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Table of contents for

October 1, 1987  Vol. 317 No. 14

Original Articles
845-849

THE standard ionic mediums (sodium, meglumine salts of iodinated acids, or their combination) used for intravenous injection of contrast material throughout most of the world over the past three decades are among the most innocuous of injectable drugs. ...

850-855

THROMBOLYSIS with intravenous streptokinase (1.5 million units given over one hour) has been shown to improve survival at 21 days after acute myocardial infarction, in a large drug trial (that of the Italian Group for the Study of Streptokinase in ...

856-861

GASTROINTESTINAL bleeding due to portal hypertension is a leading cause of death in patients with cirrhosis of the liver.1 The first episode of bleeding in unselected patients with proved cirrhosis is fatal in 40 to 50 percent, and two thirds die within ...

861-866

    SINCE the introduction of cyclosporine in 1978 for immunosuppression in solid-organ transplantation, the rate of allograft rejection has decreased substantially.1 2 3 4 However, the use of cyclosporine is associated with multiple side effects. ...

    Special Article
    867-873

    IT is now well known that hospital use has been declining. After reaching peak levels in 1981, hospital admissions and days declined at average annual compound rates of 2.3 and 4.7 percent, respectively, through 1985.1 2 3 4 5 6 Medicare beneficiaries' ...

    Medical Intelligence
    873-878

    LARYNGEAL papillomas are benign epithelial tumors that primarily involve the larynx and epiglottis but may extend into the trachea and the bronchi. The development of invasive squamous-cell carcinoma in association with laryngeal papillomatosis is rare ...

    Case Records of the Massachusetts General Hospital
    879-890

    Presentation of Case

    A seven-year-old boy with acute lymphocytic leukemia was admitted to the hospital because of cough, lethargy, and fever.

    The child was born of an uncomplicated full-term pregnancy and vaginal delivery, with a birth weight of 3.0 kg. ...

    Editorials
    891-893

    Contrast agents have been used in radiologic procedures for more than 60 years. Those currently in widest use have been available for nearly 40 years and are among the most commonly used and the safest of drugs. Concern about their safety persists, ...

    893-895

    Hemorrhage from esophageal varices remains a common and costly medical emergency associated with a high mortality and a substantial risk of recurrent bleeding in patients who survive. Although portal pressure correlates poorly with the risk of variceal ...

    Correspondence
    895-897

    To the Editor: We commend Bellinger et al. (April 23 issue) for thoroughness in the reports of their work.1 2 3 4 5 Nevertheless, an unusual configuration of results undermines the inferences drawn. First of all, linear models were used to adjust the ...

    897-899

    No extract is available for articles shorter than 400 words.

    899-900

    No extract is available for articles shorter than 400 words.

    900-901

    No extract is available for articles shorter than 400 words.

    901-902

    No extract is available for articles shorter than 400 words.

    902

    No extract is available for articles shorter than 400 words.

    902

    No extract is available for articles shorter than 400 words.

    Book Reviews
    903

    No extract is available for articles shorter than 400 words.

    903

    Books concerned with gynecologic endocrinology and infertility tend to be repetitive. The menstrual cycle is described repeatedly, in the context of the hypothalamic–pituitary axis, of the ovary, and of the endometrium. The structure of this book avoids ...

    903-904

    Sexuality is love and is loving. It is giving and bearing. It is pleasure and meaning. It is the phlogiston of human life. But sexuality has its dark side too. It is puzzling, obscure, and sometimes painful and cruel. It can be a painful gravity. So wide ...

    904

    Comprehensive Gynecology merits its name. It includes sections on basic science, the approach to the patient, general gynecology, gynecologic oncology, endocrinology, and infertility. Each of the chapters has an innovative introduction labeled "key terms ...

    904-905

    Three decades have passed since the publication of the first edition of this textbook. Not surprisingly, much has changed in our approach to pregnant patients with heart disease. There has been an important reduction in the incidence of rheumatic heart ...

    905

    No extract is available for articles shorter than 400 words.

    905

    No extract is available for articles shorter than 400 words.

    905

    No extract is available for articles shorter than 400 words.

    Books Received
    905-906

    Special Services

    Multivariate Analysis of Variance and Repeated Measures: A practical approach for behavioral scientists. By D.J. Hand and C.C. Taylor. 262 pp. London, Chapman and Hall, 1987. $55 (hardcover); $25 (paperback). (Distributed in the U.S. by ...

    Notices
    906-907

    PATHOLOGY OF THE LUNG

    The course, subtitled "An Interdisciplinary Approach to Diagnosis of Lung Disease," will be offered in Birmingham, Ala., Oct. 21–23.

    Contact CME Div., Univ. of Alabama. 127 CHSB — 20th St., Univ. Station, Birmingham, AL 35294; or ...

    Information for Authors
    908

    These guidelines are in accordance with the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals." (The complete document is available in the June 12, 1982, issue of the British Medical Journal and the June 1982 issue of the Annals of ...

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