FROM May through July 1987, four cases of Rocky Mountain spotted fever were diagnosed in the borough of the Bronx, New York City. None of the patients had traveled outside the Bronx within three weeks before the onset of illness. All had acquired the ...

AUTISM is a developmental disorder that results in severe deficits in social, language, and cognitive functioning.^{1 2 3 4} In 1943, Kanner¹ suggested that autism is a biologic rather than a psychological disorder. Nonetheless, the cause of autism remains ...

HEMOCHROMATOSIS is an inherited disorder characterized by excessive gastrointestinal absorption of iron and progressive iron loading of parenchymal organs.¹ In many affected people, gray-bronze skin pigmentation, hepatic cirrhosis, endocrine abnormalities,...

THE diagnosis of Duchenne's muscular dystrophy is usually uncomplicated; the affected patient is almost always a boy who presents with proximal muscle weakness before the age of five years and has serum creatine kinase levels at least 40 times the upper ...

RESIDENTS of state psychiatric hospitals and residential facilities for developmentally disabled or mentally retarded persons often have severe medical problems. Physical illnesses are common among psychiatric patients,^{1 , 2} and increasingly, residents of ...

B-CELL lymphomas are considered to represent "frozen" stages in the maturation of normal B cells. However, progression to a more malignant histologic form is frequently observed in low-grade lymphomas.¹ Cytogenetic studies have shown that sub-clones can ...

Presentation of Case

A 77-year-old man was admitted to the hospital because of a question of a right enterocutaneous fistula with a right inguinal abscess.

There was a long history of diabetes mellitus, which recently was managed by diet alone. An ...

There are many dangers to life in New York City, but until now they have not included Rocky Mountain spotted fever. In this issue of the Journal, Salgo and colleagues report four cases of Rocky Mountain spotted fever in the Bronx.¹ The observation adds ...

In this issue of the Journal, Courchesne et al. report on an association of cerebellar vermal hypoplasia with autism.¹ Although proper interpretation of this finding, which was based on magnetic resonance imaging in a relatively small number of patients ...

THE paper by Hoffman et al.¹ in this issue of the Journal is one of a series of landmark papers from the laboratory of Louis M. Kunkel. "Dystrophin" is the name that Kunkel and colleagues have given to a "new" protein, the product of the gene that is ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Although age and consumption intervals overlap, the relative risks of coronary death among smokers and nonsmokers reported by Willett et al. (Nov. 19 issue)¹ in a study of 119,404 female nurses (ages 30 to 55), with a six-year follow-up ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: The article by Benacerraf et al. (Nov. 26 issue)¹ suggests that a shortened femur and a thickened nuchal fold are valuable sonographic signs in the detection of Down's syndrome in the second trimester of pregnancy. The suggestion that ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Another perspective on the report on plasma R binder deficiency and neurologic disease (Nov. 19 issue)¹ may be useful. The authors' construction of a parallel between their case and my four cases of R binder deficiency^{2 3 4} is problematic ...

No extract is available for articles shorter than 400 words.

To the Editor: Dr. Relman's editorial¹ and the Sounding Board articles in the April 30, 1987, issue of the Journal ^{2 3 4} raise important, pertinent, and well-taken questions about health care delivery. However, we take issue with some negative views ...

No extract is available for articles shorter than 400 words.

The publication of this book is a major achievement in our understanding of the complex organ and cellular changes that occur in trauma, sepsis, and shock. The initial chapters explore the broad nature of trauma and infection. They include an overview of ...

Here is a fine attempt to provide a comprehensive, concise, and well-organized book for thoracic surgeons at all phases of their careers. Atlases of surgical procedures, by the very nature of their purpose, must be efficient in the way they illustrate and ...

Here is a timely book that consolidates much of the standard information on the diagnosis, clinical features, treatment, and complications of the common (and some uncommon) infections of the hand. Inflammatory conditions of the hand and upper limb are ...

No extract is available for articles shorter than 400 words.

Learning to perform arthroscopic surgery is akin to learning to play a musical instrument. Both require solid grounding in the theoretical fundamentals and constant practice to translate knowledge into performance. Manual dexterity and eye–hand ...

This book fulfills all its stated objectives. It is an excellent introduction to the basics of lithotripsy for primary care physicians who need to advise patients with calculus disease. The introductory chapter, describing the development of this ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Neurology and Psychiatry

After a Child Dies: Counseling bereaved families. By Sherry E. Johnson. 216 pp. New York, Springer, 1987. $23.95.

AIDS and the Nervous System. Edited by Mark L. Rosenblum, Robert M. Levy, and Dale E. Bredesen. 410 pp., ...

HEALING OUR SICK HEALTH CARE SYSTEM

The program, subtitled "Healing Ourselves," will be offered in Poughkeepsie, N. Y., June 21–24.

Contact Danny Flood, CME Office, Albert Einstein Coll. of Med./Montefiore Medical Ctr., 3301 Bainbridge Ave., Bronx, NY ...