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Table of contents for

April 20, 1989  Vol. 320 No. 16

Original Articles
1025-1030

THE prevalence of impotence in diabetic men has been reported to be as high as 50 percent.1 The neurologic and vascular complications of diabetes are presumed to be responsible for the erectile dysfunction. Studies in animal models of diabetes and in ...

1031-1036

    MITRAL-valve prolapse is a heterogeneous cardiac valvular disorder with a reported prevalence of approximately 4 percent in the general population.1 2 3 4 5 6 7 8 Echocardiography was originally believed to be the ideal noninvasive technique for defining ...

    1037-1043

      DIETARY enrichment with polyunsaturated fatty acids has been suggested to exert beneficial effects on atherosclerosis and blood pressure, but before recent interest arose in n–3 fatty acids derived from marine oils, studies focused on the benefits of n–6 ...

      1044-1047

      ISOSPORA belli has recently been recognized as an opportunistic enteric pathogen in patients with the acquired immunodeficiency syndrome (AIDS).1 2 3 4 I. belli is most common in tropical and subtropical climates and has been encountered in 15 percent of ...

      1047-1054

      DIFFUSE and follicular large-cell and mixed large-cell and small-cell lymphoma represents a heterogeneous group mainly of advanced, aggressive B-cell neoplasms.1 Approximately half of all patients treated with aggressive chemotherapy have prolonged ...

      Medical Intelligence
      1055-1059

      THE annual incidence of falls among elderly persons living in the community increases from 25 percent at 70 years of age to 35 percent after 75 years of age.1 Fifty percent of elderly persons who fall do so repeatedly. Falls are even more common in ...

      Seminars in Medicine of the Beth Israel Hospital, Boston
      1060-1068

      LIPOPROTEIN lipase, a hydrolytic enzyme produced by many tissues, is rate-limiting for the removal of lipoprotein triglycerides from the circulation. It also has distinct roles in many normal tissues, as well as an important role in certain metabolic ...

      Case Records of the Massachusetts General Hospital
      1068-1076

      Presentation of Case

      First admission. A 36-year-old man was admitted to the hospital because of impaired circulation in the left foot.

      He was well until 39 months earlier, when he experienced the acute onset of pain in the left calf while he was sitting ...

      Editorial
      1077-1079

      Mitral-valve prolapse is one of the most prevalent cardiac conditions and one of the most controversial: uncertainty persists about how it should be diagnosed and about its clinical importance. Historically, mitral-valve prolapse was first recognized by ...

      Sounding Board
      1079-1082

      Research involving human fetal tissue has been the subject of intense political debate in this country for almost two decades, and the use of fetal tissues in transplantation continues this controversy in another forum. Since Roe v. Wade,1 the landmark ...

      Correspondence
      1082-1084

      To the Editor: Engelhardt and Rie (Oct. 20 issue)1 declare that the profit motive in medicine is not itself evil. "Medicine is not an endeavor of amateurs nor usually of mendicant friars." As a member of a mendicant order, the Order of Friars Minor (...

      1084-1086

      No extract is available for articles shorter than 400 words.

      1086-1087

      To the Editor: Data from the graduation questionnaire administered by the Association of American Medical Colleges may be worth examining in the light of Dr. Healy's questions about the adequacy of the country's future biomedical-research brainpower (...

      1087-1089

      No extract is available for articles shorter than 400 words.

      1089

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1089

      This is a fascinating, elusive, and frustrating book. Translated from the Italian, it is an attempt at a synthesis of psychoanalytic theory, systems theory, and the concepts of Piaget. It wanders into philosophical and clinical fields, and there are ...

      1089-1090

      No extract is available for articles shorter than 400 words.

      1090

      No extract is available for articles shorter than 400 words.

      1090

      Here is a concise, practical introduction to adolescent psychiatry written for "psychiatrists, psychologists, social workers and nurses beginning specialized training in work with adolescents." Although by no means comprehensive in telling neophytes all ...

      1090-1091

      The treatment of eating disorders has for the most part concerned the spheres of psychopharmacology, behavior modification, and nutrition. Increased attention from both physicians and the public to this widespread — and apparently increasingly frequent — ...

      Books Received
      1091

      The development of effective treatment programs to change the behavior of child molesters requires the cooperative efforts of professionals in many fields: the behavioral and biologic sciences, the judiciary, corrections, education, and the social ...

      1091-1092

      Reproductive Biology and Obstetrics and Gynecology

      A Practical Guide to Labour Management. By Donald Gibb. with Anne Greenough. 152 pp., illustrated. Boston, Blackwell Scientific, 1988. $22.50. (Distributed in the U.S. by Year Book, Chicago.)

      Pregnancy ...

      Notices
      1092-1093

      SUNLIGHT, ULTRAVIOLET RADIATION, AND THE SKIN

      The "NIH Consensus Development Conference" will be held in Bethesda, Md., May 8–10.

      Contact Andrea Manning, Prospect Associates, Suite 500, 1801 Rockville Pike, Rockville, MD 20852; or call (301) 468–6338.

      ...

      Special Report
      1093-1096

      IN the past few years, medical science has made dramatic advances through research that uses tissue from dead human fetuses. At the same time, this research has led to controversy over the ethics of using human fetal tissue, particularly tissue from ...

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