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October 9, 1986  Vol. 315 No. 15

Original Articles
913-919

Coronary artery stenosis is known to cause angina pectoris, but the mechanisms of dramatic changes in the pattern of pain are not fully understood. Coronary spasm,1 increasingly severe coronary stenosis,2 , 3 and coronary thrombosis4 , 5 have all been ...

920-924

Type I diabetes is characterized by a prolonged phase of active autoimmunity, progressive beta-cell loss, and diminished insulin secretion before eventually culminating in hyperglycemia.1 2 3 Recently, a defect in interleukin-2 production by lymphocytes ...

925-929

Venous thromboembolism is a common complication in patients undergoing elective hip surgery. In the absence of prophylaxis, deep-vein thrombosis develops in approximately 50 percent of these patients, and fatal pulmonary embolism occurs in 1 to 5 percent....

930-934

The major concern in regard to postmenopausal estrogen therapy is the risk of endometrial hyperplasia1 , 2 and carcinoma.3 , 4 Histologic studies have indicated that this risk can be minimized by the addition of a progestin.1 , 2 , 5 The optimal duration ...

Special Article
934-939

More than 230,000 low-birth-weight infants are born annually in the United States, and more than 36,000 of these infants weigh less than 1500 g.1 2 3 4 5 6 In addition, the proportion of live births made up by infants weighing less than 1500 g has changed ...

Medical Progress
939-948

This article is intended to provide an overview of the patterns of persistent viral infections1 2 3 4 5 6 7 8 9 so that physicians will be aware of what kinds of information gathered in the routine care of patients may later allow the piecing together of ...

Medical Intelligence
949-951

Hypoplastic left heart syndrome constitutes a spectrum of severe congenital cardiovascular anomalies dominated by underdevelopment or absence of the left ventricle, aortic valve, and mitral valve. The ascending and arch segments of aorta are usually of ...

Case Records of the Massachusetts General Hospital
952-956

Presentation of Case

A 28-year-old woman was admitted to the hospital because of fever and ascites.

The patient was apparently well until two weeks earlier, when she had a fever and sore throat. A physician prescribed erythromycin, which was discontinued ...

Editorials
957-959

Heparin, the familiar anticoagulant, is a naturally occurring sulfated glycosaminoglycan that for commercial purposes is extracted from bovine and porcine lung or intestine; it was originally purified from the liver (hence its name). A highly charged ...

959-961

The menopause is a multifaceted milestone in the lifetime of a woman. On the one hand, the menopause is a time when women are free of monthly menses, when many women are relieved of dysmenorrhea, when some women are released from the recurrent ...

961-963

    In this issue of the Journal, Bailey and his associates document successful short-term survival in three infants who underwent cardiac transplantation for hypoplastic left heart syndrome.1 The authors are to be congratulated for accomplishing this in a ...

    Correspondence
    963-968

    No extract is available for articles shorter than 400 words.

    968-969

    No extract is available for articles shorter than 400 words.

    969

    To the Editor: An 80 to 90 percent seropositivity to human immunodeficiency virus (HIV, or HTLV-III/LAV) has been reported in the population with hemophilia, with the first conversion in 1978 and the majority of conversions in 1981–1982.1 Increasing ...

    969-970

    No extract is available for articles shorter than 400 words.

    970-971

    To the Editor: Patients with small intestinal disease, jejunoileal bypass, or ileal resection may have hyperoxaluria and calcium oxalate urolithiasis as a complication.1 2 3 The cause of the hyperoxaluria in these conditions, collectively known as ...

    971

    To the Editor: Doctors throughout the United States are being approached to join the Clinical Advisory Board of a company called United Sciences of America. Here is an overview of its activities.

    United Sciences is a multilevel marketing operation ...

    Occasional Notes
    971-973

    The fact that they have M.D.'s backing up the product is the biggest plus they have. . . . For decades the multilevel field [of marketing] has been the province of snake-oil salesmen, so the credibility provided by top-name medical people is invaluable.

    ...

    Book Reviews
    973

    The past two decades have witnessed impressive growth in research findings on the causes, treatment, and outcome of mood disorders. Recurrent mood disorders, which subsume the cyclical bipolar conditions, afflict nearly 5 percent of the population. Other ...

    973-974

    Here, the editors intend to provide a context within which scholars of various disciplines — i.e., anthropology, psychiatry, and psychology — could present their respective viewpoints on an interdisciplinary topic: depression. Is it a local cultural or a ...

    974

    No extract is available for articles shorter than 400 words.

    974

    Historically, most books on psychotherapy for homosexuals have embraced the illness model. This book, in keeping with the diagnostic guidelines of the American Psychiatric Association, is based on the premise that homosexuality is a normal variant of ...

    974-975

    Perhaps it should not come as a surprise that much of the violence in our violent world occurs at home. This compilation of data on violence in the family is intended for mental health workers. Organized in four parts, the book deals with violence in ...

    975

    This is an extremely readable, enjoyable work that presents a controversial approach to the diagnosis and treatment of a group of disorders characterized by multiple personality. The basic theoretical construct on which this book builds is the idea that ...

    975-976

    Here is a multiauthored book designed to "teach the fundamentals of psychiatry to medical students." It was written by residents and fellows from Duke University who "know the exact material these students need [in order] to be competent."

    The book is ...

    Notices
    976

    GLAUCOMA

    A course entitled "Glaucoma Update" will be offered in San Antonio, Tex., on Oct. 24.

    Contact CME Services, Univ. of Texas Health Science Ctr. at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX 78284–7980; or call (512) 691–6295.

    INFECTIOUS ...

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