THE findings of recent angiographic,^{1 2 3} angioscopic,⁴ pathological,^{5 , 6} and hematologic^{7 8 9} studies emphasize the role of plaque rupture, platelet activation, and thrombus formation in the pathophysiologic process of unstable angina. Unstable angina ...

A NUMBER of studies^{1 2 3 4 5 6 7} have shown that school-children with a history of lower respiratory tract illnesses during infancy have both poorer lung function and a higher prevalence of bronchial hyperresponsiveness than subjects without such a ...

IN August 1983, the Centers for Disease Control (CDC), in cooperation with health care institutions throughout the United States, began an ongoing surveillance project to quantitate the risk to health care workers of acquiring infection with the human ...

SEVERAL studies in Africa have demonstrated the importance of human immunodeficiency virus (HIV) infection in selected African populations.^{1 2 3 4 5} A 1984 prevalence study in Kinshasa, Zaire, among employees at Mama Yemo Hospital, indicated that being ...

(Second of Two Parts)

Cirrhosis

The Underfilling versus the Overflow Hypothesis of Sodium and Water Retention

The earlier, classic "underfilling" theory of sodium and water retention in cirrhosis proposed that ascites formation led to circulatory ...

FETAL hydrothorax has a perinatal mortality of 57 to 100 percent. Mortality is higher when the hydrothorax occurs in association with generalized hydrops than when it is an isolated finding.^{1 , 2} Intrathoracic compression of the developing lung produces ...

Presentation of Case

A 52-year-old man was admitted to the hospital because of severe diarrhea and weight loss.

He was well until nine weeks earlier, when there was the abrupt onset of explosive, watery diarrhea one day after he ate raw clams and oysters ...

With health care expenditures in the United States running close to 12 percent of the gross national product, it is certainly not surprising that many are calling for strong cost-containment measures. One of the most frequently mentioned approaches is ...

No extract is available for articles shorter than 400 words.

To the Editor: As a middle-aged general surgeon who has recently undergone coronary bypass graft surgery, I have looked for ways of preventing further atherosclerosis. I have assiduously avoided such known risk factors as obesity, smoking, and lack of ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Nilsson et al. (April 14 issue)¹ have reported the induction of immune tolerance in patients with antibodies to factor VIII (antihemophilic factor) by a combined regimen of intravenous IgG, cyclophosphamide, and factor VIII. The patients ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: The debate over the future form of health care financing and delivery is also important to us in South Africa, where we share many of the problems experienced in the United States (rising health care expenditures, incomplete coverage, and ...

To the Editor: In the good old days, patients usually had one doctor, who was likely to be a board-certified internist. He (rarely she) took care of the patient's various chronic problems, "kept up" in the medical specialties, tested himself with the ...

To the Editor: Halloween seems to be giving way to more hazardous activities than trick-or-treating. Halloween egg throwing has become a popular prank among adolescents. Physicians may be unaware of the risk of injury that can result. We report five ...

Dr. Adam Alpha, a young, able, and ambitious ophthalmologist, wished to "do better," and he hired a consultant. The consultant recommended a three=part strategy. Adam should advertise his "differentiating points" (unique services and skills), "systematize"...

No extract is available for articles shorter than 400 words.

The preface states that the aim of this book is to "present auditory function and dysfunction from a biological perspective . . . providing data that will be of value to both teachers and pupils in audiology, otolaryngology, speech pathology and other ...

In her preface, the author writes, "A single book describing the brain systems which govern the behavior of man, suggesting how these systems may malfunction to produce various types of mental disorder, and discussing how drugs might affect these systems ...

No extract is available for articles shorter than 400 words.

Since the first edition of their manual on neurologic and neurosurgical intensive care was published in 1983, as the authors mention in their preface, the field has been consolidating. The art and science of intensive care in general have progressed, but ...

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

Advances in Cancer Control: Cancer control research and the emergence of the oncology product line. (Progress in Clinical and Biological Research. Vol. 278.) Edited by Paul F. Engstrom, Paul N. ...

UNIVERSITY OF CALIFORNIA, SAN DIEGO

A workshop, entitled "Triple Threat: Alcohol, Other Drugs and Post Traumatic Stress Disorder," will be held in San Diego, Nov. 4–6.

Contact UCSD Alcohol Program, UCSD Extension, X-001, La Jolla, CA 92093; or call (619) ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Japan's medical care system, remarkably inexpensive by American standards, has nevertheless entered an era of economic stress and incremental change as a consequence of efforts to address its most serious challenges. These challenges include medical ...