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May 7, 1987  Vol. 316 No. 19

Original Articles
1169-1173

SEVERAL epidemiologic studies have shown a relation between moderate drinking and breast cancer. Hiatt and Bawol reported a 40 percent excess risk of breast cancer in women who had three or more drinks per day in a cohort study based on the members of a ...

1174-1180

IN separate case–control studies by Williams and Horm1 and Rosenberg et al.,2 women with breast cancer reported higher alcohol intake before diagnosis than did controls. A positive association between alcohol intake and breast cancer was reported from six ...

1180-1185

HUMAN immunodeficiency virus (HIV), also known as lymphadenopathy-associated virus (LAV) and human T-cell lymphotropic virus type III (HTLV-III), has been identified as the causative agent of the acquired immunodeficiency syndrome (AIDS) in humans.1 , 2 ...

1186-1191

    ALTHOUGH idiopathic dilated cardiomyopathy has been recognized since the late 1950s,1 the cause of most cases is unknown.2 Several families have been described in which three or more members have had dilated cardiomyopathy,3 4 5 6 7 8 9 10 and additional ...

    Special Article
    1192-1196

      IN 1981 the Georgia Supreme Court ordered a cesarean section to be performed on a woman with placenta previa at term who had refused to allow an abdominal delivery.1 , 2 A lower-court order had been obtained and appealed. However, immediately after the ...

      Medical Progress
      1197-1205

        THE muscular dystrophies comprise several groups of inherited disorders with a wide variation between the groups in the distribution and severity of muscle involvement.1 The respiratory muscles, in common with other skeletal muscles, are affected in all ...

        Case Records of the Massachusetts General Hospital
        1205-1210

        Presentation of Case

        A 64-year-old woman was admitted to the hospital because of jaundice and malaise.

        The patient was well except for vague hot flashes and diffuse pains of several years' duration. During the four months before admission she lost 6.8 kg ...

        Editorials
        1211-1213

        OF the approximately 17 cohort and case–control studies that have investigated an association between alcohol intake and breast cancer, all but three have shown an increase in risk. Impetus for these investigations was provided by the 1977 case–control ...

        1213-1214

        WE are seeing the beginning of an alliance between physicians and the state to force pregnant women to follow medical advice for the sake of their fetuses.1 No irreversible commitments to such an alliance have yet been made, but only a principled ...

        Correspondence
        1214-1215

        No extract is available for articles shorter than 400 words.

        1215-1216

        To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. ...

        1216-1217

        No extract is available for articles shorter than 400 words.

        1217

        No extract is available for articles shorter than 400 words.

        1217-1218

        To the Editor: Liver transplantation provides a valuable opportunity to demonstrate that the liver and its vascular bed are the site of synthesis of specific proteins. For example, a recent report in the Journal demonstrated that a hemophiliac who ...

        1218-1219

        To the Editor: Most medical devices used in blood storage and transfusion are manufactured with polyvinyl chloride containing the plasticizer di(2-ethylhexyl)phthalate (DEHP).1 During exposure of blood to the plastic surface, the DEHP leaches into the ...

        1219

        No extract is available for articles shorter than 400 words.

        1219

        No extract is available for articles shorter than 400 words.

        1219-1220

        To the Editor: "This client is blind." I noticed this seemingly innocuous sign over a patient's bed one morning while making routine teaching rounds. Most physicians and nurses are familiar with similar notices informing the hospital personnel of any ...

        1220

        To the Editor: In the past decade, American physicians have witnessed dramatic changes in health care delivery. Traditional private practice is being chased by a variety of three-lettered options of which HMOs (health maintenance organizations), PPOs (...

        1220-1221

        To the Editor: The statements of Dr. Stare1 and Dr. Renner2 (Oct. 9 issue) regarding United Sciences of America, Inc. (USA, Inc.) represent much of what is both enigmatic and deplorable about the attitude of a small segment of the medical and scientific ...

        1221

        No extract is available for articles shorter than 400 words.

        Book Reviews
        1222

        Remember when diseases acquired sexually were called "venereal diseases"? These "diseases of love" were treatable, were usually more embarrassing than dangerous, and numbered only five: two major (syphilis and gonorrhea) and three minor (chancroid, ...

        1222-1223

        It is impossible to produce a book on the acquired immunodeficiency syndrome (AIDS) that provides completely contemporary information because masses of new data appear weekly. For physicians who are interested in AIDS, data must be gathered in fragments. ...

        1223

        This book is the outcome of a 15-year study of a group of apparently "feminine" young boys and nonfeminine controls. Three quarters of the 66 boys studied became homosexual or bisexual, whereas only 1 of the controls did. This old-fashioned prospective ...

        1223-1224

        Fertility among American teenagers is notoriously high. In other economically developed countries, birth rates among adolescents are at the most half that in the United States. In parallel, the rate of legal abortions among U.S. teenagers is also higher ...

        1224

        No extract is available for articles shorter than 400 words.

        1224

        No extract is available for articles shorter than 400 words.

        Books Received
        1224-1225

        Biomedical Science

        Adrenergic Receptors in Man. (Receptors and Ligands in Intercellular Communication. Vol. 8.) Edited by Paul A. Insel. 390 pp. New York, Marcel Dekker, 1987. $89.75.

        Applied Anatomy of the Pelvis. By Werner Lierse, with H. Frohmüller, F. ...

        Notices
        1226

        ETHICS IN MEDICINE

        The 2nd International Congress on Ethics in Medicine will be held in New York, June 9–12.

        Contact Beth Israel Med. Ctr., Public Affairs Dept., 1st Ave. at 16th St., New York. NY 10003; or call (212) 420–2069.

        FEMALE ENDOSCOPIC ...

        Corrections
        1226

        No extract is available for articles shorter than 400 words.

        1226

        No extract is available for articles shorter than 400 words.

        Special Report
        1226-1228

          Should children in day-care facilities receive rifampin chemoprophylaxis after the occurrence of invasive Hemophilus influenzae b disease in a day-care contact? The magnitude of uncertainty regarding the answer to this question can be gauged by the change ...

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