BACILLARY angiomatosis (also called epithelioid angiomatosis) and cat scratch disease are important clinical disorders that are presumed to be infectious on the basis of direct visualization of microorganisms in diseased tissues. Because these organisms ...

PELIOSIS HEPATIS is a rare condition characterized by cystic, blood-filled spaces in hepatic parenchyma.^{1 2 3 4 5 6 7 8 9 10 11 12 13 14 15} Splenic peliosis has also been reported, either alone^{16 17 18 19} or with hepatic peliosis.^{2 3 4 , 10 , 11 , 19 , 20} ...

THE pathogenic potential of uncommon microorganisms may be recognized first in immunocompromised hosts, in whom they cause opportunistic infection. Subsequently, some such organisms may be found to cause illness in normal hosts as well. We describe a ...

ALTERED cardiac metabolism is the primary pathophysiologic consequence of myocardial ischemia in humans. To date, however, both investigative and routine characterizations of the presence and severity of myocardial ischemia and its response to therapy ...

ALLERGIC reactions to insect stings range in severity from trivial local inflammation to systemic anaphylaxis with shock. Although fewer than 50 deaths from insect stings are recorded in the United States each year,¹ the number of persons susceptible to ...

THE potential for conflicts of interest and higher costs for health care arising from the ownership by physicians of the diagnostic facilities to which they refer patients has attracted considerable attention recently in the medical literature^{1 2 3 4 5} ...

THE most common causes of blunt maternal injury during pregnancy are motor vehicle accidents, falls, and assaults.^{1 2 3 4 5} Although trauma is the leading cause of nonobstetrical death in pregnant women in at least one state,⁶ it causes the death of the ...

Presentation of Case

A 47-year-old man was admitted to the hospital because of fever and pleuritic chest pain.

The patient was in excellent health until one week earlier, when he awoke in the morning with severe pain in the left posterolateral aspect of ...

Many of the infectious diseases that occur in patients with the acquired immunodeficiency syndrome (AIDS) are caused by common pathogenic microbes, such as Mycobacterium tuberculosis, salmonella, Cryptococcus neoformans, and herpes simplex virus; the ...

Systemic allergic reactions to stinging Hymenoptera insects (bees, yellow jackets, hornets, polistes wasps, and ants) have been reported in 0.4 to 4 percent of various population groups in the United States.¹ Although about 50 deaths are reported each ...

Physicians are required by law to report all cases of suspected child abuse and neglect to a state social service agency. For all reported cases, but especially those of the most severely mistreated children, there is an assumption that the child will be ...

DEATHS

Bagamary — Joseph Thomas Bagamary, Jr., M.D., of Westfield, died on September 24 at the age of 45.

Dr. Bagamary received his degree from the College of Medicine and Dentistry of New Jersey–New Jersey Medical School in 1970. He was a member of the ...

To the Editor: The papers of Perl et al. and Teitelbaum et al. (June 21 issue)^{1 , 2} suggest the existence of a new and avoidable human excitotoxic syndrome and imply that others may be found. Perl et al. showed that the mussels in question produced ...

To the Editor: Millions of Americans are currently engaged in fitness programs, jogging, and aerobic exercise. Some perform high-impact aerobics in an attempt to enhance cardiovascular function. Despite the routine use of special cushioned shoes to ...

To the Editor: An important point in the study by Watts et al. (July 12 issue)* leaves the reader with questions about the validity of the study. With regard to the changes in the bone mineral density of the spine, group 1 — the double-placebo group — ...

To the Editor: As was noted in the article on the use of theophylline to treat erythrocytosis in renal-transplant recipients (July 12 issue),¹ theophylline suppresses the production of erythropoietin in both normal subjects and renal-transplant ...

To the Editor: Hirschel and colleagues (July 12 issue)¹ have described a case of fatal infection with an unidentified mycobacterium in a patient with the acquired immunodeficiency syndrome whose disease clinically resembled infection with Mycobacterium ...

To the Editor: In recent months the Journal has devoted substantial space to the crisis in American medicine and to various proposals for its solution. Most agree that some form of cost containment is necessary, including the rationing of medical care, ...

To the Editor: The underrepresentation of women in the scientific establishment in North America continues to be documented and debated.^{1 2 3 4 5} Many factors have been cited, such as intellectual ability, opportunity, and motivation, but we still have ...

To the Editor: In 1970, Bass reported the phenomenon of "sudden sniffing death," whereby teenagers deliberately sniffed propellants from aerosol cans to "get high."¹ The cause of such deaths was believed to be cardiac dysrhythmia induced by the ...

The diagnosis and management of acute abdominal and pelvic disorders has been revolutionized over the past decade by cross-sectional imaging methods. While meticulous history and physical examination remain the cornerstone of the evaluation of patients, ...

This 107-page atlas of cross-sectional anatomy is presented by members of the Department of Anatomy at the University of Maryland. There are seven parts, covering transaxial, sagittal, and coronal sections of the head and neck; transaxial sections of the ...

The role of interventional radiology now includes the diagnosis and treatment of patients with trauma and patients seen in emergency rooms. This book covers a wide variety of procedures in emergency diagnostic imaging and appropriate interventions. There ...

This is the third English edition of a book that has also had several editions in both French and German. While the author, Professor Weill, has a well-deserved reputation for his major contributions to abdominal ultrasound, his book is showing signs of ...

This book (with 56 authors) varies in its chapter styles from "textbook" to "scientific manuscript." The chapters are uniformly readable, appropriately repetitive, and conveniently cross-referenced. Technique is palatably blended with definitions and ...

One of the people who shaped the field of molecular endocrine pathology over the past decade, Ricardo Lloyd has now written an excellent textbook. This concise book fills a gap by simplifying the descriptions of many of the major endocrine disorders, thus ...

This atlas is organized into chapters covering the major abnormalities of bone marrow and includes a chapter on techniques and the normal bone marrow. An attempt has been made to illustrate general principles with cartoons before their illustration with ...

Biomedical Science

Biomechanics: Motion, flow, stress, and growth. By Y.C. Fung. 569 pp., illustrated. New York, Springer-Verlag, 1990. $69.

Biomedical Advances in Aging. (GWUMC Department of Biochemistry Annual Spring Symposia.) Edited by Allan L. ...

TRAINING PROGRAM IN TRANSFUSION MEDICINE

Applications for the program, beginning July 1, must be received by Jan. 1. Contact Laura Wedeck, Technical Educ., New York Blood Ctr., 310 E. 67th St., New York, NY 10021; or call (212) 570–3000.

OCCUPATIONAL ...

These guidelines are in accordance with the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals." (The complete document appears in the February 6, 1988, issue of the British Medical Journal and the February 1988 issue of the Annals of ...