HEMORRHAGE from esophageal varices represents the major life-threatening consequence of chronic liver disease. Among patients admitted for an initial variceal hemorrhage, 40 per cent will have rebleeding and more than one third will die within six weeks ...

ENDOSCOPIC sclerotherapy for bleeding esophageal varices gained interest after disappointing results were obtained in trials of portacaval-shunt surgery.^{1 2 3 4} Although balloon tamponade, vasopressin infusion, or both may provide hemostasis,^{5 , 6} only ...

ANOREXIA nervosa is a psychiatric syndrome of severe weight loss due to inadequate food intake. It occurs most often in adolescent and young women who have an intense fear of obesity that results in a relentless pursuit of thinness.¹ In Western countries, ...

BONE-marrow transplantation has proved effective for the treatment of aplastic anemia, refractory leukemias, and congenital immunodeficiency disorders.^{1 2 3 4} More recently, several other disorders, including β-thalassemia, chronic granulomatous disease, ...

DIAGNOSIS-related groups (DRGs) have been used as the basis for prospective payment to hospitals under Medicare since October 1983.¹ The grouping method uses diagnoses and surgical procedures to classify every hospital discharge in 1 of 467 DRGs.^{2 , 3} ...

PROBLEMS of the foot in patients with diabetes mellitus are often ascribed to "small-vessel disease." In particular, there is a widespread misconception that patients with diabetes mellitus have arteriolar occlusive disease, which can cause ischemic ...

RESIDENTIAL air-conditioning systems may ameliorate the symptoms of both allergic rhinitis and bronchial asthma.^{1 , 2} The beneficial effect is attributed to the reduction of indoor pollen and spore counts.^{1 2 3} However, the contamination of home and ...

Presentation of Case

A 45-year-old man was admitted to the hospital because of a question of carcinoma of the pancreas.

He was well until three weeks earlier, when he began to experience intermittent epigastric pain, which became constant and was ...

Recent experience with bone-marrow transplantation for the treatment of inherited disorders of metabolism has highlighted several complicated issues regarding the procedure.^{1 2 3 4} The report by Krivit et al.⁴ in this issue of the Journal adds another ...

Two weeks ago, we joined four other medical journals in a venture in electronic publishing. Although the technology may be unfamiliar, it offers a useful tool for searching the medical literature. Called BRS/Saunders Colleague, it is an electronic data ...

RENIN INHIBITORS

IN the May 4, 1978, issue of the Journal, Gavras et al. reported the first clinical trial of a new agent that promised a different approach to the treatment of hypertension — the inhibition of the renin–angiotensin system.¹ Renin, a ...

No extract is available for articles shorter than 400 words.

To the Editor: Women in the United States who are starting to use combined oral contraceptives are routinely asked to take the first tablet on the first Sunday after their next period begins or on the fifth day of menstrual bleeding and then to use an ...

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.

No extract is available for articles shorter than 400 words.

IN March 1979, I was a successful 50-year-old surgeon, hard-driving and competitive, and subject to all the stressful pressures inherent in a busy surgical practice. In addition, during the previous 18 months I had experienced a barrage of major ...

No extract is available for articles shorter than 400 words.

What a problem psychiatry has had with chronic disorders! Last August, during a social gathering on an island where many psychiatrists rest and recover from their daily responsibilities, I spoke with a distinguished training analyst about the place of ...

No extract is available for articles shorter than 400 words.

Psychiatric literature for nonpsychiatrist physicians and students has increased in volume and variety in recent years. This has been a result of pressures from many sources to communicate and integrate psychiatric knowledge with prevailing systems of ...

No extract is available for articles shorter than 400 words.

A careful and sincere anesthesiologist, Nahas has long crusaded against the spreading use of marijuana, which he sees as an ultimate menace to health. His books Marihuana — Deceptive Weed (1973) and Keep Off the Grass (1979) focus entirely on potentially ...

Cigarette smoking is a leading cause of death in the United States and is among America's foremost health problems. The magnitude of the problem is so staggering as to challenge our credulity: more people die each year from cigarette smoking than died in ...

No extract is available for articles shorter than 400 words.

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MENOPAUSE

The National Institute on Aging at the National Institutes of ...