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April 11, 1985  Vol. 312 No. 15

Original Articles
937-941

USERS of an intrauterine device (IUD) are at a greater risk than nonusers for the development of acute pelvic inflammatory disease, most cases of which represent the clinical manifestation of acute salpingitis.1 2 3 4 5 6 7 In turn, acute salpingitis may ...

941-947

EPIDEMIOLOGIC studies have linked pelvic inflammatory disease and the use of contraceptive intrauterine devices (IUDs).1 2 3 4 5 6 7 8 9 Since pelvic inflammatory disease may damage the fallopian tubes, an association between IUD use and subsequent ...

948-952

Although it was suggested that vitamin D may be involved in idiopathic infantile hypercalcemia1 2 3 soon after the disorder was first described,4 5 6 7 attempts to test this hypothesis8 9 10 11 12 13 14 15 have been hampered by the lack of a sensitive ...

953-957

PRIMARY hyperoxaluria is a rare genetic disorder due to increased endogenous production of oxalate and characterized by increased urinary oxalate excretion and recurrent calcium oxalate nephrocalcinosis, which in the past frequently led to chronic renal ...

958-961

MOST clinical trials of cimetidine have shown that 20 to 30 per cent of duodenal ulcers are unhealed after four weeks of treatment1; a lower failure rate would be desirable, since unhealed ulcers may cause pain or complications. Omeprazole, a substituted ...

Special Article
962-967

THIS study was designed to determine whether patients in the prepaid-group-practice form of health maintenance organization (HMO) who have a common chronic condition, rheumatoid arthritis, receive services that are quantitatively and qualitatively ...

Medical Intelligence
968-975

THE serum bactericidal-activity test has been used for many years to monitor antibiotic therapy in the treatment of patients with infective endocarditis, osteomyelitis, bacteremia, or other serious bacterial infections. This test determines the greatest ...

Case Records of the Massachusetts General Hospital
976-983

Presentation of Case

A 14-year-old girl was admitted to the hospital after cardiopulmonary arrest.

She was well until 1 1/2 years earlier, when bronchial asthma developed and was managed with oral medications. Six months before admission normal menses ...

Editorial
984-985

Despite the millions of dollars that have been spent in the past decade by various funding agencies to develop new contraceptive techniques, an ideal contraceptive, one that is completely effective without having adverse effects, has not been produced and ...

Editorial Retrospective
985-987

Thrombotic thrombocytopenic purpura is characterized by thrombocytopenia, microangiopathic hemolytic anemia, and fluctuating, often bizarre, neurologic abnormalities. Fever and renal failure are also prominent in some patients. The classic histologic ...

Massachusetts Medical Society
987-988

Bock — Arlie Vernon Bock, M.D., of Holden, died on August 11, at the age of 95.

Dr. Bock received his degree from Harvard Medical School in 1915. He was a member of the American Medical Association, the Association of American Physicians, and the American ...

Correspondence
988-989

No extract is available for articles shorter than 400 words.

989-990

No extract is available for articles shorter than 400 words.

990-991

To the Editor: Women with anorexia nervosa have been shown to have a reduced bone mass due to osteoporosis.1 Rigotti et al. (Dec. 20 issue)2 confirmed this finding and also discovered that a high level of physical activity may provide protection against ...

991-992

No extract is available for articles shorter than 400 words.

992-993

No extract is available for articles shorter than 400 words.

993-994

No extract is available for articles shorter than 400 words.

994

To the Editor: In a recent paper in the Journal (Jan. 3 issue)1 we reported the acceleration of growth in two children treated with human growth hormone–releasing factor. We stated that when a protein A separation technique was used, all the serum ...

994-995

To the Editor: Several peptide hormones have been described in the cerebrospinal fluid.1 In a case of glucagonoma, immunoreactive cerebrospinal fluid glucagon levels have been reported.2 Surprisingly, however, normal reference values for cerebrospinal ...

995-996

No extract is available for articles shorter than 400 words.

Book Reviews
996

Medicine, Science, and Society is a series of papers that were presented at the Harvard Medical School Bicentennial Celebration in 1982. The presentations were grouped into 10 symposia — each with a theme — 8 of which concerned research. These cover ...

996-997

To many Americans, the American Medical Association (AMA) is a bit like the Freemasons: an organization whose purposes are suspect and whose inner workings are mysterious. Apart from Fishbein's official history of the AMA (1947) and Garceau's more ...

997

No extract is available for articles shorter than 400 words.

997-998

Over the past decade, business management in the private sector has become increasingly concerned about the rapid price escalation in health care. Alcoa Corporation, for instance, experienced a 23.4 per cent increase in health care costs from 1974 to ...

998

Many people have an opinion about home health care. Some view it as an underused service with the potential to provide humane, efficient, and effective care for specific groups of patients. Others dismiss it as yet another attempt by the "soft disciplines"...

998-999

As the American population ages and as the elderly require an increasingly large share of medical resources, long-term care is becoming a prime area of concern for physicians and policy makers. How today's long-term care institutions arose is thus of ...

999

No extract is available for articles shorter than 400 words.

Notices
999-1000

ELECTROCARDIOGRAPHY

The First Asian-Pacific Conference, entitled "Doppler and Echocardiography," will be held in Tokyo, September 5–7.

Contact Dr. Pravin M. Shah, Cardiology Section (691/111E), Wadsworth VA Medical Ctr., Wilshire & Sawtelle Blvds., Los ...

Corrections
1000

No extract is available for articles shorter than 400 words.

1000

No extract is available for articles shorter than 400 words.

Health Policy Report
1000-1004

The nation's teaching hospitals, which have come under increasing pressures in recent years to change their traditional ways, face a future of reduced federal support and greater private insistence that they compete in the medical marketplace on the basis ...

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