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May 1, 1986  Vol. 314 No. 18

Original Articles
1133-1139

    ACUTE epiglottitis is a serious disease because of its potential for sudden fatal airway obstruction in previously healthy persons. Descriptions of the clinical characteristics of acute epiglottitis were first published during the 18th century. However, ...

    1140-1145

    SINCE the first unilateral human lung transplantation was performed in 1963,1 more than 40 such attempts have been made without long-term clinical success. Most recipients died within days or weeks from respiratory failure, pulmonary sepsis, rejection of ...

    1145-1151

    CHROMOGRANIN A1 , 2 is stored and released with catecholamines by exocytosis from storage vesicles in the adrenal medulla.3 , 4 Human chromogranin A, which is purified from the catecholamine-storage vesicles of pheochromocytomas (chromaffin granules), is ...

    1152-1156

      BACTERIURIA in adult and elderly populations has been associated with an increased mortality rate.1 2 3 4 5 This association may result from either a direct effect on mortality of the bacteriuria itself or from factors that increase both bacteriuria and ...

      1156-1160

      DESPITE the recent improvements in the survival of low-birth-weight infants, germinal matrix (periventricular) or intraventricular hemorrhage (or both) continue to be a major cause of morbidity and mortality. As many as 55 percent of infants with birth ...

      Special Article
      1160-1163

        AN impressive but generally unrecognized change in health care over the past decade has been the steady decline in the proportion of low-income people covered by Medicaid, the nation's public-insurance program for the poor. Between 1975 and 1983, as a ...

        Mechanisms of Disease
        1164-1170

        Synergism between Calmodulin-Dependent Protein Kinase and C-Kinase

        A key to understanding how cells display sustained responses to activation through the calcium messenger system has been the recognition that receptor activation leads to the production of ...

        Case Records of the Massachusetts General Hospital
        1170-1184

        Presentation of Case

        An 18-year-old man was admitted to the hospital because of bilateral apical infiltrates and skin lesions.

        He was in excellent health until three years earlier, when cystic acne appeared on the neck and back. Three months before ...

        Editorials
        1185-1186

          FEW diseases are as potentially tragic as supraglottitis (also termed epiglottitis). A healthy person can die of asphyxia from swollen tissues that are only a few millimeters from the direct view of a physician.1 The paper in this issue of the fournal by ...

          1186-1187

          Success in transplantation of the lung has lagged behind success with other organs for a variety of reasons. Paramount among these is the extreme scarcity of healthy donor lungs that can be used as transplants. The common occurrence of pulmonary edema, ...

          Correspondence
          1187-1189

          To the Editor: The morning peak in incidence of myocardial infarction described by Muller et al. (November 21 issue)1 is consistent with a number of studies on the circadian distribution of human mortality.2 3 4 5 6 Mitler et al. reported on 4920 disease-...

          1189-1190

          To the Editor: Recent animal and human research has called into question the mechanism and effectiveness of conventional cardiopulmonary resuscitation (CPR).1 2 3 4 5 Several large clinical series have demonstrated that survival is negligible among ...

          1190

          No extract is available for articles shorter than 400 words.

          1190-1191

          To the Editor: Dr. Caiazza's letter (October 31 issue*) states that there exists no practical alternative to blood banks for HTLV-III antibody testing in New York City. This is simply not true.

          On March 14, 1985, the performance of HTLV-III antibody ...

          1191-1192

          To the Editor: Progressive dementia is an increasingly recognized manifestation of AIDS-associated neurologic syndromes,1 2 3 4 5 and direct infection of the central nervous system by HTLV-III/LAV has been demonstrated.2 , 4 5 6 Almost all the patients ...

          1192-1193

          To the Editor: In a recent Journal article, "Failure of Extracranial–

          Intracranial Arterial Bypass to Reduce the Risk of Ischemic Stroke," the results of a randomized, international, multicenter study were reported (November 7 issue).1 The report, which ...

          1193-1194

          To the Editor: The lupus anticoagulant is frequently associated with thrombosis. This is unexplained, except that it may result from the hypothetical effect of IgG fractions from patients with the anticoagulant on prostacyclin production by endothelial ...

          1195-1196

          No extract is available for articles shorter than 400 words.

          Book Reviews
          1196

          Those who have had the privilege of hearing a neuroanatomy lecture by Nauta realized that they were in the presence of a superb teacher. Not only did Nauta display a masterful knowledge of his topic, but he presented it in a clear and entertaining manner. ...

          1196-1197

          No extract is available for articles shorter than 400 words.

          1197

          No extract is available for articles shorter than 400 words.

          1197

          No extract is available for articles shorter than 400 words.

          1197-1198

          No extract is available for articles shorter than 400 words.

          1198

          No extract is available for articles shorter than 400 words.

          1198

          This monograph describes a 14-year experience with extracranial-to-intracranial (EC-IC) bypass procedures at the University of Naples. Professor Conforti is a pioneer in the development of the operation in Italy, and his contributions to the field are ...

          1198-1199

          The emergence of vascular surgery as a surgical specialty has led to a rapid proliferation of books on the topic. There are comprehensive textbooks, surgical atlases, and books on specific problems or organs. This book represents a different approach.

          In ...

          1199

          This is an excellent and informative book devoted entirely to complications of surgery of the lower gastrointestinal tract. Concise, pithy, and full of wisdom and common sense, it is the fifth in the ambitious series on Complications in Surgery edited by ...

          Books Received
          1199

          No extract is available for articles shorter than 400 words.

          Notices
          1200

          CALL FOR PAPERS

          Abstracts are now being accepted for "CAR '87," an international symposium and exhibition on computer assisted radiology, to be held in Berlin, July 1–4, 1987. The deadline for receipt of abstracts is May 31.

          Contact Bibiana Illmann-Moser, ...

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