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As with other industries, the driving force behind the pharmaceutical industry is economic. However, the economic influences affecting pharmaceutical companies differ markedly from those affecting other industries. Among the major differences are price controls imposed in some countries and...
CASWELL A. Evans, Jr, DDS, MPH, had a busy year in 1995. As president of the American Public Health Association (APHA), he presided over the nation's largest organization of public health workers and teachers at a time when federal assistance to state and local public health agencies was being...
In 1983 Dr George Vaillant reported a study, The Natural History of Alcoholism, based upon a research program of adult development at the Harvard Medical School. The original study carried out from 1940 through 1980 involved 660 men during their maturation from adolescence to late middle life....
To the Editor.
—Groundbreaking though their work is, Dr Bates and colleagues1 and Dr Leape and colleagues2 may have collectively oversimplified the management tasks for reducing adverse drug events (ADEs). By launching into computerized systems changes without a deeper understanding of...
—We share the frustration of Drs Swanson, Cowen, Kattan, and Miles concerning the lack of randomized trial data for outcomes following different treatment strategies for localized prostate cancer. In the absence of such data, however, physicians and patients must still make clinical...
At the heart of our national failure to contain health care costs is our reluctance to empower anyone to say no to medical spending that might yield clinical benefits. That rising medical costs cannot be restrained without withholding beneficial care is widely acknowledged by scholars of health...
To the Editor.
—We previously reported1,2 that depression, defined by Center for Epidemiologic Studies Depression Scale (CES-D) score, is not associated with a more rapid time to acquired immunodeficiency syndrome (AIDS) or death or with a more rapid decline in CD4 cell count among human...
Released just before the 50th anniversary of the first and second wartime uses of atomic weapons, this book collects and summarizes the adverse health effects resulting from the detonations at Hiroshima and Nagasaki. It is an expanded version of the A-Bomb Radiation Effects Digest published in...
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