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We thank Dr Van Peenen for pointing out that industrial hazards can be studied with the case-control method. The "novelty" of our approach was not the selection of patients from a closed cohort, but the analysis of data according to the same principles of eligibility and prognostic...
Social Environment and Health is a compilation of lectures given by Dr Stewart Wolf at the University of Washington, Seattle, in 1979. In these lectures he attempted to describe and clarify the effects of social relationships on physical health and disease.
He begins the book with a historical...
To the Editor.—
I was pleased to see one of the recent issues of The Journal containing a good amount of material on sexually transmitted disease (STDs). Within one issue, there were two articles on atypical manifestations of gonococcal infections (1981; 246:242, 246), an article on secondary...
A substantial portion of fall asthma and hay fever may be due to spores of common mushrooms, according to a study described at the recent Montreal meeting of the American Academy of Allergy and Immunology by John Santilli, Jr, MD.
"There is a tremendous increase in hospital emergency room...
While the main thrust of this book is to define the role of the psychologist working in a pediatric setting, it should be of interest to any professional who deals with children in or out of the area of emotionally or physically ill children and adolescents.
The chapter on the major theories,...
To the Editor.—
In their article "Splenomegaly: An Algorithmic Approach to Diagnosis" (1981;246:2858), Edward R. Eichner, MD, and C. L. Whitfield, MD, recommend bone marrow aspiration, biopsy, and culture for patients with asymptomatic splenomegaly and normal peripheral blood smears and counts....
When I started practicing medicine 30 years ago, the diagnosis of cancer was generally withheld from patients, the exception being businessmen "who needed to make arrangements." Cancer at that time was virtually a death sentence, and the physician was able only to make patients comfortable. To...
Following the introduction of artificial diets, a generation of women with phenylketonuria (PKU) has matured, and some of these women have reproduced. Offspring of these PKU mothers without PKU have multiple stigmata at birth, including mental retardation. To avoid harmful effects to the fetus,...
Youth has always been wasted on the young, but I was disturbed to discover that middle age is also being wasted on the middle-aged.
I had always imagined that the middle-aged person should be as Shakespeare described:
In fair round belly with good capon lined,
With eyes severe and beard of...
To the Editor.—
The article by Edward D. Kalat, MD, and David B. Martin, MD (1981;246:982), suggested that a granulomatous reaction in the liver after jejunoileal bypass was favorably influenced by reanastomosis. The accompanying editorial supported this interpretation by stating that "the...
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