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June 24, 1982  Vol. 306 No. 25

Original Articles
1505-1509

    THE frequency of nosocomial pneumonia caused by gram-negative bacilli increased in the 1960s,1 , 2 and several outbreaks of pneumonia associated with inhalation-therapy equipment contaminated with gram-negative bacilli2 3 4 5 6 7 8 9 10 11 12 13 14 were ...

    1509-1513

    THE diagnosis of mural left ventricular thrombi, a potential source of major systemic emboli, has received increased attention in recent years because of the development of noninvasive techniques that may permit accurate identification of thrombi and may ...

    1513-1519

    THE inverse relation between coronary-artery disease and the concentration of high-density-lipoprotein (HDL) cholesterol in blood suggests that this lipoprotein is an important factor in the pathogenesis of atherosclerosis.1 2 3 Low levels of HDL ...

    Medical Progress
    1520-1528

      IN early times the earth had a reducing atmosphere, and an abundance of ferrous iron was present for incorporation into biologic molecules.1 Later, with an increase in atmospheric oxygen, iron existed largely in its less available ferric form,2 and ...

      Medical Intelligence
      1529-1533

      DEMYELINATION, or the loss of myelin, characterizes a number of common neurologic diseases. The most common of these is multiple sclerosis. At any given time, there are approximately 250,000 patients with the diagnosis of multiple sclerosis in the United ...

      1533-1536

      OPTIMAL therapy for patients with the Zollinger–

      Ellison syndrome due to gastrinoma is currently in a state of evolution and reevaluation. Although treatment must be directed toward correction of gastric acid hypersecretion, selection of therapy must also ...

      Case Records of the Massachusetts General Hospital
      1537-1544

      Presentation of Case

      A 15-year-old girl was admitted to the hospital because of virilization.

      The patient was black, a native of Jamaica, and a recent immigrant to this country. Her menarche occurred at the age of 11 years, with regular menses every 30 ...

      Editorials
      1545-1546

      Nosocomial infections are infections that occur in an institutional setting, such as a hospital, convalescent center, or skilled-nursing facility. An international conference on nosocomial infections, sponsored by the Centers for Disease Control, was held ...

      1546-1548

      Atherosclerosis, the most common lethal disease in our population, has no obvious single cause. Although hypertension, cigarette smoking, and hyperlipidemia are all prominent risk factors for atherosclerotic disease of the coronary, cerebral, and ...

      Correspondence
      1548-1550

      No extract is available for articles shorter than 400 words.

      1550

      No extract is available for articles shorter than 400 words.

      1550-1551

      No extract is available for articles shorter than 400 words.

      1551

      To the Editor: We report here a case of ulcerative colitis in an infant, associated with a giardia infection.

      The patient was a previously healthy 4 1/2-month-old boy who was brought to the emergency room with a one-day history of lethargy. He was given ...

      1551-1552

      No extract is available for articles shorter than 400 words.

      1552

      No extract is available for articles shorter than 400 words.

      1552

      No extract is available for articles shorter than 400 words.

      1553

      No extract is available for articles shorter than 400 words.

      1553

      No extract is available for articles shorter than 400 words.

      1553

      No extract is available for articles shorter than 400 words.

      1553

      No extract is available for articles shorter than 400 words.

      1553-1554

      To the Editor: The letter in the February 11 issue from Pickering,1 critical of the "publicity" on the Beta-Blocker Heart Attack Trial (BHAT), warrants correction and comment. The BHAT was designed to determine whether long-term administration of the ...

      1554

      No extract is available for articles shorter than 400 words.

      1554

      No extract is available for articles shorter than 400 words.

      1554-1555

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1555

      Respiratory failure accounts for nearly half the admissions to a pediatric intensive-care unit. A major challenge for medical supervision there is the diversity of clinical settings in which respiratory failure is encountered. Patients range from 4 1/2-kg ...

      1555-1556

      No extract is available for articles shorter than 400 words.

      1556

      No extract is available for articles shorter than 400 words.

      1556

      No extract is available for articles shorter than 400 words.

      1556-1557

      This work is much more ambitious than the author's earlier monograph. He has now enlisted the help of 36 coauthors in putting together a book of 35 chapters, divided into eight sections. The first three are devoted to fetal growth and differentiation, ...

      1557

      No extract is available for articles shorter than 400 words.

      1557

      No extract is available for articles shorter than 400 words.

      1557-1558

      Aggression underlies survival, achievement, and conquest; causes suffering, morbidity, and mortality; and profoundly threatens the perpetuation of our species. An interplanetary traveler would marvel at our ability to deny the threats posed by aggression ...

      1558

      With rare exceptions (e.g., polio vaccine), the dramatic medical progress of the past half century has served to increase the population of physically handicapped persons in the Western world. Advances in medicine and surgery often lead to the survival of ...

      Notices
      1558-1560

      ALCOHOL AND DRUG PROBLEMS

      The "Third Annual Institute of Alcohol and Drug Problems" will be held in Ackerman Union of the University of California–Los Angeles, July 19–23. The fee is $160.

      Contact the Health Sciences, University of California–Los Angeles ...

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