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November 29, 1979  Vol. 301 No. 22

Original Articles
1193-1197

THE administration of nitroprusside produces rapid hemodynamic and clinical improvement in patients with severe chronic congestive heart failure.1 2 3 4 5 6 By producing arteriolar dilatation and thus reducing impedance to left ventricular ejection, ...

1198-1200

AMNIOTIC-fluid infections in the presence of intact fetal membranes appear to be the single most frequent underlying cause of fetal and neonatal death in the United States. Seventeen per cent of all fetal and neonatal deaths in the United States ...

1200-1204

    TRAINED athletes typically have normal glucose tolerance together with diminished plasma insulin levels, suggesting enhanced body sensitivity to insulin.1 , 2 Recent studies also indicate that insulin binding to monocytes is higher in athletes than in ...

    Special Article
    1205-1212

    CHILDREN have been documented as victims of violence, neglect, abandonment, slavery, and murder since records of mankind have been kept.1 2 3 Only within the past century has the notion developed that children have rights apart from those that adults ...

    Medical Progress
    1212-1222

      SINCE Hodgkin's disease was last considered in detail in this journal1 impressive progress has been made in understanding discrete aspects of the disease. Evidence has accumulated in support of a monocyte-macrophage origin for the malignant cell, while ...

      Medical Intelligence
      1222-1224

        TWO simple observations limit the possible explanations of how anesthetics act. The first concerns the rate at which anesthesia may be achieved. Anesthetics can induce unconsciousness within seconds, and, similarly, awakening can be rapid after ...

        1224-1226

        WE used to believe that consciousness, which is the capacity to think hard about thinking, was a special property of the human brain, a gift dependent on the gift of language, distinguishing us from all lesser breeds. But now there are reasons to believe ...

        1226-1227

        MANY aspects of the problem of patient compliance in clinical care were considered at a symposium held recently in London by the British Postgraduate Medical Federation. It is difficult to determine the extent to which patients fail to follow medical ...

        Case Records of the Massachusetts General Hospital
        1228-1233

        Presentation of Case

        A 40-year-old woman, para 3, gravida 3, was admitted to the hospital because of left ureteral obstruction.

        She was well until six years earlier, when a urinary-tract infection developed. An intravenous pyelographic examination in ...

        Editorials
        1234-1235

        The human body adapts remarkably to environmental insults and maintains its status quo. This adaptability is especially apparent in the cardiovascular reflexes that maintain arterial pressure. Pressure-sensitive receptors are strategically located in the ...

        1235-1236

        IN this issue Naeye describes an association between coitus and amniotic-fluid infection that resulted in increased fetal morbidity and mortality. The findings are based on a study of 26,886 single-born infants delivered between 1959 and 1966 as part of ...

        Correspondence
        1236-1237

        No extract is available for articles shorter than 400 words.

        1237-1239

        No extract is available for articles shorter than 400 words.

        1239-1240

        No extract is available for articles shorter than 400 words.

        1240-1241

        No extract is available for articles shorter than 400 words.

        1241

        No extract is available for articles shorter than 400 words.

        1241

        No extract is available for articles shorter than 400 words.

        1241-1242

        To the Editor: In the issue of July 5, Lerner et al. reported a possible adverse effect of oral contraceptives on the course of malignant melanoma. However, estrogens have been used to treat patients with malignant melanoma.1

        We have treated 26 patients ...

        1242

        No extract is available for articles shorter than 400 words.

        1242

        No extract is available for articles shorter than 400 words.

        Book Reviews
        1243

        No extract is available for articles shorter than 400 words.

        1243

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        1243

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        1243-1244

        No extract is available for articles shorter than 400 words.

        1244

        This book has been written primarily for trainees and practicing pediatricians. Therefore, one might ask why it is necessary to publish a comprehensive textbook devoted to liver disorders in childhood when this information could be garnered from many ...

        1244

        No extract is available for articles shorter than 400 words.

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