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To test whether vaginal delivery after cesarean section (VDAC) is a safe alternative to repeated section, a retrospective chart review of 2,350 deliveries during a ten-year period in a private practice group committed to VDAC was studied. Eighty-five parturients met six predetermined safety...
The trail begins innocently enough—just a typeset line in the 1978 Author Index of the Cumulated Index Medicus: Darsee JR: EKG changes and anaphylaxis [letter] South Med J 70(10):1249, Oct 77.
For the next month the index shows another letter by the same author in a different journal; two months...
Capitalizing on the relationship between platelet volume and platelet number, a Texas researcher has developed a method of distinguishing those patients with certain forms of thrombocytopenia who will recover from those who will not. In essence, his finding is that if mean platelet volume (MPV)...
Abstract To the Editor.— The brief report by Bortolotti et al entitled "Atrial Ventricular Block Induced by Swallowing in a Patient With Diffuse Esophageal Spasm" (1982;248:2297) omitted a valuable therapeutic modality that has been useful in the treatment of the disorder that was described in...
I concur with the conclusion of Assistant Secretary for Health Edward N. Brandt, Jr, that IRBs are providing important protections of the rights and welfare of subjects, and I agree that the Goldman and Katz study took place at a time of some uncertainty about the mandate for IRBs....
THE HOSPITAL medical staff has the overall professional responsibility for the quality of all medical care provided to patients and for the ethical conduct and professional practices of its members. It must be accountable to the governing body, which, by virtue of applicable statutes,...
Researchers studying premenstrual syndrome, or PMS, have uncovered intriguing connections between the menstrual cycle and a variety of psychiatric illnesses, especially major depressions. Such connections were one focus of a recent workshop on PMS held under National Institute of Mental Health...
Two patients receiving oral high-dose mebendazole therapy for echinococcosis were found to have severe, reversible neutropenia, apparently due to marrow suppression; platelets and RBCs were also reversibly suppressed in one. High blood levels of mebendazole (239 ng/mL in one patient may have...
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