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Table of contents for

September 21, 1989  Vol. 321 No. 12

Original Articles
773-778

A RECENT Food and Drug Administration survey1 estimated that 18.2 million Americans wear contact lenses. Of these, about 9.1 million use daily-wear soft contact lenses, and 4.1 million use extended-wear soft contact lenses. Ninety-seven percent1 of those ...

779-783

IN 1987 the Food and Drug Administration estimated that 18.2 million Americans wore contact lenses. 1 Of this number, approximately 9.1 million use daily-wear lenses and 4.1 million use extended-wear lenses, which are approved for overnight use. The ...

784-789

SECONDARY cancers are known complications of chemotherapy and irradiation used to treat Hodgkin's and non-Hodgkin's lymphomas and other primary cancers. They also occur in association with immunosuppression after solid-organ transplantation. Secondary ...

790-793

GRANULOSA-CELL tumors originate in the specialized ovarian stroma. Although stromal tumors constitute only 8 percent of all ovarian tumors (benign and malignant) and only 15 percent of these are granulosa-cell tumors, the latter are of considerable ...

794-799

CRYPTOCOCCUS NEOFORMANS is the most common life-threatening fungal pathogen that infects patients with the acquired immunodeficiency syndrome (AIDS).1 Although disseminated disease may affect virtually any organ, meningoencephalitis or meningitis is the ...

Mechanisms of Disease
800-806

(First of Two Parts)

EACH year, throughout the world, more than 5 million people, 80 percent of whom are under one year of age, die of acute, infectious diarrhea.1 The gravity of diarrheal illnesses is due largely to the immense secretory capacity of the ...

Special Article
807-812

ORGAN transplantation has evolved from an in-frequent event to an increasingly common procedure. From 1981 to 1986, the number of heart transplantations increased 22-fold; liver transplantations, 35-fold; and pancreas transplantations, 4-fold; over the ...

Case Records of the Massachusetts General Hospital
813-823

Presentation of Case

A 19-year-old man was admitted to the hospital because of fever, left upper abdominal pain, anemia, and weight loss.

He was well until six weeks earlier, when left flank pain developed, with a sensation of chilliness; there was no ...

Editorials
824-826

Our society places a premium on convenience and efficiency. Medical care systems now cater to this American characteristic with quick-care walk-in clinics and same-day surgery. In this issue, Schein et al. and Poggio et al. document the risks of a sight-...

826-827

WE are used to thinking of the gonads as sites for the production of steroid hormones, spermatozoa, and ova. It is now clear that the testes and ovaries produce many other substances, some of which, such as growth factors, may be important in controlling ...

827-829

    RECENT concern about the validity and honesty of biomedical research — especially that large fraction of research supported by public funds — has led to demands for greater accountability on the part of the research community. Since most scientific ...

    Correspondence
    829-830

    To the Editor: The Special Report by Bayer and Healton (April 13 issue)1 on the acquired immunodeficiency syndrome (AIDS) in Cuba raises questions that should be considered in the light of the available information. Indeed, Cuba's approach to AIDS ...

    830-832

    To the Editor: Regarding the issue of HIV infection and AIDS in the Americas, the situation in Brazil reported by Cortes et al. (April 13 issue)1 is certainly not unique. The authors suggest a fourth pattern of the spread of HIV infection: from an ...

    832-833

    To the Editor: Prostitutes are a possible conduit for the spread of HIV-1 infection and other sexually transmitted diseases.1 To date, most research on AIDS in prostitution has focused on HIV-1 seroprevalence in female2 rather than male prostitutes, ...

    833-834

    No extract is available for articles shorter than 400 words.

    834

    No extract is available for articles shorter than 400 words.

    835

    No extract is available for articles shorter than 400 words.

    835-836

    No extract is available for articles shorter than 400 words.

    836

    To the Editor: Endoscopy has gained acceptance as a safe and efficacious procedure for the identification and treatment of lesions of the upper gastrointestinal tract, with minimal discomfort to the patient. Bacteremia due to endoscopy of the upper ...

    836-837

    To the Editor: Americans are turning in increasing numbers to bottled water as a healthful alternative to tap water. However, bottled water could be lacking in fluoride, one of the truly healthful and natural elements that is mandated in many municipal ...

    837

    No extract is available for articles shorter than 400 words.

    837

    No extract is available for articles shorter than 400 words.

    837

    No extract is available for articles shorter than 400 words.

    Occasional Notes
    837-839

    LIKE many other scientific journals, the New England Journal of Medicine must select the material it will publish from a large number of manuscripts submitted each year. Those ultimately selected usually undergo substantial revision before publication. ...

    Book Reviews
    839-840

    Sports medicine has very high visibility and, until recently, low esteem in modern society. This book shows how its image has been improved by work building on a solid foundation of science through applied physiology and biochemistry. The improvement has ...

    840

    This book's editors have assembled a group of experts who provide a review of current knowledge of the pathogenesis, classification, diagnosis, and rational management of osteomyelitis and septic arthritis. The book is divided into sections, and the first ...

    840

    No extract is available for articles shorter than 400 words.

    840-841

    No extract is available for articles shorter than 400 words.

    841

    No extract is available for articles shorter than 400 words.

    841

    If the reader wonders whether an entire book can fruitfully be devoted to the social, organizational, and economic aspects of surgery, this book demonstrates that the answer is an unequivocal yes. The author, himself a surgeon and an astute analyst of ...

    841-842

    Energy is as important to life as it is to a satellite reaching orbit. The small size of this book belies the large content of up-to-date information. After a description of early concepts and experience, a detailed explanation of the basis for indirect ...

    Books Received
    842-843

    Special Services

    Modern Blood Banking and Transfusion Practices. Second edition. Edited by Denise Harmening. 439 pp., illustrated. Philadelphia, F.A. Davis, 1989. $39.95.

    Neurosurgical and Medical Management of Pain: Trigeminal neuralgia, chronic pain, ...

    Notices
    843-844

    PERINATAL EDUCATION

    The 15th annual intensive childbirth education program, subtitled "Prepared Childbirth, The Lamaze Method," will be held in Los Angeles, Sept. 28 and 29, Nov. 16 and 17, Jan. 4 and 5, 1990, Feb. 15 and 16, 1990, and April 12 and 13, ...

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