1. In most cases of chronic or subacute bacterial endocarditis due to the endocarditis coccus (Streptococcus viridans), there exists a distinctive pathological lesion in some of the glomeruli due to bacterial emboli. 2. The salient features of the pathological picture are first, the involvement of one or more loops of a variable number of glomeruli; secondly, the absence of any visible disease ...

The Rise of Specialization, and Destruction and Rehabilitation. Particularly impressive are the fine illustrations, the plans, the maps, and the "Rules and Orders of the Public Infirmary at Manchester, 1752" printed as an appendix. There is a good index. The volume on the Mount Sinai Hospital of New York is equally well organized and illustrated and proceeds in a warm, narrative style to tell t...

We correct two errors in the statement and proof of a theorem in an earlier paper (2007), and at the same time extend that result to a more general theorem about extensions of p-local finite groups. Other special cases of this theorem have already been shown in two later papers, so we feel it will be useful to have this more general result in the literature. This paper has two purposes: to corr...

Authors have no conflict of interest. JC, et al. International consensus statement on preliminary classification criteria for definite antiphospholipid syndrome: report of an international workshop. et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). 3. Deane KD, West SG. Antiphospholipid antibodies as a cause of pul...

[1] van Hout BA, Simoons ML. Cost-effectiveness of HMG coenzyme reductase inhibitors. Whom to treat? Eur Heart J 2001; 22: 751–61. [2] Houterman S, Boshuizen HC, Verschuren VMM et al. Predicting cardiovascular risk in the elderly in different European countries. Eur Heart J 2002; 23: 294–300, doi:10.1053/euhj.2001.2898. [3] Clarke R, Lewington S, Youngman L, Sherliker P, Peto R, Collins R. Unde...

R ates of pediatric obesity have increased substantially in recent years (1) and now pose a major risk for increased morbidity and premature mortality in adulthood for those affected, with cardiovascular disease (CVD) being a major contributor. In the current issue, Libman et al. (2) examine the relationship between glucose and insulin in overweight children and adolescents and a range of bioma...

DR LIBMAN: Mr S is a 50-year-old man with chronic low back pain. In the mid-1970s he developed persistent right leg pain and was diagnosed by myelogram as having a herniated disk. L5-S1diskectomywasperformedin1977withmodestimprovement in his leg pain. He developed low back pain, which was treatedwithphysical therapyandnonopioidandopioiddrugs. Over the next decade, his intermittent back and righ...

Every health care professional knows the frustration evoked when a word processor's spell-checker flags every other word in document full of medical jargon. Stedman's Plus is a competent solution. It is a spell-checker supplement that contains over 343,000 medical terms as well as 20,000 generic and brand drug names from the Physician's Desk Reference (PDR) Generics. Stedman's is designed to wo...

The American College of Rheumatology Audiovisual Aids Subcommittee is pleased to present the winners of the 2012 Annual Image Competition. Each year, the competition provides an opportunity for clinicians and other medical and research professionals to contribute to one of the preeminent image collections devoted to rheumatic diseases. For the 2012 competition, more than 200 entries were receiv...

The Audiovisual Aids Subcommittee of the American College of Rheumatology is pleased to present the winners of the 2013 Annual Image Competition. Each year, the competition provides an opportunity for clinicians and other medical and research professionals to contribute to one of the preeminent image collections devoted to rheumatic diseases. For the 2013 competition, more than 220 entries were...