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Table of contents for

July 18, 1985  Vol. 313 No. 3

Original Articles
133-138

TREATMENT of Onchocerca volvulus infection, a major filarial disease among human beings and one of the leading causes of blindness, remains problematic. Diethylcarbamazine, the most widely used agent, has frequent side effects and complications.1 2 3 4 5 ...

139-145

OSTEOPETROSIS (marble bone disease) was first described in 1904 by Albers-Schönberg.1 Since then, over 300 cases have been reported.2 Two principal genetic types have been distinguished: a "benign" autosomal dominant form with relatively few symptoms, and ...

145-151

EPILEPSY is one of the most common disorders of the nervous system. Its prevalence, estimated at over 2 million cases in the United States,1 is comparable to that of insulin-dependent diabetes mellitus. Complex partial (psychomotor or temporal-lobe), ...

152-156

REPEATED fetal loss occurs in women who have the lupus anticoagulant.1 2 3 4 5 6 7 This association has usually been identified by demonstrating the presence of the lupus anticoagulant in patients whose obstetric histories are known, not by evaluation of ...

Special Article
157-162

    MOST medical education takes place in teaching hospitals, which are thought to be more expensive than hospitals without a teaching function. In the light of vigorous efforts currently being made to curtail hospital budgets, it is reasonable to speculate ...

    Medical Intelligence
    163-166

      NEUROLEPTIC drugs, also known as antipsychotic agents and "major" tranquilizers, are among the most commonly prescribed medications in use today. In 1983 six neuroleptic agents were among the 200 most prescribed drugs in the United States.1 Neuroleptic ...

      166-171

      BENIGN intestinal nodular lymphoid hyperplasia (NLH) is a well-known entity, involving the entire small bowel or the colon (or both) of patients with primary immunodeficiency syndromes1 2 3 or the terminal ileum or colon (or both) of children without ...

      Case Records of the Massachusetts General Hospital
      171-178

      Presentation of Case

      A 37-year-old man was admitted to the hospital because of increasing dyspnea and edema.

      A diagnosis of congenital heart disease was made at the age of six months, when a physician found mild cyanosis and a loud systolic murmur. ...

      Editorial
      179-181

      The challenge that led to the discovery of carbonic anhydrase was the paradox that bicarbonate ion (HCO3 -), the carrier of metabolic carbon dioxide, could not deliver carbon dioxide from the tissues or through the lungs at known rates by the reaction1 , ...

      Sounding Board
      181

      BY a curious coincidence, during the current period of corporate takeovers (some voluntary and others involuntary) that highlights the business world in general, a similar onslaught of takeovers is besetting the hospital field. The large hospital ...

      Correspondence
      182

      No extract is available for articles shorter than 400 words.

      183

      To the Editor: We recently examined a Haitian woman with the AIDS-related complex in whom lymphadenopathy-associated virus (LAV)1 was isolated simultaneously from blood and bronchoalveolar lavage fluid. LAV has previously been isolated from peripheral-...

      183-184

      No extract is available for articles shorter than 400 words.

      184

      No extract is available for articles shorter than 400 words.

      184

      No extract is available for articles shorter than 400 words.

      184-185

      No extract is available for articles shorter than 400 words.

      186

      No extract is available for articles shorter than 400 words.

      186-187

      No extract is available for articles shorter than 400 words.

      187

      To the Editor: In 1949 Berlin1 first described an association between primary hyperparathyroidism and polycythemia in a patient with duodenal and esophageal ulcers who did not survive long enough for a determination of whether treatment of the ...

      187-188

      No extract is available for articles shorter than 400 words.

      188

      No extract is available for articles shorter than 400 words.

      188-189

      No extract is available for articles shorter than 400 words.

      189

      No extract is available for articles shorter than 400 words.

      Book Reviews
      189

      The first edition of Best and Taylor was published in 1937. In the preface to that edition, the authors stated that "the teacher of physiology in a medical school owes it to his students, whose ultimate interest it must be conceded is in the diagnosis and ...

      189-190

      Dr. Snell, who is trained both as a physician and as an anatomist, is a prolific author of medical textbooks; he emphasizes the relationships of anatomy and physiology to clinical medicine. Clinical and Functional Histology for Medical Students is the ...

      190

      No extract is available for articles shorter than 400 words.

      190-191

      Homeostasis has long been recognized to be dependent on the functional integration of the central nervous system and the endocrine system. The past decade has witnessed the emergence of a new area of study, which is referred to as psychoneuroimmunology or,...

      191

      No extract is available for articles shorter than 400 words.

      191

      Eight of Block's principal studies (seven previously published) are included here in one book, representing a decade of rigorous sociological research on human sex differences. Revealed in her work is a passion for truth in the service of an understanding ...

      Books Received
      191-193

      Medicine

      Gas Mixing and Distribution in the Lung. (Lung Biology in Health and Disease. Vol. 25.) Edited by Ludwig A. Engel and Manuel Paiva. 416 pp., illustrated. New York, Marcel Dekker, 1985. $75.

      Hammersmith Cardiology Workshop Series. Vol. 2. Edited ...

      Notices
      193-194

      ADJUVANT CHEMOTHERAPY FOR BREAST CANCER

      The National Cancer Institute and the Office of Medical Applications of Research at the National Institutes of Health will sponsor a Consensus Development Conference on Adjuvant Chemotherapy for Breast Cancer at the ...

      Special Reports
      194-197

      The past 15 years have witnessed major changes in the organization and financing of medical care and education in the United States, reflecting changes in the national economy, biomedical technology, government policy, and social organization.1 It is ...

      198-201

      Teaching hospitals have entered a period of environmental change that threatens their ability to support education and research. Increased competition for patients, pressures from third-party payers to control the costs of hospital services, proposals by ...

      201-204

        Within the academic medical community, there is concern about the future economic viability of teaching hospitals. Numerous studies, congressional hearings, and conferences have explored the problem of how teaching hospitals can cope with a changing ...

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