Although sarcoid may involve the myocardium, there is little information on its incidence or significance. We studied 84 consecutive autopsied patients with sarcoidosis. The ranged in age from 18--80 years (average 46 years) and 61% were women; 23 (27%) of them had myocardial granulomas. In eight (35%) these clinically silent, 15 (65%) was a history heart failure and/or arrhythmias conduction defects. Of patients, only four (17%) grossly evident, widespread lesions: three (75%) documented...

ALTHOUGH the vasa vasorum, nutrient vessels in wall of human aorta, have been studied some detail,1 there has disagreement concerning presence or extent vasorum coronary arteries. As early as 1876 Köster2 suggested that intimal proliferation and medial hypertrophy "arteriitis" was related to media intima. In 1938 Winternitz et al.3 injected India ink into cleared arteries demonstrated "presence rich vascular channels surrounding penetrating sclerotic lesions." They "here, undoubtedly, source .

Chronic cocaine abuse remains a serious and costly public health problem. This study assessed the effectiveness of voucher-based reinforcement contingency in producing sustained abstinence.A randomized controlled trial compared abstinence to noncontingent voucher presentation. Patients were selected from 52 consecutively admitted injecting heroin abusers methadone maintenance treatment program. with heavy use during baseline period (N = 37) participated. Except where otherwise indicated,...

People who stop consuming caffeine may have symptoms, but the incidence and severity of withdrawal are not known. This study was performed to determine effects in general population ending one's dietary intake caffeine.

Nine patients with acute myocardial infarction had cardiac catheterization and intracoronary infusions of streptokinase 2.3 to 4.3 hours (mean, 3.5) after the onset symptoms. Occluded coronary arteries were opened within approximately 20 minutes in all patients, but reocclusion occurred one patient. The immediate effect thrombolysis on salvage was assessed injection thallium-201. Improved regional perfusion, indicating recanalization, observed seven nine patients. One patient, who also...

This study evaluated a novel drug abuse treatment, the Therapeutic Workplace. In this patients are paid to perform jobs or participate in job training. Salary is linked abstinence by requiring provide drug-free urine samples gain access workplace. Pregnant and postpartum (N = 40) were randomly assigned Workplace usual care control group. participants invited work 3 hr every weekday for 6 months could earn up $4,030 vouchers abstinence, workplace attendance, performance. On average, 45% of...

Escalating reinforcement for sustained abstinence has been effective in treating cocaine abuse. Under this schedule, patients receive vouchers cocaine-free urine samples; have monetary values that increase with the number of consecutive samples. Cocaine-abusing methadone were randomly assigned to 12 weeks under (a) an escalating schedule (n = 20), (b) start-up bonuses or (c) a noncontingent 19). Start-up designed provide added initiating abstinence; however, they did not improve outcomes....

Heroin dependence remains a serious and costly public health problem, even in patients receiving methadone maintenance treatment. This study used within-subject reversal design to assess the effectiveness of voucher-based abstinence reinforcement reducing opiate use treatment an inner-city program. Throughout subjects received standard involving methadone, counseling, urine monitoring (three times per week). Thirteen who continued opiates regularly during 5-week baseline period were exposed...

High‐magnitude and long‐duration abstinence reinforcement can promote drug but be difficult to finance. Employment may a vehicle for arranging high‐magnitude reinforcement. This study determined if employment‐based could increase cocaine in adults who inject drugs use during methadone treatment. Participants work 4 hr every weekday workplace where they earn about $10.00 per hour vouchers; were required provide routine urine samples. attended the provided cocaine‐positive samples initial...

Soon after the ceremony, White fell ill and remained sick until end of winter.By this time, his work (and that other Jesuits) among Indians was well known in England America.Roger Williams, 1643, wrote "some ... boast Jesuits Canada Mary land" converting Indians.4 2 While Father healing land, political upheavals Interregnum began England.Virginia Maryland obtained information about turmoil on January 30, 1642, when Court Northampton County, Virginia, seized two letters from William Webb to

The strong association between unemployment and drug addiction suggests that employment interventions are an important needed focus of drug-addiction treatment. increasing necessity possessing basic academic skills to function in the workplace may require some individuals receive educational training along with vocational training.This study investigated drug-addicted chronically-unemployed adults (N = 559) who were enrolled one six studies conducted at Center for Learning Health Baltimore,...

The study tested a voucher-based abstinence reinforcement procedure for reducing opiate and cocaine use in population of treatment-resistant opiate- cocaine-abusing methadone patients. Vouchers exchangeable goods services were contingent on from both opiates cocaine. In two conditions, participants could earn up to $374 or $3,369 vouchers providing cocaine-free urine samples. Participants received daily 60-mg dose methadone. was increased second phase, the voucher conditions replicated....