Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date
NEJM Digital Archive

Table of contents for

May 10, 1984  Vol. 310 No. 19

Original Articles
1209-1212

    VITAMIN E (α-tocopherol) deficiency in children with chronic cholestatic hepatobiliary diseases has been associated with a progressive neurologic syndrome composed of cerebellar ataxia, posterior column dysfunction, and peripheral neuropathy. 1 , 2 Recent ...

    1213-1217

    CURRENT interest in the pharmacologic properties of heroin (3,6-diacetylmorphine) arise from its continued illicit use by drug abusers and from the proposed changes in regulations to permit its medical use for the relief of terminal cancer pain.1 To date, ...

    1218-1221

    OXYGEN therapy decreases pulmonary-artery pressure1 and hematocrit,2 improves psychological function,3 and decreases mortality4 in patients with severe chronic obstructive pulmonary disease. It is generally recommended that patients with a resting ...

    1221-1225

    ALTHOUGH calcium is the principal regulator of parathyroid gland function, magnesium has also been observed to have an important role.1 Both low and high concentrations of serum magnesium may directly affect the secretion of parathyroid hormone. Profound ...

    1225-1230

      THE Epstein–Barr virus (EBV) is present in saliva in most patients with infectious mononucleosis, in up to 20 per cent of healthy EBV antibody–positive persons,1 2 3 4 and in 50 per cent or more of seropositive patients receiving immunosuppressive drugs.5 ...

      Special Article
      1231-1237

      PROSPECTIVE payment is a cornerstone of federal and state plans to control health-care costs.1 It is also perceived as a threat to the financial viability of academic medical centers, whose costs per admission exceed those of community hospitals.2 , 3 ...

      Medical Intelligence
      1237-1243

      THE presence of recurrent bacterial infections in a child raises the discomforting possibility of some type of underlying immunodeficiency disease. None of these diseases is common, and the money spent and blood withdrawn searching for them can be ...

      1243-1245

      INFECTION with filarial parasites (Wuchereria bancrofti, Brugia malayi, and B. timori) that dwell in the lymphatic system produces a range of manifestations, including elephantiasis,1 which usually develops in adulthood. Related brugian filarial species, ...

      Case Records of the Massachusetts General Hospital
      1245-1252

      Presentation of Case

      First admission. A 50-year-old woman was admitted to the hospital because of unresolved pneumonia.

      She was well until two years earlier, when rightsided pneumonia developed and resolved slowly on treatment. Three months before entry ...

      Editorials
      1253-1255

      Magnesium, the fourth most abundant metal in living organisms, is distributed in three major compartments in the body: 65 per cent in the mineral phase of skeleton, 34 per cent in the intracellular space, and only 1 per cent in the extracellular fluid.1 ...

      1255-1256

      The biology of Epstein–Barr virus (EBV) is fascinating even to the casual observer. To a devotee like me, it is positively gripping. The virus has a variety of remarkable potentials, including the ability to cause normal lymphocytes to grow indefinitely ...

      1256-1257

      Everyone knows that teaching hospitals have greater expenses and charge more for their services than do nonteaching hospitals. In 1981, for example, the average cost of care, per adjusted admission, in the more than 300 major teaching hospitals belonging ...

      Correspondence
      1257-1260

      To the Editor: My late husband, Phillip Signorini, was a member of the Christian Science church, and at various times he consulted a Christian Science practitioner.

      When he was 40 years old, his glands enlarged and then increased gradually both in number ...

      1260-1262

      To the Editor: The careful study by Kilbourne and colleagues (Dec. 8 issue)1 of the natural history of acute toxic-oil syndrome and its late severe neuromuscular sequelae made only one reference to the occurrence of pulmonary hypertension after the acute ...

      1262-1263

      To the Editor: Braunwald (Nov. 10 issue)1 generalizes from the similarity in the survival of patients randomly assigned to either medical or surgical therapy in the Coronary-Artery Surgery Study (CASS)2 to conclude that the annual mortality of all ...

      1263-1264

      No extract is available for articles shorter than 400 words.

      1264-1265

      No extract is available for articles shorter than 400 words.

      1265

      To the Editor: The X-linked gene coding for glucose-6-phosphate dehydrogenase (G6PD), because it is subject to the phenomenon of X-chromosome inactivation, has been used extensively as a "clonality marker"1 in a variety of cell populations — for example, ...

      1265-1266

      No extract is available for articles shorter than 400 words.

      1266

      No extract is available for articles shorter than 400 words.

      1266-1267

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1267

      No extract is available for articles shorter than 400 words.

      1267

      No extract is available for articles shorter than 400 words.

      1268

      No extract is available for articles shorter than 400 words.

      1268

      No extract is available for articles shorter than 400 words.

      1268

      No extract is available for articles shorter than 400 words.

      1268-1269

      A book on the effects of low-dose irradiation on humankind is in a sense an artificial grouping of disparate topics. It may include some physics, some radiobiology, some curve-fitting, and a lot of speculation about philosophy and bioethics. The hook ...

      1269

      No extract is available for articles shorter than 400 words.

      1269

      No extract is available for articles shorter than 400 words.

      1269-1270

      This book provides a comprehensive discussion of the principles and applications of emission tomography. It is timely because the present surge of interest in nuclear magnetic resonance imaging and spectroscopy has drawn attention to the fact that disease ...

      1270

      This unusual program consists of an audio portion presented on six sides of three tape cassettes, with a concomitant visual portion presented as 200 slide transparencies for projection.

      The slide number being discussed is described by the commentator so ...

      Books Received
      1270-1271

      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
      1272

      PEDIATRIC CARDIOLOGY

      The Second World Congress of Pediatric Cardiology will be held at the Waldorf Astoria Hotel in New York, June 2–6.

      Contact Virginia Herlitz, 404 Park Ave. S., New York, NY 10016.

      FAMILY MEDICINE

      The Medical University of South ...