DESPITE the availability of new and effective antibiotics, the management of intra-abdominal sepsis remains a serious clinical problem. Even modern surgical techniques are associated with morbidity, mortality, and recurrences.^{1 2 3} Departing from ...

CARDIOVERSION — the reversion of supraventricular and ventricular tachycardias to normal sinus rhythm through application of a synchronized direct-current shock — was introduced by Lown et al. in 1962.¹ Shortly thereafter, Lown et al. suggested that the ...

DEVELOPMENT of a safe, practical, and consistently reliable form of reversible contraception for men that does not interfere with sexual function has not been completely successful. Research efforts have concentrated on the development of agents that ...

PATIENTS, physicians, and policy makers are increasingly concerned about the high costs associated with catastrophic illness. Although only a small fraction of the population incurs yearly health-care expenditures in the "catastrophic" range, this group ...

Myocardial Infarction and Stroke

It is now established that in addition to increasing the risk of venous thromboembolic disease, oral contraceptives increase the risks of myocardial infarction, thrombotic stroke, and hemorrhagic stroke.¹¹ (Some recent ...

NADOLOL (Corgard) is a β-adrenoceptor antagonist that was released late in 1979 for clinical use in the United States (Fig. 1). It is the third oral systemic β-blocker to be approved by the Food and Drug Administration for the treatment of hypertension, ...

THE return to an African homeland has had a continuing appeal to many American blacks since the inception of slavery.¹ The Black Nationalist movement gained particular prominence in the decade preceding the Civil War.^{2 , 3} Two physicians had important ...

Presentation of Case

A 64-year-old man was admitted to the hospital because of pulmonary hypertension.

The patient was a former fire chief, who had enjoyed excellent health and an athletic life style until five years earlier, when fatigue and dyspnea on ...

For many years, localized accumulations of fluid in different areas of the body have been treated by aspiration or more radical methods of drainage. Abdominal abscesses represent the most serious of these collections. Difficult both to diagnose and treat, ...

The hypothalamic factor responsible for controlling the release of gonadotropins from the anterior pituitary (gonadotropin-releasing hormone [GnRH]) was isolated and characterized in 1971.¹ Since its decapeptide structure has proved amenable to chemical ...

The relation of violence and aggression to epilepsy remains controversial. The issues can be stated as two questions: Can an epileptic automatism be manifested as directed violence and aggression? Can it result in violent crime? These are the questions on ...

No extract is available for articles shorter than 400 words.

To the Editor: The observations reported in the May 21 issue by Buxton et al.* are interesting, and they emphasize the importance of recognizing and understanding the various clinical expressions of coronary-artery spasm. We would like to describe a ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Paramedical teams have found that 75 per cent of persons with out-of-hospital cardiac arrest have ventricular fibrillation, whereas the remainder have bradycardia or asystole.^{1 , 2} However, Winkle has pointed out that there are only eight ...

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.

To the Editor: During the performance of screening antinuclear-antibody tests using human epithelial cell substrate (HEp-2) at several institutions, a pattern of staining localized only to the mitotic-spindle apparatus was observed. We have called this ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

These three books deal with the personal education, careers, and marital adjustment of physicians; two of them are based on experiences at the Harvard Medical School. It seemed important to sample the opinions of both the senior and junior generations, ...

John Stone is a physician-poet in the tradition of William Carlos Williams, practicing at once the art of medicine and the art of poetry. His first book of poetry, The Smell of Matches (Rutgers University Press, 1972), included more poems on medical ...

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.

The Journal solicits reviews of ...

EMERGENCY CARE

Harvard Medical School will offer a workshop for emergency medicine physicians. It will be held at Massachusetts General Hospital, January 11–22. The fee is $900.

Contact Barbara Wagner, Medical Education Unit, Massachusetts General ...

No extract is available for articles shorter than 400 words.

Since 1889, there have been only 15 appellate cases in the United States in which epilepsy has been used as a defense against charges of murder, homicide, manslaughter, or disorderly conduct. Recently, medical investigators have implied a causal relation ...