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Table of contents for

June 14, 1984  Vol. 310 No. 24

Original Articles
1545-1550

GENITAL infection with herpes simplex virus is an increasingly common problem, particularly in sexually active young adults and adolescents.1 Acyclovir has recently been shown to be the first antiviral agent to decrease significantly the duration and ...

1551-1556

AFTER the first episode of genital herpes simplex virus infection, the major morbidity of the disease consists of frequent recurrent episodes and the risk of transmission to sexual partners and neonates.1 2 3 4 Although the long-term natural history of ...

1557-1561

COMBINATION chemotherapy produces complete remissions in most patients with disseminated Hodgkin's disease1 or aggressive non-Hodgkin's lymphoma2; however, patients who do not obtain a remission or who relapse after primary chemotherapy have a poor ...

1561-1566

HEMOPHILUS INFLUENZAE type b is the most important cause of serious invasive infections in young children in industrialized countries1 2 3 4 and is also quite common in developing countries5; 20,000 to 30,000 cases are estimated to occur yearly in the ...

1566-1569

PATIENTS with hypertrophic obstructive cardiomyopathy are subject to syncope and sudden death.1 , 2 The mechanism is usually not defined but could include supraventricular tachyarrhythmias,3 bradyarrhythmias and heart block,4 acute myocardial infarction,5 ...

Mechanisms of Disease
1570-1579

VIRTUALLY all hormones and drugs initiate their biologic actions by binding to specific cellular recognition sites, termed receptors. Receptor binding is followed by alterations of cellular metabolic events, such as enzyme activities or ion fluxes, that ...

Medical Intelligence
1579-1584

SULFHEMOGLOBIN, methemoglobin, and the M hemoglobins must be considered when one is evaluating the cyanotic patient. Sulfhemoglobin is a green-pigmented molecule with a sulfur atom incorporated into the porphyrin ring and a markedly reduced oxygen ...

Case Records of the Massachusetts General Hospital
1584-1594

Presentation of Case

A 52-year-old man was admitted to the hospital because of pancytopenia and a question of enteric fever.

Three years earlier a cadaveric renal transplantation was performed at this hospital because of polycystic renal disease. He was ...

Editorial
1595-1596

Infections due to Hemophilus influenzae are a major problem in people of all ages. In children, H. influenzae type b is the leading cause of meningitis, the primary cause of epiglottitis, and an important cause of arthritis, cellulitis, and pneumonia. The ...

Editorial Retrospective
1597-1598

Five years ago Toft and co-workers described their experience with propranolol for preoperative therapy in patients with hyperthyroidism due to Graves' disease.1 The results were excellent in terms of amelioration of the clinical manifestations of ...

Sounding Board
1598-1601

Medical decisions require both technical expertise and informed consent. They should be made jointly by physicians and patients. But when the patient is incapable of participating in decision making, what should the doctor do? This question haunts ...

Correspondence
1601

To the Editor: In a recent report1 and accompanying editorial2 (Jan. 12 issue) on the association of the acquired immunodeficiency syndrome (AIDS) with blood transfusions, the issues of additional factors attributable to blood transfusions1 and host ...

1601-1606

No extract is available for articles shorter than 400 words.

1606-1607

No extract is available for articles shorter than 400 words.

1607

No extract is available for articles shorter than 400 words.

1607-1608

No extract is available for articles shorter than 400 words.

1608-1610

To the Editor: Dr. Gennari has provided an excellent review of the clinical applications of serum osmolality (Jan. 12 issue).1 However, some comment about the methods involved in several of the laboratory determinations seems warranted. Standard ...

1610

No extract is available for articles shorter than 400 words.

1610-1612

No extract is available for articles shorter than 400 words.

1612

To the Editor: Despite recent advances in medical science, the poor health of many in the developing world remains a reality; more than hall the world's people do not have access even to basic health care. Providing basic biomedical services requires ...

1612-1613

No extract is available for articles shorter than 400 words.

Book Reviews
1613

No extract is available for articles shorter than 400 words.

1613-1614

The Siegal and Siegal book is exciting and fact-filled, written by two professionals who are living through this unfolding saga. This excellent book is for physicians (generalists and specialists), and because of the extraordinary clarity of the ...

1614

Although these two books differ superficially, particularly with respect to content, they have fundamental similarities. Both are multiauthored, clearly written, and well edited; both contain useful tables and illustrations; and neither is excessively ...

1614

No extract is available for articles shorter than 400 words.

1614-1615

The determined efforts of a small group of talented and tenacious investigators, not discouraged by repeated early failures, have resulted in the development of a form of therapy that now provides hope for many young people with disorders that were ...

1615

No extract is available for articles shorter than 400 words.

Notices
1615-1616

DIABETES

The New York Health Research Council will offer a limited number of postdoctoral fellowships and research grants for projects in the study of diabetes. Candidates must be affiliated or scheduled to be affiliated in 1984 with an institution in New ...

Health Policy Report
1616-1620

Public-opinion polls indicate that three quarters of the American public and a majority of hospital administrators, private-insurance executives, and corporate and labor-union purchasers of medical care believe that fundamental changes are needed in the ...

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