IN the United States the geographic patterns of mortality from cancer of the oral cavity and pharynx show a remarkable sex difference.^{1 , 2} Among men the tumors occur excessively in the urban Northeast, which is consistent with geographic patterns of ...

CRITERIA for the diagnosis and treatment of acute bacterial sinusitis have not been developed for children. Infection of the paranasal sinuses is suggested by certain symptoms and signs, but confirmation of the diagnosis with aspiration and cultures of ...

ARTIFICIAL insemination by donor has become a widely accepted method to induce pregnancy for infertile couples and to decrease the risk of inherited diseases. With increasing use of this method, however, some infants with genetic diseases will be born ...

FAMILIAL erythrophagocytic lymphohistiocytosis is a rare (but frequently fatal) disease of childhood that was described in 1952 by Farquhar and Claireaux.^{1 2 3} Its clinical features include recurrent fever, irritability, anorexia, vomiting, pallor, and ...

GENITAL herpes simplex infection affects an unknown but ever increasing number of persons in the United States. Because of the lack of a national surveillance system, no reliable data are available to determine either the magnitude or the growth rate of ...

IN VARIANT angina, myocardial ischemia is caused by transient coronary-arterial spasm.^{1 , 2} Although altered adrenergic activity has been proposed as the cause of coronary spasm^{3 , 4} and high circulating thromboxane levels are found in patients with ...

THE contribution of ammonia to the pathogenesis of hepatic encephalopathy has been widely investigated.^{1 , 2} Hyperammonemia and cerebral dysfunction in the absence of liver disease and portal hypertension have been reported in patients with acquired³ or ...

Presentation of Case

A 91-year-old woman was admitted to the hospital because of collapse.

She was well until 21 years earlier, when hypertension was found and medication was prescribed. For several years before admission she received hydrochlorothiazide. ...

A survey of mortality from oral cancer (of the buccal cavity and pharynx) in the United States from 1950 to 1969 revealed contrasting patterns for men and women.¹ Mortality among men predominated in the Northeast; in contrast, the mortality was higher in ...

Inflammation of the paranasal sinuses, as well as the complications of sinusitis, may present a difficult problem for the physician involved in the care of children. The nose and sinuses of a child differ greatly from those of an adult, both anatomically ...

IN this issue of the Journal, Miller et al. report on a remarkable correlation of migraine headaches, Raynaud's phenomenon, and variant angina, and they imply that vasospasm occurs in three different vascular beds in patients with these disorders. The ...

Primary hepatocellular carcinoma (PHC or hepatoma) is one of the most lethal and most common cancers in the world. Before 1950, several pathologists noted that PHC usually occurred in livers that were affected with cirrhosis. In the 1950s, workers in West ...

An intense controversy surrounds the promotion of the health-maintenance organization (HMO) as an alternative to the traditional fee-for-service (FFS) system of medical care. Advocates of HMOs believe that this system can produce considerable savings ...

To the Editor: Weiss et al. clearly established a lower frequency of prior estrogen use among women with osteoporotic fractures of a wrist or hip (November 20 issue). The 60 per cent decrease in fracture frequency that they reported should not, however, ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: The effects of intensive plasma exchange on blood coagulation include thrombocytopenia, a decreased fibrinogen level, and elevations in prothrombin time, partial thromboplastin time, and reptilase time.¹ In addition, reductions in ...

To the Editor: In the Case Records of the December 4 issue, Dr. Newton E. Hyslop, Jr., remarked that the "unclassified" form of botulism in the adult may have the same pathophysiologic mechanism as infant botulism. Although confirmatory evidence is ...

To the Editor: Dihydroxypropyl theophylline (dyphylline) is a methylxanthine bronchodilator exhibiting the same diuretic, bronchial, and myocardial effects as theophylline.¹ The extremely low incidence of side effects produced by dyphylline makes it an ...

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.

Published eight years after Stamey's Urinary Infections, this book is a suitable sequel. The author's expertise and large clinical experience are evident throughout this comprehensive, generously illustrated work. Although the style is both personal and ...

Renal Pathology is a uniquely successful attempt to cover the current information on renal structure. Its organization, comprehensive coverage, direct writing, and magnificent bibliography stamp this work as a valuable addition to the available resources ...

Although lithium was discovered in 1817 by Arfvedson and introduced into medicine in 1859 by Garrod as a treatment for gout, the major figure in the contemporary history of lithium salts is John F. J. Cade, who died last November in his homeland, ...

No extract is available for articles shorter than 400 words.

As a sociologist, Donald Light immersed himself for a year in one of the most influential psychiatric training programs of the 1960s. He studied the residency as a participant-observer at ward meetings, rounds, training seminars, and in the inner sanctums ...

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.

Obstetrics and Gynecology

Gynecologic Urology and Urodynamics: Theory and practice. Edited by Donald R. Ostergard. 345 pp., illustrated. Baltimore, Williams and Wilkins, 1980. $40.

Gynecology and Obstetrics: The health care of women. Second edition. By ...

No extract is available for articles shorter than 400 words.