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May 18, 1989  Vol. 320 No. 20

Original Articles
1293-1299

MITOCHONDRIA are unique among intracellular organelles because they contain their own DNA, which can be transcribed and translated to form proteins. Human mitochondrial DNA is a small (16.5-kilobase [kb]), circular, double-stranded molecule that contains ...

1300-1305

LEBER's hereditary optic neuropathy1 2 3 is associated with a rapid bilateral loss of central vision caused by neuroretinal degeneration. During the acute phase of the disease, the retinal vessels are dilated and tortuous, with telangiectasias in the ...

1306-1311

    CYCLIC neutropenia (or cyclic hematopoiesis) is a rare blood disease characterized by regular 21-day cyclic fluctuations in the numbers of blood neutrophils, monocytes, eosinophils, lymphocytes, platelets, and reticulocytes.1 2 3 4 Patients with the ...

    1312-1316

      THE measurement of arterial blood gases is critically important in caring for patients with advanced cardiopulmonary disease and a variety of metabolic disorders.1 The test allows the evaluation of pulmonary gas exchange and is assumed to provide an index ...

      1317-1322

      NOCTURNAL attacks of wheezy dyspnea, known as "cardiac asthma," are common in patients with impaired left ventricular function. Obstruction of airways is a consistent finding in patients with pulmonary edema and improves at least partially with the ...

      Mechanisms of Disease
      1322-1330

      OSTEOARTHRITIS, "an almost inevitable consequence of aging,"1 is second only to cardiovascular diseases in producing severe chronic disability, and it affects nearly 10 percent of the population over the age of 60.2 This prevalence and its costs — ...

      Medical Intelligence
      1331-1333

      LEBER'S hereditary optic neuropathy is a disorder of unclear cause. Even among members of the same family, the disorder displays a striking degree of clinical heterogeneity, involving an optic neuropathy, at times a movement disorder, and rarely a ...

      Case Records of the Massachusetts General Hospital
      1333-1340

      Presentation of Case

      A 33-year-old woman was admitted to the hospital because of interstitial lung disease.

      She was well until five years earlier, when she was admitted to another hospital because of dyspnea and a nonproductive cough. An x-ray film of the ...

      Editorials
      1341-1343

      Mitochondria are unique among cellular organelles in that they contain their own genetic material—about 2 to 10 copies of a double-stranded, circular DNA molecule that is approximately 16.5 kilobases (kb) in length. This is very small as compared, for ...

      1343-1345

      Marrow stem cells are driven by a number of regulators, termed colony-stimulating factors or interleukins. Traditionally, the marrow stem cell has been defined by its capacity to renew itself and to differentiate into several types of blood cells. Perhaps ...

      1345-1346

      Fat, carbohydrate, and much of the protein that we eat are metabolized to form carbon dioxide and water. Each day the body produces approximately 15,000 mmol of carbon dioxide — about 330 liters, or 1.5 lb. Blood courses through capillaries, soaks up this ...

      1346-1348

      Soon after Laennec's description in 1819 of the invention of the stethoscope and its use in auscultation, the term "cardiac asthma" began to appear in cardiologic treatises. In 1835, Hope1 wrote that "an immense proportion of asthmas — and of the most ...

      Correspondence
      1348-1350

      To the Editor: Bickel (Dec. 15 issue)1 mentions that women receive higher marks than men for "humanistic attributes," according to directors of residency training programs. It would be interesting to compare the humanistic qualities of female and male ...

      1350-1351

      To the Editor: In their article on health care workers exposed to blood from patients infected with the human immunodeficiency virus (HIV), Marcus et al. (Oct. 27 issue)1 recommend routine HIV antibody testing of all workers soon after exposure, with ...

      1351-1353

      No extract is available for articles shorter than 400 words.

      1353-1354

      To the Editor: Lieber states (Dec. 22 issue)1 that studies conducted in the past two decades in human volunteers and subhuman primates have shown that both the initial liver lesion (fatty liver2) and the ultimate stage of cirrhosis3 can be produced by ...

      1354-1355

      No extract is available for articles shorter than 400 words.

      1355

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1355-1356

      This book is a massive compilation of the papers presented at the Fifth World Congress on In Vitro Fertilization and Embryo Transfer, held in Norfolk, Virginia, in April 1987. More than 1300 scientists from around the world attended the congress, and the ...

      1356

      No extract is available for articles shorter than 400 words.

      1356-1357

      There are two phases in the diagnosis of a malformed fetus or stillborn infant: determining that a developmental abnormality is present, and then assessing its importance with respect to cause, category, and the need for counseling. Both phases have ...

      1357

      Over the past six decades, remarkable improvements in perinatal outcome have been accomplished in pregnancies complicated by insulin-dependent diabetes mellitus. As recently as 1970, 20 percent of such pregnancies resulted in fetal or neonatal death. The ...

      1357-1358

      The subtitle of this book — The Social Dynamics of Professionalism, 1880–1980 — gives the reader a more accurate clue (or warning, perhaps) about what to expect than the title itself. Although in a sense this is a history of American pediatrics, it is not ...

      1358

      Pediatric Medicine is an encyclopedic textbook that will be considered a major contribution to education in general pediatrics. The editors have used several stylistic techniques to structure the book that enhance its quality and make it "user friendly." ...

      Books Received
      1358-1359

      Biomedical Science

      Algae as Experimental Systems. (Plant Biology. Vol. 7.) Edited by Annette W. Coleman, Lynda J. Goff, and Janet R. Stein-Taylor. 333 pp., illustrated. New York, Alan R. Liss, 1989. $70.

      Cell Biology: An inquiry into the nature of the ...

      Notices
      1360

      ALBERT EINSTEIN COLLEGE OF MEDICINE

      The following symposia will be held in New York: "2nd Annual Paul Henkind Symposium" (June 2) and "New York Anesthesiology Review: 26th Annual Basic Science Symposium" (June 19–23).

      Contact the College, Montefiore ...

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