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March 14, 1985  Vol. 312 No. 11

Original Articles
665-673

Anecdotal information has been presented by the pioneers1 2 3 4 5 6 and more recent proponents7 8 9 10 11 of breast preservation for the management of primary breast cancer. Although they have not clearly determined the relative merits of such a ...

674-681

CURRENT controversy regarding the surgical treatment of primary breast cancer relates to the comparative merits of breast preservation and breast removal. A little more than a decade ago there was intense disagreement over whether the same outcome would ...

682-686

HEMOPHILIA A is an X-linked disease due to a deficiency of coagulation factor VIII, with a frequency of about 1 per 7000 to 10,000 male births. Substitution therapy usually allows one to avoid major hemorrhagic complications, but the treatment is the ...

Special Article
687-690

PHYSICIANS and patients concerned about the health effects of toxic exposures need to know the chemical names of ambient substances in the work place and community. In the past, many industrial chemicals were identified only by trade names or codes, ...

Medical Intelligence
690-692

PATIENTS who present with vague, ill-described physical symptoms often pose difficult problems for primary care physicians. Many of these patients have long histories of somatic symptoms and poor responses to standard medical treatment. Physicians often ...

692-700

    IN the 12 years since its introduction into clinical trials in the United States, etoposide (VP-16–213; epipodophyllotoxin; 4′-demethyl-9-[4,6–0-ethylidene-D-glucopyranoside]) has been demonstrated to be active in the treatment of several neoplastic ...

    700-705

    NEUROPATHOLOGICAL studies during the past 15 years have established that dementia of the Alzheimer type, or Alzheimer's disease, is the most common cause of intellectual failure in the elderly, accounting for approximately 60 per cent of all cases of ...

    Case Records of the Massachusetts General Hospital
    706-711

    Presentation of Case

    A 54-year-old woman was admitted to the hospital because of a pancreatic mass.

    She was well until six weeks earlier, when she began to experience persistent nausea and anorexia, with occasional vomiting of ingested food. She became ...

    Editorial
    712-714

    This issue of the Journal contains some results of two multicenter studies by the National Surgical Adjuvant Breast and Bowel Project,1 , 2 which go far toward defining a new rationale for surgical management of potentially curable breast cancer.

    ...

    Sounding Board
    714-719

    The cytoskeletons of all cells contain three ultrastructurally distinct elements made of fibrous macromolecules: microtubules 24 nm in diameter, intermediate filaments 10 nm in diameter, and microfilaments about 5 nm in diameter and composed of ...

    Correspondence
    719-721

    No extract is available for articles shorter than 400 words.

    721-725

    To the Editor: The importance of the prevalence of the disease was not mentioned in the review of pheochromocytoma by Bravo and Gifford (Nov. 15 issue).1 Although the prevalence of hypertension is high (15 to 20 per cent of the population),2 the ...

    725

    To the Editor: Several neuropeptides have been implicated in the neuropathology of Alzheimer's disease.1 The interaction of peptidergic systems, such as those involving somatostatin, with aminergic neurons also suggests that they may be involved in this ...

    725

    No extract is available for articles shorter than 400 words.

    725-726

    No extract is available for articles shorter than 400 words.

    726-727

    No extract is available for articles shorter than 400 words.

    Book Reviews
    727

    No extract is available for articles shorter than 400 words.

    727

    No extract is available for articles shorter than 400 words.

    727

    No extract is available for articles shorter than 400 words.

    728

    Few discussions about disease have sparked as much controversy as that of pulmonary thromboembolism. Venous thromboembolism is probably the second most common major medical disease (after myocardial infarction), but its detection is hampered by a low ...

    728

    In 1962 Abramson edited a book entitled Blood Vessels and Lymphatics (New York: Academic Press, 1962), which was designed to "assemble, consolidate and interrelate" data on the development, structure, and function of the blood and lymph-related vascular ...

    728

    No extract is available for articles shorter than 400 words.

    728-729

    No extract is available for articles shorter than 400 words.

    729

    With such titles as the above, these two books will sell quite well.

    The titles and much of the contents will only raise false hopes. The main purpose of this review is to sound a warning.

    Unfortunately for the frightened public, scientific research has ...

    729

    No extract is available for articles shorter than 400 words.

    729-730

    No extract is available for articles shorter than 400 words.

    Notices
    730-731

    Notices submitted for publication should contain a mailing address and phone number of a contact person or department, We regret we are unable to publish all Notices received.

    PSYCHOANALYTIC INSTITUTE OF NEW ENGLAND

    The Institute will sponsor a program ...

    Special Report
    731-736

    As part of its effort to ensure the safety and efficacy of the pharmaceutical products that it certifies, the Food and Drug Administration systematically audits investigators and takes action against those who have engaged in scientific misconduct. The ...

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