was a house-staff officer, the hospital public-address system was used to contact the physician. "Dr. Osler, Dr. William Osler, please call Surgery" was a typical announcement. Today, almost every physician has a beeper, a ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

The past 10 years have seen neuropsychology striving for maturity as an independent discipline. Behavioral neurologists and experimental, psychologic, and clinical psychologists have been trying to unravel the mysteries of the human brain for decades, but ...

In remote regions of Latin America and of Mediterranean countries, a rape victim is often brought to the village priest to be anointed with holy water. This ritual may constitute the only "treatment" available, but it is restorative in that it represents ...

Unless a neurologist or neurosurgeon is fortuitously on the scene, neurologic emergencies come under the initial care of a nonspecialist in the emergency ward. In the absence of a consultant, decisions that profoundly affect the patient's further course ...

This book is worth buying and reading. Its uniqueness is its format, that of debate between opposing authorities on 14 noted controversies in the field of anesthesiology. Although of inmediate relevance and concern to those administering anesthesia, some ...

The expectations generated by a title such as the one this book bears are likely to vary widely. Some might believe that such an introduction should be written at the level of the biochemistry of human beings (normal and pathologic), necessitating an ...

No extract is available for articles shorter than 400 words.

On the one hand, this book attempts to identify and describe through case studies types of interorganizational collaboration that can potentially enable health-care systems to respond better to the environment. On the other hand, the book addresses some ...

CORONARY ARTERY BYPASS SURGERY

A "Consensus Development Conference on Coronary Artery Bypass Surgery" will be held at the National Institutes of Health in Bethesda, December 3 4–5.

Contact Nancie McManus, Prospect Associates, 11325 Seven Locks Rd., ...