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October 4, 1984  Vol. 311 No. 14

Original Articles
869-874

DEAFNESS or some degree of hearing impairment is the most common serious complication of bacterial meningitis in infants and children. Retrospective and, more recently, prospective studies indicate that some 5 to 30 per cent of cases involve such an ...

874-877

    THE relation between vigorous exercise and the risk of sudden cardiac death has long been the subject of controversy.1 , 2 On the one hand, myocardial ischemia, cardiac arrhythmias, and sudden death seem to occur with unusually high frequency during ...

    878-882

      SEVERE allergic reactions to hemodialyzers have been reported in patients undergoing hemodialysis.1 2 3 4 5 These reactions range from severe urticaria and angioedema to life-threatening bronchospasm, hypotension, and cardiopulmonary collapse, and they ...

      883-886

      COUGHING is a common symptom and affects everyone at some time. Studies of animal models have shown that coughing is a reflex with the afferent nerve endings situated within the central airways. Experimentally, both mechanical and chemical stimuli have ...

      Special Article
      887-892

      THE continually rising cesarean birth rate is of increasing concern to both the profession1 2 3 and the public.4 In the United States the rate nearly tripled between 1970 and 1978 (from 5.5 to 15.2 per 100 deliveries),5 and in Canada it more than doubled6 ...

      Medical Progress
      892-901

      THE techniques of DNA and antibody cloning developed during the past decade are now being used successfully to solve a variety of clinical problems. Within the field of infectious diseases, practitioners can expect improved diagnostic tests and new ...

      Medical Intelligence
      902-903

      WHIPPLE'S disease is often associated with pancarditis, which may result in major valvular dysfunction.1 2 3 4 5 6 7 We describe a patient in whom Whipple's disease also involved the porcine leaflets of a Carpentier–Edwards prosthetic cardiac valve that ...

      Case Records of the Massachusetts General Hospital
      904-911

      Presentation of Case

      A 33-year-old woman was admitted to the hospital because of abdominal pain and hematochezia.

      There was a four-year history of crampy lower abdominal pain and the passage of loose, brown stools that occurred before menses. A barium-...

      Editorials
      912-914

      Fifty to 70 years ago, in the era before the introduction of the sulfonamides and antibiotic agents, relatively meager attention was given to the neurologic complications and sequelae of bacterial meningitis. The mortality from this disease was so ...

      914-915

      IN this issue of the Journal, Siscovick and co-workers1 report that vigorous physical exercise both protects against and provokes sudden cardiac death. The risk of cardiac arrest during vigorous physical activity was transiently increased, especially in ...

      915-917

      Long-term hemodialysis for the therapy of endstage kidney disease has dramatically altered the otherwise fatal outcome of progressive renal disease. Clinical experience and technologic advances have reduced many of the difficulties and hazards associated ...

      Sounding Board
      917-919

      Access to health care was the centerpiece of federal health policy and legislation in the 1960s and 1970s. Government programs designed to improve access focused on health-manpower shortages and maldistribution, the development of public, rural, and urban ...

      Correspondence
      919-920

      No extract is available for articles shorter than 400 words.

      920

      To the Editor: It is well established that endocrine deficiencies occur after radiotherapy for tumors of the head and neck; growth hormone deficiency is the most frequent consequence.1 , 2 We have shown that gonadotropin deficiency can occur and can ...

      920-921

      No extract is available for articles shorter than 400 words.

      921-922

      No extract is available for articles shorter than 400 words.

      922

      No extract is available for articles shorter than 400 words.

      922-923

      To the Editor: Jacobson et al. (June 7 issue)1 report on an interesting and provocative case in which the clonality of hematopoietic cells appeared to be maintained even after hematologic remission was achieved in a heterozygote for glucose-6-phosphate ...

      923

      No extract is available for articles shorter than 400 words.

      923-924

      No extract is available for articles shorter than 400 words.

      924

      No extract is available for articles shorter than 400 words.

      924

      To the Editor: Dr. Meltzer questions the manner in which the institutional review board at the University of Utah approved the consent form for the first patient to receive an artificial heart (July 5 issue).1 He suggests that the conflict of interest ...

      924-925

      No extract is available for articles shorter than 400 words.

      925

      No extract is available for articles shorter than 400 words.

      Book Reviews
      925

      No extract is available for articles shorter than 400 words.

      925-926

      No extract is available for articles shorter than 400 words.

      926

      Interferon, a biologically active protein that was discovered 27 years ago and yet is still incompletely understood, may be looked at through a history of its reviews.

      In 1962 I wrote the first comprehensive review (in the Journal), consisting of 16 pages ...

      926-927

      No extract is available for articles shorter than 400 words.

      927

      No extract is available for articles shorter than 400 words.

      927

      No extract is available for articles shorter than 400 words.

      927

      No extract is available for articles shorter than 400 words.

      927-928

      Any book with as many good pictures as the third edition of Lionel Fry's textbook is bound to engender love at first sight among beginning students of dermatology. Of 571 color pictures (an average of more than 3 per page), not more than a handful are ...

      928

      No extract is available for articles shorter than 400 words.

      Books Received
      928-931

      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
      931-932

      CHRONIC ILLNESS AND AGING

      The 2nd Annual Chronically III and Aging Course will be held at the Hilton Inn West in Oklahoma City, October 18–20. The fee is $150.

      Contact Mrs. Cherie Tompkins, V.A. Medical Ctr., 921 N.E. 13th St., Oklahoma City, of 73104; or ...

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