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Table of contents for

October 16, 1986  Vol. 315 No. 16

Original Articles
977-982

    Coffee consumption has long been suspected to be a contributing factor in the development of coronary heart disease, but strong, independent risks associated with coffee drinking have not yet been documented in well-designed prospective studies. Indeed, ...

    983-989

      ARTERIOGRAPHIC and angioscopic evidence suggests that coronary thrombosis is a frequent occurrence in unstable angina,1 2 3 4 as it is in acute myocardial infarction.5 Detailed histologic studies have demonstrated layers of platelet thrombi in different ...

      989-992

      The increased incidence of maternal and fetal complications of pregnancy among women with Type I diabetes is widely recognized.1 2 3 4 5 In addition, there is an increased incidence of the same complications among women with gestational diabetes.6 , 7 ...

      993-997

      In 1885 Gilles de la Tourette described a syndrome that began during childhood and was characterized by chronic intermittent motor and phonic tics. These tics could be voluntarily suppressed for short periods, but eventually the patient would be unable to ...

      Medical Intelligence
      997-1003

      The thalamus is affected in diffuse degenerative processes of the nervous system.1 2 3 4 5 However, it has not been established whether a genetically determined degenerative disease may be limited to selected thalamic nuclei.

      We report here the case of a ...

      Seminars in Medicine of the Beth Israel Hospital, Boston
      1004-1013

      Since the first synthesis of a peptide hormone—oxytocin — by du Vigneaud and coworkers in 1953,1 selective modification of hormonal structure has become a powerful research tool in endocrinology. By studying the relation between the structure and the ...

      Case Records of the Massachusetts General Hospital
      1013-1022

      Presentation of Case

      First admission. A 16-year-old boy was admitted to the hospital because of a brain tumor.

      The patient was known to have had seizures during the first two years of his life. He was treated at another hospital with "removal of water ...

      Editorials
      1023-1025

        The hallmark of unstable angina is its unpredictability. The symptoms, which occur without provocation, sometimes stabilize or resolve but sometimes progress to myocardial infarction or sudden death. This pattern contrasts with that of stable angina.

        ...

        1025-1026

        For decades, physicians caring for women whose pregnancies have been complicated by diabetes mellitus have recognized that fetal hyperglycemia, a consequence of maternal hyperglycemia, contributes to excessive fetal growth. In 1954, the Danish internist ...

        1026-1028

          People often voice concern about the adequacy of their own sleep and — perhaps only as a form of politesse — the sleep patterns of others. "Did you sleep well?" is a question routinely asked of those subject to unusual conditions or tensions. There is ...

          Correspondence
          1028-1029

          No extract is available for articles shorter than 400 words.

          1029

          To the Editor: In his timely review of mortality due to asthma, Dr. Benatar refers to the second epidemic of fatal asthma in New Zealand (Feb. 13 issue).1 Some aspects of that epidemic require clarification or amplification.

          First, the dramatic increase ...

          1029-1030

          No extract is available for articles shorter than 400 words.

          1030

          No extract is available for articles shorter than 400 words.

          1030

          No extract is available for articles shorter than 400 words.

          1030-1031

          No extract is available for articles shorter than 400 words.

          1031

          No extract is available for articles shorter than 400 words.

          1031

          No extract is available for articles shorter than 400 words.

          1031-1032

          No extract is available for articles shorter than 400 words.

          1032-1033

          No extract is available for articles shorter than 400 words.

          1033-1035

          No extract is available for articles shorter than 400 words.

          1035

          To the Editor: Nowhere is the overhead cost of medical care delivery of more questionable benefit than it is in medical advertising.1 Advertising and marketing budgets have climbed to several million in many average-sized urban hospitals2 that in the ...

          Book Reviews
          1035-1036

          In response to being presented with volume two of The Decline and Fall of the Roman Empire, the Duke of Gloucester said: "Another damned, thick, square book! Always scribble, scribble, scribble! Eh, Mr. Gibbon?" Much as we might decry the good duke's ...

          1036

          Here at last is a textbook on parenteral nutrition. As the modern field of nutrition approaches its 20th anniversary, its role as one of the five or six areas of treatment affecting human survival in the face of illness and injury is now acknowledged, ...

          1036-1037

          Here, Susie Orbach, cofounder of the Women's Therapy Centre in London, continues to explore the themes set forth in her popular book, Fat Is a Feminist Issue: A Self-Help Guide for Compulsive Eaters (London: Paddington Press, 1978). Orbach argues that ...

          1037

          This is a fine book, written and edited by Davidson with the help of 75 coauthors. The chapters include a historical and research perspective in addition to discussions of science and clinical management.

          The section on history will tempt one to read ...

          1037

          No extract is available for articles shorter than 400 words.

          1037

          No extract is available for articles shorter than 400 words.

          Notices
          1038

          No extract is available for articles shorter than 400 words.

          Special Report
          1038-1040

          The United Kingdom, like the United States, has a long tradition of welcoming overseas medical graduates for postgraduate studies. Many come with the intention of taking examinations for specialty diplomas, and they seek to prepare themselves for such ...

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