BOTH pathological¹ and clinical^{2 3 4 5 6 7 8 9} studies have shown that during the early hours after the onset of myocardial infarction, a thrombus is usually present in the coronary artery supplying the area of necrosis. Less certain is the nature of the ...

THE infant with hypotonia and severe neurologic dysfunction or seizures presents a difficult and important problem in differential diagnosis. The condition may be associated with anoxic or ischemic damage, teratogenic agents, infectious diseases, ...

GENITAL infections from Chlamydia trachomatis are now recognized as a major public-health problem in the United States, with an incidence several times that of Neisseria gonorrhoeae.^{1 2 3} Both nongonococcal urethritis in men and its counterpart, ...

THE demonstration that electrical stimulation of the phrenic nerves resulting in rhythmic contractions of the diaphragm (pacing) could provide full-time, long-term ventilatory support to patients with quadriplegia who had respiratory paralysis was ...

PSORIASIS is a common skin disease that is often disfiguring and disabling. In 1974 Parrish et al.¹ reported a new and effective treatment known as PUVA, which consists of orally administered methoxsalen (8-methoxypsoralen) and long-wave ultraviolet ...

CLOSE observers of the health-care system, among them Arnold Relman^{1 2 3} and David Rogers,⁴ are alarmed at how fast American medicine appears to be turning from a profession into a business. The evidence of history and economics suggests that a related ...

IN 1953 Sanger and Thompson described the complete covalent structure of insulin, a hormone containing two separate peptide chains and three disulfide bonds.^{1 , 2} Although proposed models for the biosynthesis of such a complex molecule were debated for ...

Presentation of Case

A 32-year-old woman was admitted to the hospital because of proteinuria and impaired renal function.

There was a history of episodic flank pain and fever in childhood that resolved spontaneously. As a teenager the patient experienced ...

Connections between industry and academic medical scientists are not new. It has long been common practice for manufacturers of pharmaceuticals and medical devices to retain the services of academic scientists as consultants or to subsidize their research ...

The year 1983 marked the 10th anniversary of the introduction of computed tomography (CT) in the United Slates. In 1978 this diagnostic technique was still the focus of intense controversy,^{1 , 2} primarily because of its cost. Considered by physicians to ...

DEATHS

Gordon — George Samuel Gordon, M.D., of Lynn, died on February 5. He was 70.

Dr. Gordon graduated from Middlesex University School of Medicine in 1937. He was a member of the American Medical Association and the American Academy of General ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Coronary-artery dissection is a rare complication of cardiac catheterization and is associated with morbidity and mortality.^{1 2 3 4} We report a case of extensive acute left-coronary-artery dissection treated with intracoronary ...

To the Editor: There have been fundamental changes during the past 15 years in the investigation and certification of death in Minnesota. Two of these changes, due to the gradual development of modern forensic systems for investigation of death in five ...

No extract is available for articles shorter than 400 words.

To the Editor: Several months ago the medical staff at our hospital expressed some concern regarding the results of analysis of several arterial blood-gas specimens — i.e., the results were inconsistent with the patients' status. Specifically, the ...

To the Editor: According to a current hypothesis, potassium wasting in Bartter's syndrome is caused primarily by a defect in the active reabsorption of chloride in the ascending segment of the loop of Henle, with ensuing increased distal tubular flow.¹ ...

No extract is available for articles shorter than 400 words.

To the Editor: There has been recent interest in the possibility that studies of cation transport in blood cells might reveal the presence of alterations that would serve as genetic markers for essential hypertension. One such pathway, sodium–lithium ...

To the Editor: Schafer et al. (Nov. 17 issue)¹ conclude that "gastric cancer is no more common among patients with prior gastric surgery for peptic-ulcer disease than among members of the population at large." We are uncomfortable with this conclusion.

...

To the Editor: During the past five months we have encountered angiolipomas, an uncommon variant of benign adipose tumors,^{1 2 3} in seven young homosexual men (Table 1).

All the lesions were subcutaneous masses of recent onset, and except in Patient 7, ...

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.

It is only in the past decade that neurobiology has matured sufficiently to stand on its own as a subdiscipline of biology. With the recent growth in neurobiologic information, several institutions (particularly medical schools) have begun to treat this ...

The author states in his preface that because too little time is now spent in physiology courses, "this text is an attempt to explain in writing what I should have taught my students, if we had the time." Although it was written for medical students, he ...

It is traditional among medical researchers to preface any discussion of their own specialty with remarks about the magnitude of the health problem it poses, and to close with a plea that their field be accorded a higher priority and more generous ...

This is a book by two sociologists about the experience of living with epilepsy as an illness as distinct from epilepsy as a disease. The authors make the sociologic distinction that illness as a concept carries with it the full psychological, social, ...

No extract is available for articles shorter than 400 words.

The difficulty of introducing students to psychiatry has continued to provoke innovative literary and pedagogical efforts. These have ranged from the use of biography, literature, and drama to illustrate aspects of psychopathology and adaptation, to ...

The biologic basis and drug treatment of both schizophrenia and affective disorders represent a vast topic; to review what is known in under 400 pages is an ambitious task. This new book does a very good job of condensing a great deal of information into ...

Surgery

Atlas of Hand Surgery. Vol. 2. By Robert A. Chase. 480 pp., illustrated. Philadelphia, W.B. Saunders, 1984. $85.

Bladder Cancer. (Butterworths International Medical Reviews. Urology 1.) Edited by Philip H. Smith and George R. Prout, Jr. 287 pp., ...

AMERICAN CANCER SOCIETY The Society will offer a number of Research Development Program Grants for the funding of clinical studies in cancer research.

Contact the Research Dept., American Cancer Society, 777 Third Ave., New York, NY 10017; or call (212) ...

The drive to transform the traditional method of delivering medical care through the creation of alternative modes, which usually feature some limitation on a patient's choice of physicians in return for comprehensive medical benefits provided at a fixed ...