MADRAZO and colleagues reported successful amelioration of Parkinson's disease in two patients treated by means of transplantation of the adrenal medulla to the right caudate nucleus.¹ Both these incapacitated patients had dramatic and continued ...

IT has repeatedly been demonstrated that the diagnosis of deep-vein thrombosis on the basis of clinical signs and symptoms in outpatients is unreliable.^{1 2 3} Therefore, several diagnostic techniques have been introduced in recent years.^{4 5 6 7} Contrast ...

SYNCOPE is a common clinical problem with multiple potential causes.^{1 2 3 4 5 6 7 8} Recently, cardiac electrophysiologic testing has proved particularly helpful in establishing the causes of syncope in patients with structural heart disease.^{5 6 7} On the ...

THE use of anticoagulant therapy in acute myocardial infarction remains controversial. Although there have been numerous reports on the short-term use of anticoagulants in acute myocardial infarction,¹ only three studies included sufficient numbers of ...

ALTHOUGH inpatient hospital-based medical treatment continues to be the most common form of alcohol detoxification,^{1 , 2} a small number of studies indicate that detoxification can be accomplished in most patients outside the hospital^{3 4 5 6 7 8 9} or in an ...

WITH increasing frequency, the human neutrophil is being implicated as a mediator of tissue-destructive events in inflammatory diseases ranging from rheumatoid arthritis and myocardial reperfusion injury to respiratory distress syndromes, blistering skin ...

THE regulation of somatic growth is complex and requires a number of hormones, including growth hormone, somatomedin C (insulin-like growth factor I), thyroid hormones, insulin, and sex steroids. A new development in the area of human growth hormone is ...

Presentation of Case

A 57-year-old man was admitted to the hospital because of progressive dyspnea and marked tracheobronchial obstruction.

The patient was born in Wisconsin and helped to raise chickens for five years during his childhood. He had frequent ...

To those who think of the heart as merely a pump, the concept that an episode of syncope may be triggered by activation of sensory nerve endings in the ventricles may seem far-fetched. It should not. We accept the notion than an arterial "bulge" at the ...

Cerebral embolism of cardiac origin is responsible for close to 15 percent of all cases of acute ischemic stroke — far fewer than the number attributed to thrombotic complications of cerebrovascular disease but still the source of catastrophic stroke in ...

It is over 50 years since repeal of the Volstead Act ended the Prohibition "experiment." Since then, the United States has slowly evolved a public health approach to alcoholism.¹ There has been gradual acceptance of the concept that alcoholism is a ...

To the Editor: In their Sounding Board article (Aug. 18 issue),¹ Orlowski et al. discuss a system to encourage the practice of using brain-dead subjects in teaching intubation. They propose that consent be presumed in the absence of a specific advance ...

No extract is available for articles shorter than 400 words.

To the Editor: Extremely low serum immunoglobulin concentrations have been reported in infants with congenital nephrotic syndrome.^{1 , 2} This immunoglobulin deficiency is certainly a major factor contributing to the high rate of sepsis in such infants. ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Acute myocardial infarction occurs in approximately 2 to 6 percent of patients in the immediate postoperative period after coronary-artery bypass grafting.^{1 , 2} The exact cause or causes of perioperative myocardial infarction have not been ...

No extract is available for articles shorter than 400 words.

To the Editor: Various screening procedures have been proposed to identify pregnant women at risk for having a baby with Down's syndrome. The goal has been to restrict amniocentesis, the definitive prenatal diagnostic procedure, to a minimum. The use of ...

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.

As the title indicates, this book covers the essentials of surgical practice for surgical trainees. The second edition is a great improvement over the first and includes a new section on trauma. While most of the chapters were written by British surgeons ...

This slender book contains 15 chapters by 33 contributors — all authorities in their fields.

The book opens with an excellent short chapter on anorectal physiology that includes a consideration of anatomy as well as of the intricate sensory and motor ...

The appearance of these two books marks a turning point in the literature of noninvasive testing of vascular disease. In the years following 1970, bioengineering techniques, chiefly Doppler ultrasound, began to be applied widely in clinical practice. Such ...

Thanks to the revolutions in fiberoptics and electronics, it is now possible to deliver high-resolution light images through flexible fiber bundles (packed 10,000 per square millimeter) to a miniature video camera for display on a television screen or for ...

In contrast to specialties such as cardiology or otolaryngology, critical care medicine is defined not by a region of the body but by a region of the hospital — the intensive care unit — and the nature of the equipment used. Patients in an intensive care ...

No extract is available for articles shorter than 400 words.

Neurology and Psychiatry

The Child Molester: An integrated approach to evaluation and treatment. (Clinical Psychiatry Series. No. 1.) By George W. Barnard, A. Kenneth Fuller, Lynn Robbins, and Theodore Shaw. 264 pp. New York, Brunner/Mazel, 1989. $27.50.

...

CRITICAL CARE IN THE 1990s

The symposium will be held in Aruba, April 22–28. Deadline for registration is March 1.

Contact Dr. OmarPrakash, Thorax Ctr., Erasmus Univ., P.O. Box 1738, 3000 DR Rotterdam, the Netherlands; or call (31) 10 463–5230.

...

No extract is available for articles shorter than 400 words.