BRONCHOPULMONARY dysplasia, a form of chronic lung disease of newborns, is a major cause of mortality and long-term morbidity in preterm infants.^{1 2 3 4 5 6 7} Infants in whom bronchopulmonary dysplasia develops have prolonged hospital stays, and the cost ...

PERSISTENT patency of the ductus arteriosus alters the regional blood flow in immature infants.¹ Increased pulmonary flow is thought to prolong dependence on a ventilator and to increase the risk of bronchopulmonary dysplasia.^{2 , 3} Reduced (and often ...

The muscle spasms and increased muscle tone associated with severe spinal spasticity often respond poorly to oral medications. Until now, the only alternative treatments have been destructive surgical procedures that cut nerve roots or disrupt spinal-cord ...

It has been shown that theophylline, a compound of methylxanthine, has a positive inotropic effect on diaphragmatic strength and reduces muscle fatigue in vitro,¹ as well as in animals.^{2 3 4} Several studies have shown that theophylline has a beneficial ...

The need for expanded training in ambulatory care is clear, not only in specialties that have traditionally emphasized outpatient practice (such as dermatology and family medicine), but also in specialties that have recently begun caring for more of their ...

Medical education at both the undergraduate and graduate levels is based on the premise that students and residents learn best by participating, under supervision, in the day-to-day care of patients. Historically, most of this clinical education has taken ...

HEAVY-CHAIN diseases in humans, which have been described for the three main classes of immunoglobulins, are B-cell disorders in which proliferating cells produce truncated monoclonal heavy chains that lack associated light chains.¹ The abnormal proteins ...

Presentation of Case

A 25-year-old woman was admitted to the hospital because of an opaque lesion in the right lung.

The patient was well until 17 months earlier, when wheezing developed and did not respond to medical measures. An x-ray film of the chest ...

Severe bronchopulmonary dysplasia has become a major medical problem in neonatal intensive care nurseries, costing thousands of dollars per patient, many hours of care by physicians and nurses, and incalculable pain and grief to parents who watch ...

Whenever the central nervous system is damaged, two types of symptoms and signs emerge. Negative ones, such as weakness, paralysis, fatigability, and lack of dexterity, result from either disconnection of lower motor neurons in the brain stem and spinal ...

Chronic obstructive pulmonary disease, also known as chronic airway obstruction, is a common disease. Exacerbations of this disorder accounted for more than 3.5 million hospital days in the United States in 1985.¹ Not only is the disease common, but ...

The education of a doctor requires the longest training of any profession. In addition to its length, the process is remarkable for how much of the training is conducted on the job. Business students don't manage companies, law students don't try cases, ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Oral hairy leukoplakia is a recently described lesion of the oral mucosa, the presence of which is associated with infection with human immunodeficiency virus (HIV)^{1 2 3 4} and presages the development of the acquired immunodeficiency ...

To the Editor: Cytomegalovirus infection is a major cause of morbidity and mortality in patients with immunodeficiency, including those with the acquired immunodeficiency syndrome (AIDS). A synthetic nucleoside analogue, ganciclovir (dihydroxy-...

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.

To the Editor: The recent campaign to alert physicians and patients to the risks associated with hypercholesterolemia and to encourage dietary changes and increased exercise to lower serum cholesterol levels is an admirable effort at primary-prevention ...

To the Editor: Spontaneous dissection of the extracranial carotid artery has been recognized increasingly as a cause of stroke in young adults. The known risk factors for dissection include fibromuscular dysplasia, hypertension, and Erdheim's cystic ...

This is a historical account of some of the public health issues defining the controversy over the human immunodeficiency virus (HIV) in the United States. The author recounts selected debates and events with a bearing on bathhouses and blood collection, ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Dr. Belsky has written a very readable book on the later years — their reality, promise, possibilities, and difficulties, and what can be done. She has created a fairly complete overview of the major issues of growing older in America, and she sounds a ...

Physicians seem to believe that they are mostly invulnerable, so that they postpone as long as possible any idea that they are sick. At first most deny their symptoms, then they explain them away, and when doctors do finally seek care, they often attempt ...

A few years ago, two of the authors of this interesting and well-written book (one a physician from the Department of Medicine at Emory University, Atlanta, and the other a physician from the Department of Anthropology at Emory) discussed paleolithic ...

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