INCREASED travel to and from areas of endemic malaria and fewer options for effective chemoprophylaxis have increased the likelihood that physicians in the United States will treat patients with malaria. Surveillance data from the Centers for Disease ...

THE term "lymphangitic carcinomatosis" refers to a diffuse invasion of the lungs by cancer. The chest roentgenogram usually shows an interstitial lung process,¹ but when intravascular tumor predominates, the roentgenogram may be normal,² mimicking ...

EPIDERMAL regeneration is a complex process in which residual epithelial cells proliferate in an integrated manner to regenerate intact epidermis. Superficial wounds that do not result in total skin loss but that retain a portion of the dermis heal ...

THE relation between hyperglycemia and the microvascular complications of diabetes mellitus is controversial,^{1 2 3} and much of the controversy revolves around the question of the adequacy of glycemic control.^{4 5} Neither multiple insulin injections nor ...

THERE is much concern about the effect of financial incentives on physicians' decisions.^{1 2 3 4 5} Because medical care is a distinctive service with a direct effect on human welfare,⁶ physicians are encouraged to act as the agents of individual patients ...

THE expanding role of nursing homes in patient care necessitates their recognition as an integral component of the health care system. Although collectively nursing homes in the United States have 1.5 million beds and a budget of more than $40 billion, ...

INCREASING evidence over the past decade has indicated that certain patients with aplastic anemia and single-lineage deficiencies of hematopoietic cells have disorders of immunologic origin.^{1 2 3} Recently, a family of specific glycoproteins collectively ...

Presentation of Case

A 65-year-old man was admitted to the hospital because of a chronic cough, dyspnea, and an infiltrate in the right lower lobe.

He was well until nine months earlier, when he was seen at another hospital because of a cough. X-ray films ...

The early work on growth factors raised hopes of new insights into cancer. In addition, even before Cohen and Levi-Montalcini shared a Nobel prize in 1986 for their work on epidermal and nerve growth factors, it was clear that the effect of growth factors ...

Insulin-dependent diabetes is an unpleasant chronic illness in which patients must steer a course between opposing evils. In the short term, moderate hyperglycemia causes little discomfort, but after 20 or more years it may result in blindness, renal ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Patients with Fanconi's anemia, a constitutional chromosomal-fragility syndrome in which hypoplastic anemia develops that is associated with diverse congenital abnormalities,¹ have an abnormally high risk of malignant disease, especially ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

Everyone involved in medicine is aware of its many ethical issues, and most are aware that metaphysical issues such as personhood are also relevant. Few appreciate the way in which the philosophical field of epistemology affects the practice of medicine. ...

The first edition of this textbook was published in 1983. Many advances in the field of nephrology have been made in the past six years, particularly in renal physiology, progressive renal disease, and hypertension. The editors and authors have adapted ...

Many consider that in the United Kingdom the provision of care for renal failure is severely limited, particularly for the elderly. This book addresses that issue, reviewing the history of the End-Stage Renal Disease Program, the workings of the National ...

What should we teach as an introductory course in endocrinology to medical students so that knowledge is imparted and interest is stimulated? There is such an avalanche of new information that distillation of it in a form not overwhelming to the endocrine ...

This second edition of Pennington's basic textbook and reference book is considerably enlarged and very well put together. A complete and updated list of references follows each chapter; new chapters on the consequences of human immunodeficiency virus (...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

UNIVERSITY OF NEBRASKA MEDICAL CENTER

The following courses will be offered in Omaha, unless otherwise noted: "Cardiovascular Disease Prevention" (Snowmass, Colo., July 30–Aug. 2); "Current Controversies and Techniques in Congenital Heart Surgery" (...

The timing of this lecture is appropriate. The nation has a new president and a new secretary of health and human services. Therefore, it is important to articulate the direction of the Bush administration's health care policies. Because the quality and ...