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April 2, 1987  Vol. 316 No. 14

Original Articles
825-830

SINCE its description almost 30 years ago,1 hairycell leukemia has been recognized as a clinicopathological entity.2 In most cases, studies of immunoglobulin synthesis,3 surface markers,4 and rearrangement of immunoglobulin genes5 have indicated that the ...

831-834

RECENT studies of animal models of Parkinson's disease have shown that grafting tissue from the adrenal medulla into the cerebral ventricles results in a reduction of the rotational behavior induced by apomorphine, similar to that resulting from ...

835-839

ALTHOUGH congenital complete heart block is rare, the care of patients with this disorder causes considerable anxiety. Although it was originally thought to be a benign problem,1 2 3 the disorder is sometimes associated with syncope, sudden death, a need ...

857-859

CEREBRAL edema developing during the treatment of diabetic ketoacidosis is an uncommon but important cause of morbidity and mortality in children with diabetes mellitus.1 2 3 4 This report concerns a child who survived severe cerebral edema, which ...

Special Article
840-844

DIFFICULT treatment decisions are often faced in an intensive care nursery. What treatment should be provided to which infant and for how long? These decisions are often difficult because of the presence of two types of uncertainty about the case. Medical ...

Medical Progress
844-852

    (Second of Two Parts)

    Interrelation between Pathophysiologic Mechanisms and Disease Manifestations

    Symptoms

    The chief symptoms of hypertrophic cardiomyopathy are exertional angina, dyspnea, fatigue, and impaired consciousness (transient spells of ...

    Medical Intelligence
    853-856

    RICKETTSIA that are pathogenic for humans include five main antigenic groups that cause, respectively, typhus, spotted fever, scrub typhus, Q fever, and trench fever.1 There is also a group of intraleukocytic parasites that infect humans and a variety of ...

    Case Records of the Massachusetts General Hospital
    860-869

    Presentation of Case

    A 73-year-old woman was admitted to the hospital because of unstable angina pectoris.

    She was well until about 10 years earlier, when hypertension was found. Five years before admission there was the onset of chronic stable angina ...

    Editorials
    870-872

    Hairy-cell leukemia, first described nearly 30 years ago,1 is a rare disease (representing approximately 2 percent of adult leukemias), which is characterized by splenomegaly, pancytopenia, and neoplastic mononuclear cells in the peripheral blood and bone ...

    872-873

    The publication in this issue of the paper by Madrazo et al.1 is an important event in the history of the treatment of Parkinson's disease. With this report, neural transplantation is with us as a possible mode of therapy. We need to understand it and ...

    Sounding Board
    873-876

      On June 27, 1986, the U.S. Department of Health and Human Services (HHS) announced that Medicare would soon begin to provide reimbursement for heart transplantations.1 Although HHS is to be commended for recognizing the nonexperimental nature of these ...

      Correspondence
      876-878

      No extract is available for articles shorter than 400 words.

      878-879

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      879-880

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      881

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      881-882

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      882

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      882-883

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      883

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      883

      To the Editor: Dr. Hardison's provocative and convincing analysis of the changes in the training of house officers over the years (June 26 issue)* may do much to close the unfortunate generation gap that still plagues our training programs.

      We agree with ...

      884

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      884-885

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      Book Reviews
      885

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      885

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      885

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      885-886

      Rapid progress in the field of transplantation is such that textbooks are often obsolete by the time of publication or become so within a year or two. This frequently discourages authors from undertaking the writing of a textbook, since the results of ...

      886

      In the preface to this second edition, the author states that the book's aim is "to tell a trainee surgeon how to follow the steps of an operation and warn him what to watch out for afterwards." In fact, that is exactly what he does in this excellent ...

      886-887

      The editors have selected the topic of disease intractability and have discussed nine disease entities: hiatus hernia, peptic ulcer, gallbladder disease, pancreatitis, Crohn's disease, ulcerative colitis, diverticular disease of the colon, ascites with ...

      887

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      887

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      Notices
      887-888

      UNIVERSITY OF WISCONSIN–MADISON

      The following courses will be offered: "Fluorescein Angiography Workshop" (April 24 and 25); "Depression in the Elderly: Diagnostic and Treatment Issues" (April 24 and 25); and "9th Cardiac Rehabilitation Symposium — ...

      Corrections
      888

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      888

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