AT least five prospective studies have demonstrated that estrogen therapy inhibits bone loss in postmenopausal women,^{1 2 3 4 5} and three case–control studies have demonstrated that estrogen therapy is associated with a reduction in fracture risk.^{6 7 8} It ...

DURING May and June 1981, an explosive outbreak of pneumonias occurred in Spain, focused at first in the vicinity of Madrid and then extending to provincial areas, especially to the northwest.¹ Patients typically presented initially with nonproductive ...

EPINEPHRINE has long been known to cause hypokalemia in animals^{1 , 2} and has been shown more recently to increase tolerance of a potassium load in human beings by an extrarenal mechanism.^{3 , 4} To determine whether this is a purely pharmacologic effect or ...

THE prevalence of bacteriuria increases with advancing age, and in the elderly the prevalence also increases with advancing functional disability.^{1 , 2} In the elderly nursing-home population, 20 to 50 per cent of both male and female residents will have ...

SPENDING at least some money on medical care is indisputably worthwhile. But does spending yet more buy still better health? In individual cases, the answer may be an obvious yes or no, but in the population as a whole the point of diminishing (or absent) ...

Patients at High Risk of Morbidity or Mortality from Varicella–Zoster Virus

Recognition of the potential severity of varicella in immunocompromised patients dates from our post-mortem studies of two children who contracted chickenpox; one child had ...

Presentation or Case

A 75-year-old right-handed man was admitted to the hospital because of dementia.

He was well until seven months earlier, when his family noticed the gradual onset of impairment of recent memory. During the next few months he remained ...

THE behavior of excitable cells like those in muscles and nerves, of secretory cells like those in the kidney or gastrointestinal tract, and indeed of all the body's cells, whatever their function, depends critically on the electrical potential across ...

THE study of elderly institutionalized men reported by Nicolle and colleagues in this issue¹ confirms the high frequency with which urinary-tract infections are acquired in this patient population and illustrates the ineffectiveness of discrete courses of ...

Many observers believe that generous medical insurance is a major cause of the large increase over the past few decades in our per capita constant dollar expenditures for health care. According to this notion, patients use more medical services if their ...

No extract is available for articles shorter than 400 words.

To the Editor: In a letter in the May 5 issue, Pitchenik et al.¹ conclude that in patients with AIDS who have intracerebral-mass lesions, there may be situations in which a trial of antibiotic therapy for presumptive toxoplasmosis is an acceptable ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Ong and his colleagues (July 7 issue) found spontaneous reperfusion in myocardial infarction — as shown by an early creatine kinase–MB peak — together with an improvement in left ventricular function.¹

In patients with myocardial ...

To the Editor: Circulating endogenous digitalis-like factor or factors reactive with antibody to digoxin were first reported by Gruber et al.¹ and have been highlighted by the recent report of radioimmunoassay values for digoxin of up to 4 ng per ...

No extract is available for articles shorter than 400 words.

To the Editor: A subcommittee of the American Rheumatism Association has recently published "The 1982 Revised Criteria for the Classification of Systemic Lupus Erythematosus."¹ As reported by Tan et al., the subcommittee evaluated 177 patients with ...

To the Editor: Now that the school year has begun, infestations with head lice among schoolchildren are likely to increase. Many lay people and health professionals are poorly informed about the natural history and management of louse infestations. A ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

In the preface this is described as "a book about living fully, loving, caring, creating, and adventuring." The author, a sociologist and a member of a Catholic religious order, goes on to say that the book has "emerged from an effort to understand the ...

It is now 20 years since then President Kennedy mandated a "bold new approach" to the care of the mentally ill. With the passage of the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963, the location of treatment ...

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.

At this most opportune time, when the economics of the healthcare industry is again in the gun sights of the national periodicals and reimbursement methods are undergoing reform, Live or Die explains to the public how it all came about.

In this ...

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.

In September 1971 the author and his wife were among the first of U.S. physician-couples (with Ina and Paul Dudley White, Helen and Samuel Rosen, and Ruth Sidel and me) to be invited to visit China since 1949. In the 12 years since that visit the Dimonds ...

Biomedical Science

Phospholipids and Atherosclerosis. Edited by Pietro Avogaro, Mario Mancini, Giorgio Ricci, and Rodolfo Paoletti. 282 pp. New York, Raven Press. 1983. $49.50.

Physiology. By Robert M. Berne and Matthew N. Levy. 1165 pp., illustrated. St. ...

ULTRASOUND IN PREGNANCY

A National Institutes of Health Consensus Development Conference entitled "Use of Diagnostic Ultrasound Imaging in Pregnancy" will be held in Bethesda, Md., February 6–8.

Contact Michaela P. Richardson, Office of Research Reporting,...

When Cuban guerrilla bands fought in remote mountain villages more than a quarter of a century ago, one of their first promises was to provide Cubans with medical care equal to any in the world. Today, on the eve of the silver anniversary of the "triumph ...