Hospital practice (Office ed.)
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Occurring chiefly in epidemics during hot, humid summer weather, heatstroke dramatically demonstrates the consequences of uncontrolled body temperature elevation. It also illuminates the mechanism and management of unusual hyperthermic disorders associated, for example, with neuroleptic and anesthetic drugs.
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Both public and private institutions are mobilizing to combat drug-resistant TB--indeed, to eliminate all TB. Meeting this goal will require a three-pronged approach: 1) prophylactic isoniazid treatment of latent TB, 2) multidrug (at least six agents in some cases) treatment of active TB to eradicate resistant strains, and 3) correction of the social conditions that have contributed to the current epidemic.
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Pelvic inflammatory disease continues to take its physical, psychological, and financial tolls. Prompt treatment of symptomatic disease and screening of asymptomatic or mildly symptomatic women for the major causative organism--Chlamydia trachomatis--are the keys to preventing serious sequelae, such as chronic pelvic pain, ectopic pregnancy, and infertility.