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June 7, 1984  Vol. 310 No. 23

Original Articles
1481-1484

    URANIUM miners work in an atmosphere that is contaminated by radon daughters, the short-lived decay products of radon gas. Investigations of uranium miners and other underground miners have established a causal association between inhalation of radon ...

    1485-1494

    AN increased risk of bronchial cancer is now well documented in metal and fluorspar miners who have worked underground,1 2 3 4 5 6 7 8 9 10 11 12 and this excess risk is proportional to cumulative exposure to alpha radiation from short-lived radioactive ...

    1495-1499

      CHILDREN with cyanotic congenital heart disease have been reported to have lower intelligence quotients and poorer perceptual and gross motor function than children with acyanotic congenital heart disease or well children.1 2 3 The relation between the ...

      1500-1505

      INHERITED deficiencies of each of the five enzymes of the urea cycle have been described. The overall prevalence is estimated to be 1 in 30,000 live births. Unable to excrete waste nitrogen as urea, affected infants accumulate ammonia and other ...

      Special Article
      1505-1510

        HEALTH-maintenance organizations (HMOs) have been advocated for many years as an important innovation in medical-care delivery; indeed, for a decade, federal legislation and subsidies have encouraged their formation. Previous studies played a large part ...

        Medical Intelligence
        1511-1513

        THE stiff-man syndrome is an unusual affliction of adults that is characterized by progressive stiffness and painful muscle spasms affecting the axial and limb musculature, with an electromyographic pattern of continuous motor activity at rest.1 The cause ...

        1513-1517

        REMISSION after cytotoxic therapy in acute nonlymphocytic leukemia is thought to result from selective destruction of leukemic cells and repopulation of the marrow by normal stem cells. This postulate is supported by the restoration of a normal karyotype ...

        Case Records of the Massachusetts General Hospital
        1518-1524

        Presentation of Case

        A 62-year-old woman was admitted to the hospital because of asthma and pulmonary infiltrates.

        She was well until two years earlier, when wheezing developed. She was seen at another hospital, where epinephrine and prednisone were ...

        Editorials
        1525-1527

        The bronchial disease now known to be lung cancer was reported to have caused many deaths among miners in central Europe almost 400 years ago.1. Epidemiologic studies do not generally prove causality, but evidence from many sources provides convincing ...

        1527-1528

        The effects of metabolic insults to the developing nervous system are usually related to the etiologic agent, the severity of the disease, and the age at which the insult occurs. There is a fourth dimension, often neglected — the length of time over which ...

        1528-1530

        Does prepaid group practice actually reduce the cost of health care, or are the apparent reductions the result of a favorable selection of health risks? About 40 comparison studies have found that prepaid group practices reduce per capita cost some 10 to ...

        Correspondence
        1530-1531

        No extract is available for articles shorter than 400 words.

        1531

        To the Editor: I wish to report a case of systemic lupus erythematosus initially confused with AIDS because of a deficiency of helper/inducer T cells of the T4 epitope, as defined by staining with monoclonal antibody OKT4 (Ortho Diagnostic Systems).

        A 23-...

        1531-1532

        No extract is available for articles shorter than 400 words.

        1532-1533

        No extract is available for articles shorter than 400 words.

        1533

        To the Editor: Stults et al. (Jan. 26 issue)1 concluded that early defibrillation performed by basic-level emergency medical technicians, without the use of other techniques of advanced cardiac life support, is an effective approach to improved survival ...

        1533-1534

        No extract is available for articles shorter than 400 words.

        1534-1535

        No extract is available for articles shorter than 400 words.

        1535-1536

        No extract is available for articles shorter than 400 words.

        1536-1537

        To the Editor: Insulin-dependent diabetic patients have a high prevalence of circulating islet-cell autoantibodies at the time of diagnosis.1 It has become evident from recent studies that these autoantibodies reflect a heterogeneous group of antibodies ...

        1538

        To the Editor: The expanding retroperitoneal hematoma caused by a ruptured abdominal aortic aneurysm results in a changing clinical picture; it is not always appreciated that a right-sided pain may develop and mimic right-sided renal colic or even acute ...

        1538

        To the Editor: Against the background of a declining incidence in gastric carcinoma in the United States over the past 50 years, we wish to draw attention to recently recognized changes in epidemiologic aspects of cases of gastric cancer in our ...

        1538-1540

        To the Editor: The article by Keat (Dec. 29 issue)1 suggested that apart from patients with sexually acquired reactive arthritis and arthritis complicating bowel infections, there exists a "third group of patients ... whose clinical features and HLA ...

        1540-1541

        No extract is available for articles shorter than 400 words.

        Book Reviews
        1541

        No extract is available for articles shorter than 400 words.

        1541-1542

        Intensive-care medicine has come of age. This big book, sponsored by the 2200 members of the Society of Critical Care Medicine, is a part of its pubertal rites, in which it establishes the boundaries of its territorial imperatives. The three intensivist ...

        1542

        The standard textbooks of microbiology, pharmacology, and infectious diseases are often considered too big, too detailed, too encyclopedic, and too expensive for medical students to own, let alone read. Hence, the rapidly growing phenomenon of relatively ...

        1542-1543

        No extract is available for articles shorter than 400 words.

        1543

        This book is the latest and most comprehensive report on the Alameda County study of the relation between life style and health status. It should be of great public interest.

        A sample of the population of Alameda County, California, was surveyed in 1965 ...

        1543

        Here are two good books written by good people: the sort of people I would like to have around me and my family when I die. I sense that these authors would give us a lot of their time and would not dismiss as mere denial any courage we might dredge up, ...

        1543-1544

        This is much more than a third edition of Rakel and Conn's Family Practice. Everything has been rewritten; of the 143 contributing authors, only 15 are veterans of the second edition. Also, it is a textbook, intended for study by those who want to learn ...

        Notices
        1544

        BOSTON COMPUTER SOCIETY

        The medical/denial group of the Boston Computer Society will meet in the IRC cenler(third floor) al Minuteman Technical High School in Lexington, Mass., on Monday evening, June 18, at 6:30 p.m.

        Contact Dr. Mallhew Gold, 103 Garland ...

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