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September 13, 1984  Vol. 311 No. 11

Original Articles
689-693

THE tendency of duodenal-ulcer disease is to heal and to recur. Recent studies have demonstrated that patients given cimetidine,1 2 3 4 5 ranitidine,6 , 7 sucralfate,8 or antacids9 10 11 will have faster ulcer healing than patients given placebo. None of ...

694-698

THE relation of diabetic microangiopathy to glycemia levels remains a topic of great relevance to the care of diabetic patients. In particular, advocacy of strict control of the glycemia level rests largely on the belief that diabetic retinopathy and ...

699-705

    CYCLOSPORINE (cyclosporin A), a fungal metabolite, has been used since 1976 to suppress allograft rejection in patients receiving organ transplants. A large body of evidence linking its use to the development of azotemia and characterizing it as a ...

    Statistics in Practice
    705-710

    AN air of serving the common good clings to the process of reporting as general information the results of one's own extensive experience. Medicine enjoys a long tradition of such literature, and valuable results have sometimes ensued. Moreover, a large ...

    Medical Progress
    710-717

    WITH the introduction of coronary-care units in the 1960s and the ability to prevent and treat lethal arrhythmias, the mortality from acute myocardial infarction was reduced for the first time. Failure of the cardiac pump subsequently emerged as the ...

    Medical Intelligence
    717-720

    THE purpose of this review is to examine some of the more important and commonly used methods of monitoring heart and lung function in critically ill patients in an adult medical-intensive-care unit. We will attempt to review the literature and discuss ...

    Case Records of the Massachusetts General Hospital
    721-725

    Presentation of Case

    A 31-year-old woman was admitted to the hospital because of virilization.

    The patient's menarche occurred at the age of 12 years, with regular menses every 28 days. When she was 19 years of age her first child was delivered ...

    Editorials
    726-728

    Since the turn of the century evidence has been accumulating that peptic ulcer and smoking are strongly associated. Much of this evidence is analyzed in the Surgeon General's 1979 report, Smoking and Health.1 The report concludes that there is an ...

    728-729

    Cyclosporine is a unique immunosuppressive agent that inhibits activation of both B and T lymphocytes as well as certain macrophage functions; however, the predominant effect of the drug appears to reside in its interference with the release of ...

    Sounding Board
    729-732

    One of the ironies of modern life is that in an era of apparent mastery over our environment, we find ourselves faced with problems, largely of our own making, that seem to defy our best efforts to solve them. The cost of health care is one of these ...

    Correspondence
    732

    To the Editor: The possible teratogenic side effects of Bendectin have received much attention. Although the drug has been removed from the market, most epidemiologic evidence does not support an association of birth defects with maternal use of ...

    732-734

    No extract is available for articles shorter than 400 words.

    734-735

    To the Editor: In the May 17 issue of the Journal, Fineberg et al.1 present a calculation suggesting that an intermediate level of care would cost less per life saved than care in a coronary-care unit (CCU) for patients with a 5 per cent risk of ...

    735-737

    No extract is available for articles shorter than 400 words.

    737-739

    No extract is available for articles shorter than 400 words.

    739

    No extract is available for articles shorter than 400 words.

    Book Reviews
    739-740

    What does one look for in a book on heart disease in the aged? One needs to know the prevalence of various heart diseases and how the physical findings and clinical presentations may differ in older patients. One looks for a discussion of diseases that ...

    740

    No extract is available for articles shorter than 400 words.

    740

    Chung has authored a number of cardiology books that have been universally practical and clinically relevant, as is this new book.

    In the preface he indicates that the format is comparable to that seen in "cookbooks which can be extremely beneficial to ...

    740-741

    No extract is available for articles shorter than 400 words.

    741

    No extract is available for articles shorter than 400 words.

    741-742

    Most physicians remember that important and trying transition from layman to medical student, thence to uninitiated clinician, and finally to seasoned physician. Here is a manual that will help many young readers weather that transition.

    Although this ...

    742

    This treatise is one of many that try to present the entire subject of kidney diseases in brief, concise, practical fashion. Inherent in this effort is the tendency toward "black and white" conclusions, an absence of depth, and some superficiality. I am ...

    742

    No extract is available for articles shorter than 400 words.

    Books Received
    742-743

    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
    744-745

    PROGRAMS OF THE UNIVERSITY OF CHICAGO

    The University will offer three programs in the coming months: "Comprehensive Psychiatry Review Part II: The Psychiatric Interview" (Oct. 5–7); "Clinical Neuroimmunology: A Comprehensive Update" (Dec. 5–8); and "...

    Correction
    745

    No extract is available for articles shorter than 400 words.

    Health Policy Report
    745-748

    Two years after enacting sweeping changes in its Medi-Cal (Medicaid) program and authorizing private third-party payers to negotiate prepaid rates with hospitals and doctors, California's political leaders are pleased with the resulting savings (estimated ...

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