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October 10, 1985  Vol. 313 No. 15

Original Articles
905-909

    THE alcohol withdrawal syndrome, which occurs when a person stops ingesting alcohol after prolonged consumption, is characterized by behavioral features that include anxiety, agitation, and irritability, and neurologic features that include tremor, ...

    910-915

    PERSISTENT infection with measles virus is involved in subacute sclerosing panencephalitis, a rare chronic inflammatory disease of the human central nervous system. Nerve cells have been shown to contain paramyxovirus nucleocapsids,1 and a hyper-immune ...

    916-921

    CARBAMAZEPINE is an effective anticonvulsant agent in children1 and is advocated by some authors as the drug of choice for simple and complex partial seizures.2 This drug is thought to be free of many adverse behavioral side effects normally attributed to ...

    921-924

      A PROGRESSIVE syndrome characterized by autistic behavior, dementia, gait ataxia, and loss of purposeful use of the hands accompanied by stereotyped hand movements was first described by Rett1 , 2 in 1966. Rett observed this characteristic combination ...

      925-932

      MOST human conceptions are believed to be aborted, for various genetic, developmental, and environmental reasons.1 One of the most common developmental abnormalities among liveborn infants is a neural tube defect — i.e., myelomeningocele or anencephaly.2 ...

      Special Article
      933-940

      BLACKS and other minorities continue to be underrepresented in medical schools in the United States. In 1980, 11.7 per cent of the population was classified as black, but blacks accounted for only 6.6 per cent of the total entering medical-school class, ...

      Medical Intelligence
      940-942

      The New Jersey Supreme Court first attained national prominence in medicolegal issues of obligations to critically ill patients in the Karen Ann Quinlan case. The high court in New Jersey issued an eminently sensible opinion in that case, allowing the ...

      Case Records of the Massachusetts General Hospital
      943-950

      Presentation of Case

      An 84-year-old woman was admitted to the hospital because of bloody diarrhea.

      She was in a stable state of health until three weeks earlier, when diarrhea developed, with the daily passage of 10 to 12 purulent, blood-streaked stools ...

      Editorials
      951-952

        The alcohol withdrawal syndrome, with its wide range of clinical presentations, is readily identifiable yet often overlooked in the general hospital population. In some hospitalized patients, mild to moderate symptoms of alcohol withdrawal may not be ...

        952-954

        This year marks the 20th anniversary of the publication that alerted the medical world to the presence of viral nucleocapsids in nerve and glial cells of patients with subacute sclerosing panencephalitis (SSPE).1 This was followed by the important ...

        Correspondence
        954-955

        No extract is available for articles shorter than 400 words.

        955-956

        To the Editor: We were very interested in the report of Dr. Perlman and his colleagues concerning muscle relaxation and intraventricular hemorrhage in preterm infants with the respiratory distress syndrome (May 23 issue),1 but our own experience with ...

        956-957

        To the Editor: The article by Pell and Fayerweather (April 18 issue)* provides useful insight into the decline in mortality from coronary heart disease. Although the authors' two conclusions —that risk-factor reduction is primarily responsible for the ...

        957-958

        To the Editor: In their recent article on the pathogenesis of the dawn phenomenon, Campbell et al. (June 6 issue)1 conclude that nocturnal surges of growth hormone were predominantly responsible for the progressive increase in glycemia that they observed ...

        959

        No extract is available for articles shorter than 400 words.

        959-960

        No extract is available for articles shorter than 400 words.

        960

        No extract is available for articles shorter than 400 words.

        960-961

        To the Editor: Recent projections suggest an imminent surplus of physicians. An oversupply carries with it serious hazards: over-medicalization of patients, an increase in costs and in numbers of procedures, undesirable competition for patients, ...

        961-962

        To the Editor: I agree completely with Drs. Healy and Keyworth (May 30 issue)* that some proponents of NIH (National Institutes of Health) funding seem to suffer from paranoia and depression. These symptoms become apparent at their fullest at a ...

        Book Reviews
        962-963

        Continuous expansion of the content of general medicine and its specialties is recognized especially by those preparing for board examinations. Publication of multivolume, multiauthored review books in endocrinology, gastroenterology, infectious diseases, ...

        963

        No extract is available for articles shorter than 400 words.

        963-964

        Old classics never die — nor should they! This 12th edition of his textbook continues in the tradition Elliott Joslin began in 1916. It provides students, clinicians, and investigators with an updated resource on diabetes mellitus. This revision is a far ...

        964

        When one is reading a standard textbook of clinical medicine, a number of questions routinely arise in the course of its review. All too often these questions remain unanswered by the end of the book, and the reader is therefore forced to review other ...

        964

        No extract is available for articles shorter than 400 words.

        964-965

        Advances in the treatment of infectious complications of neoplastic disease have outpaced advances in the treatment of most cancers. Exceptions are the acute leukemias and lymphomas, in which intensive immunosuppressive chemotherapy and radiation are ...

        965

        No extract is available for articles shorter than 400 words.

        Books Received
        965-966

        Biomedical Science

        Animal Stress. Edited by Gary P. Moberg. 324 pp. Bethesda, Md., American Physiological Society, 1985. $42.50. (Distributed in the U.S. by Williams and Wilkins, Baltimore.)

        Biology of the Nerve Growth Cone. Edited by Stanley Kater and ...

        Notices
        966-967

        CARDIOLOGY

        The Louise von Hess Foundation for Medical Education will sponsor a seminar entitled "Coronary Heart Disease" in Lancaster, Pa., November 6 and 7.

        Contact Dr. John H. Esbenshade, Jr., Louise von Hess Fdn. for Medical Education, 445 N. Duke St., ...

        Corrections
        967

        No extract is available for articles shorter than 400 words.

        967

        No extract is available for articles shorter than 400 words.

        967

        No extract is available for articles shorter than 400 words.

        Health Policy Report
        967-968

          Editor's note: In his Health Policy Report of November 29, 1984,* our Special Correspondent, John K. Iglehart, discussed the politically sensitive subject of congressional oversight of the National Institutes of Health (NIH). His report focused on a bill ...

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