FOR more than 20 years, surgical ablation of the accessory pathway has served as definitive therapy for patients with the Wolff—Parkinson—White syndrome.^{1 2 3} The successful introduction of percutaneous catheter ablation of the atrioventricular junction ...

THE therapeutic options in patients with the Wolff—Parkinson—White syndrome or other paroxysmal supraventricular tachycardias have included antiarrhythmic-drug therapy on an empirical basis or as guided by electropharmacologic testing,^{1 2 3} ...

IN the United States and other developed countries, more than 80 percent of all deaths due to coronary heart disease occur among people who are 65 or older, as do two thirds of the deaths due to cancer.¹ Although cigarette smoking is known to cause ...

DIABETIC nephropathy occurs in up to half of patients with insulin-dependent diabetes mellitus, and it is the most common cause of endstage renal disease in the United States.^{1 , 2} However, many patients have increased glomerular filtration and renal ...

Kawasaki syndrome is an acute illness of childhood characterized by fever, rash, conjunctivitis, inflammation of the mucous membranes, swollen erythematous hands and feet, and cervical adenopathy.^{1 , 2} The histopathological features of vasculitis ...

THE current animal-rights movement threatens the future of health science far more than many physicians recognize. The movement is no fringe group of fanatics who cannot have a serious effect on the real world. It is led by politically shrewd people who ...

THE number of cases of tuberculosis reported annually in the United States declined steadily from 84,304 in 1953 to 22,255 in 1984.^{1 , 2} In a dramatic reversal of this trend, the number rose by 3 percent in 1986, by 5 percent to 23,495 in 1989, and by a ...

Presentation of Case

A 27-year-old man was admitted to the hospital because of ataxia and a cerebellar mass. The patient was well until the age of 14 years, when he began to have episodes of abnormal sensation and clumsiness of the right hand and foot. ...

Although its true prevalence in the general population is unknown, supraventricular tachycardia is the most common cause of paroxysmal tachycardia in children and young adults. These arrhythmias are due most frequently to the continuous movement of an ...

Diabetic nephropathy is now the most common cause of end-stage renal disease. Heavy proteinuria and progressive loss of glomerular filtration are late manifestations of the disease and usually portend end-stage diabetic glomerulosclerosis. The current ...

Kawasaki syndrome, first identified by Tomisaku Kawasaki, is a multisystem disease of young children that is also known as the mucocutaneous lymph node syndrome.¹ The most serious complication is vasculitis of the coronary arteries. Kawasaki syndrome ...

To the Editor: The National Institutes of Health (NIH)—University of California Expert Panel has concluded (Nov. 22 issue)¹ that early adjunctive corticosteroid therapy benefits patients with moderate-to-severe Pneumocystis carinii pneumonia. The ...

To the Editor: In their comprehensive Medical Progress article (Jan. 3 issue),¹ George and Shattil made no mention of the acquired reversible platelet dysfunction produced by hypothermia. Our studies in baboons,² hypothermic patients subjected to ...

To the Editor: In their review of oral therapy for acute diarrhea (Sept. 27 issue),¹ Avery and Snyder rightly pointed out that base precursors (bicarbonate and citrate) are included in oral hydration solutions because they are believed to be important in ...

To the Editor: In their article (Jan. 3 issue)¹ Polten et al. describe three abnormal alleles that govern the production of an enzyme, and they then correlate severity of disease with these mutations. One of the mutations seems to dictate severe disease ...

To the Editor: After an initial survey of trial-court judges to determine the prevalence and nature of cases involving life-sustaining medical treatment,^{1 , 2} we conducted a follow-up survey by mail of 237 judges identified as likely to have presided ...

Rows and rows of unwashed feet Bloated bellies, whiskers unshaven.

Two didn't make it through the night —they never told us.

But the others all knew.

Eighteen to a side, Our troops parade down the middle in the 7 a.m. breakfast not there yet quiet.

Poking,...

The birth of Louise Brown in 1978 signaled the beginning of a new direction in the treatment of infertile couples for whom there had previously been no further therapy available. It also ushered in a new decade of development of assisted reproductive ...

This book is impressive in size and scope, and its price is also impressive. As noted in the preface, the second edition is considerably larger than the first. This reflects the breadth of its discussion of the fetus, the intrauterine environment, and the ...

The author of this book calls for a "counter-revolution" against the "male-dominated" obstetrical community and a return to home deliveries by midwives, which were common before 1900. She states that obstetricians coerced women to deliver in hospitals ...

Early in my first-year medical school course in child development and child psychiatry, taught by Melvin Lewis, I remember a marvelous demonstration of Piaget's concept of conservation of volume by a school-age child comparing the amount of water in two ...

The field of human genetics is exciting, both intellectually and because new information pours into it at such a rapid rate. The assimilation of knowledge by the practitioner is possible since the background required is so basic. The clinical application ...

Several textbooks are now devoted to the growing field of pediatric gastroenterology. This recent addition takes the broadest aim yet at this subject and hits its mark squarely. This encyclopedic work contains the efforts of over 145 contributors and is ...

This book presents the contributions of 99 authors in 14 sections. Each section contains chapters grouped into five parts: causation and pathophysiology, clinical findings, ancillary data, treatment, and disposition. This consistency allows the reader to ...

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GROUP HEALTH ASSOCIATION OF AMERICA

The following will be held: "1991 Group ...