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March 13, 1986  Vol. 314 No. 11

Original Articles
665-670

THE effects of improved metabolic control on diabetic microangiopathy have been debated intensely, but so far there have been no direct demonstrations of the effectiveness of strict metabolic control in humans.1 On the contrary, intensified treatment by ...

671-677

COMPLEX interactions among nutritional, environmental, and genetic factors may cause the development of premature coronary artery disease.1 Some of these factors include habitual ingestion of a diet high in saturated fat and cholesterol, cigarette smoking,...

678-681

INGESTION of shellfish has been known for over 50 years to cause outbreaks of bacterial and viral enteric diseases.1 , 2 Typhoid fever,3 hepatitis A,4 5 6 7 cholera,8 and Vibrio parahaemolyticus 9 have long been associated with eating raw clams and ...

682-685

PATIENTS with glycogen storage disease Type I have impaired glucose production,1 2 3 making them susceptible to hypoglycemia during brief periods of fasting. This impairment in hepatic and renal glucose production from both glycogenolysis and ...

Medical Progress
686-691

IN the 12 years since the last review of herpes simplex virus (HSV) infections in these pages,1 there have been substantial advances in our knowledge of the clinical manifestations, pathogenesis, and therapy of these infections. The epidemic of sexually ...

Medical Intelligence
692-693

The interest in my recent column1 on the ethical and public policy issues surrounding the industrial mass disaster in Bhopal, India, prompts me to offer the Journal readership some comments on another form of mass disaster — the airliner crash that ...

694-699

THYROID hormones (thyroxine and triiodothyronine) are transported in blood bound to serum proteins.1 2 3 The principal protein, which carries approximately 75 percent of the total thyroxine and triiodothyronine in serum, is thyroxine-binding globulin (TBG)...

Case Records of the Massachusetts General Hospital
700-706

Presentation of Case

A 65-year-old woman was admitted to the hospital because of abdominal masses.

She was in a stable state of health until one month earlier, when a routine examination showed a mass in the left upper abdominal quadrant. She was referred ...

Editorials
707-708

People who have become accustomed to eating raw shellfish may need to reconsider this practice in view of new medical evidence. In this issue of the Journal, Morse et al.1 describe the occurrence of gastroenteritis associated with eating raw shellfish in ...

709-710

Three decades ago the pioneering work of Cori and Cori demonstrated the first hepatic enzyme deficiency in humans, that of glucose-6-phosphatase, and elucidated the biochemical bases of several glycogen storage diseases.1 In the ensuing years, inherited ...

Sounding Board
710-712

    During the past year, three major bills dealing with the organization and financing of graduate medical education were introduced in the U.S. Congress. The desire to control Medicare expenditures for medical education was the primary stimulus for this ...

    Correspondence
    712-714

    No extract is available for articles shorter than 400 words.

    714-715

    No extract is available for articles shorter than 400 words.

    715

    No extract is available for articles shorter than 400 words.

    715-716

    No extract is available for articles shorter than 400 words.

    716

    No extract is available for articles shorter than 400 words.

    716-717

    To the Editor: In their article on the implications of randomized trials of histamine H2 antagonists in the treatment of acute upper gastrointestinal hemorrhage (September 12 issue),* Collins and Langman stated, "Examination of the data from all 27 ...

    717-718

    No extract is available for articles shorter than 400 words.

    718

    No extract is available for articles shorter than 400 words.

    718-719

    No extract is available for articles shorter than 400 words.

    720

    No extract is available for articles shorter than 400 words.

    720

    No extract is available for articles shorter than 400 words.

    Book Reviews
    720-721

    No extract is available for articles shorter than 400 words.

    721

    No extract is available for articles shorter than 400 words.

    721-722

    These four volumes represent "a truly encyclopedic review of all aspects of cerebrovascular disease," as stated in the Foreword by Professor Yasargil. In keeping with this publisher's tradition, the printing is of the highest quality and the illustrations ...

    Notices
    722

    GLAUCOMA

    The eighth annual Midwest Glaucoma Symposium, sponsored by the Departments of Ophthalmology at the University of Illinois at Chicago and Northwestern University, will be held at the Midland Hotel in Chicago, April 11 and 12. The fee is $225.

    ...

    Special Report
    722-728

    Since the creation of Medicare 20 years ago, the program has done much to promote the health and well-being of elderly persons and the general public in the United States. Life expectancy at age 65 has increased by 21/2 years. Elderly persons now visit ...

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