DESPITE the availability of highly effective methods of contraception, many conceptions are unplanned.¹ Many women who request an abortion have become pregnant as a result of either the lack of forethought or contraceptive failure.

The report by Yuzpe and ...

SURVIVAL after cardiac arrest remains poor despite several decades of progress in advanced cardiac life support.¹ Outcomes are particularly bad for patients whose cardiac rhythm is asystole, electromechanical dissociation, or ventricular fibrillation ...

RECENT experimental studies of cardiac arrest have demonstrated that, as compared with standard doses of epinephrine (0.01 to 0.02 mg per kilogram of body weight), a larger dose (0.2 mg per kilogram) improves cerebral and myocardial blood flow, the ...

B-CELL chronic lymphocytic leukemia (CLL) is the most common form of leukemia in the Western world. The initial management of this disorder is not complicated, since a high proportion of the patients have an asymptomatic disease with slow progression, and ...

CENTRAL vascular catheters are widely used in critically ill patients. They permit hemodynamic monitoring and allow access for the administration of fluids, blood products, medications, and total parenteral nutrition, but they also pose a hazard of ...

FAMILIAL hypoparathyroidism is an unusual condition that can present at any time from early infancy until well into adulthood.^{1 2 3 4} It can be inherited in an autosomal dominant,^{3 , 4} autosomal recessive,⁵ or X-linked recessive^{6 , 7} pattern. Its presence ...

CARDIOPULMONARY arrest can be defined as the abrupt cessation of spontaneous and effective ventilation and systemic perfusion (circulation). Cardiopulmonary resuscitation (CPR) provides artificial ventilation and circulation until advanced cardiac life ...

Presentation of Case

A 43-year-old man was admitted to the hospital because of recurrent fever and abdominal pain.

The patient was well until 14 years earlier, when he had an illness characterized by fever with a maximal temperature of 39.4°C, chills, ...

Although the use of postcoital or emergency contraception dates back at least two millennia,¹ practical methods did not evolve until the 1960s, when large doses of estrogen given soon after unprotected intercourse or a contraceptive failure (such as a ...

IN 1945 Harry Truman became the first president in U.S. history to propose a universal health plan for all Americans. Forty-seven years later, the American people are still waiting.

True, we have made some progress since the days when a massive lobbying ...

On April 23, Minnesota enacted complex and far-reaching legislation to reform health care.¹ The goals of the law are to contain costs and ensure that all Minnesotans have affordable insurance for basic outpatient and inpatient health care. Its major ...

To the Editor: The article by Annas (March 12 issue),* "Changing the Consent Rules for Desert Storm," touched some deeply felt emotions. When I read that the military physician "must subordinate the medical interests of soldier-patients to the military ...

To the Editor: Koutsky et al. report (June 4 issue)¹ that 22 percent of their clinic patients with genital herpes had clinical symptoms, 4 percent were asymptomatically shedding virus, and 74 percent were positive for herpesvirus antibodies without ...

To the Editor: Pruksananonda et al. report (May 28 issue)¹ that human herpesvirus 6 (HHV-6) is a frequent cause of acute febrile illness in young children. HHV-6 has been recognized as the agent of exanthem subitum.² However, the role of this virus in ...

To the Editor: The presence of a mosaic of normal and dystrophin-deficient fibers in muscle-biopsy specimens from female patients with or without a family history of Duchenne's muscular dystrophy is considered specific for the diagnosis of carrier status ...

To the Editor: As a rural family physician, I agree with Whitcomb and Desgroseilliers (May 28 issue)¹ that to encourage students to choose careers in primary care a distinctive role needs to be accorded primary care physicians, departments of family ...

To the Editor: IJsselmuiden and Faden (March 19 issue)¹ describe a paper by one of us² as implying that there is only one African culture and that that culture is static. The paper does not make these claims. Rather, the paper is premised on two basic ...

"Can ethics help us with the problems posed by the AIDS crisis?" The answer to this question, writes Frederic Reamer, depends on the expectations one has of ethics. If illumination of issues and options is what is expected, then the commentaries by the 12 ...

Although the focus of this multiauthored book is on laboratory testing for the diagnosis and monitoring of infection with HIV, the editors have chosen to place this testing in a broader context. The result is a very successful balance of detailed ...

AIDS and HIV infection are popular topics today. Books on these subjects are assured of interested readers, but the rapid pace of new information makes for early obsolescence. The pathologic features of AIDS, too, have been changing. Since the last ...

Management of HIV Infection in Infants and Children fills an important niche among the many publications about AIDS and HIV infection. A thoroughly readable book, it provides practical, up-to-date information about pediatric HIV infection for primary ...

Children and AIDS is published by the American Psychiatric Press as part of the Clinical Practice series, a collection of monographs written for mental health practitioners. The contributors are psychiatrists, psychologists, clinical nurses, ...

In 193 pages of fascinating reading, the authors briefly describe the epidemiology of AIDS; describe in detail the historical, social, political, and economic conditions that made it possible for AIDS to spread so efficiently in Africa; and examine the ...

RENAL BIOPSY IN MEDICAL DISEASES OF THE KIDNEY

The 15th annual postgraduate medical course, subtitled "Comprehensive Review and Update: Pathology, Pathogenesis and Clinical-Pathological Correlations," will be offered in New York, Oct. 14–17.

Contact ...