IT is now well established that cigarette smoking increases the risk of myocardial infarction in both men and women.^{1 2 3 4 5 6} It is not known, however, which of the many components of cigarette smoke is responsible. It has been suggested that the ...

The serum of patients with systemic lupus erythematosus contains autoantibodies that react with a variety of nuclear, cytoplasmic, and cell-surface antigens.¹ Lupus autoantibodies also lead to false-positive serologic tests for syphilis by reacting with ...

Since 1918 it has been known that patients with Graves' exophthalmos have abnormal elevation of intraocular pressure.¹ Not until 1953, however, was it recognized that such patients typically have normal intraocular pressure in the primary position, which ...

IT is just over 20 years since an earlier review of ours of the causes and nature of congenital malformations appeared in these pages.¹ When we wrote that report, teratology was a little-known branch of medicine, and the study of teratogenesis was the ...

IN most of us the the gastrointestinal tract is quiet, unobtrusive, and efficient, but it gives trouble to at least one person in three. Often symptoms are slight, and simple traditional remedies suffice. A few people experience recurrent or constant ...

Physicians are participating in the administration of medical and nursing-home care under Medicare and Medicaid. Much of the control over the Medicaid program is vested in the state governments Under a complex array of federal statutes and regulations.

...

One characteristic of patients with asthma is that their airways are exquisitely sensitive to a variety of inhaled stimulants. For example, their airways regularly become obstructed after inhalation of bronchoconstrictor substances at 1/100 to 1/300 of ...

Home treatment of classic hemophilia with lyophilized concentrates of antihemophilic factor (factor VIII) is now widely practiced. We studied a syndrome resembling chronic idiopathic thrombocytopenic purpura in five patients with severe classic hemophilia ...

Presentation of Case

A 51-year-old right-handed woman was admitted to the hospital because of multiple cranial-nerve palsies.

There was a 10-year history of painless left otitis externa and media, with repeated use of eardrops. Nineteen months before ...

Readers will note an ad on the inside back cover of this issue announcing that beginning July 1 the Publications Committee of the Massachusetts Medical Society will use the facilities of The New England Journal of Medicine to reprint and distribute the ...

Soft-tissue swelling that would be innocuous in many locations has serious effects where local anatomy confines the swelling tissues within an inexpansible space. The anterior-tibial-compartment and carpal-tunnel syndromes are good examples of such ...

Nowadays, bronchial asthma is generally regarded as a disease of allergy. Its expression can be attributed to a constitutional predisposition which not only manifests itself as a hypersensitivity to various allergens, but also as an altered resistance of ...

The more severe forms of β-thalassemia, which are among the commonest single-gene disorders in the world, are particularly distressing, because affected children who receive adequate transfusions grow and develop normally, only to die of cardiac failure ...

To the Editor: The estimate given by Nashel et al. of the average radiation dose from older color television sets (Sept. 30 issue)¹ is erroneous and misleading. The average dose is 100 to 200 times lower than their estimate. In calculating average annual ...

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: The paper by Rapoport et al. (Oct. 7 issue) ¹ prompts us to describe our experience with nasal continuous positive airway pressure for treatment of severe obstructive sleep apnea. Following the approach of Sullivan et al.,² we have applied ...

No extract is available for articles shorter than 400 words.

To the Editor: Ectopic ACTH production is one of the most frequent endocrine syndromes caused by "nonendocrine" tumor tissue. The most frequent cause is oat-cell carcinoma of the lung. The second most common cause is carcinoid. We report here an unusual ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: A 1978 editorial in the Journal expressed "reasonable doubt" about pertussis vaccine.¹ One reason for doubt was the absence of reliable data about the prevalence and pattern of whooping cough. This gap is now filled by a supplementary ...

No extract is available for articles shorter than 400 words.

This remarkable book is really two volumes in one. The first half is a social history of the medical profession in America, starting in Colonial times and continuing into the mid-20th century. The second part traces the convoluted story of health-care ...

Several economic, demographic, and clinical studies over the past decade have fueled the "therapeutic nihilism" view that medical care makes little or no positive contribution to the health of the population. This book, the report of a detailed ...

In the debate over the cost and quality of American medical care, the surgical disciplines have probably attracted more than their fair share of criticism. In the early 1970s, highly publicized allegations about the extent of unnecessary surgery in the ...

The authors of any book on rural medical care are faced with a formidable task. Rural medical care is as diverse as rural America. Although there are some constants, rural communities often have more in common with a city in the same region than with a ...

This book will be perceived as a political statement, whether or not the authors intended it as such. Its purpose is not only to educate but to serve as a guide for women in their effort to deal with the "health-care establishment." How the reader reacts ...

No extract is available for articles shorter than 400 words.

The receipt of these books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Hooks that appear to be of particular interest will be reviewed as space permits.

Addresses of most overseas publishers ...

PROGRAMS OF THE SOUTHERN MEDICAL ASSOCIATION

The Association will offer two programs in the coming months: a "Medical Staff Leadership Seminar" (March 18–20, in Sarasota, Fla., and April 22–24, in Hilton Head, S.C.); and a "Regional Postgraduate ...