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Table of contents for

November 3, 1988  Vol. 319 No. 18

Original Articles
1173-1179

THE Framingham study has demonstrated that the risk that coronary heart disease will develop increases with the level of obesity,1 which is defined as the excessive accumulation of body fat. This association may be due in part to an adverse pattern of ...

1180-1185

THE incidence of systemic group B streptococcal infection during the first two months of life has not changed in 15 years.1 , 2 Invasive group B streptococcal infection develops in approximately 3 neonates per 1000 live births, resulting in approximately ...

1186-1192

PATIENTS who have undergone combined heart–lung transplantation have a marked improvement in their quality of life and exercise tolerance as compared with their pretransplantation condition.1 However, no study has attempted to determine whether ...

1193-1197

THE mineralocorticoid hormone aldosterone is synthesized in the adrenal cortex under the primary control of the renin–angiotensin system. As with all adrenal steroids, the biosynthetic pathway to aldosterone (Fig. 1) starts with cleavage of the side chain ...

Special Article
1197-1202

    ALTHOUGH modern medicine provides great benefits to large numbers of people, medical professionals and clinical researchers have expressed concern about the effectiveness and appropriateness of many current and emerging medical practices. For example, the ...

    Medical Intelligence
    1203-1208

      INFANTS with severe combined immunodeficiency usually become ill in the first few months of life.1 Although growth and development proceed normally for a few months, length and weight gain cease, and failure to thrive becomes a striking feature of the ...

      Case Records of the Massachusetts General Hospital
      1209-1216

      Presentation of Case

      A 25-year-old man was admitted to the hospital because of mediastinal, hilar, and subcarinal lymphadenopathy and a pericardial effusion.

      He was well until six months earlier, when pain and stiffness developed in his neck and a ...

      Editorials
      1217-1219

      In this issue of the Journal, Wood and colleagues1 at Stanford report on a clinical trial comparing two methods of weight loss: restricting energy intake and increasing energy expenditure. Each method was equally effective in reducing fat weight, raising ...

      1219-1220

      The concept of preventing neonatal infections by immunizing pregnant women has been appreciated for over a century and has been studied extensively in the prevention of tetanus, diphtheria, and pertussis infections.1 Protective antibodies in the pregnant ...

      1220-1222

      Since the end of World War II the United States has seen two revolutions in its medical care system. It is now on the threshold of a third.

      The first of these began in the late 1940s and early

      1950s and continued through the 1960s. It can be described as ...

      Correspondence
      1222-1223

      To the Editor: In his review (July 7 issue)* of inhibitors of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase, Dr. Grundy concluded that these drugs are effective and usually well-tolerated cholesterol-lowering agents. He also pointed out, ...

      1223-1224

      To the Editor: The pathogenesis of essential hypertension involves one or more hereditary disturbances. An impaired capacity of the kidneys to excrete sodium1 , 2 could result from a deficiency in, or a decreased renal response to, endogenous natriuretic ...

      1224-1225

      No extract is available for articles shorter than 400 words.

      1225-1226

      No extract is available for articles shorter than 400 words.

      1226-1227

      No extract is available for articles shorter than 400 words.

      1227-1228

      No extract is available for articles shorter than 400 words.

      1228

      No extract is available for articles shorter than 400 words.

      1228-1229

      To the Editor: Human infection by fish parasites belonging to the family Anisakidae was, until recently, a medical oddity in the United States. However, the number of cases of anisakiasis in the United States has increased markedly in recent years, and ...

      Book Reviews
      1229

      This book draws a striking contrast between 19th-century medical attitudes toward female invalidism and the images of energetic, well-exercised women conveyed by the popular press. The author draws on three historical sources to trace the concept of women'...

      1230

      No extract is available for articles shorter than 400 words.

      1230

      No extract is available for articles shorter than 400 words.

      1230-1231

      The title of this book refers to the federal government's entry into the arena of fiscal support for a system of hospice care for the terminally ill. The body of the book is a report on the National Hospice Study, commissioned by Congress in 1979. ...

      1231

      No extract is available for articles shorter than 400 words.

      Notices
      1231

      AMERICAN MEDICAL ASSOCIATION

      The 12th assembly of the AMA Hospital Medical Staff Section will meet in Dallas, Dec. 1–5.

      Contact Dept. of Hosp. Medical Staff Services, AMA, 535 N. Dearborn St., Chicago, IL 60610; or call (312) 645–4754.

      OSTEOPOROSIS

      The ...

      Information for Authors
      1232

      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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