FEW drugs have provoked as much controversy as heroin (diacetylmorphine; 7,8-didehydro-4,5 alpha-epoxy-17-methylmorphinan-3,6 alpha-diol diacetate ester). Heroin has been judged to produce more euphoria than morphine does^{1 2 3} — an attribute that has been ...

CONSIDERABLE evidence indicates that acute poststreptococcal glomerulonephritis has an immune-complex pathogenesis.¹ However, the nature of the nephritogenic antigen remains a matter of controversy. Many investigators have worked on the hypothesis that a ...

ACCIDENTS are the leading cause of death in the United States in persons from the ages of one to 45.¹ Half the 105,000 accidental deaths per year are due to motor-vehicle accidents, and the majority of these patients have severe head injuries.

The annual ...

IN this review we examine the role of glucagon, a polypeptide produced by the islets of Langerhans and a biologic antagonist of insulin. The effects of glucagon balance those of insulin so that fluctuations in blood sugar levels in response to sudden ...

AMNIOCENTESIS for genetic evaluation is now a well-established prenatal diagnostic procedure. The discovery of twins at the time of amniocentesis, however, necessitates additional measures, and in the event of detection of discordancy for an abnormality, ...

FETAL cardiac arrhythmia is being detected with increasing frequency as a result of continuous electronic monitoring of the fetal heart rate. Most of these cases have been recognized during labor, and a few have been identified during the early antepartum ...

ALLOGENEIC marrow transplantation is being used with increasing frequency in the treatment of acute leukemia.^{1 2 3 4} Recurrent leukemia is an uncommon cause of therapeutic failure in patients with acute nonlymphoblastic leukemia who receive transplants ...

Presentation of Case

A 40-year-old woman was admitted to the hospital because of recurrent gastrointestinal bleeding.

Ten years earlier she underwent surgical repair of a hiatus hernia at another hospital. Within 24 hours she was returned to the operating ...

Heroin has been a source of controversy for the better part of this century. In the field of substance abuse, it has a reputation as a drug with Svengali-like powers that invariably and quickly transform even the occasional user into an abject slave. In ...

Subdural hematomas as single lesions are present in 2.5 per cent of patients admitted to the hospital after head injury and in 11 per cent of patients admitted in coma. One third of all patients admitted in coma with head injuries will have hematoma, ...

The failure of the 96th Congress to modify certain features of the legislation currently regulating the terms of entry and length of stay of foreign-medical-school graduates (FMGs) has several serious consequences that have not been sufficiently ...

To the Editor: The medical clinics of Mexicali, Mexico, are well known for their vast assortment of "wonder drugs." A recent article exposed such "treatment" as "a fraud... [and] a money-making scheme established without concern for the well being of the ...

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: Dr. Drayna and his colleagues point out the possible role of urinary obstruction in the genesis of hyperammonemia (March 26 issue).* We would like to report our experience with a child who presented with a similar condition.

An 11-year-old ...

To the Editor: In the report by Dutcher and her colleagues (March 5 issue) on the use of homologous granulocytes labeled with indium-111, the authors state that they achieved early localization of cells at sites of inflammation and abscess.¹ This ...

No extract is available for articles shorter than 400 words.

To the Editor: Dr. Morris' experience¹ with the commonest or distal type of the syndrome of renal tubular acidosis (RTA-1) is in some important respects different from our own, which is based on 75 cases seen during the past 26 years. Our series has ...

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: In her March 5 article,* French presents data from a limited sample of medical residents that, if true for the whole nation, portend severe financial hardship for future medical-school graduates. In 1979 the Center for Health Services ...

Both these books will be welcomed by those interested in developments in medical education in the third quarter of this century, particularly those who took part in the events that are chronicled. George Miller's book traces the attempts to apply ...

No extract is available for articles shorter than 400 words.

John Haller has been a professor of history and a dean of graduate studies since 1968. His book is a heavily documented discussion of what many people thought about medicine, or what they thought medicine was about. It is valuable because physicians ...

Dr. Rabinowitz was a student considering medicine when he asked the question: What is it like to be a physician? After entering medical school, he interviewed students, residents, and practicing physicians, and he charted their experiences as they studied,...

Developments over the past 15 years in the financing of health care, the management of financial resources within health-care institutions, and the technology of hospital management in general, are strikingly portrayed in these two very informative books. ...

Anesthesiology

Anesthesia and the Patient with Liver Disease. (Contemporary Anesthesia Practice. Vol. 4.) Edited by Burnell R. Brown, Jr. 184 pp. Philadelphia, F.A. Davis, 1981. $24.

Drug Interactions in Anesthesia. By N. Ty Smith, Ronald D. Miller, and ...

No extract is available for articles shorter than 400 words.