IN 1982, we reported on the performance at two hospitals of a preliminary version of a computer-derived protocol to aid in making a diagnosis in patients arriving at the emergency room with acute chest pain, and we suggested that this approach warranted ...

CEREBRAL palsy, a chronic neurologic condition due to nonprogressive brain injury, insult, or defect, results in abnormal motor development in children. Physical therapy is the most common intervention in cerebral palsy and is usually a component of ...

HYPERTRANSFUSION therapy has dramatically increased the duration and quality of life in patients with β-thalassemia major.^{1 , 2} Such treatment, however, leads to chronic iron overload, despite the use of the iron-chelating agent deferoxamine, and is ...

CIRRHOSIS of the liver remains a major clinical problem, affecting about 2 million people in the United States, with excessive ingestion of alcohol as the chief etiologic factor.¹ Mortality is high among these patients; hepatic failure and hemorrhage ...

OSTEOPOROSIS is defined as a decrease in bone mass and strength leading to an increase in fractures, particularly of the vertebral bodies, proximal femur, and distal radius. According to this definition, the disorder must exist before the fracture occurs, ...

IT has been estimated that there are at least 2.8 million infertile couples in the United States who want to have children.¹ A decade ago many of these couples remained childless, despite the many advances in reproductive endocrinology and in the ...

Presentation of Case

A 42-year-old woman was admitted to the hospital because of abdominal pain and a pelvic mass.

There was a long history of bronchial asthma that required long-term oral administration of adrenocorticosteroid medications. Three years ...

Traditionally, Americans have obtained individual and family health insurance coverage in one of three ways. Some have been covered by public programs (Medicaid for the very poor, Medicare for the elderly), and some have paid directly for policies, but by ...

During any commencement season, it is likely that at least one medical school graduating class will be favored with an address on "The Art and Science of Medicine." No wonder, since this serves as a springboard for introducing a variety of engaging ...

Broderick — Edward O'Connell Broderick, M.D., of Needham, died on February 20 at the age of 85.

Dr. Broderick received his degree from Tufts College Medical School in 1929. He was a member of the American Medical Association and a 50-year member of the ...

To the Editor: Clinical criteria make it possible to be brain dead in one country and not in another. This has implications for international organ-retrieval programs.

A 2530-g male infant was delivered at 37 weeks' gestation by emergency cesarean ...

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: As detailed by Malech and Gallin (Sept. 10 issue),¹ much indirect evidence links neutrophil-mediated damage with hydroxyl radicals formed by the iron-catalyzed reaction between Superoxide and hydrogen peroxide (Haber–Weiss reaction). ...

No extract is available for articles shorter than 400 words.

This popular pediatrics textbook has now been revised for the 12th time, with the most recent previous revision having been published in 1983. Nelson, who is still the senior editor, first prepared the book in 1933; since then, it has been revised every ...

The fields of perinatal and newborn medicine continue to expand and evolve at a rapid rate. These two textbooks fill a continuing need for references in the general areas of primary care of the newborn and in the care of the mother, fetus, and newborn at ...

Prenatal, or obstetrical, ultrasonography has become a widely used and highly effective diagnostic method. It provides an accurate means of seeing the fetus in its intrauterine environment. Improvements in technology and increased expertise have expanded ...

Cardiac catheterization has undergone a renaissance over the past eight years because of the introduction of interventional catheterization techniques. This book serves as a timely update on the traditional diagnostic catheterization techniques in infants ...

The scope of this book reflects the challenging task facing the modern pediatric endocrinologist, who must be conversant with a wide range of disciplines — including molecular biology, genetics, and psychology — in addition to classic endocrinology. The ...

No extract is available for articles shorter than 400 words.

SOCIETY OF BIOLOGICAL PSYCHIATRY

The 1988 Convention and Scientific Program will be held in Montreal, May 3–7.

Contact Dr. Everett H. Ellinwood, Jr., Dept. of Psychiatry, Duke Univ. Medical Ctr., Box 3870, Durham, NC 27710.

24TH ANNUAL CARDIOVASCULAR ...

Constrained by a budget deficit and by continuing concern over the rising cost of medical care, the federal government has adopted new Medicare policies that target physician-delivered services as a more substantial source of savings than previously. ...