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This issue brings a welcome respite from the recent surfeit of volumes devoted exclusively to routine total hip replacement.
The introductory chapter on historical milestones in the development of modern surgery of the hip by Dr A. R. Shands, Jr, perhaps the current "chief orthopaedic historian...
Abstract To the Editor.— May I draw attention to an apparent discrepancy of some importance between a conclusion drawn by Dr Herbert L. Volchok (236:2941,1976) and results of my own study?1Dr Volchok implies that there is a rapid decrease in the risk to health of residents of areas contaminated...
New and innovative developments in cardiothoracic surgery include the pulmonary effects of certain inotropic drugs, the role of patent ductus closure in neonatal respiratory distress syndrome, the use of immunostimulating agents as adjuvants in the treatment of cancer of the lung, ingenious...
To the Editor.—
The recent article on occult rupture of the spleen (236:2884, 1976) perpetuates the incorrect clinical lore that 15% of patients with splenic trauma have delayed splenic rupture. The authors state that "delayed splenic rupture occurs when bleeding recurs in the subcapsular...
In 1975, 229 laboratory-documented cases of St Louis encephalitis, 36 of which resulted in death, occurred in Mississippi. A total of 58% of these persons had encephalitis, 15% had aseptic meningitis, 21% had a febrile illness with no known CNS involvement, and 6% had other syndromes. Attack...
PHYSICIAN attitudes are recognized as being a crucial factor in determining medical treatment. Studies of diagnostic practice indicate that the pervasive attitude among physicians is that "it is better to suspect illness than not—better safe than sorry." Yet in the case of chemically dependent...
Mucocutaneous lymph node syndrome is a recently described entity whose principal signs and symptoms include fever, unresponsiveness to antibiotics, congested conjunctivae, reddening of the oral cavity, lips, palms, and soles, exanthem, edema, nonsuppurative cervical adenitis, and desquamation of...
We appreciate the recent rethinking of the incidence of delayed rupture of the spleen through the routine use of paracentesis. Despite the reduced incidence mentioned in Dr Fischer's letter, the mechanism by which a true delayed rupture occurs is a valid one. The dilemma of an occult rupture...
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