THE microbiology of acute otitis media has been characterized generally by study of middle-ear fluids obtained by tympanocentesis.^{1 2 3 4 5 6 7} This method of investigation provides certain knowledge regarding the cause of otitis media and yields ...

ALTHOUGH serum markers such as antibodies to the hepatitis B virus (HBV) surface antigen (anti-HBsAg) and to the core antigen (anti-HBcAg) indicate a high rate of previous exposure to HBV in patients with alcoholism,^{1 , 2} they indicate nothing about the ...

UNTREATED inborn errors of urea synthesis are fatal when the clinical presentation is that of neonatal hyperammonemic coma.¹ Therapy with peritoneal dialysis, essential amino acids, or their nitrogen-free analogues has increased survival.² However, all ...

LEAD is poison. When lead is ingested by children, usually as lead-based paint, it can accumulate in their bodies to levels high enough to cause encephalopathy, abdominal pain, or anemia. At lower levels, it may cause subtler disturbances in learning, ...

OTITIS media is the most frequent diagnosis made by physicians who care for children.^{1 , 2} Acute otitis media is usually suppurative or purulent, but serous middle-ear effusions may also have an acute onset. Chronic otitis media with effusion has many ...

A NUMBER of states, against the advice of traditional common-law lawyers, have adopted into law a set of patients' rights to be exercised against hospitals, nursing homes, health-maintenance groups, and individual physicians. Massachusetts, after a number ...

THE techniques of selective plasma exchange or lymphocyte removal, accomplished with the use of automated blood separators, have been postulated as being effective in a variety of disease states. Rheumatoid arthritis is the most commonly occurring ...

Presentation of Case

A 37-year-old woman was admitted to the hospital because of headaches and memory loss.

She was well until seven months earlier, when she began to experience nausea and vomiting. Two days later a brief syncopal episode occurred, and a ...

One of the great paradoxes of modern medicine is that our knowledge is often most incomplete with respect to the disorders that afflict mankind with the greatest frequency. Such is the case with otitis media.

Hippocrates (460 to about 375 B.C.) was ...

IN recent years therapeutic partial plasma exchange (removal of large amounts of the patient's plasma and replacement with crystalloid and colloid) and therapeutic cytapheresis (removal of cellular elements) have been used in the treatment of a variety of ...

I often muse about great teachers and history. I wonder, for example, about smallpox and Parkinson's disease, and about what would have happened if one of John Hunter's assistants, instead of the master himself, had performed the pedagogic chore (as it is ...

To the Editor: Although primarily a disease of menstruating females,^{1 , 2} toxic-shock syndrome is seen in male patients, most often in association with focal staphylococcal infection. We report below a case associated with an unusual focus, an infected ...

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.

To the Editor: In Case 1–1982 in the January 7 issue, Dr. Harthorne discusses the problem of what appears to be a widespread overuse of cardiac pacemakers.¹ Although the cost of these devices — which would amount to more than $700 million per year for ...

Breast cancer is a heterogenous disease, and after three quarters of a century of conformity in the treatment of primary breast cancer, a quiet change in treatment has occurred. Many alternative approaches are being tried. Surgical options now range from ...

This book consists of 21 essays on various aspects of medical history that have involved The Johns Hopkins Medical School and Hospital. Most of the papers have been published in the Johns Hopkins Medical Journal, although a major one dealing with Osler's ...

Numbering over a million, Soviet physicians are now the world's largest medical community. One of every four doctors practicing today works in the Soviet Union. "Works" is the appropriate verb: unlike most of her colleagues (65 per cent of Soviet ...

Research on aging has left its infancy. After decades of slow development (some would say failure to thrive), the study of the elderly is entering its adolescence, full of all the excitement, self-doubt, euphoria, gangliness, and potentiality that mark ...

This is a stimulating and provocative book on issues closely related to dehumanization in health care. The author provides a psychosocial analysis of life experiences by both patients and staff in nursing homes. The innovative approach to the subject lies ...

No extract is available for articles shorter than 400 words.

This slim work on British medical sociology explores whether any of the numerous problems faced by general practitioners can be resolved by delegation of certain responsibilities to nurses. It concludes that historical and socioeconomic influences make ...

One of the great, though perhaps subtle, advances in medical technology has been the expanded ability to produce excellent medical textbooks that are well written and comprehensive, yet not encyclopedic and burdensome. Family physicians need usable books ...

No extract is available for articles shorter than 400 words.