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Table of contents for

January 12, 1989  Vol. 320 No. 2

Original Articles
69-75

THE role of acid secretion in the development of duodenal ulcer is well established. A capacity to secrete acid is also required for the development of benign gastric ulcer, and inhibition of acid secretion has been shown to accelerate healing of gastric ...

75-81

BEFORE measles vaccine was licensed in the United States, measles infection was almost universal, with epidemics occurring every two to three years.1 The introduction of the vaccine in 1963 had a major impact on the occurrence of measles, substantially ...

82-87

UPPER abdominal pain after cholecystectomy, if not explained by conventional diagnostic studies, is often attributed to obstructive dysfunction of the sphincter of Oddi.1 2 3 Patients with such pain may undergo operative or endoscopic sphincterotomy to ...

88-93

ALTHOUGH conventional mechanical ventilation has improved the outcome of preterm infants with respiratory failure, mortality and morbidity remain high.1 Morbidity consists primarily of a form of chronic lung disease called bronchopulmonary dysplasia, ...

Special Articles
94-101

Guidelines for a Broadly Acceptable Plan

Universal health insurance has not attracted overwhelming support in this country. Indeed, its enactment in any form would be a remarkable achievement. To be politically viable, a proposal for universal health ...

102-108

    OUR health care system is failing. It denies access to many in need and is expensive, inefficient, and increasingly bureaucratic. The pressures of cost control, competition, and profit threaten the traditional tenets of medical practice. For patients, the ...

    Case Records of the Massachusetts General Hospital
    108-116

    Presentation of Case

    A 59-year-old woman was admitted to the hospital because of multiple pulmonary nodules.

    There was a history of asthma in childhood, but all symptoms subsided after several years. A questionable myocardial infarction occurred 14 years ...

    Editorial
    117-118

    Over a year ago I said that "we urgently need a new and more comprehensive approach to health policy. . ." and noted that the National Leadership Commission on Health Care was planning to propose such an approach by the end of 1988.*

    The Commission's ...

    Sounding Board
    118-120

    The health care systems of several Western democracies are widely perceived to be in a state of crisis. Each year the demand for health services increases, and it is more difficult to avoid a widening gap between the cost of these services and the amount ...

    Correspondence
    120-122

    No extract is available for articles shorter than 400 words.

    122-123

    To the Editor: Tzakis et al. reported (Aug. 18 issue)1 a 28 percent incidence of aplastic anemia in 32 patients after orthotopic liver transplantation for fulminant or subacute hepatic failure due to non-A, non-B hepatitis. In our experience, this ...

    123-124

    To the Editor: The Multicenter Diltiazem Postinfarction Trial Research Group (Aug. 18 issue)1 reported no overall effect of diltiazem on cardiac events and mortality in a randomized trial in 2466 patients with previous infarction. The authors suggested ...

    124

    No extract is available for articles shorter than 400 words.

    124-125

    To the Editor: There is considerable evidence to support the idea that the putative natriuretic hormone is involved in extracellular-fluid volume homeostasis and the pathophysiology of hypertensive diseases.1 2 3 4 5 This substance has been described as ...

    125

    No extract is available for articles shorter than 400 words.

    125-126

    No extract is available for articles shorter than 400 words.

    126

    No extract is available for articles shorter than 400 words.

    127

    No extract is available for articles shorter than 400 words.

    Book Reviews
    127-128

    The past decade has witnessed the rapid development of two specialty areas in the field of psychology: neuropsychology and behavioral medicine. Neuropsychology involves the correlation of cognitive and behavioral changes with pathology of the central ...

    128

    This book of David Hubel's follows the format of Scientific American publications on medical sciences for the lay public. Thus, it has the same look as the Scientific American. It is well done artistically, well illustrated, and geared to the ordinary ...

    128

    No extract is available for articles shorter than 400 words.

    128-129

    No extract is available for articles shorter than 400 words.

    129

    No extract is available for articles shorter than 400 words.

    129

    No extract is available for articles shorter than 400 words.

    129-130

    In Tinsley Harrison's first edition of The Principles of Internal Medicine (New York: McGraw-Hill, 1950) he emphasized the role of the physician and his or her relationship with the patient. He wrote, "In the case of the suffering, he needs technical ...

    130

    This is an excellent textbook of psychiatry, to be recommended as a basic reference for psychiatrists, medical students, and residents and also as a resource for other physicians and mental health professionals. Although they are not specifically ...

    Books Received
    130-131

    Biomedical Science

    Advances in Enzyme Regulation [27]. Edited by George Weber, with Catherine E. Forrest Weber. 514 pp., illustrated. New York, Pergamon Press, 1988. $200.

    Advances in Human Genetics. [17]. Edited by Harry Harris and Kurt Hirschhorn. 209 ...

    Notices
    132

    BEHAVIORAL ASSESSMENT OF THE PRETERM INFANT

    The program, subtitled "Implications for Care," will be held in Philadelphia on Jan. 31.

    Contact CME Office, Jefferson Medical Coll., 1025 Walnut St., Rm. G3, Philadelphia, PA 19107; or call (215) 928–6992.

    ...

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