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Table of contents for

July 23, 1987  Vol. 317 No. 4

Original Articles
185-191

THE acquired immunodeficiency syndrome (AIDS) is characterized by severe immunodeficiency, life-threatening opportunistic infections, neoplasia, and a fatal outcome. The underlying immune defect in AIDS is caused by infection with a human retrovirus — ...

192-197

AZIDOTHYMIDINE (3'-azido-3'-deoxythymidine; zidovudine [Retrovir], or AZT) is a nucleoside analogue that inhibits the in vitro replication of human immunodeficiency virus (HIV), the etiologic agent of the acquired immunodeficiency syndrome (AIDS).1 In a ...

197-201

COSMETIC plastic surgery has become increasingly common in the United States. In 1984, nearly 150,000 patients underwent augmentation-mammoplasty or face-lift operations, a 35 percent increase over 1981.1 The overall infection rate after these procedures ...

202-209

BOTH normal tissue repair and the pathologic fibrosis of normal organs are intimately linked to processes that recruit mesenchymal cells and stimulate them to proliferate at local sites. Since mesenchymal cells produce and secrete the principal components ...

209-213

WILSON'S disease is chronic copper intoxication that occurs only in persons who inherit a pair of abnormal alleles of an autosomal recessive gene. The resulting metabolic defect — reflected in a low serum concentration of ceruloplasmin — impairs the ...

Special Article
214-218

    EXPOSURE to lead occurs in many occupations but is not well recognized in certain industries. As a result, medical practitioners fail to identify cases of lead poisoning, and uninformed employers do not implement measures to control lead exposure at the ...

    Medical Intelligence
    219-224

    THE central feature of the immune system is its diversity. We can appreciate that from the numerous variations in immunoglobulin molecules: a mouse weighing only an ounce has the capacity to make 100 million different antibodies.1 The advantage of such ...

    Case Records of the Massachusetts General Hospital
    225-235

    Presentation of Case

    A 43-year-old woman was admitted to the hospital because of severe dyspnea and lethargy.

    She was well until 38 months earlier, when she first noticed a lump in the right breast. A mammographic study, performed elsewhere, was reported ...

    Editorial
    236-237

      IN this issue Martinet et al.1 report that alveolar macrophages from patients with idiopathic pulmonary fibrosis release a growth-promoting activity similar to platelet-derived growth factor (PDGF), and show that the amount of this activity is four times ...

      Sounding Board
      238-241

      We are a testing culture: we test our urine for drugs; we test our sweat for lies. It is not surprising that we should also test our blood for the acquired immunodeficiency syndrome (AIDS). But before we screen low-risk groups for antibody to the human ...

      242-245

      Recent concerns about disease transmission through blood transfusion have prompted frequent questions to physicians about the safety of transfusion. Patients who may need transfusions are anxious to know, often in considerable detail, about their chances ...

      Correspondence
      245-246

      No extract is available for articles shorter than 400 words.

      246

      To the Editor: The Public Health Service has called for "a system for classifying HTLV-III/LAV [HIV] associated disease manifestations which is useful in the design, implementation, and analyses of therapeutic trials."1 The Centers for Disease Control ...

      246-247

      To the Editor: In a report in the Journal (July 10, 1986, issue),1 DeHovitz et al. described the occurrence of Isospora belli as an opportunistic enteric pathogen in 15 percent of 131 Haitian patients with AIDS. The authors also commented on the rarity ...

      247-249

      No extract is available for articles shorter than 400 words.

      249-251

      No extract is available for articles shorter than 400 words.

      251-252

      No extract is available for articles shorter than 400 words.

      252

      No extract is available for articles shorter than 400 words.

      Book Reviews
      252-253

      In the fall of 1960, the author of this book, then a practicing surgeon in Baltimore and president of Medico, went to Dr. Schweitzer's hospital in Lambaréné (Gabon) as a temporary replacement for the chief surgeon. By coincidence, I was also there helping ...

      253-254

      Famine is among the most horrifying and numbing combinations of natural and man-made disasters. In Ethiopia in the early 1980s, nature contributed a drought. The Ethiopian government contributed inadequate resources, war, avarice, ideology, and limited ...

      254

      Imagine getting a call from a prestigious investigator who asks you to help coordinate a multidollar, multicenter drug trial. He recognizes the value of the brain-isotope research you did before age and alcohol took their toll and you were sent to prison ...

      254

      No extract is available for articles shorter than 400 words.

      254-255

      How we select and train future physicians has recently been subject to great scrutiny and lengthy discourse. The Association of American Medical Colleges' report entitled "Physicians for the Twenty-First Century" was published in 1984. That document ...

      255

      No extract is available for articles shorter than 400 words.

      255-256

      Long ago, the medical graduate appointed to service on the wards of the Massachusetts General Hospital was known as a house pupil. This term may have been dropped because it was thought demeaning, but it captured the essence of the experience by implying ...

      Notices
      256

      HARVARD MEDICAL SCHOOL

      The following courses will be offered: "Primary Care Pediatrics" (Dec. 3–5); "Emergencies and Procedures in Pediatric Practice" (Dec. 5 and 6); and "Informal Course in Pediatrics" (by arrangement).

      Contact Dr. Peter T. Greenspan, ...