THE diagnosis of food allergies and other sensitivities by provoking symptoms with injections of extracts of the suggested allergen^{1 2 3} is a procedure so controversial⁴ that its efficacy and theoretical basis have been reviewed by the California Medical ...

PREECLAMPSIA affects at least 5 to 6 percent of nulliparous pregnant women and up to 20 percent of indigent inner-city pregnant women, causing substantial increases in both maternal and fetal—neonatal morbidity and mortality. However, the pathophysiology ...

RECENT studies have emphasized the importance of monounsaturated fatty acids in reducing saturated-fat intake and thereby lowering the serum level of the atherogenic low-density lipoprotein (LDL) cholesterol.^{1 , 2} These studies have focused on oleic acid, ...

ALZHEIMER'S disease is the most common dementing illness and may be the fourth leading cause of death in the United States. It severely affects about 1.4 million Americans, and this number is predicted to increase fivefold in the next half century.^{1 2 3 4} ...

HOW long patients with leukemia in clinical remission harbor leukemic cells is not known, nor is it known whether rare residual leukemic cells are capable of causing the recurrence of the disease. Until recently, the methods of detecting minimal residual ...

ALCOHOL is the most widely used and misused drug in the Western world. The cost to the United States in 1990 in terms of lost production, crime, accidents, and treatment related to alcohol misuse is expected to exceed $136 billion, and alcohol ...

COEXISTENCE with the pugnacious imported fire ant has become a necessary evil for residents of both the rural and the urban Gulf South.¹ The spread of these insects has produced agricultural problems,² and their stings have resulted in increasing numbers ...

Presentation of Case

A 72-year-old woman was admitted to the hospital because of abdominal pain, nausea, and diarrhea.

The patient was well until two days earlier, when crampy epigastric pain developed. She was seen at another hospital, where fluids were ...

Adverse reactions to ingested food cause a wide variety of conditions, syndromes, symptoms, and diseases^{1 , 2} for which general descriptive terms such as food intolerance or food sensitivity are useful. These can be applied not only when the reaction has ...

Preeclampsia is a syndrome that develops at the end of pregnancy, during labor, or in the immediate puerperium. It is common, dangerous to both mother and baby, unpredictable in its onset and progression, and untreatable except by terminating the ...

Hydrogenated vegetable oils in shortenings and margarines are important components of the diet in many industrialized societies. Hydrogenation (adding hydrogen atoms to double bonds) is carried out to convert liquid vegetable oils to solid fats, a process ...

To the Editor: The Stroke Prevention in Atrial Fibrillation Study Group has shown that aspirin reduces the risk of stroke in patients who have nonrheumatic atrial fibrillation (March 22 issue),¹ which does not necessarily imply that aspirin reduces the ...

To the Editor: We are concerned about the methods used by Farwell et al. in their article "Phenobarbital for Febrile Seizures — Effects on Intelligence and on Seizure Recurrence" in the February 8 issue.¹ The authors conclude that "phenobarbital ...

To the Editor: Ten years ago there was controversy about the safety of triazolam. After Van der Kroef reported alarming side effects with triazolam,¹ it was suspended from the market in the Netherlands. Subsequently, there were numerous case reports of ...

To the Editor: Large doses of antibody directed against the CD3 antigen of lymphocytes are immunosuppressive — an effect that has been successfully exploited in the treatment of human renal-allograft rejection.¹ Recently, studies in mice have ...

To the Editor: Repeated episodes of severe hypoglycemia (blood glucose levels, <1.1 mmol per liter) and elevated serum insulin levels (>144 pmol per liter) in a 44-year-old woman with glaucoma almost resulted in surgical exploration of her pancreas. ...

To the Editor: Presbyopia is a normal aging process of the eye in which unaided near vision progressively diminishes. The process is lifelong, but becomes apparent to most by midlife and progresses to its worst state by the middle 60s. An understanding ...

To the Editor: Abstracts were first included in the Journal in 1968,¹ and serve many functions.^{2 , 3} They permit readers to preview papers before examining their entire text, and allow triage of papers into those to be read immediately, those to be ...

In a quiet, often unnoticed, but consistent manner, a number of trial-court judges in at least 11 states across the country have ordered that a pregnant woman must submit to a cesarean section to deliver a viable fetus against the known and clearly ...

This book is almost certain to become a classic reference both in the field of women's studies and in the studies of history of early American health care. This is true because of the unusual nature of Martha Ballard's diary and the disciplined ...

This multiauthored guide to surgical treatment for infertility is well written and superbly edited. Perhaps the greatest single strength of the book is that it reads as though it were written by a single author. Generally speaking, the text is lucid and ...

The Glover Report gives an international (European) view of the vexing ethical issues raised by reproductive technology. Artificial insemination, in vitro fertilization, surrogacy, genetic engineering, and the experimental use of fetal tissue are the ...

The stated purpose of this book is to cover the modern practice of obstetrics and gynecology as concisely and completely as possible and with maximal authority. That is a respectable goal, and the authors have succeeded admirably.

The book begins, ...

This is the fifth edition of this time-honored book, edited and largely written in its first four editions by Robert Kistner. Now edited by Kenneth Ryan and two of his colleagues, the book has changed substantially. It has been expanded from 18 to 22 ...

Gilman's new book, less encyclopedic than its title implies, limits its scope to the period from the late Middle Ages to the present. But as a history of changing representations of human sexuality, it is far more than a handsome coffee-table book ...

PSYCHIATRIC AUDIT

The program will take place in London on Oct. 1.

Contact Conf. Organiser, Conf. Office, Inst. of Psychiatry, De Crespigny Park, London SE5 8AF, United Kingdom; or call (44) 1 703–5411, ext. 3170.

SPORTS MEDICINE

The "10th Annual Diploma ...