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May 28, 1987  Vol. 316 No. 22

Original Articles
1353-1359

DURING the past two decades, mortality rates associated with coronary heart disease have declined by almost 40 percent in the United States. Nevertheless, coronary heart disease remains the leading cause of death in this country. Although several studies ...

1360-1366

HEREDITARY angioedema is associated with a deficiency of functionally active C1 inhibitor in serum, with resultant uncontrolled activation of the classical pathway of complement.1 This biochemical abnormality is inherited in an autosomal dominant manner, ...

1366-1370

    RECENT large-scale population-based studies have shown that from 1.6 to 3.7 percent of women acquire cytomegalovirus infection for the first time during pregnancy, and that in 30 to 40 percent of these primary maternal infections, the virus is transmitted ...

    1371-1375

      CORONARY arteries and hind-limb arteries of cynomolgus monkeys1 , 2 have been shown to enlarge as intimal plaques form in response to an atherogenic diet. A nearly normal lumen cross-sectional area was maintained in the hind-limb arteries up to 6.5 years ...

      1376-1383

      IT had been hoped that advances in techniques for insulin delivery and home blood glucose monitoring would improve glucose control in patients with insulin-dependent diabetes mellitus (IDDM) without substantially increasing the risk of hypoglycemia.1 2 3 ...

      1384-1387

        MOTOR vehicle crashes are the leading cause of death in the United States among persons 1 to 34 years of age.1 Detailed geographic analyses of the mortality associated with such crashes have not been undertaken, despite the fact that county maps such as ...

        Seminars in Medicine of the Beth Israel Hospital, Boston
        1388-1393

        THE intensive use of chemotherapeutic agents for the treatment of cancer has resulted in the cure of many patients. Unfortunately, many cancers still do not respond to chemotherapy, and other cancers that initially do respond later become resistant. If ...

        Case Records of the Massachusetts General Hospital
        1394-1404

        Presentation of Case

        A 58-year-old woman was admitted to the hospital because of right-sided and left-sided congestive heart failure.

        There was a lifelong history of a systolic murmur, without symptoms. Five years before admission a new murmur of aortic ...

        Editorials
        1405-1407

        This issue of the Journal contains a report of a postmortem study of the coronary arteries, analyzed in detail with a morphometric technique.1 Studies of this kind appear less frequently now than during the 1940s and '50s, when, for example, the now ...

        1407-1408

        A new interest in reducing the adverse health effects of violence is evident. The Surgeon General has held a workshop on violence and public health,1 the National Research Council and the Institute of Medicine have published a report on injury in America,...

        Sounding Board
        1408-1409

          Some of us remember, dimly, a type of ethical decision that arose during our training days many years ago. Was it acceptable to receive a none-too-sturdy medical bag as a gift from Pharmaceutical Manufacturer A? Should one have arty qualms about going to ...

          Correspondence
          1409-1410

          No extract is available for articles shorter than 400 words.

          1410-1411

          No extract is available for articles shorter than 400 words.

          1411-1415

          No extract is available for articles shorter than 400 words.

          1415-1416

          No extract is available for articles shorter than 400 words.

          1416

          To the Editor: The observation by Menkes et al. (Nov. 13 issue)1 that serum beta-carotene and vitamin E were inversely associated with the risk of lung cancer, and that retinol and selenium showed no relation, prompted us to investigate this question in ...

          1416-1417

          To the Editor: Under Section 301 of the 1974 Trade Act, the government of the United States has recently charged Japan, Taiwan, and South Korea with unfairly restricting importation of U.S. cigarettes and has threatened retaliatory trade sanctions if the ...

          1417

          No extract is available for articles shorter than 400 words.

          Book Reviews
          1417-1418

          After one of us (D.D.M.) accepted the task of reviewing a prestigious and relevant textbook of cardiovascular science, it became obvious that help was necessary. Therefore, this jointly written review will cover the cardiovascular imaging, coronary ...

          1418

          No extract is available for articles shorter than 400 words.

          1418-1419

          No extract is available for articles shorter than 400 words.

          1419

          No extract is available for articles shorter than 400 words.

          1419

          No extract is available for articles shorter than 400 words.

          1419

          No extract is available for articles shorter than 400 words.

          1420

          In his preface, the editor states that the aim of this book is to increase the understanding of congenital heart disease in the adult. This work contributes well to that objective. It is an update of and improvement on the first edition (published in 1979)...

          1420

          Even those most skeptical of the usefulness of pathology atlases will be attracted by the sheer aesthetic quality of this book, the fourth in a series of pathology atlases covering most of the major organ systems. Although intended primarily for ...

          Books Received
          1420-1423

          Medicine

          Aspects of Hypoxia. Edited by Donald Heath. 254 pp., illustrated. Liverpool, Liverpool University Press, 1986. $50. (Distributed in the U.S. by Humanities Press International, Atlantic Highlands, N.J.)

          Biological and Psychological Factors in ...

          Notices
          1423-1425

          COLITIS

          The Johns Hopkins Medical Institutions are seeking case histories of microscopic and collagenous colitis for their registry.

          Contact Dr. Edward J. Levine, Microscopic Colitis/Collagenous Colitis Workgroup, Johns Hopkins Med. Insts., Meyerhoff ...

          Special Report
          1425-1428

            Estimates of the number of older Americans who will need specialized care by the year 2000 and the number of physicians who will be trained to provide that care foretell a serious disparity. In response to the projected gap, the Institute of Medicine ...

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