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Table of contents for

May 23, 1985  Vol. 312 No. 21

Original Articles
1337-1343

ALTHOUGH osteopenia in premature infants has been well documented, the cause of this complication remains to be determined.1 2 3 4 5 It appears to be directly related to parenteral therapy, since bone-accretion rates have been found to return to normal ...

1343-1349

IN normal people, the adrenal gland secretes cortisol in a series of bursts rather than continuously.1 2 3 Twenty-four-hour profiles of plasma cortisol concentrations measured in samples collected every 20 to 30 minutes typically show a jagged pattern ...

1349-1353

IN recent years, high-intensity athletic performance has become an accepted addition to the defined causes of amenorrhea,1 impaired luteal function,2 and delayed menarche.3 The frequency of these sports-associated disorders, as derived retrospectively ...

1353-1357

PERIVENTRICULAR–intraventricular hemorrhage is a major cause of neurologic morbidity and mortality in the preterm infant. The lesion is very common; its incidence is approximately 35 to 45 per cent in neonatal intensive care facilities.1 2 3 Prevention of ...

Special Article
1357-1364

CANADA'S expansion of its program of universal health insurance to include long-term care offers valuable insights for similar broad-based efforts in the United States. Most Canadian provinces provide universal long-term–care benefits that include health ...

Medical Intelligence
1364-1370

HYPERPROLACTINEMIA has been found to be the cause of infertility in about one third of women presenting with this problem.1 2 3 Hyperprolactinemia may impair the hypothalamic–pituitary–ovarian axis at several levels, with the primary site of inhibition ...

1371-1375

FEMINIZING tumors of the adrenal cortex are associated with symptoms that presumably reflect the combined effects of estrogen excess and androgen deficiency — gynecomastia, diminished libido, attenuated potency, and testicular and prostatic atrophy.1 2 3 ...

Case Records of the Massachusetts General Hospital
1376-1383

Presentation of Case

A 21-year-old man was admitted to the hospital because of lower-extremity weakness and urinary retention.

Three months earlier he traveled to Kenya to study and used malarial prophylactic medication in the form of chloroquine and ...

Editorials
1384-1385

As most of our readers know, the Journal often publishes articles dealing with social, economic, or ethical issues in medical care. This has been an occasional practice since the Journal was founded, but in recent years such articles have appeared with ...

1385-1387

Although recent advances in perinatal care have brought steady improvement in the mortality rates among small and critically ill preterm neonates, the incidence of major neurodevelopmental abnormalities in this population of patients has remained ...

Correspondence
1387-1388

No extract is available for articles shorter than 400 words.

1388

No extract is available for articles shorter than 400 words.

1389-1390

No extract is available for articles shorter than 400 words.

1390

To the Editor: Johnson et al. (March 15, 1984, issue)1 make the point that the results of their carefully controlled trial of dexamethasone in the prevention of acute mountain sickness under laboratory conditions should be extrapolated cautiously to ...

1390-1391

To the Editor: Visual hallucinations and illusions are known to occur in classic migraine. Though olfactory hallucinations are common in complex partial seizures, relatively few cases of olfactory aura have been reported in migraine. We report one such ...

1391-1393

To the Editor: ADSOL (adenine-glucose-mannitol-sodium chloride) preservation solution (AS-1), described by Dr. Valeri in the February 7 issue,1 was approved by the Food and Drug Administration (FDA) in 1983 for preserving cells for 49 days from the day ...

1393-1394

To the Editor: Detailed cytogenetic studies of the standard and variant translocations resulting in the Philadelphia chromosome (Ph1) have suggested that the break of chromosome 9 at band q24 may be the critical event.1 , 2 This hypothesis is ...

1394-1395

And Aureus begat Coli. And Coli begat the Rodlet of Klebs.

And the people were sorely afflicted.

And Pen arose from the Earth; and Chloro and Keph.

But the people feared Chloro and turned away from Pen.

And Keph begat Cef; and Cef begat Mox, and Mand, and ...

Book Reviews
1395

No extract is available for articles shorter than 400 words.

1395

No extract is available for articles shorter than 400 words.

1395-1396

No extract is available for articles shorter than 400 words.

1396

Remember physical diagnosis? Sometimes called the physician's "secret weapon," the accurate observation of a patient's physical signs, especially those based on symptoms (also known as a careful, detailed history), once rewarded a doctor more and cost the ...

1396

No extract is available for articles shorter than 400 words.

1396-1397

No extract is available for articles shorter than 400 words.

1397

This book has been written by a group working in several dialysis programs in San Francisco. The primary purpose is to inform those who care for patients with renal failure of the "principles of sound dialytic therapy." The assumed audience includes ...

1397-1398

In the past, the intestinal circulation has been studied on a "part-time" basis and included incidentally in monographs on circulatory physiology. More recently, a growing number of investigators have concentrated their efforts on the circulation of the ...

Books Received
1398-1399

Medicine

Case Presentations in Heart Disease. By Alan Mackintosh. 174 pp. Stoneham. Mass., Butterworths, 1985. $12.95.

Clinical and Metabolic Aspects of High-Density Lipoproteins. (Metabolic Aspects of Cardiovascular Disease. Vol. 3.) Edited by N.E. ...

Notices
1399-1400

YALE UNIVERSITY SCHOOL OF MEDICINE

The School will offer a conference entitled "Advanced Gynecologic Microsurgical Technique" in New Haven, Conn., June 21 and 22. The fee is $500.

Contact the Office of Graduate and Continuing Education, Yale University ...

Corrections
1400

No extract is available for articles shorter than 400 words.

1400

No extract is available for articles shorter than 400 words.

Health Policy Report
1400-1404

The Reagan administration's call for a precipitous reduction in federal support for graduate medical education has provoked a new examination of the means used to finance the training of residents. Although it is too early to predict with precision the ...

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