CAROTID endarterectomy is a commonly used procedure. From 1971 to 1982, the number of carotid endarterectomies performed yearly in the United States rose from 15,000 to 85,000.¹ An estimated 107,000 were performed in 1985.² However, there are substantial ...

THE familial influence on the length of human life is well established^{1 2 3 4 5 6 7 8 9 10 11}; it may be based on a familial effect on the risk of premature death and the rate of the aging process. Evidence regarding the pathogenesis of the principal ...

THE Epstein–Barr virus (EBV) is classically associated with infectious mononucleosis and two neoplastic diseases, African Burkitt's lymphoma and nasopharyngeal carcinoma.¹ More recently, it has been associated with lymphoproliferative disorders in primary ...

MOST young faculty members who begin fulltime employment at a school of medicine hope eventually to reach the rank of professor. This goal often appears elusive, however, especially in clinical departments. In an attempt to clarify this issue, we reviewed ...

MACROPHAGES play a central and essential part in the immune response by presenting antigen to lymphocytes during the development of specific immunity and by serving as supportive, "accessory" cells to lymphocytes, at least partly by releasing soluble ...

EXTENSIVE evidence indicates that thyrotropin stimulates the growth and function of differentiated thyroid carcinomas.¹ These responses evidently reflect the presence in thyroid cancer cells of functioning thyrotropin receptors, which, on binding ...

Presentation of Case

A 72-year-old man was admitted to the hospital for evaluation of "chronic meningitis."

The patient was in a stable state of health until one year earlier, when he began to experience malaise, fatigue, and weight loss of an unknown ...

Both genes and a shared environment can endow members of a family with a predisposition to the same disease. Familial aggregation has been reported for most common diseases (cardiovascular, neoplastic, emotional, and endocrine, among others).^{1 2 3 4} ...

The unexpected death of a young woman at the New York Hospital in 1984 prompted a series of regional investigations that have resulted in recommendations of profound changes in graduate medical education. An initial proposal included the suggestion that ...

Even without long hours, residency training would be stressful. Multiple demands are placed on house officers, who often find there is more work to do than time to do it. The beeper interrupts; pages come more quickly than they can be answered. Residents ...

Do inadequate supervision and excessive work schedules of resident physicians seriously threaten the quality of patient care in teaching hospitals? A New York State commission has implicitly answered yes to this question by recommending new regulations ...

As the director of an internal medicine training program in a large urban academic medical center, I have mixed feelings about the regulations proposed by the New York State Health Department to modify the hours and supervision of house staffs.

I often ...

No extract is available for articles shorter than 400 words.

To the Editor: Lieberman et al. (Sept. 17 issue)¹ have correctly documented lower hematologic values in pregnant black women than in pregnant white women, consistent with findings from the national Collaborative Perinatal Project and other studies. ...

No extract is available for articles shorter than 400 words.

To the Editor: The myelodysplastic syndromes are a group of disorders with heterogeneous hematologic and cytogenetic features¹ that show an increased probability of transformation to acute myeloid leukemia. There is no cytoreductive therapy that is ...

To the Editor: The report by de Groen et al. (Oct. 1 issue)¹ describes the association of low serum cholesterol levels and cyclosporine-induced central nervous system toxicity after liver transplantation. We have recently examined a young woman with ...

To the Editor: Alzheimer's disease is characterized by the presence of numerous senile plaques within the neocortex, hippocampus, and amygdala and by neurofibrillary degeneration (tangles) and loss of neurons within these areas and within subcortical ...

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.

It is a rare pleasure to encounter a book that addresses all the right questions. This is such a book. It is addressed to practitioners of spine surgery who realize that their choices of procedures and techniques are made largely on the basis 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.

Public Health and Environmental and Occupational Medicine

Barrier Contraceptives and Spermicides: Their role in family planning care. 80 pp., illustrated. Geneva, World Health Organization, 1987.

Community Health Workers: The Tanzanian experience. By Kris ...

THOMAS JEFFERSON UNIVERSITY HOSPITAL

The following diagnostic ultrasound courses will be offered in Philadelphia: "Prostate and Genitourinary Ultrasound" (April 8 and 9); "Abdomen" (June 6–10); "OBGYN" (June 13–17); and "Non-Invasive Vascular Diagnosis" (...

No extract is available for articles shorter than 400 words.