Table of Contents
Highlights from Medical Grand Rounds
- Outcome Improving for Lung Transplant Patients
Survival rates following lung transplantation may approach 90% by the end of the century, thanks to improved graft preservation and immunosuppressive therapy.
- Gallstone Therapy: Return to the Gold Standard
Nonsurgical alternatives to cholecystectomy are costly and applicable to limited subsets of patients.
Current Drug Therapy
- Isradipine in the treatment of hypertension: a clinical profile
A new calcium channel blocker is safe, well tolerated, and has long-term antihypertensive efficacy regardless of age or race, with no adverse effects on lipids, carbohydrate tolerance, or renal function.
Contributions
- Management of inflammatory bowel disease: 30 years of observation
Data based on three decades of direct patient care indicate that patients with inflammatory bowel disease have specific treatment options and can count on long, productive lives.
- Hepatic artery infusion chemotherapy for colorectal liver metastases
The Infusaid pump was found to be a reliable system of drug delivery that may result in regression of liver metastases in some patients.
- Psychological factors in men with genital pain
When organic causes of male genital pain have been ruled out, stress, inadequate social support, and psychological factors should be considered.
Special Article
- Quality in hospitals: methodology for self-appraisal and change
Quality assurance requires rigorous self-assessment and peer review, based on clearly defined standards for practice.
- AIDS: challenges to our health care systems
Education, compassion, and flexible health care options are critical components in the battle against AIDS.
Review
- Implications of childhood hypercholesterolemia
Hypercholesterolemia in childhood is a powerful predictor of adult hypercholesterolemia, and is a compelling reason to screen children after, age 3.
- Oncogenes and cancer: clinical applications
The identification of genes that play a part in tumor development has significant implications for the diagnosis and treatment of certain neoplasms.
Editorial
- The Canadian health care system: Is our present your future?
Despite their common objective—adequate health care for all—differences in history and perspective make it unlikely that Canada and the United States will ever approach health care delivery in the same way.
Commentary