The Western journal of medicine

The opportunities and stresses faced by today's adolescent women have the potential to affect their health, either directly or through interaction with biologic and psychosocial events. Recently achieved entry into the world of endurance an…

The study of human fertilization has assumed greater clinical importance as extracorporeal fertilization has been increasingly used to treat infertility. In vitro fertilization has advanced from years of struggle that preceded a single succ…

There are no conclusive data available on the incidence or prevalence of endometriosis, yet the notion persists that the frequency of cases has dramatically risen in western societies during the past 25 years. Race, familial predisposition,…

The development of flexible fibers for the delivery of laser energy led to the first endoscopic laser applications in humans in the early 1970s. Since that time, much has been learned about applications throughout the gastrointestinal tract…

A 30-year retrospective review of 544,354 Seattle area hospital admissions yielded 25 patients who underwent surgical therapy for the relief of intractable idiopathic constipation. All patients were refractory to conventional medical treatm…

These discussions are selected from the weekly staff conferences in the Department of Medicine, University of California, San Francisco. Taken from transcriptions, they are prepared by Drs David W. Martin, Jr, Professor of Medicine, and Dav…

A process, outcome and salary-cost analysis was made of the use of a urinary tract infection/vaginitis protocol. Three nurse practitioners, in a university-based, walk-in clinic, cared for 128 women presenting with complaints of dysuria or …