UPPER gastrointestinal tract hemorrhage is an important health problem, necessitating over 300,000 hospitalizations annually in the United States.¹ The mortality rate for this disorder has been stable — about 10 percent — over the past 40 years.^{2 , 3} In ...

PEPTIC ulcers represent an important cause of upper gastrointestinal tract bleeding. Rebleeding from these lesions after hospital admission has been associated with an increase in mortality.¹ One potential means of stopping acute bleeding or reducing the ...

ACTIVATED human mast cells secrete preformed, granule-derived mediators, including histamine, proteoglycans, and the neutral proteases called tryptase and chymase, along with newly generated mediators, including prostaglandin D₂, leukotriene C₄, and ...

CERTAIN immunocompromised patients are at high risk for Pneumocystis carinii pneumonitis, an infection that is fatal if untreated. The only effective way to prevent this infection has been to administer trimethoprim–sulfamethoxazole daily. The success of ...

ACQUIRED selective hypoaldosteronism is a clinical disorder characterized by aldosterone deficiency without an associated reduction in the adrenal production of cortisol. The clinical manifestations usually include hyperkalemia and metabolic acidosis, ...

NITROGLYCERIN, which was first synthesized in 1846 and known as glonoine, was initially employed by homeopathic physicians to treat headaches and palpitations.¹ Sir Lauder Brunton² reported on the use of amyl nitrite in 1867, and in 1879, William Murrell³ ...

Presentation of Case

A 67-year-old man was admitted to the hospital because of a question of mesenteric arterial insufficiency.

There was a long history of hypertension and diabetes mellitus, Type II, neither of which was managed aggressively. Five or six ...

There is little argument that emergency operation for upper gastrointestinal nonvariceal hemorrhage is associated with a higher mortality than the same operation performed electively. Two controlled trials of elective treatment of duodenal ulcer show no ...

Most gastroenterologists and current textbooks^{1 2 3} recommend that patients who have had widespread ulcerative colitis for 7 to 10 years should be entered into a surveillance program designed to detect colonic dysplasia (precancer). This involves frequent ...

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: It has recently been reported that monitoring of NADH fluorescence can be used for the detection of abnormalities in oxidative metabolism in the human myocardium.¹ NAD is reduced to NADH during the oxidative catabolism of various ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

IN 1962 Carroll Behrhorst, M.D., left family practice in Kansas and moved to Guatemala to open a small clinic offering medical services to the local Indian population. He settled in Chimaltenango, a bustling market town located in the heart of the rugged ...

This short book on depression in the elderly is by a sensitive, knowledgeable psychiatrist with extensive experience working with the elderly. He states in the preface, "I intend this book as a practical, informative, supportive work geared to families ...

Dr. Jackson has written a remarkable book. He looks at the history of clinical depression from the time of ancient Greece and Rome to the development of the Diagnostic and Statistical Manual (3rd edition). His attention focuses not only on clinical ...

In the search by psychiatry to define itself, treatment approaches are too often embraced or rejected on grounds other than their probable efficacy. Militating against this tendency is the multiaxial organization of the Diagnostic and Statistical Manual ...

No extract is available for articles shorter than 400 words.

The author of this book is an artist, a gifted craftsman, who uses words to paint a vivid portrait of the suicidal person. This picture will help physicians and other health professionals to identify persons at risk of taking their own lives.

Dr. ...

In the broad interface between law and mental disability, the former is concerned primarily with the functional implications of the latter. That is, the law seeks to determine how a mental disability affects a person's behavior in matters relating to such ...

No extract is available for articles shorter than 400 words.

OCCUPATIONAL SAFETY AND HEALTH SUMMER INSTITUTE

The program will take place in Charleston, S.C., Aug. 17–21.

Contact Ted Williams. Occupational Safety and Health Educ. Resource Ctr., 109 Conner Dr., Suite 1101, Chapel Hill, NC 27514; or call (919) 962–...