In Thailand, the epidemic of human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS) is of recent origin.¹,² In response to surveys indicating a dramatic increase in the prevalence of HIV among injection-drug users ...

With 317,000 new cases and 41,000 deaths predicted for 1996, prostate cancer is now the most common cancer and the second leading cause of death from cancer among men in the United States.¹ In blacks the statistics are even more sobering, with a higher ...

Louse-borne relapsing fever, caused by Borrelia recurrentis spirochetes, has been responsible for massive epidemics in North Africa, the Middle East, and Europe during this century. The epidemic at the end of World War II involved some 10 million people.¹ ...

During the 1980s, the age-adjusted mortality due to coronary artery disease decreased considerably in the United States¹,² and other countries.³ This favorable trend was related partly to a decrease in the rate of fatal myocardial infarction,²,⁴–⁷ but it ...

Figure 1. A 72-year-old man with a several-week history of fatigue, loss of appetite, and feeling feverish presented at the hospital with severe pallor and signs of left and right ventricular failure. Neurologic examination disclosed poor short-term ...

Medicare expenditures for home health care are growing exponentially. Home health care reimbursements grew from $2 billion in 1988 to $12.7 billion in 1994 and now account for more than 8 percent of the total budget for Medicare.¹ This growth was ...

Dementia is the clinical syndrome characterized by acquired losses of cognitive and emotional abilities severe enough to interfere with daily functioning and the quality of life. The term does not imply a specific cause or pathologic process. More than 55 ...

Although diseases of blood cells constitute a relatively small proportion of clinical disorders, many valuable studies of gene transfer have relied on hematopoietic stem cells or their progeny. What features of these cells explain their appeal in gene ...

Stage

A 65-year-old woman collapsed on the street and was brought to the emergency room. No witnesses or family members were available to give further details. On arrival the patient was stuporous and could not communicate. She was not in respiratory ...

In this issue of the Journal, Nelson and colleagues¹ describe a modest victory in what had been a losing battle in northern Thailand to control the most rapid epidemic of sexually transmitted human immunodeficiency virus (HIV) infection ever documented.² ...

The measurement of prostate-specific antigen (PSA) in serum is the most useful tool available today for the diagnosis of early, curable adenocarcinoma of the prostate.¹ This issue of the Journal contains the results of a well-conducted investigation of ...

In certain infectious diseases, the first dose of an effective antimicrobial drug can trigger an inflammatory host response. Within an hour or two after receiving the drug, the patient abruptly experiences chills, followed by fever and sweating and ...

To the Editor: In the report by Kitahata et al. (March 14 issue),¹ we were somewhat surprised by the conclusion that the experience of physicians is associated with the length of survival after the development of AIDS in patients seropositive for the ...

To the Editor: A 67-year-old woman who was negative for the human immunodeficiency virus was seen because of low-grade fever, fatigue, night sweats, and weight loss, which had been present for several weeks. Computed tomographic scanning showed massive ...

To the Editor: Bhatia et al. (March 21 issue)¹ make the unwarranted statement that radiation, but not chemotherapy, increases the risk of solid tumors, especially breast tumors, in patients treated for childhood Hodgkin's disease.

In the study cohort, ...

To the Editor: Vaccination with hepatitis B recombinant vaccine has few serious side effects¹ (about 1 per 100,000 doses administered). Some cases of vasculitis have been reported.² We report two cases of vasculitis with cryoglobulinemia after ...

To the Editor: Coren recently claimed (April 4 issue)¹ that returning to daylight saving time in the spring brings an increase in motor vehicle crashes.¹ The theory is that the loss of one hour of sleep when clocks are moved forward causes lapses of ...

In the 1970s, neuropsychology was practiced by only a few experimental and clinical psychologists and behavioral neurologists. The 1980s and 1990s have witnessed dramatic changes in the field. Cognitive psychologists have entered the field, adding a new ...

Patients with epilepsy contend with repetitive attacks whose type, frequency, and severity vary enormously from person to person. Depending on the complexity of their symptoms, patients may be cared for by physicians in general practice, pediatricians, ...

This superb and fascinating book is most interesting, and one is tempted to flip through the excellent illustrations, each series of which represents a history in itself. However, that temptation must be resisted, since the well-edited text leads the ...

Messages about health abound in our society. Emanating from surgeons general to soap operas, they influence attitudes and actions regarding health care. This book offers the chance to consider some of these messages and their implications.

Evaluating ...

The past two decades have witnessed tremendous advances in knowledge about lesions in the female genital tract and their histopathologic features. To some extent, these advances have been mirrored by the formation of subspecialty organizations such as the ...

Direct Cultivation of the Causative Agent of Human Granulocytic Ehrlichiosis Original Article, N Engl J Med 1996:334;209-215.. On page 210, 18 lines from the bottom of the right-hand column, the sequence for the primer GER 3 should have read, “5'...

The Sleepy Sun (June 27, 1996;334:1690). The photographer's credit line should have read, “Hossein Jadvar, M.D., Ph.D.,” not “Jadvar Hossein, M.D., Ph.D.,” as printed. We regret the error.

Hospitals, surprisingly, have emerged as a prime growth industry attractive to entrepreneurs. Seemingly, a legacy of overbuilding combined with competitive cost-cutting pressures should reduce the earnings of nonprofit and for-profit hospitals alike, ...