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Table of contents for

July 30, 1987  Vol. 317 No. 5

Original Articles
257-261

VENTRICULAR fibrillation occurring early in the setting of acute myocardial infarction not complicated by cardiac failure or shock is classified as primary.1 , 2 Despite its potentially lethal nature, primary ventricular fibrillation has generally been ...

262-265

VITAMIN E deficiency, observed in patients with lipid malabsorption syndromes (e.g., cholestatic liver disease,1 2 3 abetalipoproteinemia,4 short bowel ssyndrome,5 nd cystic fibrosis6) results in specific neurologic abnormalities, including peripheral ...

265-271

SYSTEMIC lupus erythematosus (SLE) is a multisystem autoimmune disease characterized by the presence of a variety of circulating autoantibodies.1 Anti-DNA antibodies are thought to cause tissue injury by forming antigen–antibody complexes in the ...

272-278

SHORTLY after the effectiveness of antibiotics for the treatment of Neisseria gonorrhoeae infections was established, the organism began to develop resistance. Sulfonamides were introduced in the 1930s, and their use in the treatment of gonorrhea was ...

Mechanisms of Disease
278-286

    The acquired immunodeficiency syndrome (AIDS) was first described in 1981, but it has since reached epidemic proportions, with over 38,000 cases reported in the United States alone and a three-year mortality rate of more than 90 percent.1 2 3 4 It is ...

    Medical Intelligence
    287-294

    The B19 parvovirus, which was serendipitously discovered in serum from blood-bank donors in 1975,1 has been associated with several human illnesses. B19 is the etiologic agent of the common childhood exanthem called fifth disease.2 Adults with fifth ...

    Case Records of the Massachusetts General Hospital
    295-306

    Presentation of Case

    A 50-year-old woman was admitted to the hospital because of a seizure, fever, and acidosis.

    There was a history of hypertension, with the more recent development of end-stage renal disease that was believed to be nephrosclerosis. Two ...

    Editorials
    307-309

    Despite years of observation in coronary care units, there is still considerable uncertainty about the short-term and long-term prognostic implications of ventricular fibrillation in patients with acute myocardial infarction. Primary ventricular ...

    309-311

    Virtually every organ system can be affected by systemic lupus erythematosus (SLE). Neurologic abnormalities are common, occurring in approximately half of all patients at some time during the course of their illness. Like SLE in general, nervous system ...

    311-312

    The U.S. House of Representatives is considering legislation that would restrict the conditions under which physicians could dispense prescription drugs to their patients. It is intended to curb a growing national practice in which physicians dispense ...

    Massachusetts Medical Society
    313-314

    Bevivino — Bruno Joseph Bevivino, M.D., of Westwood, died on February 19 at the age of 72.

    Dr. Bevivino received his degree from Kansas City University of Physicians and Surgeons in 1941. He was a member of the American Medical Association.

    Brem — Jacob ...

    Correspondence
    314-315

    No extract is available for articles shorter than 400 words.

    315-316

    To the Editor: In a recent Sounding Board article (Jan. 22),1 Hall et al. contrast bone mineral screening and mammography and decide that mammographic screening should probably be carried out universally in postmenopausal women and that bone mineral ...

    316-317

    No extract is available for articles shorter than 400 words.

    318-319

    No extract is available for articles shorter than 400 words.

    319-320

    To the Editor: The thesis put forth by Steer and Meldolesi (Jan. 15 issue),1 that acute pancreatitis is initiated by events occurring within acinar cells rather than the interstitial space, runs counter to a crucial observation in humans2 and in ...

    320-321

    To the Editor: In his recent series on the Canadian health care system (issues of July 17, Sept. 18, and Dec. 18, 1986),1 John Igle-hart calls attention to Canada's apparent success in reconciling two seemingly incompatible goals of health care policy — ...

    322

    No extract is available for articles shorter than 400 words.

    Book Reviews
    322-323

    The full spectrum of cardiothoracic surgery, in its every detail, is encompassed by this comprehensive book; its more than 1300 pages provide a well-edited review of current practices in 12 countries on five continents. It is no mean feat merely to ...

    323

    No extract is available for articles shorter than 400 words.

    323

    No extract is available for articles shorter than 400 words.

    323-324

    Understanding what can go wrong provides the basis for guiding patients through complex and hazardous procedures. A book on the complications of organ transplantation might therefore have real clinical value.

    Several of the chapters in this book do ...

    324

    The editorial justification for this second edition (published only four years after the first) is that the importance of minor head injuries and the effect of nutrition in medical care are only now recognized. These subjects have been recognized and ...

    324

    No extract is available for articles shorter than 400 words.

    324-325

    The past two decades have witnessed an impressive increase in our understanding of the physiology, pathophysiology, and treatment of biliary tract disorders. The right upper quadrant was once the exclusive domain of surgeons, but today they must share it ...

    325

    No extract is available for articles shorter than 400 words.

    325-326

    How often does the surgeon, anesthesiologist, neurologist, or psychiatrist have to treat neurologic or psychological complications of the perioperative period? Hindman and his coauthors have attempted to focus attention on this very important clinical ...

    326

    In writing this abbreviated account of a narrow topic, the authors have the usual trouble finding the proper audience. Few are likely to read the whole book, and anyone looking up a specific topic would want to find more complete and clinically useful ...

    326

    No extract is available for articles shorter than 400 words.

    Books Received
    327

    Reproductive Biology, Obstetrics and Gynecology

    Gynecology and Obstetrics: Proceedings of the 11th World Congress of Gynecology and Obstetrics. Edited by H. Ludwig and K. Thomsen. 882 pp., illustrated. New York, Springer-Verlag, 1986. $210.

    A Handbook of ...

    Notices
    328

    QUALITY OUTCOME MEASUREMENT & EVALUATION

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