In patients who undergo coronary-artery bypass procedures, the operative technique and the patho-anatomy of the grafted coronary artery are the immediate determinants of graft patency. After the fifth postoperative year, however, the major determinant of ...

In the 15 years or so since cadaver renal transplantation became accepted as a standard method for treating renal failure, the overall results of the procedure have improved quite strikingly. This has been due to several factors, including better HLA-...

Withholding or withdrawing life-supporting treatment is one of the most important ethical issues for medicine in the late 20th century. At least six physicians have been accused of murder for withdrawing or withholding such treatment.^{1 2 3 4 5}

Decisions ...

Lassa FEVER was first reported as a severe, often fatal disease occurring in Africa and resulting from infection by an arenavirus.^{1 2 3 4 5 6} The virus was isolated in 1969 after an outbeak in a hospital in northern Nigeria,⁷ and additional hospital ...

Rapidly advancing trends establishing medical care as an economic product rather than a social good have created an unprecedented threat to our present highly developed system for the graduate education of physicians. These same forces are limiting the ...

When academic physicians think of teaching clinical medicine, they generally think of teaching on medical and surgical wards in hospitals. Many of these physicians remember when such wards were open units in city hospitals in which patients "paid" for ...

Nitrazepam, a benzodiazepine anticonvulsant, is used in the treatment of myoclonic, akinetic, absence, generalized tonic–clonic, and complex partial epilepsies.^{1 2 3 4 5 6 7 8 9 10 11 12 13 14 15} Adverse reactions to the drug include sedation, hypotonia, ...

No extract is available for articles shorter than 400 words.

An excellent report by Loop et al.¹ in this issue of the Journal indicates that longevity is increased when the internal mammary artery rather than the saphenous vein is used in bypass grafts. Evaluating the importance of these data provides an excellent ...

There is a widening consensus that ambulatory care must play a far greater part in undergraduate and postgraduate medical education. The GPEP Report noted that "Although fewer than five percent of all physician/patient contacts result in hospitalization ...

There is general agreement in the medical community with the recommendations of the American Cancer Society and the American College of Radiology (ACS/ACR) that all women have a base-line mammogram at the age of 35 to 40, with follow-up examinations ...

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To the Editor: Patients with the acquired immunodeficiency syndrome (AIDS) have profound defects in T-lymphocyte function and are inordinately susceptible to infections with microorganisms, chiefly intracellular parasites, that are defended against ...

To the Editor: The catalog of opportunistic pulmonary infections¹ observed in patients with the acquired immunodeficiency syndrome (AIDS) is expanding to include unusual organisms. We recently treated a patient with AIDS who had bacteremia and a ...

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.

To the Editor: In their Medical Intelligence article in the Journal (July 25 issue), Kiel-Metzger et al.¹ raised several points that require clarification. According to those authors, the occurrence of fertile XX males of the goat "demonstrates the ...

To the Editor: Lecturing recently in our medical-ethics class, I discussed what I regard as the several good and important ethical sentiments of the Hippocratic oath. Some of the students expressed the opinion that the oath is so outdated it now has no ...

This book is overdue. With the advent of molecular biology and antiviral chemotherapy, the science of virology is no longer confined to epidemiology and the natural history of disease. The editors of this textbook have put together an excellent first ...

This is a concise but comprehensive synopsis of morphologic alterations in exfoliated cells that is written for cytotechnologists and graduate students. Details on disease processes, physiology, and theory are held to the barest minimum, with the ...

No extract is available for articles shorter than 400 words.

These guidelines are in accordance with the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals." (The complete document is available in the June 12, 1982, issue of the British Medical Journal and the June 1982 issue of the Annals of ...