CHRONIC heart failure is a common, progressively debilitating condition with a poor prognosis.¹ Treatment is aimed at improving the contractile state of the myocardium, reducing ventricular preload and afterload, and counteracting excessive compensatory ...

MORE than 60 million Americans between the ages of 25 and 74 are estimated to have hypertension¹ and are at increased risk for myocardial infarction, stroke, and renal disease. During the past 25 years, antihypertensive agents that interrupt most of the ...

THE histologic and clinical characteristics of Hodgkin's disease resemble those of a chronic infectious process. The risk factors among young and middle-aged adults in this country are consistent with a pathogenesis related to delayed infections with a ...

T-CELL activation is initiated by the binding of activating ligands to specific receptors on the cell surface. These include the T-cell receptor for antigen and its associated CD3 complex of glycoproteins, the sheep red-cell receptor CD2, and other T-cell-...

MULTIPLE risk factors for coronary artery disease have been reported in nonobese persons with abnormal glucose tolerance.¹ Specifically, such persons were noted to have significantly higher plasma insulin and triglyceride concentrations and higher blood ...

OVER the past two decades, the rate of delivery by cesarean section in the United States has increased from approximately 5 percent in the mid-1960s to more than 25 percent by 1988.^{1 , 2} This increase has been attributed to a wide variety of factors, ...

THE combination of beta-adrenergic-blocking and calcium-entry–blocking drugs has achieved widespread popularity in the care of patients with angina pectoris. Combined therapy is frequently used to decrease the number and severity of anginal attacks in ...

Presentation of Case

A 57-year-old woman was admitted to the hospital because of worsening skin ulcerations and decreasing renal function.

There was a 14-year history of pretibial petechiae. Evaluation at the time of onset showed that a test for ...

For those who have believed that the primary defect in chronic heart failure is a reduction in myocardial contractile force, the search for a potent, oral positive inotropic agent has been one of the most important efforts in cardiology. In recent years ...

The kidney has a dual role in hypertension. It may cause it, and it may suffer the untoward effects of an elevation in blood pressure. Primary or essential hypertension has been attributed in part to alterations in renal sodium excretion. Secondary ...

In his Banting Lecture in 1988, Reaven coined the term "Syndrome X" to describe the following constellation: resistance to insulin-stimulated glucose uptake, glucose intolerance, hyperinsulinemia, increased levels of very-low-density lipoprotein (VLDL) ...

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.

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.

This unique, well-written book is aimed at those who are confronted with the responsibility of providing pediatric anesthesia. Although all the contributors but one are from one hospital (the Children's Hospital of Pittsburgh), this in no way diminishes ...

In almost all medical procedures, the proof of the pudding is to be found in the patient's outcome. The editor and authors of this book attempt to outline what we know about risk and outcome in anesthesia.

We evaluate risk by recording objective measures ...

No extract is available for articles shorter than 400 words.

Human anatomy has not changed over several millennia, but its presentation to students has changed markedly. Thus, at least in the United States, dissection occupies only a small part of the preclinical curriculum, and the box of bones destined for the ...

Essentials of Human Anatomy is the eighth edition of a general textbook on gross anatomy targeted mainly to medical students. The authors have attempted to simplify the vast amount of gross anatomical detail in a way that can be readily absorbed; the ...

No extract is available for articles shorter than 400 words.

Low back pain is one of the most common afflictions of mankind: few of us escape. Fortunately, more than 80 percent of low-backpain problems resolve in six to eight weeks with or without medical intervention. This is the "great truth" that provides the ...

Public Health and Environmental and Occupational Medicine

Alcohol and Child/Family Health. Edited by Geoffrey C. Robinson and Robert W. Armstrong. 181 pp., illustrated. Vancouver, B.C., FAS Resource Group, 1988.

Community Mental Health: Principles and ...

NORTH AMERICAN SOCIETY OF PACING AND ELECTROPHYSIOLOGY

The following programs will be held: "NASPE 10th Annual Scientific Session" (Toronto, May 4–6); "Euro-Pace 1989" (Stockholm, Sweden, May 28–31); "16th Annual Pacemaker Meeting" (Iselin, N.J., June 7); ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.