Coronary artery disease: Part 1. Epidemiology and diagnosis

Coronary artery disease (CAD) is the leading cause of death in Americans, accounting for about 500,000 deaths every year. The annual incidence of myocardial infarction (MI) is about 1.5 million. As many as 2 million middle-aged men may have silent myocardial ischemia. (1)

Intensive care unit: how stressful for physicians?

The ICU has been considered a psychologically stressful environment. Although numerous studies have investigated this stress in ICU nurses, virtually none have examined how stressful the ICU is for physicians. This prospective study compares housestaff physicians' ratings of stress in the ICU to other medical-surgical rotations. The 26 physicians in this study rated the ICU significantly less negatively than other rotations. There was also a trend to rate the ICU more positively. Prolonged care of patients with multisystem failure and a poor prognosis was the most frequently described source of stress. Humor, communication, and activities outside the ICU were the most frequently noted coping techniques.

Psychosis in children of Holocaust survivors: influence of the Holocaust in the choice of themes in their psychoses

This report examines psychotic symptoms in children of Holocaust survivors. The authors present two cases that show how the manifestations of schizophrenia were influenced by the Holocaust. The cases show how the effects of one generation's trauma are seen in the symptoms and behavior of the next.