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November 20, 1986  Vol. 315 No. 21

Original Articles
1305-1309

LESKO et al.1 recently reported a reduction of as much as 50 percent in the relative risk of endo-metrial cancer among female smokers, confirming previous evidence of a protective effect of cigarette smoking on this disorder.2 3 4 5 6 Other epidemiologic ...

1310-1313

WHEN faced with smokers who refuse to stop smoking, physicians frequently advise their patients to switch to low-yield brands and to cut down on the number of cigarettes smoked daily. Recent research, however, has shown that switching to low-yield ...

1314-1318

    THE genetics of insulin-dependent diabetes mellitus (IDDM) has received considerable attention over the past decade.1 2 3 It now seems clear that a genetic predisposition, when combined with other (presumably environmental) factors, leads to clinical ...

    1318-1327

    STREPTOCOCCUS pneumoniae is a leading cause of morbidity and mortality in the United States. It has been estimated that 150,000 to 570,000 cases of pneumococcal pneumonia occur in this country annually and that 5 percent of the patients die.1 Vaccines ...

    1327-1331

    OBSTRUCTIVE sleep apnea is a syndrome characterized by recurrent collapse of the pharynx that leads to episodes of apnea during sleep.1 2 3 4 Studies using CT scanning1 , 4 , 5 and the acoustic-reflection technique6 have established that the pharyngeal ...

    Special Article
    1331-1336

      CONTROVERSY over the appropriateness of diagnosis-related groups (DRGs) for prospective payment continues, and the system was not legislated for use in all sectors of health care. Psychiatric hospitals are currently exempt from the DRG prospective payment ...

      Case Records of the Massachusetts General Hospital
      1336-1343

      Presentation of Case

      A 26-year-old woman was admitted to the hospital because of secondary amenorrhea.

      Her menarche occurred at the age of 14 years, when her weight was 50.9 kg and her height 160 cm. Her first two menses were irregular, but subsequent ...

      Sounding Board
      1344-1347

      The most comprehensive information to date on physician supply and demand has been provided by the Graduate Medical Education National Advisory Committee (GMENAC).1 The GMENAC projections show a steadily growing supply of physicians; the committee ...

      1347-1351

        The issue of rights to health care has generated considerable controversy in recent years.1 Most discussions of such rights center on broad social issues (e.g., the access of certain socioeconomic or sociocultural groups to the health care system) and not ...

        Correspondence
        1351-1355

        No extract is available for articles shorter than 400 words.

        1355

        To the Editor: A report on the prevalence of antibody to human immunodeficiency virus (HIV, or HTLV-III/LAV) among persons applying to be U.S. military recruits that was published in the July 4, 1986, issue of Morbidity and Mortality Weekly Report 1 has ...

        1355-1356

        To the Editor: The Walter Reed staging classification has been proposed by Redfield et al. (Jan. 9 issue)* as a method for the clinical staging of HIV (HTLV-III/LAV) infection.

        We applied this method in the clinical evaluation of 358 subjects at risk for ...

        1356-1357

        No extract is available for articles shorter than 400 words.

        1357-1358

        To the Editor: The description of the interesting patient with orthostatic hypotension, isolated noradrenergic neurotransmission failure, but excessive dopaminergic activity (June 5 issue)1 raises the question whether the principal cause of hypotension ...

        1358

        No extract is available for articles shorter than 400 words.

        1358-1359

        To the Editor: We recently observed a case of Coxiella burnetii infection of a vascular prosthesis, in which the infection serologically resembled endocarditis. A 65-year-old man was admitted to our hospital in May 1985 because of fever of unknown ...

        1359

        No extract is available for articles shorter than 400 words.

        Book Reviews
        1359-1360

        Soon after the first edition of Miller's Anesthesia was published in 1981, the two volumes became a popular addition to the libraries of anesthesia departments, whose residents regularly quoted "Miller." It succeeded as a current review of the major ...

        1360

        No extract is available for articles shorter than 400 words.

        1360

        This third edition of a British book presents a well-honed and generally comprehensive coverage of current obstetrical anesthesia. With admirable British succinctness and lack of repetition, two obstetrical anesthesiologists discuss the relevant history, ...

        1360-1361

        In this book, two oncologic surgeons at Harvard Medical School provide a comprehensive view of the natural history of large-bowel neoplasms and their modern therapy. While the authors have achieved their stated goal of developing a treatise that will ...

        1361

        This book stands as eloquent testimony to how far and fast the fascinating subject of transplant rejection has progressed.

        It is a substantial book, because the editors have interpreted their subject broadly and have invited participation from a wide ...

        1361

        No extract is available for articles shorter than 400 words.

        1361-1362

        No extract is available for articles shorter than 400 words.

        1362

        No extract is available for articles shorter than 400 words.

        Books Received
        1362-1363

        Education, History, Biography, and Public Press

        Food and Healing. By Annemarie Colbin. 350 pp. New York. Ballantine, 1986. $8.95.

        Green Barley Essence: Health benefits of nature's "ideal fast food." (Good Health Guides.) By Yoshihide Hagiwara. 22 pp. New ...

        Notices
        1364

        CALL FOR PAPERS

        Applications are now being accepted by the National Hemophilia Foundation for the 1987–1988 Judith Graham Pool postgraduate research fellowships. The application deadline is Jan. 15.

        Contact National Hemophilia Fdn., Soho Bldg., 110 Greene ...

        Correction
        1364

        No extract is available for articles shorter than 400 words.

        Special Report
        1365-1368

        IN June 1986, Dr. Otis Bowen, secretary of the Department of Health and Human Services (DHHS), announced that Medicare will now cover heart transplantations — at specified centers — thus bringing to a close another chapter in a long, wrenching debate that ...

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