MIROWSKI et al.¹ demonstrated that defibrillation in human beings could be achieved by means of a catheter electrode system. Their system was subsequently modified² to include an electrode with a large surface area, which was placed extracardially over ...

UNCERTAINTIES regarding the optimal treatment of lupus nephritis persist despite extensive study of this disease over the past few decades. There is general disillusionment with corticosteroids because of their relatively unfavorable balance of efficacy ...

HEPATITIS B viral infection has been a major complication in patients receiving long-term hemodialysis, since this form of therapy was introduced in the 1960s.^{1 2 3 4 5 6 7 8 9 10} Unlike healthy adults, patients undergoing dialysis who are infected with ...

SEVERAL factors have been found to be associated with an increased risk of major manifestations of coronary heart disease. The most common are abnormalities of lipids or lipoproteins, elevated blood pressure, and tobacco smoking. However, stroke lias been ...

PSYCHOSOCIAL inquiry, following the trend of clinical medicine, is characterized by a focus on a particular diagnosis, with a parochial inclination to view the psychosocial problems of each illness as unique. When control groups are used in studies of the ...

DIRECT examination of the tracheobronchial tree with flexible fiberoptic bronchoscopy has greatly facilitated the diagnosis, staging, and management of pulmonary neoplasms and other lung diseases.¹ New technology and techniques have expanded the ...

A NEWLY recognized syndrome of sexual precocity in boys, characterized clinically by sex-limited autosomal dominant inheritance and extremely rapid virilization, has recently been reported.^{1 , 2} In this syndrome, in contrast to true precocious puberty, ...

Presentation of Case

A 30-year-old woman was admitted to the hospital because of ocular injury.

She was well until the early hours of the day of admission, when she was hit by an assailant in the right occipital region and fell forward, striking her right ...

The use of heroin to treat pain has been illegal in the United States since 1956. Congress is now considering a bill, termed the Compassionate Pain Relief Act (H.R. 5290), that would permit the use of heroin in cancer patients whose pain is unrelieved by ...

Before a plan of treatment for a patient with systemic lupus crythematosus and renal involvement is formulated, the clinical characteristics of the patient must be defined. Currently, it is possible for clinicians to make this definition, since there are ...

There has been much political interest in the approval of heroin for the arrest of chronic pain, especially in patients with terminal illness. Indeed, legislation H.R. 5290, the proposed Compassionate Pain Relief Act, has been introduced to obtain such ...

Heroin has been in continuous use since its creation in England by Wright in 1874. The drug was synthesized by acetylating morphine and is therefore a semisynthetic narcotic. Its chemical name is diacetylmorphine, or diamorphine. It was named heroin by ...

No extract is available for articles shorter than 400 words.

To the Editor: The article by Lane et al.¹ and the letters written in response to it^{2 , 3} discuss the cause of the polyclonal activation of B cells seen in homosexual men with the acquired immunodeficiency syndrome (AIDS) and the unexplained ...

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 recent exchange of letters on chorionic villus sampling (April 26 issue)^{1 , 2} suggests an inappropriate picture of the current appraisal of this procedure. Although in October 1983³ it was appropriate to quote Dr. Hobbins' estimate of ...

To the Editor: Both forensic pathologists and neuroscientists need a gauge that is consistent among specimens and that shows the interval between death (defined as circulatory arrest with cessation of blood flow) and sample analysis. Recent ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: There is currently great interest in the field of clinical epidemiology. There are growing numbers of clinical epidemiologists, and "clinical epidemiology" is a term that has been appearing in the medical literature increasingly. New ...

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.

This book, written by a physician (who has become a management consultant) and a younger health-care analyst, is focused on an important subject. But the critical question is what the interested Journal reader (physician, hospital administrator, or health ...

This is an interesting and timely book. With much attention being focused on the increasing costs of hospital care in the United States, it is informative to have a comparative view. The authors, an economist and a physician, have examined the way in ...

No extract is available for articles shorter than 400 words.

According to Dirckx, "medicalese" is no longer jargon; it is a language. A picky philologist might disagree, but never mind. This book is an important contribution to the understanding of the argot that enshrouds the working of the medical profession.

At ...

In his 1984 Report to the Board of Overseers, Harvard President Derek Bok called for a massive rehumanization of medical education. It is fortuitous that publication of this new book follows closely on the heels of that call. Jay Katz's poetic manifesto, ...

As the title suggests, the first book here addresses the vague sense of "unwellness" that brings so many patients to the doctor's office. Attributing these states or "maybe ailments," as she calls them, to stress, Dr. Brown offers a highly personal ...

No extract is available for articles shorter than 400 words.

CALL FOR PAPERS

Abstracts are now being accepted for the 86th annual meeting of the American Society for Clinical Pharmacology and Therapeutics to be held at the Hilton Palacio del Rio Hotel in San Antonio, Texas, March 28–30. 1985. Abstracts must be ...

A characteristic of the 1970s in many Western developed industrialized countries, including the United States, was the expansion of government intervention and regulation in the areas of occupational and environmental health and of consumer protection. ...