Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date
NEJM Digital Archive

Table of contents for

November 14, 1985  Vol. 313 No. 20

Original Articles
1241-1246

TREATMENT for advanced breast cancer has been improved in recent years; combination or alternating chemotherapy frequently yields a response rate of 50 to 70 per cent, with a mean duration of response of 8 to 10 months.1 , 2 Endocrine therapy employed ...

1247-1251

FOUR subclasses of human IgG have been identified, each of which represents the product of a specific gene that encodes for the constant region of human immunoglobulin heavy chains. Subclasses of human IgG differ in their biologic activities. IgG1, IgG2, ...

1252-1256

VASECTOMY is one of the most common forms of male contraception throughout the world. More than half a million vasectomies are performed in the United States each year.1 However, more vasectomy reversals are sought each year because of the increasing ...

1256-1262

DURING the past decade there have been major advances in the understanding of primary hemochromatosis. It is now widely accepted that hemochromatosis is inherited as an autosomal recessive disorder and that the gene frequency may be as high as 1:20.1 , 2 ...

Special Article
1263-1269

MORTALITY data and statements of cause of death on death certificates continue to be used as the major sources of information characterizing the health of population groups.1 2 3 In the United States, mortality reporting has attained virtual completeness ...

Medical Intelligence
1270-1274

CYTOMEGALOVIRUS and herpes simplex, varicella–zoster, and Epstein–Barr viruses, members of the herpesvirus family, are ubiquitous agents that infect almost all human beings at some point during their lives. Infections with these viruses have been found in ...

Case Records of the Massachusetts General Hospital
1275-1282

Presentation of Case

A 32-year-old woman was admitted to the hospital because of a cystic mass in the liver.

She was well until five months earlier, when diarrhea and fever developed and subsided after three days. Three months before admission she began ...

Editorials
1283-1285

Interest in the effects of vasectomy on the male reproductive system goes back at least as far as 1823 and the observations of Sir Astley Cooper on the testes of his vasectomized dog.1 Until the past two decades, however, reports of the effects of ...

1285-1286

Since 1923, when Wells challenged the reliability of existing cancer statistics,1 over 100 publications documenting discrepancies (ranging from 20 to 40 per cent) between major clinical and autopsy diagnoses have repeatedly raised questions about the ...

Sounding Board
1286-1289

Remunerating physicians on the basis of "usual, customary or reasonable" fees has led to abuses and contributed to the precipitous escalation of health care costs.1 However, recent developments indicate that major changes are imminent. The Health Care ...

Correspondence
1289-1290

To the Editor: On the basis of their ability to inhibit viral reverse transcriptase, a number of chemotherapeutic agents are being tested in order to determine their potential efficacy in the treatment of the acquired immunodeficiency syndrome (AIDS) and ...

1290-1291

To the Editor: Each year more than 12 of every 100,000 youths between the ages of 15 and 24 commit suicide.1 It is estimated that 5 to 15 times as many adolescents make suicide attempts each year. The actual prevalence of suicide attempts among ...

1291

No extract is available for articles shorter than 400 words.

1291-1292

No extract is available for articles shorter than 400 words.

1292-1293

No extract is available for articles shorter than 400 words.

1293-1294

To the Editor: With the growing interest in the use of oral physostigmine for Alzheimer's disease,1 2 3 it is important to know the proportion of the dose reaching the circulation, since differences in response may be due in part to differences in ...

1294-1295

To the Editor: Pharmacologic attempts to reverse symptoms of Alzheimer's dementia have thus far lacked conspicuous success. Most recent therapeutic strategies have been designed to correct a cholinergic loss arising from degeneration of acetylcholine-...

1295

No extract is available for articles shorter than 400 words.

1295-1296

To the Editor: Much has been written about the prognostic importance of "warning arrhythmias," particularly in regard to advanced forms of ventricular ectopy and their association with sudden death. This letter documents a new type of warning arrhythmia ...

1296-1297

No extract is available for articles shorter than 400 words.

1297-1298

No extract is available for articles shorter than 400 words.

1298

To the Editor: I read the recent summary of changes in the financing of health care for the poor (July 4 issue)* with great interest. The author stated that the "federal government pays more for health care for the middle class and the wealthy than it ...

1298-1299

No extract is available for articles shorter than 400 words.

1299-1301

No extract is available for articles shorter than 400 words.

Book Reviews
1301

No extract is available for articles shorter than 400 words.

1301

Here, the editor states that he undertook this book to share with clinicians both factual knowledge and the "controversies and unanswered questions" concerning unstable angina so that clinicians can form rational plans for diagnosis and treatment.

The ...

1301-1302

Consumers of health care and their advocates have embraced the concept of informed consent, especially when surgery is involved. In an effort to provide "what every patient needs to know" about coronary artery bypass surgery, a cardiologist and a reporter ...

1302

No extract is available for articles shorter than 400 words.

1302

This volume covers a wide range of subjects, including the acquired immunodeficiency syndrome (AIDS), health problems of international travelers, viral infections of the gut and liver, infectious complications of particular surgical procedures, anaerobic ...

1302-1303

No extract is available for articles shorter than 400 words.

1303

Several years ago, Volpé wrote a book on autoimmunity in the endocrine system. Now he admits that he cannot do it again without help. He has thus edited his own work and the work of 12 coauthors in this new book. Because of his long-standing interest in ...

1303

No extract is available for articles shorter than 400 words.

1303-1304

No extract is available for articles shorter than 400 words.

Notices
1304

GERIATRIC MEDICINE

The first annual Symposium in Geriatric Medicine, sponsored by the Springfield Municipal Hospital and the Postgraduate Medical Institute, will be held at the Quality Inn in Chicopee, Mass., on November 20.

Contact Susan Kucharski, ...

Trends: Most Viewed (Last Week)

More Trends