IN early breast cancer, all clinically apparent disease can, by definition, be removed surgically. After such surgery (with or without radiotherapy), adjuvant systemic treatments may be considered. The two most widely tested types of adjuvant therapy are ...

A SYNDROME characterized by debilitating fatigue, diffuse pains, sore throat, tender lymph nodes, mild fever or feelings of feverishness, decreased ability to concentrate, and depression has become the subject of considerable interest and speculation in ...

BLACK men and women have a lower incidence of osteoporosis and hip fractures than white men and women.^{1 2 3} This has been attributed to increased bone mass in blacks.^{1 , 4} The mineral content of bone in blacks is some 5 to 10 percent higher than that in ...

FALLS are a major health problem among the elderly. Thirty percent of persons over the age of 65 who live in the community fall each year.^{1 , 2} The rate increases to 40 percent among those over the age of 80.¹ Falling accounts for the majority of deaths ...

THE mammalian stomach is a specialized organ of the digestive tract that serves to store and process food for absorption by the intestine.¹ One of its features, considered to be the hallmark of gastric function, is the ability to secrete acid; however, ...

IN recent years, nearly all efforts to establish more sensible legal policies in the field of medical malpractice have been directed at the legislatures, particularly the state legislatures. Much has been accomplished in regard to the availability of ...

Presentation of Case

A 40-year-old woman was admitted to the hospital because of epigastric pain and an intrahepatic mass.

She was well until five years earlier, when epigastric pain developed. She was seen at another facility, where an upper ...

Fatigue may be a normal consequence of intensive physical exertion or mental effort, or it may be symptomatic of a variety of specific illnesses. Because of its largely subjective nature, it may be difficult to define and quantitate. To the muscle ...

Whenever I have been with someone in the final stages of a fatal illness, I have found myself unable to communicate with the dying person as I did before. I have sensed a growing separation that led to uneasiness the moment I entered the room. Reflecting ...

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: Khaw et al. (June 30 issue)¹ report that an increase in the levels of adrenal androgens associated with smoking may result in an antiestrogenic effect. In a review of cigarette smoking and estrogen-related disease in women, Baron and ...

These three new paperback textbooks continue a recent trend toward the use of monographs in teaching individual organ systems, rather than large comprehensive works that cover the whole field of physiology. Although this approach may allow more attention ...

The treatment of tachyarrhythmias by both pharmacologic and nonpharmacologic means has burgeoned over the past several years. As a consequence, the information and technology relevant to the treatment of ventricular tachycardia, ventricular fibrillation, ...

This fourth edition represents a complete restructuring of a major nephrology textbook, originally edited by Strauss and Welt and published in 1963. The latest edition is substantially different from earlier versions; only the frontispiece, which shows ...

This third edition is half again as long as the first and shares 7 of the 44 authors with the 1975 version. The innovation of the first edition was to lump chronic ulcerative colitis with Crohn's disease. These two cryptogenic diseases were described, ...

No extract is available for articles shorter than 400 words.

Biomedical Science

Altered Glycosylation in Tumor Cells. (UCLA Symposia on Molecular and Cellular Biology. New Series, Vol. 79.) Edited by Christopher L. Reading, Sen-itiroh Hakomori, and Donald M. Marcus. 332 pp., illustrated. New York, Alan R, Liss, ...

SOCIETY OF THORACIC RADIOLOGY

The following courses will be offered: "Annual Postgraduate Course; Thoracic Imaging '89" (San Diego, March 5–9) and "Musculoskeletal Imaging: The State of the Art" (Newport Beach, Calif., March 10–12).

Contact Dawne Ryals, ...