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Table of contents for

July 28, 1983  Vol. 309 No. 4

Original Articles
197-204

    THE spectrum of diseases that may cause syncope spans common benign problems to severe life-threatening disorders. Because of the complexity and importance of the differential diagnosis of this symptom, multiple clinical studies have focused on the ...

    204-209

    INTRAVENTRICULAR hemorrhage is a major cause of mortality and neurologic morbidity in the premature infant. Large-scale studies of such infants by computerized tomography or ultrasound scanning indicate an incidence of periventricular–intraventricular ...

    209-212

    MUCH knowledge concerning the involvement of immunologic mechanisms in major diseases has resulted from observations in relation to pregnancy. Attention has usually been stimulated by a report of a transient form of the condition in a child born to a ...

    Special Article
    213-216

    DURING 1980 nearly $11 billion1 was spent for prescription drugs in the United States. Although this figure represents only about 5 per cent of the total health-care dollar, the potential savings are of sufficient magnitude to warrant serious ...

    Medical Intelligence
    217-220

      MANY human diseases have an autoimmune component. In some, such as myasthenia gravis1 and Hashimoto's thyroiditis,2 the autoimmune response is predominantly organ-specific. In other diseases, such as systemic lupus erythematosus3 and polyendocrinopathy,4 ...

      220-223

      THE pathophysiology of acute myocardial infarction has been a subject of considerable discussion, as indicated in two recent reviews.1 , 2 The respective roles of coronary thrombosis and coronary spasm are unclear. It has been suggested that coronary ...

      224-225

      FIVE siblings in a family with seven children had a combination of abnormal findings, including constrictive pericarditis, arthritis of large joints, and flexion contracture of the fingers. This familial cluster of pathologic features appears to be a ...

      Case Records of the Massachusetts General Hospital
      226-235

      Presentation of Case

      A 76-year-old man was admitted to the hospital because of a question of a meningioma.

      He was well until one year earlier, when he began to have a chronic cough and to lose weight. Two weeks before admission he entered another hospital ...

      Editorials
      236-238

      In 1901 the first description of congenital complete heart block was reported as a syndrome of slow pulse, syncopal attacks, and sudden death, often occurring in families.1 Michaëlsson and Engle's cooperative study of 599 infants and children with ...

      238-239

      IN this issue, Vincent et al. report a tantalizing and well-documented account of a young woman who had a myocardial infarction despite angiographically normal coronary arteries.1 The sequence of events suggests that coronary spasm was the initiating ...

      Correspondence
      239-241

      No extract is available for articles shorter than 400 words.

      241-242

      No extract is available for articles shorter than 400 words.

      242-243

      To the Editor: In August 1979 we observed fatal myocardial necrosis in a 17-year-old boy with hemophilia A and a circulating anticoagulant (370 Bethesda units per milliliter of plasma) who received large amounts of prothrombin-complex concentrate. ...

      243

      No extract is available for articles shorter than 400 words.

      243-244

      No extract is available for articles shorter than 400 words.

      244-245

      To the Editor: Amyotrophic lateral sclerosis has been linked to exposure to animals in two case–control studies: Hanisch et al. found that patients had had increased exposure to animal carcasses and hides,1 and Reed and Brody observed increased exposure ...

      245

      To the Editor: Granulocytic transfusion is now thought to be one of the important supportive therapies for neutropenia accompanied by bacterial infections1 2 3; however, more objective and scientific analyses are needed to establish this kind of ...

      245-246

      No extract is available for articles shorter than 400 words.

      246

      To the Editor: The diagnostic value of the 250-tuberculin unit (TU), second-strength purified protein derivative (PPD) skin test has been questioned in key articles by several tuberculosis experts.1 , 2 Equally qualified experts have defended this test, ...

      246-247

      No extract is available for articles shorter than 400 words.

      Book Reviews
      247-248

      The textbook of biochemistry by Smith, Handler, and White has gone through six editions since it was initially published in 1954. The coauthors have changed, and the book has increased in size from edition to edition, but it has always been one of the ...

      248

      Each textbook of biochemistry published today must provide an adequate presentation of bioenergetics; the intermediary metabolism of carbohydrates, lipids, and proteins; oxidative phosphorylation; the structure of proteins; enzyme kinetics; the ...

      248

      No extract is available for articles shorter than 400 words.

      249

      No extract is available for articles shorter than 400 words.

      249

      This book is one of the more successful recent attempts to provide first-year medical students with a textbook of organ-system physiology that is broad in scope, accurate, and readable. Considering the large number of contributors, the editors have ...

      249-250

      Writing a book on computer applications in medicine is almost as difficult as writing a general textbook of medicine. The field of computer applications is so broad and complex and has so many different applications that it is impossible to develop a ...

      250

      No extract is available for articles shorter than 400 words.

      250

      This outstanding new volume on separation and divorce is engaging and lucidly written. Its subject is one of increasing importance.

      At the outset the author lays out a well-grounded approach to his topic, drawing on theories on psychoanalysis, crisis, ...

      250-251

      This is an impressive, though limited, book.

      First, the strong points. The title sets the author's task; he wishes to meld the psychodynamic, behavioral, and cognitive approaches to marital therapy into one conceptual model. Like most practitioners, he is ...

      251

      Population control is an important though controversial subject.

      Contributing to the controversy is the fact that although effective and relatively safe forms of chemical fertility control are available to women, there is no satisfactory "pill" for men. ...

      Books Received
      251-252

      The receipt of these books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.

      Addresses of most overseas publishers ...

      Notices
      252-254

      HOLISTIC MEDICINE

      The Ninth Annual Mandala Conference, entitled "Transformation Celebration," will be held at the Town and Country Convention Center in San Diego, August 26–28. Follow-up workshops will be presented at the UCSD La Jolla campus, August 29-...

      Correction
      254

      No extract is available for articles shorter than 400 words.

      Special Report
      254-256

      The March 31 issue of the Journal1 carried a Special Report by Melia et al. on California's attempt to control spiraling health-care costs by introducing competition into the health-care marketplace through negotiated Medical (Medicaid) contracts, a ...

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