THE prevalence of secondary amenorrhea among female athletes has been reported to range from 3.4 to 43 per cent, depending on the investigator's definition of amenorrhea and selection of subjects.^{1 , 2} Among highly trained endurance athletes, for example, ...

THERE is no question that positive end-expiratory pressure (PEEP) can improve oxygenation during its application in patients with the adult respiratory-distress syndrome.¹ However, it remains controversial whether PEEP actually alters the pathophysiology ...

FAMILIAL Mediterranean fever, or recurrent polyserositis, is an inherited disease affecting Sephardic Jews, Armenians, and Arabs, in which recurrent episodes of unprovoked inflammation involve the joints and the pleural and peritoneal cavities.^{1 , 2} The ...

THE role of oxygen inhalation in the therapy of sickle-cell disease remains to be defined. Although this type of therapy is widely recommended for events that produce hypoxemia — e.g., "the acute chest syndrome"^{1 , 2} — its effectiveness in the treatment ...

LAST year, Congress approved the most fundamental change in the Medicare law since its enactment in 1965: Medicare's traditional method of payment to hospitals, patterned after the cost-based retrospective system of reimbursement historically used by Blue ...

Selective Deficiency of Other Immunoglobulin Isotypes

As techniques have become available, isolated deficiencies of each immunoglobulin isotype or subclass have been described. Perhaps the best known is IgM deficiency, which has been associated with ...

1YOPHILIZED factor VIII concentrates have beJ come the treatment of choice for factor VIII-deficient patients with hemophilia. The cost of such treatment is high, primarily because under normal conditions of collection and preparation, factor VIII ...

Presentation of Case

A three-year-old boy was admitted to the hospital because of pancytopenia.

He was well until two weeks earlier, when he became less active, with intermittent fever with a temperature as high as 38.9°C. Anorexia and vomiting developed. ...

Positive end-expiratory pressure (PEEP) was reported to be useful in the treatment of pulmonary edema in 1938,¹ and its use has been widespread since Ashbaugh et al.² reported that PEEP improved oxygenation in patients with the adult respiratory-distress ...

The sequence of events that precipitate the recurrent febrile attacks of familial Mediterranean fever has fascinated clinicians ever since the disease became firmly established as a distinct clinical entity in 1945.1 Clues to its cause seemed to be ...

A number of solutions have been proposed to correct the substantial oversupply of physicians that already exists or will exist by the end of this decade. These include decreasing the number of medical-school entrants, closing some medical schools entirely,...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: We wish to report our findings in children with measles encephalitis who were included in a prospective study of 29 children presenting with acute encephalopathies at London hospitals. Our findings differ from those of Johnson et al. (Jan. ...

No extract is available for articles shorter than 400 words.

To the Editor: Hunter's syndrome is an X-linked recessive disorder caused by a deficiency of the lysosomal hydrolase iduronate sulfate sulfatase.^{1 , 2} A sensitive assay technique for determination of this enzyme in serum identified almost 90 per cent of ...

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.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

There are three reasons why the medical-history buff is interested in Cotton Mather.

The first might be called community psychopathology. Why would the leading citizens of a small pioneer settlement try, condemn, and publicly hang 20 simple-minded ...

No extract is available for articles shorter than 400 words.

In his preface, the editor mentions that this book contains little new material. This might be said of most textbooks! Their success is thus determined by the thoroughness, lucidity, and objectivity with which they convey extant information. The authors ...

No extract is available for articles shorter than 400 words.

Infection in total joint arthroplasties represents a severe medical, social, and economic problem. This book reviews the causes of such infections, their prevention, and their treatment. It will have a wide audience among arthroplasty surgeons, their ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Pathology

Advances in Clinical Cytology. Vol. 2. Edited by Leopold G. Koss and Dulcie V. Coleman. 314 pp., illustrated. New York, Masson, 1984. $69.50.

Interpretation of Bladder Biopsies. (Biopsy Interpretation Series.) By Peter N. Brawn. 210 pp., ...

CARDIOMYOPATHY

An International Symposium on Cardiomyopathies will be held in Lisbon, October 1–3. The fee is $320.

Contact Roando F. Alvares. Av. 5 de Outubro, 35–2, 1001 Lisbon, Portugal; or call 1–53 68 61.

INSTITUTE FOR APPLIED PHARMACEUTICAL SCIENCES

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

In an era when federal and state policies increasingly dictate the direction of change in medical-care delivery and payment, the Twin Cities of Minnesota stand out as a metropolitan area where private-sector interests have been the leading architects of a ...