Results of investigations of a possible link between childhood leukemia and residential exposures to magnetic fields at a frequency of 50 to 60 Hz from nearby power lines have been inconsistent.¹–⁹ In a recent comprehensive report,¹⁰ consistent two- to ...

Cataracts are classified according to their anatomical location; the most common types are cortical, nuclear, and posterior subcapsular. Posterior subcapsular cataracts are the most visually disabling type and account for the majority of cataract ...

Cryptococcosis is the most common life-threatening fungal infection in patients infected with the human immunodeficiency virus (HIV).¹ Before the epidemic of the acquired immunodeficiency syndrome (AIDS), the standard therapy for cryptococcal meningitis ...

Incompatibility between parental platelet antigens may result in fetal and neonatal alloimmune thrombocytopenia.¹,² The most frequent cause of this disorder is a polymorphism affecting the PlA (HPA-1) antigen, which results from a change from cytosine to ...

Infection with the agent of human granulocytic ehrlichiosis occurs in areas in which Borrelia burgdorferi and Babesia microti are endemic.¹–⁴ The most likely vector of human granulocytic ehrlichiosis is the deer tick, Ixodes scapularis, which is also the ...

Figure 1. A 47-year-old woman presented with fatigue and worsening exertional dyspnea. Cardiac auscultation was remarkable for an irregularly irregular rhythm, a loud S₁ and accentuated P₂, an opening snap, and a III/IV decrescendo diastolic rumble at the ...

The past 15 years have brought a remarkable improvement in the clinical outcome of patients with valvular heart disease. It is impossible to attribute the change to any single advance in the field. However, it is likely that more effective noninvasive ...

In this era of physician accountability, many organizations are searching for ways to evaluate physicians' performance. The principal method of the past — namely, the requirement of graduation from a training program and subsequent time-unlimited state ...

Over the past 18 years, there has been considerable interest in the possible link between electromagnetic fields and cancer, especially leukemia. The story of this highly publicized research has been marked by mystery, contradiction, and confusion. When ...

In this issue of the Journal, Cumming et al. report an association between the use of inhaled corticosteroids and the development of posterior subcapsular and nuclear cataracts.¹ Although this association was not unexpected — the use of systemic ...

To the Editor: Human granulocytic ehrlichiosis, a newly discovered tick-borne infection originally described in the upper Midwest,¹ has recently been reported in 29 patients from Westchester County, New York.² We used the polymerase chain reaction (PCR) ...

To the Editor: Roberts and his colleagues (Jan. 30 issue)¹ do not emphasize that childhood acute lymphoblastic leukemia (ALL) is a heterogeneous disease with different rates of elimination of blast cells. The kinetics of the decrease in the minimal ...

To the Editor: Schulman et al. (Feb. 6 issue)¹ reported that long-term anticoagulant therapy may benefit patients with recurrent venous thromboembolism. Their conclusions will be difficult to interpret in a clinical setting, however, because of the ...

To the Editor: The Image in Clinical Medicine by van der Wouw and Bax (Feb. 6 issue)¹ is a striking example of massive, fatal pulmonary embolism following deep venous thrombosis. Echocardiographic imaging nicely demonstrates the thrombus in transit in ...

To the Editor: Intravenous multivitamin solution has not been manufactured in the United States for some time, and supplies are nearly depleted. Thus, since the end of 1996 this preparation has not been available for many patients requiring parenteral ...

To the Editor: Robert Kuttner, in his Heath Policy Report on physician-operated networks and antitrust guidelines (Jan. 30 issue),¹ fails to distinguish between physician-owned health maintenance organizations (HMOs) and risk-sharing organizations of ...

To the Editor: My review on the care of the woman who has been raped (Jan. 26, 1995 issue)¹ should have included a citation of “Sexual Assault,” technical bulletin 172 of the American College of Obstetricians and Gynecologists,² on which the second ...

To the Editor: As a physician working in an AIDS hospice in London, I was surprised to read of the high rate of physician-assisted suicide among patients with AIDS in San Francisco as reported by Slome et al. (Feb. 6 issue).¹ Six hundred patients with ...

As a neonatologist specializing in the treatment of drug-exposed babies, Dr. Stephen Kandall was asked to testify for the defense in the case of Jennifer Johnson, a young woman charged with “delivery” of a controlled substance, cocaine, to her baby ...

It was with some trepidation that I opened Edward Shorter's new book, A History of Psychiatry, fearing that I would find a tedious and turgid tome. But no. Here is a crisp, feisty account that never loses momentum, is frequently entertaining, yet is ...

If you are not a psychiatrist or if you are a general psychiatrist not specializing in consultation–liaison psychiatry, please don't dismiss this book out of hand; it could easily become a most useful addition to your shelf of frequently consulted ...

This book only partially fulfills the promise of its title, which suggests that all relevant principles will be discussed and that an equal emphasis will be placed on clinical practice. The title A Resource Book for Psychiatrists Interested in Addictions ...

When Senators Nancy Kassebaum (R-Kans.) and Edward M. Kennedy (D-Mass.) proposed the legislation that became the 1996 Health Insurance Portability and Accountability Act,¹ “portability” became a catch phrase for the bridging of gaps in our fragmented ...