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Table of contents for

April 27, 1989  Vol. 320 No. 17

Original Articles
1097-1102

    OUTBREAKS of asthma characterized by short-term increases in emergency admissions for severe asthma have been reported in various parts of the world.1 2 3 4 5 6 7 Although castor-bean dust has been reported to be a specific cause of asthma epidemics,8 9 ...

    1103-1109

    THE inhalation of beryllium dusts, salts, or fumes is associated with two types of pulmonary disease: an acute chemical pneumonitis caused by short exposures to high concentrations, and a chronic interstitial granulomatous lung disorder caused by lower ...

    1110-1113

      PATIENTS with chronic renal insufficiency commonly use aluminum or calcium salts to bind phosphorus in the intestine and thereby reduce serum concentrations of phosphorus.1 , 2 Potentially, such salts may bind either dietary or endogenous phosphorus. If ...

      1113-1119

        IN recent years, the advent of effective new drugs has changed the clinical management of duodenal ulcer disease markedly. Active ulcers heal in four to eight weeks in 75 to 85 percent of patients who are treated with a variety of H2-receptor antagonists ...

        Special Article
        1120-1124

        IN most Western countries, transurethral prostatectomy has gradually replaced open prostatectomy as the surgical treatment of choice for benign prostatic hyperplasia, unless the prostate gland is unusually large. By 1985, 95 percent of the prostatectomies ...

        Medical Intelligence
        1124-1126

        IN recent years raw fish has come to be seen as a delicacy in the United States. It is now served in numerous restaurants across the country. This has served to increase the risk of a variety of diseases associated with its ingestion. We describe an ...

        1126-1130

        NATURAL rubber has long been known to cause contact dermatitis, and rubber and plastic gloves frequently aggravate preexisting atopic dermatitis. Nutter's report of contact urticaria in reaction to rubber1 has been followed by several others from Europe,2 ...

        Case Records of the Massachusetts General Hospital
        1130-1139

        Presentation of Case

        A 58-year-old man was admitted to the hospital because of fever, chills, night sweats, and cough.

        The patient was well until two or three months earlier, when he experienced the onset of malaise and easy fatigue, with a nonproductive ...

        Editorials
        1140-1142

          Phosphate retention and hyperphosphatemia play a pivotal part in producing and aggravating the secondary hyperparathyroidism that develops in nearly all patients with chronic renal failure and in creating extraskeletal calcifications in such patients. The ...

          1142-1143

          The time when medicine could afford the luxury of a leisurely pace in identifying optimal practices at a reasonable cost has passed. Payers, providers, health care organizations, and more recently patients are clamoring for ways to deliver maximally ...

          1143-1145

          The report in this issue of the Journal 1 of the extraction during emergency surgery of a 4-cm red worm from the peritoneal cavity of a young man who habitually ate sushi is an uncomfortable reminder of the potential danger of eating raw fish. Parasitism ...

          Correspondence
          1145-1146

          To the Editor: Conventional enzyme-linked immunosorbent assays (ELISAs) have been reported1 to have low rates of detection (50 to 57 percent) for antibody to the human immunodeficiency virus (HIV) in saliva2 from seropositive patients. We chose to ...

          1146

          To the Editor: It has been proposed that arthropods play a part in the transmission of human T-cell lymphotropic virus Type I (HTLV-I). The tropical and subtropical distribution of antibodies to this virus,1 the high prevalence of HTLV-I in areas of ...

          1146-1147

          To the Editor: Gidding et al. (Dec. 15 issue) documented the use of disodium edetate to uncover latent hypoparathyroidism in a patient with partial DiGeorge anomaly.1 Although it appears that this technique will be a useful adjunct in the investigation ...

          1147-1148

          No extract is available for articles shorter than 400 words.

          1148

          No extract is available for articles shorter than 400 words.

          1148

          No extract is available for articles shorter than 400 words.

          1148-1149

          No extract is available for articles shorter than 400 words.

          1149

          No extract is available for articles shorter than 400 words.

          1149-1150

          No extract is available for articles shorter than 400 words.

          1150-1151

          No extract is available for articles shorter than 400 words.

          1151-1152

          To the Editor: As the head nurse of one of the units involved in the study of paging patterns by Drs. Katz and Schroeder (Dec. 15 issue),* I would like to respond to some of their conclusions. As the authors acknowledged, the classification of the pages ...

          1152

          No extract is available for articles shorter than 400 words.

          1152

          No extract is available for articles shorter than 400 words.

          Book Reviews
          1152-1153

          This two-volume book addresses the needs of practitioners in the field of nuclear medicine. It is one of the most complete resource documents ever written in this field. The contributing authors are experts in their fields. As such, this book is really an ...

          1153

          This comprehensive, well-organized, and well-illustrated atlas is clearly intended to serve as a primary reference for clinical practitioners of nuclear medicine. Most of its 3000 illustrations are derived from the authors' own clinical service. The ...

          1153

          No extract is available for articles shorter than 400 words.

          1153-1154

          No extract is available for articles shorter than 400 words.

          1154

          Our understanding of the clinical utility of magnetic resonance imaging and spectroscopy continues to progress at breakneck speed, but the rapid dissemination of this new knowledge to practicing radiologists continues to be an important problem. This book ...

          1154-1155

          By the time I had begun reviewing this book, some of our radiology residents had already purchased it. They were generally agreed that their money was well spent. This book holds peculiar advantages over any other; all the essential aspects of ...

          Notices
          1155-1156

          PHYSICAL ACTIVITY AND HYPERTENSION

          The 12th international Puijo symposium will be held in Kuopio, Finland, July 3–6.

          Contact Dr. Rainer Rauramaa, Kuopio Research Inst. of Exercise Med., Puistokatu 20, SF-70100 Kuopio, Finland; or call (358) 71 113–677.

          ...

          Health Policy Report
          1156-1160

          THE relations between Medicare and practicing physicians, increasingly conflicted by the economic imperatives of payer and provider, will continue to evolve this year on two related but separate fronts. One involves the government's continuing struggle to ...

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