IN Western industrialized countries, the consumption of excess amounts of ethanol is a common cause of congestive cardiomyopathy^{1 2 3 4 5} that is not explained by nutritional deficiencies.^{6 7 8} Chronic alcoholism is also associated with lesions of ...

THE port-wine stain is a congenital malformation of the dermis, involving venules, capillaries, and possibly perivenular nerves,¹ that occurs in an estimated 3 children per 1000 births.² Most lesions appear on the face in a quasi-dermatomic distribution.³ ...

BIOCHEMICAL measurements and trials with prostaglandin inhibitors have suggested that vasoactive eicosanoids have a role in modulating renal hemodynamics in patients with lupus nephritis.¹ The vasodilator prostaglandin I₂ (prostacyclin) and E₂ and the ...

ATRIOVENTRICULAR nodal reentrant tachycardia is a common cause of supraventricular tachycardia. Electrophysiologic studies have led to the generally accepted concept that two different atrioventricular nodal pathways operate in anterograde and retrograde ...

IN October 1983, the federal government implemented a prospective payment system (PPS) for hospitals in an attempt to control the spiraling costs of the Medicare program. The new program, based on diagnosis-related groups, provided hospitals with ...

ON October 1, 1983, Medicare replaced its cost-based system of reimbursement for hospitals with prospective payment. Instead of receiving payment for the costs actually incurred in caring for Medicare patients, hospitals now receive a rate fixed in ...

THE overproduction of hormones by endocrine tumors contributes to their clinical manifestations and serves as the basis of diagnostic testing.¹ We describe tumors of three different endocrine tissues — medullary thyroid carcinoma, anterior pituitary ...

Presentation of Case

A 28-year-old woman was admitted to the hospital because of right exophthalmos and ptosis after radiation treatment for Hodgkin's disease.

She was well until 41 months earlier, when she noticed a lump on the right side of her neck, ...

People who drink two fifths of whiskey a day obtain enough calories to survive without eating food, but they are bound to have protein and vitamin malnutrition. Many physicians believe that such nutritional deficiencies cause the medical disorders ...

Drug therapy is the standard approach to the treatment of patients with cardiac-rhythm disturbances, but its limitations are well appreciated. The clinician should therefore be aware of the extraordinary strides that have been made during the past decade ...

To the Editor: Burke et al. (Oct. 13 issue)¹ obtain impressive results in their study of false positive results in the U.S. Army's human immunodeficiency virus (HIV) screening program for service applicants. The extrapolation of these results to ...

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: Genetic susceptibility to multiple sclerosis has been demonstrated, and the presence of a factor in the HLA region on chromosome 6 has been well documented in various populations.¹ Among possible markers not linked with HLA, immunoglobulin ...

To the Editor: In order to investigate the incidence of severe psychological reactions to magnetic resonance imaging (MRI), the MRI service was asked to request psychiatric consultation for any patient with distress before or during the procedure that ...

One measure of a textbook is how well it accomplishes its stated purpose. Since the publication of the 17th edition of The Principles and Practice of Medicine in 1968, the editors have explicitly conceived of this book as emphasizing clinical problems ...

The editors of the third edition of this work have decided to redirect it toward attending physicians rather than toward students and residents (as it had been in the past) and to trim its size from 2000 pages to the current 700, by concentrating on "core ...

This is an interesting little clinical book about coronary artery disease that contrasts with many of the high-technology monographs on molecular cardiology that are currently available. Written primarily by a cardiologist from London, the book surveys ...

No extract is available for articles shorter than 400 words.

After only a two-year hiatus, Messerli has produced a second edition of Cardiovascular Disease in the Elderly in an effort to update and improve the first edition. Many of the chapters have been completely rewritten by different authors. A chapter on ...

No extract is available for articles shorter than 400 words.

PREVENTION 89

The 6th annual preventive medicine meeting, subtitled "State of the Art," will be held in Atlanta, April 13–16.

Contact Joanne Angle, 1030 15th St., NW, Suite 410, Washington, DC 20005; or call (202) 789–2928.

NORTH AMERICAN SOCIETY OF ...