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May 31, 1984  Vol. 310 No. 22

Original Articles
1409-1415

VARICELLA (chickenpox) is a highly contagious disease of human beings that is caused by Herpes virus varicellae, or varicella–zoster virus.1 Chickenpox usually occurs as a mild childhood disease but can cause severe or even fatal illness.2 3 4 It is ...

1415-1421

    ETOMIDATE is an intravenous sedative-hypnotic that has been used for the induction and maintenance of anesthesia and for prolonged sedation of critically ill patients. The drug is administered by either bolus injection or continuous infusion1 and is ...

    1421-1426

    MEMBRANOPROLIFERATIVE glomerulonephritis is a primary glomerular disease with distinct morphologic patterns. It affects children and adults, is poorly understood, and is associated with a high but variable rate of progression to renal failure.1 2 3 4 5 6 ...

    1427-1431

    PROTHROMBIN is a vitamin K–dependent blood-coagulation protein that is synthesized in the liver.1 It contains γ-carboxyglutamic acid residues in its amino-terminal domain, which have the calcium-binding properties essential for its function.2 3 4 The ...

    Special Article
    1432-1436

    SINCE 1973 the federal government has paid for the medical care of patients with end-stage renal disease. Dialysis treatments can be provided by hospitals and hospital-affiliated satellites (hospital-based facilities) or independent (free-standing) ...

    Medical Progress
    1437-1442

    Toxin-Produced Syndromes

    Staphylococcal Gastroenteritis

    Although gastroenteritis can be caused by massive overgrowth of viable organisms, most cases are caused by the ingestion of foods containing preformed toxin.62 The toxin itself is not produced by ...

    Medical Intelligence
    1443-1445

    VENTRICULAR tachycardia is a rare arrhythmia in infancy,1 , 2 and is usually associated with the long-QT-interval syndrome,3 myocardial disease such as that found in myocarditis, congestive or hypertrophic cardiomyopathy, severe hypertrophy due to aortic ...

    Case Records of the Massachusetts General Hospital
    1446-1455

    Presentation of Case

    A 38-year-old man was admitted to the hospital because of an orbital mass.

    He was well until 22 months earlier, when he began to experience transient left upper abdominal pain. He entered another hospital, where evaluation yielded no ...

    Editorials
    1456-1457

    The live attenuated varicella vaccines have generated much discussion. In the late 1970s, while the Japanese were testing their vaccine strains and publishing their results in American journals, the journal-reading pediatric community was treated to a ...

    1457-1458

    After renal biopsy was introduced in the 1950s, rapid strides were made in the recognition of specific patterns of renal injury early in the course of renal disease. In 1964 the lesion of membranoproliferative glomerulonephritis (also referred to as ...

    1458-1460

    Vitamin K–dependent coagulation-factor proenzymes (factors II, VII, IX, and X) contain γ-carboxyglutamic acid,1 2 3 an amino acid formed by the post-translational action of a vitamin K–dependent γ-glutamyl carboxylase on specific glutamyl residues.4 ...

    Correspondence
    1460-1461

    No extract is available for articles shorter than 400 words.

    1461-1462

    To the Editor: On the basis of the best available epidemiologic evidence to date, it is highly probable that AIDS is a communicable disease spread by intimate sexual contact or by exposure to infected blood or blood products.1 Since intravenous-drug ...

    1462

    No extract is available for articles shorter than 400 words.

    1462-1463

    To the Editor: The report by Raskin and colleagues (Dec. 22 issue)* demonstrating that strict control of diabetes results in an improvement in the width of the skeletal-muscle capillary basement membrane is indeed provocative. When one analyzes the data, ...

    1463

    To the Editor: Recently, we undertook a cross-sectional survey of 813 medical and dental students in order to estimate the prevalence of antibody to hepatitis B surface antigen (anti-HBs) and antibody to hepatitis B core antigen (anti-HBc).1 Seventeen ...

    1463-1464

    To the Editor: Determination of alpha-fetoprotein and acetylcholinesterase levels and ultrasonic methods have been used in the diagnosis of fetal neural-tube defects. In addition, macrophages are present in cultures of amniotic-fluid samples obtained ...

    1464

    To the Editor: The ongoing examination of new drugs for the treatment of malignant disorders is a consequence of the need to develop more effective as well as less toxic therapy. One of the new drugs currently under investigation is the anthracenedione ...

    1464

    No extract is available for articles shorter than 400 words.

    1464-1465

    No extract is available for articles shorter than 400 words.

    1465

    No extract is available for articles shorter than 400 words.

    1465-1466

    No extract is available for articles shorter than 400 words.

    1466-1467

    No extract is available for articles shorter than 400 words.

    1467-1468

    No extract is available for articles shorter than 400 words.

    1468-1470

    No extract is available for articles shorter than 400 words.

    1470

    No extract is available for articles shorter than 400 words.

    Book Reviews
    1470-1471

    Those of us trained at "The Children's," and many others in pediatrics in this country, have the arrogance to think that The Children's Hospital of Boston is the flagship of children's hospitals. Like someone reading a family history, we find that the ...

    1471

    No extract is available for articles shorter than 400 words.

    1471

    Edited by Randi Jenssen Hagerman and Pamela McKenzie McBogg. 239 pp., illustrated. Dillon, Colo., Spectra Publishing, 1983. $24.95 (hardcover); $16.95 (paperback).

    The discovery that as many as 50 per cent of X-linked mentally retarded males have a ...

    1471-1472

    This newest revision of a standard textbook sets out to update ambulatory pediatrics in the light of changing patterns of pediatric practice in the United States today. There are five sections — "The Pediatric Clinician," "Health Promotion," "Episodic ...

    1472

    Pediatric cardiology continues to be a discipline of increasing knowledge and expanding technology. With separate books devoted to echocardiography in the child, dysrhytbmias in the pediatric patient, and heart disease in the neonate, there is a need for ...

    1472-1473

    Pediatric cardiology was born in the late 1930s and early 1940s, underwent adolescence in the 1950s and 1960s, and has matured in the 1970s and 1980s. Although the basic pathophysiology of even the most complex anatomic derangements is now well understood,...

    1473

    There are many works available on interpretation of the electrocardiogram (ECG), some of which are concerned with the pediatric population. Many are multiauthored. Dr. Garson's book represents the work of one author and his systematic approach to the ...

    1473-1474

    The practice of pediatric ophthalmology can be divided into two general areas: strabismus on the one band, and everything else about the subject on the other. Hurley's book does not pretend to be a complete textbook on strabismus, although the sections on ...

    1474

    The editor of this book, an orthopedic surgeon who has a special interest in sports medicine, has drawn together 12 chapters covering as many areas of the subject. Two chapters are written by nonphysician specialists. The book responds to the increasing ...

    Books Received
    1474-1476

    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
    1476-1477

    AMERICAN MEDICAL WRITERS ASSOCIATION

    The Association's New England Chapter will meet at Anthony's Pier 4 Restaurant in Boston on Wednesday, June 6, at 6:00 p.m.

    Contact Judith Linn, New England Chptr., American Medical Writers Assoc., 37 Forty Acres Dr., ...

    Corrections
    1477

    No extract is available for articles shorter than 400 words.

    1477

    No extract is available for articles shorter than 400 words.

    1477

    No extract is available for articles shorter than 400 words.

    Special Report
    1477-1480

      For more than a decade American hospitals have been asked to contain costs. The most recent program is the Medicare prospective payment system, which reimburses hospitals a fixed price per case based on diagnosis-related groupings (DRGs). If this approach ...

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