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Table of contents for

April 30, 1987  Vol. 316 No. 18

Original Articles
1105-1110

WHETHER the occurrence of menopause alters the risk of coronary heart disease remains controversial.1 In many2 3 4 5 6 7 8 9 10 11 12 but not all13 14 15 16 17 18 19 20 studies, age-adjusted rates of coronary heart disease were found to increase after the ...

1111-1117

MOST hematologic neoplasms exhibit morphologic and cytochemical features expressed by a single lineage of normal hematopoietic cells.1 In acute leukemias, the identification of leukemic blast characteristics shared by normal lymphoid or myeloid elements ...

1118-1121

SJöGREN'S syndrome is an autoimmune disease in which the salivary gland is involved by a pathologic process that has been termed the "benign lymphoepithelial lesion." This lesion is characterized by a lymphocytic infiltrate involving the glandular ...

1122-1126

SUDDEN infant death syndrome (SIDS) is responsible for approximately 2 deaths per 1000 live births in the United States, resulting in 7500 to 10,000 deaths annually. One of the most striking features of the syndrome is its age-related pattern; the ...

1127-1132

    PERCUTANEOUS transluminal coronary angioplasty has become a widely used alternative to coronary bypass surgery and an adjunct to the medical management of ischemic heart disease. Relief of symptoms and improvements in exercise performance and myocardial ...

    Medical Intelligence
    1133-1135

    ALTHOUGH primary amyloidosis is refractory to most treatments, there have been some reports of limited but definite clinical improvements in patients treated with melphalan and prednisone.1 2 3 4 5 6 The improvements have included resolution of the ...

    1135-1138

    THE neonatal lupus erythematosus syndrome is an uncommon disease often characterized by cutaneous lupus lesions, isolated congenital heart block, or both.1 2 3 The majority of mothers of affected children are asymptomatic at the time of the birth of the ...

    Case Records of the Massachusetts General Hospital
    1139-1147

    Presentation of Case

    A 31-year-old woman was admitted to the hospital because of asthma and neurologic deficits.

    There was a four-year history of occasional episodes of asthma, with intermittent treatment by corticosteroids during the five months before ...

    Editorials
    1148-1150

    Dilating atherosclerotic vascular obstructions by mechanical force was first described by Dotter and Judkins in 1964.1 Force was applied to the obstructing atheroma by passing catheters of increasing size through the stenoses. Although the technique was ...

    1150-1151

    Health care is becoming a business. Pressures from insurers and third-party payers for containment of costs, the growing presence of investor-owned health care corporations, and competition for market share among our overbuilt and underused hospitals are ...

    Sounding Board
    1151-1154

    By the end of 1987, health care expenditures in the United States will have passed the half-trillion-dollar mark. According to forecasts by the U.S. Department of Commerce and the Congressional Budget Office, the estimated expenditure of $511 billion will ...

    1154-1156

    The revolution in heath care financing is transforming American medicine. Medicare's prospective payment system based on diagnosis-related groups, the spread of health maintenance and preferred-provider organizations, the increased use of deductibles and ...

    1156-1158

    The inability to gain access to, or to pay for, health care because of financial disadvantage constitutes medical indigency, perhaps the most perplexing and embarrassing problem that confronts American medicine today. The medically indigent, who by ...

    Correspondence
    1158

    No extract is available for articles shorter than 400 words.

    1158-1160

    No extract is available for articles shorter than 400 words.

    1161

    No extract is available for articles shorter than 400 words.

    1161-1163

    To the Editor: The recent article by Hull et al. (Oct. 30 issue)* concludes that continuous intravenous infusion of heparin is more effective than intermittent subcutaneous heparin in the initial treatment of proximal-vein thrombosis. We believe that ...

    1163-1164

    To the Editor: Boyer and Gotoff (June 26 issue)1 have shown the value of prophylactic ampicillin to prevent early-onset neonatal group B streptococcal sepsis. They suggest latex-agglutination assays as a way to identify fetuses at risk.2 3 4 5 In a ...

    1164-1165

    No extract is available for articles shorter than 400 words.

    1165-1166

    To the Editor: The increasingly widespread use of smokeless tobacco and its medical implications have been the subject of recent reviews,1 , 2 as well as a National Institutes of Health Consensus Conference.3 These reports have focused largely on oral-...

    Book Reviews
    1166-1167

    The title of this book describes a topic of worldwide concern in this nuclear age. The health experience of survivors is central to our knowledge of the delayed effects of radiation and dominates the assessment of risk by all agencies concerned with ...

    1167

    No extract is available for articles shorter than 400 words.

    1167

    No extract is available for articles shorter than 400 words.

    1167

    No extract is available for articles shorter than 400 words.

    Notices
    1168

    CALL FOR ABSTRACTS

    Abstracts are now being accepted for the 52nd Annual Meeting of the American College of Gastroenterology, to be held in Dallas, Oct. 26–28. The abstract deadline is June 1.

    Contact American College of Gastroenterology, 13 Elm St., ...

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