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April 12, 1984  Vol. 310 No. 15

Original Articles
937-941

CONTROVERSY surrounds the role of genital mycoplasmas in infertility. Despite positive, albeit circumstantial, links between genital mycoplasmas and various elements in the pathophysiology of infertility, recent reviewers have suggested that their role in ...

941-945

THE frequency of isolation of Ureaplasma urealyticum and Mycoplasma hominis from the genitourinary tract has been cited as indicating their commensal rather than pathogenic role.1 However, Braun et al. found an association of low birth weight with ...

946-950

IDIOPATHIC membranous nephropathy is a frequent cause of the nephrotic syndrome in adults. The outcome of the disease may be variable. Spontaneous remission can occur in some patients and kidney function may be stable for years in others, but ...

951-954

    CIGARETTE smoking is known to stimulate an increase in heart rate. Such an alteration will increase myocardial oxygen requirements and consequently may potentiate myocardial ischemia, as suggested by clinical experience and objective testing.1 , 2 In ...

    Special Article
    955-959

    EFFORTS to define policies on withholding or withdrawing life-sustaining procedures from hopelessly ill patients are a relatively recent development. In 1976, when two major hospitals publicly announced their protocols in treating the hopelessly ill, the ...

    Medical Progress
    960-967

      THE initial enthusiasm for breast-cancer screening, stimulated by the successful use of x-ray mammography in detecting early-stage breast cancer, was diminished in 1976 when concerns were raised about the theoretical potential for x-ray carcinogenesis.1 ...

      Medical Intelligence
      968-972

      EPIDEMIOLOGIC studies indicate that 5 per cent of all pediatric office visits are primarily for psychiatric disorders.1 In concert with trends in adult psychiatry, the use of psychotropic medications has increased beyond the traditional use of stimulants, ...

      Case Records of the Massachusetts General Hospital
      972-981

      Presentation of Case

      A 34-year-old man was admitted to the hospital because of a mass in the iris.

      He was well until two months earlier, when he began to have mild night sweats and sniffles. Five weeks before admission he observed a nonpruritic nodular ...

      Sounding Board
      982-984

        It is not generally realized that acute respiratory infections are, together with diarrheal diseases, the most important causes of preventable deaths in the world. The World Health Organization, other health agencies, and governments have recognized the ...

        984-986

        The relationship between hospital managers and medical staff has frequently been one of less than mutual trust and respect, in part because the two groups have somewhat different goals. Hospital management focuses on finances, and its primary financial ...

        Correspondence
        986-987

        To the Editor: Candida albicans and Cryptococcus neoformans are the most common pathogens causing fungal disease in patients with the acquired immunodeficiency syndrome (AIDS).1 , 2 To date, infection with Coccidioides immitis has not been reported, ...

        987-988

        No extract is available for articles shorter than 400 words.

        988-989

        To the Editor: Neuronal cholinergic deficiency is possibly a major cause of Alzheimer's disease. Attempts to improve symptomatology have therefore been made either by precursor loading (choline1 or lecithin2), with poor results, or by use of ...

        989-990

        To the Editor: The discovery of the unique action of lithium, a simple monovalent ion, in the therapy of manic-depressive disorders increased interest in the biologic mechanisms underlying the clinical efficacy of lithium as well as its formidable ...

        990

        No extract is available for articles shorter than 400 words.

        990-991

        No extract is available for articles shorter than 400 words.

        991

        To the Editor: We report a rapid technique for estimating the amount of S-phase cells in a sample with use of monoclonal antibodies (RPMB I through VI) directed against bromdeoxyuridine. Cells (1X107 per milliliter) are incubated with 10-4 M ...

        991-992

        To the Editor: The article by Taylor et al. (Nov. 10 issue)1 presented a case study that demonstrated fluctuating brain-stem auditory evoked responses attributable to a severe hypoxic ischemic insult after a near drowning. Closer analysis of these ...

        992-993

        No extract is available for articles shorter than 400 words.

        993-994

        No extract is available for articles shorter than 400 words.

        Occasional Notes
        994-995

        The Special Report by Robert Ubell in the December 8 issue, "High-Tech Medicine in the Caribbean: 25 years of Cuban Health Care,"* brought back memories of an official visit I made with some staff members of the U.S. Public Health Service in the spring of ...

        Book Reviews
        995-996

        New procedures are developed in the centers where the people are — the people, that is, who feel a personal motivation to develop them. Whether the innovation be a new drug, a new treatment, a new hormone, a new operation, or just a new philosophy of ...

        996

        No extract is available for articles shorter than 400 words.

        996-997

        In his foreword to this first volume in a series dedicated to hand surgery, Smith (the series editor) notes that hand surgery has developed to the point where detailed comprehensive studies are required to do justice to specific topics. The rapid progress ...

        997

        No extract is available for articles shorter than 400 words.

        997-998

        No extract is available for articles shorter than 400 words.

        998

        No extract is available for articles shorter than 400 words.

        998

        This third edition is a clear and comprehensive review of the many conditions afflicting the shoulder that present diagnostic and therapeutic problems for the physician and surgeon. In addition, it contains much valuable information that will be ...

        Books Received
        998-999

        Health Policy

        Therapeutic Control of Inflammatory Diseases. (Advances in Inflammation Research. Vol. 7.) Edited by Ivan Otterness, Robert Capetola, and Stewart Wong. 311 pp. New York, Raven Press, 1984. $48.

        Thrombosis and Cardiovascular Diseases. (...

        Notices
        999-1000

        ELECTRODIAGNOSIS

        The New York Medical College's Department of Rehabilitation Medicine will offer its annual course in Electromyography and Electrodiagnosis at the May-flower Hotel in New York, April 30-May 4. The fee is $475.

        Contact Dr. Daoud B. Karam, ...

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