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Table of contents for

November 23, 1989  Vol. 321 No. 21

Original Articles
1421-1425

POSTPRANDIAL hypoglycemia is defined as hypoglycemia occurring two to five hours after the ingestion of food.1 It may occur as an easily recognized phenomenon in patients who have undergone gastric surgery or in patients with glucose intolerance. A third ...

1426-1432

CARBON monoxide is a ubiquitous and toxic air pollutant produced by the incomplete combustion of carbonaceous substances. Two major sources of carbon monoxide exposure are automotive emissions and cigarette smoke.1 In addition, exposure to high levels of ...

1432-1437

THE possibility that the consumption of coffee may increase the risk of coronary heart disease has been suspected for many years.1 Early reports showed conflicting results, but more recent studies support the view that the consumption of coffee is ...

1437-1443

DURING the first 24 hours after cardiac surgery, a tendency to bleed is commonly observed. This often requires the transfusion of blood products. Many factors have been implicated in postoperative bleeding, including surgical causes of bleeding, ...

Special Article
1443-1448

IN recent years there has been much interest in comparing the health care systems of Canada and the United States.1 2 3 4 5 6 7 Although the United States has a greater proportion of specialists, the training and availability of physicians and the ...

Medical Progress
1449-1459

    THE hematopoietic growth factors are glycoprotein hormones that regulate the proliferation and differentiation of hematopoietic progenitor cells and the function of mature blood cells.1 2 3 The recognition that circulating factors regulate red-cell ...

    Medical Intelligence
    1460-1462

    BELGIUM is a point of transition between Africa and Europe with respect to patterns of transmission of the human immunodeficiency virus (HIV).1 About 66 percent of all patients with the acquired immunodeficiency syndrome (AIDS) in Belgium have apparently ...

    Case Records of the Massachusetts General Hospital
    1463-1471

    Presentation of Case

    A 6 1/2-year-old black girl was admitted to the hospital because of sexual precocity.

    The girl was born by a vaginal delivery after a fullterm third pregnancy to a mother 28 years old; the pregnancy was complicated by attacks of pain ...

    Editorials
    1472-1474

    Although low blood glucose concentrations were known to occur in patients with various diseases in the 19th century, a clinical syndrome of hypoglycemia was not recognized until the early 1920s, when symptoms similar to those of insulin-induced ...

    1474-1475

      Lethal exposure to carbon monoxide occurs all too frequently in fires, industrial accidents, and suicides. During the past two decades, however, evidence has been mounting that exposure to small amounts of carbon monoxide in the atmosphere has physiologic ...

      Correspondence
      1476-1477

      No extract is available for articles shorter than 400 words.

      1477-1478

      No extract is available for articles shorter than 400 words.

      1478

      No extract is available for articles shorter than 400 words.

      1478-1479

      To the Editor: An article1 and editorial2 in the December 1 issue emphasized the damaging effects that excessive exposure to ambient solar ultraviolet radiation can have on the eye. As chemists, we were surprised to read in the editorial that "ordinary ...

      1479-1480

      No extract is available for articles shorter than 400 words.

      1480-1481

      No extract is available for articles shorter than 400 words.

      1481-1482

      No extract is available for articles shorter than 400 words.

      1482

      No extract is available for articles shorter than 400 words.

      1482-1483

      No extract is available for articles shorter than 400 words.

      1483-1484

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1484

      No extract is available for articles shorter than 400 words.

      1484

      The first edition of this work was published in 1983, when there was a dearth of up-to-date books on nuclear magnetic resonance (NMR). This second edition enters a much more competitive field. While many "specialty" books have been published, this one is ...

      1485

      No extract is available for articles shorter than 400 words.

      1485-1486

      Musculoskeletal magnetic resonance imaging is the fastest growing application of this new technology, according to recent surveys. The use of magnetic resonance imaging is rapidly changing the diagnostic management of orthopedic disorders. Magnetic ...

      1486

      No extract is available for articles shorter than 400 words.

      1486-1487

      This book has been written to implement the Jeffersonian dictum that there is "no safe depository of the ultimate powers of society but the people themselves; and if we think them not enlightened enough to exercise their control with a wholesome ...

      Notices
      1487-1488

      JOHNS HOPKINS MEDICAL INSTITUTIONS

      The following programs will be held in Baltimore, unless otherwise noted: "2nd Annual Wilmer Institute Current Concepts in Ophthalmology" (Dec. 7–9); "Clinical Problems in Gynecologic Surgery" (St. Thomas, V.I., Jan. 27–...

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