THE patency of aortocoronary-bypass grafts decreases progressively over time and relates directly to improvement in symptoms^{1 2 3} and in left ventricular function.^{3 4 5 6} In the pathophysiology of graft occlusion, there is endothelial damage to the vein, ...

PRONOUNCED hyperlipidemia, often with cutaneous xanthomas, is an infrequent but well-documented finding in myelomatosis.^{1 2 3 4 5 6 7} Hyperlipidemia is also an occasional finding in other disorders associated with hypergammaglobulinemia.^{7 8 9 10 11} The ...

CONTROVERSY has surrounded the role of the normal microbial flora in health since the early days of microbiology. Pasteur, for one, hypothesized that the normal flora was essential to life.¹ Some years later, his hypothesis was tested and convincingly ...

CYTOMEGALIC inclusion disease is a multiorgan viral infection that in adults is most often identified in immunocompromised hosts. Ocular findings in such patients are typically those of acute necrotizing retinitis with variable involvement of the anterior ...

CHLAMYDIA trachomatis infection has been associated with a wide spectrum of syndromes ranging from ocular to genital-tract diseases. It has been implicated as the cause of a pneumonitis syndrome in infants.^{1 , 2} Tack et al. have reported on six patients ...

PRENATAL exposure to hydantoin analogues, including phenytoin, may result in the fetal hydantoin syndrome — a symptom complex characterized by poor growth and development with specific craniofacial and skeletal abnormalities.^{1 2 3 4} The full syndrome is ...

ALTHOUGH the individual steps in the absorptive process of cholesterol have been studied in great detail in recent years,^{1 , 2} there is still relatively little information on the factors regulating and influencing cholesterol absorption. Recent studies ...

Presentation of Case

A 64-year-old man was admitted to the hospital because of a right pleural abnormality.

He was in his usual state of health until one month before admission, when microscopic hematuria was found in a routine urinalysis. A culture of ...

More than 10 years have elapsed since the Journal first published the results of a clinical trial of the use of aspirin to prevent thrombosis.¹ The possibility that aspirin might have an antithrombotic effect was an obvious corollary to the demonstration² ...

It is well accepted in clinical medicine that there is wide variation between patients in the handling of and response to drugs; these differences are based in part on genetic mechanisms. Pharmacogenetic differences among patients contribute to altered ...

Blaming the high cost of health care on physicians is silly; it's like blaming the cost ofjet fuel on the pilot. Doctors are not culpable for the cost of medical care. Physicians' fees used to represent 20 cents of the health dollar. Over the past decade ...

Levi — George Albert Levi, M.D., of Worcester, died on January 31. He was in his 41st year.

Dr. Levi received his degree from the State University of New York Upstate Medical Center in 1967.

He is survived by his mother.

MacPhee — William Malcolm MacPhee, ...

No extract is available for articles shorter than 400 words.

To the Editor: The enthusiasm expressed in the February 4 issue by Mathes¹ for the excellent work by May et al.² is well founded but should perhaps be somewhat tempered. In the cases described, denervated muscles were used. A denervated muscle is ...

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: Two recently developed methods for determining free thyroxine (T₄) — Amerlex free T₄ and Clinical Assays GammaCoat one-step free T₄ — use unidentified, labeled T₄ analogues, which are said to show minor binding to plasma proteins. These ...

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.

The answer to the question posed in this title is Yes, but not all hospitals. In flowing, nontechnical style the author develops an interesting theme. He draws on a classic study of American industry in the late 19th and early 20th centuries in order to ...

No extract is available for articles shorter than 400 words.

Everybody interested in American rural health centers should read at least some parts of this Kellogg report on experience in sponsoring 23 such centers throughout the country.

The project director (Murrin) contributes the opening and best chapter, "...

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.

ADOLESCENT MEDICINE

A symposium entitled "Current Concerns in Adolescent Medicine" will be held at the Warwick Hotel in New York on September 23 and 24.

Contact Ann J. Boehme, Office of Continuing Education, Long Island Jewish–Hillside Medical Ctr., New ...

The nation's teaching hospitals — complex, expensive, and dependent on public support to sustain their many activities — are heading into more stressful times that will force many of these institutions to question and perhaps dramatically alter their ...