END-STAGE renal disease (ESRD) in diabetes continues to be a serious medical and socioeconomic problem. Good results have been obtained with transplantation of kidneys from identical, related donors, but the results of hemodialysis, intermittent ...

THE symptomatic benefits of beta-blocking drugs in angina pectoris,^{1 2 3 4} their effectiveness in reducing enzyme and electrocardiographic evidence of infarct size after coronary thrombosis^{5 , 6} and in aborting some dysarrhythmias,^{7 , 8} and their ...

IT IS recognized that the total thyroxine concentration in serum is generally a function of two variables: the rate of secretion of thyroxine by the thyroid gland and the overall intensity of binding of thyroxine to the serum thyroxine-binding proteins, ...

THE obligation of physicians to relieve human suffering stretches back into antiquity. Despite this fact, little attention is explicitly given to the problem of suffering in medical education, research, or practice. I will begin by focusing on a modern ...

A PLASTIC anemia was first described by Ehrlich in 1888. It is not a single disease but, rather, a group of disorders characterized by peripheral-blood pancytopenia, variable bone-marrow hypocellularity, and the absence of underlying malignant or ...

THE present administration in Washington is vigorously dismantling federal regulatory programs. Old-time political opponents of even the most traditional and seemingly secure public control and surveillance programs are, at long, long last, having their ...

ALUMINUM derived from tap water used to prepare dialysate is now thought to be the main cause of dialysis encephalopathy and vitamin D–resistant dialysis osteomalacia.^{1 2 3 4} Elliott and Macdougall⁵ were the first to observe a severe anemia preceding ...

Presentation of Case

A 29-year-old man was admitted to the hospital because of chronic urticaria, proteinuria, and cryoglobulinemia.

He was well until five years earlier, when episodes of diffuse urticaria developed, sometimes accompanied by edema of the ...

In July 1980, I wrote an editorial in these columns supporting the evaluation of medical technology as an effective way to moderate the cost of medical care while improving its quality.¹ "What we need," I said then, "is a major new national program of ...

The past several years have seen a rising tide of discontent with many aspects of the otherwise quite successful federal End-Stage Renal-Disease Program. Societal concern over the declining percentage of patients receiving treatment at home, the ...

The emerging profile of health data for Americans suggests some interesting and encouraging trends. Life expectancy for all age groups has increased substantially in this century. The recent gain for adults warrants special comment.

An examination of the ...

City dwellers in the United States are at risk of exposure to lead from numerous sources, including lead-based house paint,¹ employment in trades using lead,² airborne lead from automotive and industrial emissions,³ contaminated food⁴ and drinking water,⁵ ...

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.

Why did Stephen Jay Gould write this book? Why did the elegant and light-hearted essayist of Ever Since Darwin issue this long-winded rebuke to outcasts of the past? Why did the engaging biologist-philosopher of The Panda's Thumb waste his time burying ...

Almost every day newspapers report "breakthroughs" in genetic technology. Test-tube babies are born, new prenatal diagnostic techniques developed, and treatments found for diseases previously thought to be intractable. Yet the new Surgeon General was ...

This book summarizes the present literature on the interaction of genetic diseases with the reproductive capabilities of the female patient. Gathering and organizing this information will help clinicians to understand the impact of genetic diseases on the ...

The title of this book accurately describes the contents: 26 contributors, recognized authorities in their fields, provide 23 chapters that cover aspects of abortion and sterilization ranging from public policy, legislation, and epidemiology to techniques ...

No extract is available for articles shorter than 400 words.

These two works are social analyses of various aspects of sexuality. The first is a cross-cultural review of birth practices that explains how they arise from the cultures in which they occur. As such, the book provides a good point of departure for ...

STUDY OF IDIOPATHIC CRESCENTIC GLOMERULONEPHRITIS

The National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases requests the assistance of physicians in referring patients to participate in a controlled trial entitled "Steroid and ...

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.

Rationale

The current federal policy is to reduce the government's responsibility for health care and its evaluation, substituting market mechanisms whenever possible, and to vest residual control in regional and local authorities. Toward this end, the ...