DILATION and curettage remains the method most frequently used to terminate undesired pregnancy. A safe, noninvasive method for the termination of early pregnancy would offer considerable advantages over dilation and curettage, particularly if abortion ...

SYSTEMIC lupus erythematosus is a vascular disorder of connective tissue, mediated by autoantibodies directed against cellular antigens, that results in multisystemic inflammatory damage. Cardiac lesions involving the endocardium, myocardium, pericardium, ...

THE bacterium responsible for human listeriosis, Listeria monocytogenes, was first isolated from rabbits that became ill during a laboratory epidemic in 1926¹ and from a human in 1929²; it was found to cause disease in neonates in 1936.³ Since then, the ...

DIET is a cornerstone of therapy for patients with non-insulin-dependent diabetes mellitus (NIDDM).¹ The aim of dietary therapy in patients with NIDDM is not only to improve control of hyperglycemia but also to reduce the risk of coronary heart disease by ...

THERE is a growing consensus that the prevailing method of paying for physicians' services should be fundamentally reformed. Increasingly, physicians, patients, and insurers find the current system based on usual, customary, and reasonable charges to be ...

THE majority of persons who ascend rapidly to terrestrial elevations higher than approximately 2500 m (8200 ft) undergo an unpleasant period of acclimatization. During this time, they have a variety of symptoms, the most prominent of which are headache, ...

THE de Toni–Debré–Fanconi syndrome,^{1 2 3} or Fanconi's syndrome, is characterized by multiple abnormalities in renal tubular function. Defective handling of phosphate, glucose, and amino acids is the cardinal feature of the syndrome.^{1 , 2} Increased renal ...

Presentation of Case

A 76-year-old man was admitted to the hospital because of confusion and agitation.

He was well and active until 14 weeks earlier, when his wife noticed that he became forgetful and confused, especially at night, shortly after the ...

The cause of the cardiac problems that develop in patients with systemic lupus erythematosus, especially those who are taking corticosteroids or are immuno-suppressed, is often a complex clinical problem. Key therapeutic decisions depend on whether the ...

Morbidity and mortality from coronary artery disease are increased in patients with non-insulin-dependent diabetes mellitus (NIDDM). As a consequence, the Nutrition Committee of the American Diabetes Association has recommended¹ that patients with NIDDM ...

Medicare payment to physicians is an important matter of public policy. Many persons, myself included, have been calling for reform for years. Reform may or may not be near, but the attention devoted to the payment of physicians will undoubtedly reach a ...

No extract is available for articles shorter than 400 words.

To the Editor: When considering treatment for ductal carcinoma in situ with respect to its biologic potential, one must take into account how the lesion was discovered. If this cancer or, indeed, any stage cancer, is detected at the initial, or ...

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: A 62-year-old woman presented with severe headache, dizziness, and difficulty in concentration. Her blood pressure was 128/90 mm Hg, and retinal-vein engorgement with "sausage" formation and a slight maculopapular rash were noted. The ...

No extract is available for articles shorter than 400 words.

These two contrasting books are considered together because of their relation to the growing science of molecular neurobiology.

The jacket blurb on Bowsher's book claims that this fifth edition "reflects recent discoveries" in neurochemistry and ...

Headache is one of the most common symptoms with which patients present to physicians. In recent years, a number of books on this topic have appeared. Those reviewed here, edited by Hopkins and by Rose, are worthwhile additions to the literature.

The ...

Although there has been an explosive increase in factual information about the nervous system in the past decade, an integrated conceptual approach to understanding its workings has been sorely lacking, especially in introductory textbooks. This handsome ...

Within the past decade, the literature on Freud and religion has become more objective, sophisticated, and thoughtful. Early works on Freud's attitude toward religion often sought either to defend religion against psychoanalysis by attacking Freud, or to ...

Over the past 15 years, the study and care of sleep disorders have developed into a multidisciplinary subspecialty. Despite the evolution of this field, there are few textbooks of sleep medicine. In this monograph, the author has endeavored to present a "...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Biomedical Science

Advances in Immunohistochemistry. Edited by Ronald A. DeLellis. 496 pp., illustrated. New York, Raven Press, 1988. $79.

Biology of Human Milk. (Nestlé Nutrition Workshop Series. Vol. 15.) Edited by Lars A. Hanson. 231 pp., illustrated. ...

COMPUTER APPLICATIONS IN MEDICAL CARE

The 12th annual symposium will take place in Washington, D.C., Nov. 6–9.

Contact Dr. Robert A. Greenes, SCAMC–CME Office, George Washington Univ. Medical Ctr., 2300 K St., NW, Washington, DC 20037; or call (202) 994–...

The current system of compensating physicians for their services is based on customary, prevailing, and reasonable charges. It has been criticized as inflationary and complex and as tending to retain distorted charges.^{1 , 2} Many physicians also criticize ...