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October 20, 1988  Vol. 319 No. 16

Original Articles
1033-1039

IT is no longer surprising that ionizing radiation can induce leukemia and other cancers in adults and children.1 , 2 However, data concerning the effects of radiation on the nervous system are limited. In 1974, we reported a significant increase in brain ...

1040-1047

HYPOGLYCEMIA is a well-recognized complication of severe Plasmodium falciparum malaria.1 2 3 4 5 6 7 8 9 10 11 A proportion of patients with severe infections become hypoglycemic before receiving any treatment3 , 10; others become hypoglycemic during ...

1047-1052

    THE results of three previous studies have been consistent with the hypothesis that increased body iron stores are associated with an increased risk of cancer1 , 2 and with increased overall death rates.3 Two lines of evidence provide a biologic rationale ...

    1053-1058

    IN recent years, the most common cause of infection in patients with neutropenia has shifted from gram-negative to gram-positive bacteria.1 2 3 An emerging controversy in the treatment of such patients is whether vancomycin should be included as a ...

    Special Article
    1058-1064

    THE future of biomedical research and technological innovation depends first and foremost on talent — on the quality of the biomedical man- and womanpower that is being developed now for tomorrow. The advice that the American educator and former president ...

    Medical Progress
    1065-1072

    (First of Two Parts)

    Introduction

    Volume-Control System

    The regulation of the excretion of sodium and water in health and disease has been a topic of fascination for many investigators for several decades. It seems inescapable that there is some overall ...

    Case Records of the Massachusetts General Hospital
    1073-1080

    Presentation of Case

    A 67-year-old woman was admitted to the hospital because of dysphagia, epigastric pain, and a mass at the esophagogastric junction.

    She was well until 8 to 10 months earlier, when she began to experience dysphagia for solid food but ...

    Editorial
    1081-1083

    A Sounding Board article and an exchange of letters in this week's Journal raise important issues about the ethics of medical research in other countries. In the former,1 Dr. Barry discusses the special problems associated with clinical research on the ...

    Sounding Board
    1083-1086

    As pressure mounts within the scientific community to find a vaccine and develop strategies for the treatment of human immunodeficiency virus (HIV) infection, researchers are turning to developing countries, especially in sub-Saharan Africa, where large ...

    1086-1089

      Gainful employment has traditionally been one of medicine's goals.1 Even the Hippocratic corpus includes suggestions about gaining the respect and attracting the business of patients.2 Because of physicians' economic concerns, the history of medicine is ...

      Correspondence
      1089-1091

      To the Editor: Readers of the Journal are told, in the May 12 issue,1 about another "discovery" in nutrition. A similar earlier claim also misled the public and was exploited commercially.2 It was easy to show that the claimed cholesterol-lowering effect ...

      1091-1092

      No extract is available for articles shorter than 400 words.

      1092-1094

      To the Editor: Opelz reported that matching of the HLA-A, -B, and -DR antigens of donors and recipients of cadaveric renal allografts had a beneficial effect on allograft survival in cyclosporine-treated recipients (May 19 issue),1 in contradistinction ...

      1094-1095

      To the Editor: In his editorial on the possible causes of non-insulin-dependent diabetes mellitus (NIDDM), Cahill (May 12 issue)1 draws attention to findings that appear to demonstrate either β-cell dysfunction or increased insulin resistance in this ...

      1095

      To the Editor: Chorionic villi have become increasingly important in antenatal diagnosis. The tissue is used for the detection of chromosomal abnormalities and occasionally for the investigation of enzyme activities. Enzyme deficiencies can be determined ...

      1095-1096

      No extract is available for articles shorter than 400 words.

      1096-1097

      No extract is available for articles shorter than 400 words.

      1097-1098

      To the Editor: Two nursing home patients had difficulty breathing due to occlusion of the mouth and nares by an involuntary snout-like reflex. In each case advanced dementia, edentia, and downward-angled nasal base were present. Intermittent life-...

      1098

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1098

      This is the fourth edition of a book first published in 1974, testifying to the book's popularity with medical students. It follows very closely the educational objectives of the Association of Professors of Gynecology and Obstetrics, an organization ...

      1098-1099

      No extract is available for articles shorter than 400 words.

      1099

      No extract is available for articles shorter than 400 words.

      1099

      No extract is available for articles shorter than 400 words.

      1099

      No extract is available for articles shorter than 400 words.

      1100

      No extract is available for articles shorter than 400 words.

      1100

      In spite of many years of debate about abortion, little insight has been gained. Now more than at any other time since 1973, the Supreme Court's decision in Roe v. Wade is in danger of reversal by a new Court, largely appointed by President Reagan. It is ...

      1100-1101

      No extract is available for articles shorter than 400 words.

      Books Received
      1101-1102

      Biomedical Science

      Advances in Second Messenger and Phosphoprotein Research. Vol. 21. Edited by Robert S. Adelstein, Claude B. Klee, and Martin Rodbell. 222 pp., illustrated. New York, Raven Press, 1988. $80. (Series formerly entitled Advances in Cyclic ...

      Notices
      1103-1104

      UNIVERSITY OF CHICAGO SCHOOL OF MEDICINE

      The following courses will be offered in Chicago: "Clinical Neuroimmunology VI" (Nov. 3–5); "Antidote to Adjuvant: The Changing Role of Leucovorin in Clinical Oncology" (Nov. 9); "Lipoprotein (a): 25 Years of ...

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