An unusual occurrence of opportunistic infections or Kaposi's sarcoma (or both) associated with the acquired immunodeficiency syndrome (AIDS) in previously healthy persons has recently been reported.^{1 2 3 4 5 6 7 8 9 10 11} The initial description of ...

Cystic fibrosis is one of the most common and life-threatening inherited diseases of whites. Although death usually results from pulmonary complications, the disease is uniquely characterized by disturbances in the electrolyte composition of affected ...

Patients who have had a first attack of urinary-tract infection are at a substantial risk of recurrence.¹ Recurrent pyelonephritis is most likely to occur in patients who are especially susceptible to colonization with potential pathogens² or who have ...

The association between viral infection and renal injury has been the subject of considerable controversy.^{1 2 3 4 5} Previous studies have presented only limited evidence that direct viral injury to the kidney could culminate in chronic renal failure. This ...

Dyspnea is a prominent but unexplained problem in patients with multiple pulmonary arteriovenous malformations.¹ Measures of pulmonary gas exchange that might explain dyspnea have not been reported. In 10 patients, we observed a characteristic pattern of ...

The Association of Academic Health Centers defines such a center as the combination of a medical school or school of osteopathy, one or more affiliated hospitals, and at least one other health-professional program (e.g., nursing or allied health). ...

Recent studies have suggested that specialists form a hidden system for the delivery of primary care.^{1 2 3} Defined as physicians practicing in fields other than general or family practice, general internal medicine, or pediatrics, specialists now account ...

This paper describes the social processes that promoted a doubling of the capacity of the medical schools between 1965 and 1980 and a projected doubling of the number of actively practicing physicians between 1970 and 2000. This rapid increase in the ...

Presentation of Case

A 33-year-old man was admitted to the hospital because of a question of heatstroke.

He was well until one week earlier, when he began to have occasional headaches. One day before admission he worked outdoors in a gasoline station ...

Letters to the Editor arrive in our office at the rate of nearly 100 a week. They come from all over the world, and they deal with virtually every conceivable medically related subject. The majority concern articles or letters previously published in the ...

Public-opinion surveys during the past decade have placed cost containment at the head of the nation's health agenda.¹ The concept of cost containment as it is currently used implies expenditure reductions, efficiency gains in the use of resources, or a ...

In recent years, evidence has been accumulating that an oversupply of practicing physicians, especially in some specialties, will become more severe in the next decade as the medical students and postgraduate trainees already in the pipeline complete ...

To the Editor: Several surveys concerning prescribing patterns of cimetidine for inpatient use have been published.^{1 2 3 4} All these studies have indicated inappropriate use of cimetidine in the inpatient setting. A review of the medical literature has ...

To the Editor: We wish to report our early observations from a feasibility study of cyclosporine therapy in human Type I diabetes. The superiority of cyclosporine has been demonstrated,^{1 , 2} and the drug prevents diabetes in the relevant BB rat model.³ ...

No extract is available for articles shorter than 400 words.

To the Editor: The report by Hull et al. (Dec. 30 issue)¹ on the optimal therapeutic range in oral anticoagulant control is the first to indicate convincingly that prolongation of the prothrombin time to ratios of 2 to 2.5 times normal as assessed with ...

No extract is available for articles shorter than 400 words.

To the Editor: The essentiality of manganese has been recognized for over 50 years, and it is known to be necessary for reproduction, fetal development, skeletal growth, and carbohydrate and lipid metabolism. In addition, it has been suggested that low ...

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 recent growth of ambulatory surgery in the United States is underscored by the publication of this beautiful book, which elegantly describes the administrative and surgical techniques used in a well-established, hospital-based ambulatory surgical ...

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.

This book results from a most successful collaboration between two men and two surgical specialties — neurosurgery and plastic surgery. The authors present their experience with 208 patients representing eight different syndromes of craniosynostosis. ...

No extract is available for articles shorter than 400 words.

SENIOR RESEARCH FELLOWSHIPS

Senior research fellowships at the National Institutes of Health will be awarded by the Burroughs Wellcome Fund and the Foundation for Advanced Education in the Sciences, beginning July 1, 1984. Applicants must have completed a ...