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Table of contents for

November 17, 1983  Vol. 309 No. 20

Original Articles
1201-1206

    PREGNANCY occurs frequently in couples who have been diagnosed as infertile but who either have received no treatment or have stopped all treatment. In studies that included both treated and untreated infertile couples, the proportion of pregnancies that ...

    1206-1209

    THE polycystic-ovary syndrome is one of the major causes of infertility and subfertility in women. Although the syndrome was initially defined by a triad of clinical findings (obesity, hirsutism, and secondary amenorrhea) and a specific histologic picture ...

    1210-1213

    CARCINOMA of the stomach occurring after an operation for benign peptic-ulcer disease was described by Balfour in 1922.1 Although it was initially considered rare, by 1972 more than 1100 cases of gastric cancer after surgery for peptic-ulcer disease had ...

    1213-1217

    HYPERTENSION is both a cause and an effect of renal disease. Frequently this relation becomes clinically manifest only when both conditions are advanced. Sensitive measures are needed to unravel the nature of the relation of these two phenomena at the ...

    Special Article
    1218-1224

      MORTALITY rates and measures of life expectancy are used widely by planners and policy makers to compare and monitor health across communities.1 For example, mortality statistics have demonstrated both a shift in disease patterns to chronic diseases and a ...

      Medical Progress
      1224-1229

      Retroperitoneum

      Lymph Nodes, Tumors, and Retropehtoneal Hemorrhage

      Assessment of retroperitoneal lymph nodes is a common clinical necessity for which CT and lymphangiography are the prime imaging examinations. The frequency of technically unsatisfactory ...

      Medical Intelligence
      1230-1232

      THE pathogenesis of mitral-valve prolapse is unclear. However, it has been associated with thoracoskeletal abnormalities,1 , 2 connective-tissue disorders,3 4 5 and coagulopathies.6 Affected tissues in these disorders are embryologically derived from ...

      Case Records of the Massachusetts General Hospital
      1233-1242

      Presentation of Case

      First admission. A 69-year-old man was admitted to the hospital because of mitral-valve disease.

      The patient was considered an unreliable informant. He gave a history of rheumatic fever in childhood. Thereafter he was well until ...

      Editorials
      1243-1244

      Elsewhere in this issue Collins et al. eloquently call attention to a long-known but poorly understood fact of human infertility: a substantial portion of patients will conceive while under study or after cessation of treatment.1 The call these authors ...

      1245-1246

      THE term "polycystic-ovary syndrome" is best reserved for describing a clinical but not a specific pathophysiologic syndrome, since the cause of the disorder encompasses several different abnormalities with similar clinical presentations.1 , 2 The ...

      1246-1247

      Isolated systolic hypertension (systolic blood pressure above 160 mm Hg accompanied by diastolic pressure below 90 mm Hg) is found in approximately 25 to 30 per cent of men and women over 75.1 Although convincing evidence indicates that elderly patients ...

      Correspondence
      1248-1250

      No extract is available for articles shorter than 400 words.

      1251

      No extract is available for articles shorter than 400 words.

      1251-1253

      To the Editor: In their article in the May 5 issue Kawakami et al.1 provided an extensive analysis of data from patients with chronic obstructive pulmonary disease. Both arterial and venous blood gases differed significantly between the patients who ...

      1253

      To the Editor: In 1978 we reported increased absenteeism and decreased psychological well-being after the labeling of hypertensive patients who were previously unaware of their disorder.1 Although the majority of subsequent investigations into labeling ...

      1254-1255

      No extract is available for articles shorter than 400 words.

      1255-1256

      No extract is available for articles shorter than 400 words.

      1256-1257

      No extract is available for articles shorter than 400 words.

      1257-1258

      To the Editor: In their editorial on Avorn and Soumerai's report concerning the impact of clinical pharmacists on the quality of drug-therapy decisions (June 16 issue),1 , 2 Melmon and Blaschke offer the opinions that educating pharmacists for the sole ...

      Occasional Notes
      1258-1261

      IN the 1920s, when I was a young boy, my father's practice was typical of any internist's at that time. His office occupied most of the ground floor of our home on Pine Street in Philadelphia, which like Harley Street in London, provided office space for ...

      Book Reviews
      1261

      These two new books reflect the dramatic changes that have occurred in patients' expectations and in physicians' practices in caring for dying patients. Scientific advances allow physicians to offer more effective treatments for life-threatening ...

      1261-1262

      Home care is becoming an important alternative to hospital or nursing-home care throughout the nation. Recent events, such as President Reagan's intervention on behalf of a young girl in Iowa to allow her discharge from the hospital and to have the ...

      1262

      No extract is available for articles shorter than 400 words.

      1262-1263

      No extract is available for articles shorter than 400 words.

      Books Received
      1263

      Education, History, and Biography

      Alzheimer's Disease: A guide for families. By Lenore S. Powell and Katie Courtice. 288 pp. Reading, Mass., Addison-Wesley, 1983. $17.95 (cloth); $8.95 (paper).

      The Complete Health Care Advisor. By Henry Berman, Diane ...

      Notices
      1263-1264

      PROGRAMS OF THE STATE UNIVERSITY OF NEW YORK-UPSTATE MEDICAL CENTER

      The Center will present several programs in the coming months: the 34th annual "Postgraduate Review Course in Ophthalmology" (December 2 and 3, in Syracuse, N. Y.); "New Modalities in the ...

      Health Policy Report
      1264-1268

      The National Health Service (NHS), the austere but nevertheless popular centerpiece of Great Britain's welfare state, faces a future of scant real growth and intensifying political controversy as the principal source of debate between a newly reelected ...

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