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Table of contents for

October 23, 1986  Vol. 315 No. 17

Original Articles
1041-1046

    High alcohol intake is not generally recognized as a risk factor for cerebrovascular disease. Some long-term population surveys suggest an association,1 2 3 but the role of current alcohol intake in the precipitation of stroke remains uncertain. Alcohol ...

    1046-1051

    Disturbances of coronary vasomotion are important in ischemic cardiac syndromes, although the cause (or causes) of abnormal vasomotion remains poorly defined.1 2 3 4 Enhanced coronary reactivity almost invariably occurs at sites of atherosclerotic lesions,...

    1052-1058

    An interesting and well-documented study by Ferenczy et al.1 showed clearly that papillomavirus may be present in histologically normal tissue near the site of both anogenital condylomata and intraepithelial neoplasia. As part of a large study of human ...

    1059-1064

    Condylomata acuminata (genital warts), a very common sexually transmitted disorder,1 is caused by human papillomaviruses, usually types 6 and 11.2 , 3 Two related types of papillomavirus (16 and 18) have been associated with carcinoma of the vulva and ...

    Special Article
    1064-1070

      In many large industrial settings, low back pain is second only to upper respiratory infection as a cause of absence from work.1 It is estimated that 1400 days of work per 1000 workers are lost annually in the United States because of back pain, and ...

      Medical Intelligence
      1071-1073

      An important report has been published in a highly respected American journal of forensic pathology summarizing the conclusions of an international group of forensic scientists who gathered in São Paulo, Brazil, in June 1985 to help identify a man who had ...

      1073-1078

      All currently known human retroviruses are T-cell lymphotropic viruses (HTLVs) and primarily infect T4 cells (reviewed by Wong-Staal and Gallo1). HTLV-I immortalizes normal T lymphocytes in vitro, and in vivo is associated with adult T-cell leukemia/...

      Case Records of the Massachusetts General Hospital
      1079-1086

      Presentation of Case

      A 28-year-old man with a renal transplant was admitted to the hospital because of recent disorientation.

      There was a history of the nephrotic syndrome that began at the age of three years. He was seen at this hospital, and a ...

      Editorials
      1087-1089

      The death rate from stroke in the United States has declined by 50 percent over the past decade, the evidence pointing to a reduction in the incidence of stroke as the responsible factor, not improved survival after stroke. The striking decrease in the ...

      1089-1090

      Even Lewis Thomas, who concluded his essay "On Warts" by proposing a National Institute of Warts,1 did not envisage the recent explosion in papillomavirus research or anticipate the compelling association of these viruses with certain human cancers. The ...

      1090-1092

      Most patients with low back pain have a regional backache — i.e., one that is not caused by systemic disease. They have suffered no overtly traumatic precipitating event, and they would be well were it not for their use-related pain.1 Occasionally, ...

      Correspondence
      1092-1093

      No extract is available for articles shorter than 400 words.

      1093-1094

      To the Editor: Coronary-artery reperfusion is the object of intense interest as a new method of treating acute myocardial infarction. The goal of therapy is to salvage ischemic myocardium and thereby preserve left ventricular function, the principal ...

      1094-1095

      To the Editor: The report by Gottlieb and his colleagues (May 8 issue)* is an important contribution to the study of silent ischemia. However, there are several important methodologic and statistical flaws that tend to invalidate the authors' conclusion ...

      1095

      No extract is available for articles shorter than 400 words.

      1095-1096

      To the Editor: Tests for detecting antibody to human immunodeficiency virus (HIV, or HTLV-III/LAV) were licensed for screening blood donations in March 1985. Approximately 0.2 to 0.4 percent of donors have reactive results in enzyme immunoassays, but ...

      1096

      No extract is available for articles shorter than 400 words.

      1096-1097

      No extract is available for articles shorter than 400 words.

      1097

      No extract is available for articles shorter than 400 words.

      1097-1099

      No extract is available for articles shorter than 400 words.

      1099-1100

      No extract is available for articles shorter than 400 words.

      1100

      No extract is available for articles shorter than 400 words.

      1100

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1100-1101

      This book is interesting and timely. For the American medical public, it carries a remarkable message from Great Britain about an entirely different system of adjudicating personal-injury complaints arising from medical practice. It tells the story of the ...

      1101

      This book traces the practical, in-court history of forensic medicine from medieval times to the late 19th century in England, but most particularly it chronicles trials in one courthouse in old London, the Central Criminal Court, commonly known as the ...

      1101-1102

      This book about the origins, development, current status, and future challenges of our welfare services provides useful, relevant background material for those concerned with health policy, particularly in the United States. It was written by a seasoned ...

      1102-1103

      Victor Fuchs, a professor of economics at Stanford University, brings together a number of reports of intriguing statistical studies and several thought-provoking essays on medical care issues. The longest chapter, "Determinants of expenditures for ...

      1103

      Until the past several decades, obtaining consent for the medical care of minors was quite straightforward: the parents provided the consent, usually after determining, in collaboration with physicians, what was in the best interest of their children. It ...

      1103

      No extract is available for articles shorter than 400 words.

      Notices
      1104-1105

      UNIVERSITY OF WISCONSIN-MADISON

      The University will offer the following courses: "Focusing of Rheumatology—1986" (Nov. 7 and 8); "Medical and Surgical Approaches to Pulmonary and Esophageal Diseases" (Nov. 7 and 8).

      Contact Sarah Z. Aslakson, CME Dept., ...

      Correction
      1105

      No extract is available for articles shorter than 400 words.

      Special Report
      1105-1108

      The professional liability crisis, a consuming interest of America's physicians because of the rising cost of malpractice insurance and its diminishing availability, stands a far better chance of being addressed — if not resolved — now that the federal ...

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