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Table of contents for

February 25, 1988  Vol. 318 No. 8

Original Articles
461-466

    IT is estimated that 25 to 50 percent of people in most affluent societies are either obese or overweight.1 , 2 The development of these disorders must involve a prolonged period in which energy intake exceeds energy expenditure. However, the energy ...

    467-472

    OBESITY is a familial disorder that may be genetically determined.1 2 3 The familial occurrence of obesity could result from a similarity among siblings in either an excessive caloric intake, a deficit in energy expenditure, or both. Because of ...

    473-478

    THE voluntary deferral of blood donation by donors at risk for human immunodeficiency virus (HIV) infection and the laboratory screening since March 1985 of blood donations for HIV antibody have reduced the risk of transfusion-associated HIV infection.1 2 ...

    478-484

    EIGHTEEN years ago Melvin et al.1 initiated a prospective study for the early detection of hereditary medullary thyroid carcinoma in a large family with multiple endocrine neoplasia type 2a. The family studied, the American branch of a large Swedish ...

    485-489

    ENDOMETRIOSIS affects as many as 1 in 15 women of reproductive age1; the need for an effective nonsurgical therapy is pressing, particularly for patients concerned about their future fertility. Since endometriosis resolves after ovariectomy and menopause, ...

    Medical Intelligence
    490-500

      Cephalosporins

      Cephalosporins have been grouped into "generations" on the basis of their spectrum of activity against gram-negative rods (Table 4). Since the pharmacologic characteristics of first- and second-generation cephalosporins have previously been ...

      Case Records of the Massachusetts General Hospital
      500-508

      Presentation of Case

      A 65-year-old woman was admitted to the hospital because of thrombocytopenia and uterine carcinoma with vaginal bleeding.

      There was a five-year history of intermittent vaginal bleeding that was ascribed to uterine leiomyomas; a ...

      Editorials
      509-510

        There seems to be no end to the contradictory statements made about human obesity. Here are a few. Obesity is the result of a metabolic defect; no, it is no more than the unfettered drive for pleasure derived from eating. Obesity is genetically determined;...

        511-512

        When it appeared probable in late 1982 that the acquired immunodeficiency syndrome (AIDS) could be transmitted by transfusions of blood or blood components,1 the Food and Drug Administration made a series of recommendations to reduce transmission by this ...

        512-514

        Endometriosis is the presence of tissue resembling endometrial glands and stroma outside the uterus. The anatomical sites most often affected by endometriosis are the ovaries, uterosacral ligaments, pelvic peritoneum, rectovaginal septum, cervix, vagina, ...

        Correspondence
        514-516

        To the Editor: Both clinical investigators studying steroids and doctors working in intensive care units hoped that the two multi-center trials (Sept. 10 issue)1 , 2 would provide a conclusive answer in the controversy over high-dose glucocorticosteroid ...

        516-517

        To the Editor: Azidothymidine (AZT, or zidovudine [Retrovir]) has been shown to be capable of prolonging survival in patients with the acquired immunodeficiency syndrome (AIDS) who have had Pneumocystis carinii pneumonia and in patients with the AIDS-...

        517

        No extract is available for articles shorter than 400 words.

        517-518

        To the Editor: Hurley et al. (Aug. 27 issue)1 showed that bone mineral density in the lumbar spine in patients with medullary carcinoma of the thyroid was significantly lower than that in normal controls. We have studied bone mineral density in the ...

        518-519

        To the Editor: An editorial by Haddy (March 5 issue)1 stated that the role of endogenous digitalis-like factor in the pathogenesis of essential hypertension is still to be elucidated. I previously proposed that antidigoxin antibody may be therapeutic in ...

        519-520

        To the Editor: High-dose intravenous immunoglobulin has been shown to be effective in the treatment of several immune diseases, with no adverse effects.1 2 3 We have used this agent to improve the outcome of pregnancy in two women with severe Rh ...

        520-521

        To the Editor: The fairness of the present Medicare prospective payment system to hospitals, physicians, and patients should be reviewed by the Health Care Financing Administration. Jencks and Dobson (Sept. 10 issue)1 state, "A hospital will be protected ...

        521-522

        To the Editor: Given the many changes that have occurred in the practice of medicine, I thought some revisions in the traditional Hippocratic oath were in order to allow physicians to comply with the regulations and potential conflicts of interest that ...

        Book Reviews
        522

        No extract is available for articles shorter than 400 words.

        522

        No extract is available for articles shorter than 400 words.

        522-523

        Anesthesiologists and critical care physicians surely must be skilled in interpreting the electrocardiogram. Accurate diagnosis based on complete 12-lead recordings and assiduous monitoring of real-time ischemic and dysrhythmic events (as displayed on ...

        523

        No extract is available for articles shorter than 400 words.

        523

        This computer program contains 22 "classic" and 30 "difficult" case histories of patients with abdominal pain, presented in a problem-solving format. These cases represent a broad spectrum of abdominal disorders and show the variation of presentation ...

        523-524

        No extract is available for articles shorter than 400 words.

        524

        No extract is available for articles shorter than 400 words.

        524

        Here is a topic seriously in need of new departures, a new textbook, and coverage of new treatment options and prevention. In the preface, the author states that the book is neither a compilation of research papers nor a textbook of microbiology. This is ...

        Notices
        524

        No extract is available for articles shorter than 400 words.

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