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November 30, 1989  Vol. 321 No. 22

Original Articles
1489-1493

LITHIUM salts have been invaluable in preventing or attenuating manic and depressive episodes in patients with bipolar disorder. It has been four decades since Cade described the use of lithium for this condition,1 yet our knowledge of the dose–response ...

1494-1500

NON-A, NON-B hepatitis remains the most common serious consequence of blood transfusion. Studies conducted before 1980 indicated that the risk of post-transfusion hepatitis was 7 to 12 percent.1 Currently, the risk is presumed to be considerably lower, ...

1501-1506

HEPATITIS C (non-A, non-B hepatitis) is a common disease that accounts for more than 90 percent of the cases of hepatitis that develop after transfusion.1 Despite improvement in the quality of the blood-donor pool and the recent implementation of testing ...

1506-1510

CLASSIC, parenterally transmitted non-A, non-B hepatitis is caused by a small, single-stranded RNA virus1 , 2 that has provisionally been named the hepatitis C virus. Hepatitis C virus is the chief cause of post-transfusion hepatitis2 , 3 and a common ...

Special Article
1511-1517

    WOMEN physicians who decide to pursue academic careers and to have children choose to assume conflicting commitments. The time pressures of research, teaching, patient care, academic work, and publication, coupled with promotion and tenure deadlines, ...

    Medical Intelligence
    1517-1527

    ASTHMA affects more than 5 percent of the population in industrialized countries, yet it is underdiagnosed and undertreated. There is evidence that the prevalence and severity of asthma are rising.1 The number of deaths from asthma may also be rising,2 3 ...

    Case Records of the Massachusetts General Hospital
    1528-1537

    Presentation of Case

    A 38-year-old woman was admitted to the hospital because of a cough, fever, and a right paratracheal mass.

    The patient was reportedly well until four or five weeks earlier, when she began to have an intermittent dry cough, with ...

    Editorials
    1538-1540

      Recombinant DNA technology has brought us to a new era in research on and control of non-A, non-B hepatitis. The cloning and sequencing of what is being called hepatitis C virus1 and the development of a serologic assay to detect antibody to a part (...

      1540-1542

      Nearly 10 years ago I called attention to the rapid increase in the number of women entering U.S. medical schools and speculated on the changes in the medical profession that might ensue if this trend were to continue.1 Since then, the increase in the ...

      Sounding Board
      1542-1544

      The influx of women into medicine during the past two decades has rescued the profession from a serious threat to its quality. Given what women have done for medicine, the time is overdue for the changes medicine must make to accommodate its new ...

      Massachusetts Medical Society
      1544-1545

      DEATHS

      Albano — Peter Rocco Albano, M.D., of Stockbridge, died on September 5. He was 79.

      Dr. Albano received his degree from Middlesex University School of Medicine in 1936.

      Boyer — Norman Howard Boyer, M.D., of Lexington, died on October 10. He was 80.

      ...

      Correspondence
      1545-1547

      No extract is available for articles shorter than 400 words.

      1547-1548

      To the Editor: There is considerable uncertainty in estimates of the current and future prevalence of the human immunodeficiency virus (HIV). Salzberg and Dolins (April 6 issue)1 state that the ratio of the number of HIV carriers at the beginning of a ...

      1548

      No extract is available for articles shorter than 400 words.

      1548-1549

      To the Editor: The increasing problem of infection of infants by maternal transmission of HIV was recently discussed in the Journal 1 , 2 Since the infection can be transmitted across the placenta early in gestation3 and the virus can be isolated from ...

      1549-1550

      No extract is available for articles shorter than 400 words.

      1550-1551

      No extract is available for articles shorter than 400 words.

      1551-1553

      To the Editor: Dr. Todd (July 6 issue)1 attempts to show that universal access to health care can be guaranteed without universal insurance, but he fails to convince. Surely he is arguing for tax-supported universal health insurance when he advocates "to ...

      Book Reviews
      1553-1554

      In giving us 12 tales from his notebook, Siegfried Kra joins a narrative tradition among physicians that, in the United States, derives from the early 19th century. In the 1830s physicians with stories to tell and publishers with audiences to please ...

      1554

      Consider these three cases: Donald, a 39-year-old man with terminal cystic fibrosis, wishes to die without further medical intervention, but his physician is adamant about the need for invasive procedures; Arthur, a 35-year-old man who is profoundly ...

      1554-1555

      The first of these books, on theory and practice, advances the view that ethical theory is fatally flawed if it fails to be of consequence in everyday medical decisions. Ethics should be expected to deliver what it promises: justified choices that respect ...

      1555

      With these books the editor, a prominent voice in medical ethics, breaks new ground.

      For Medical Ethics, Veatch has procured the aid of recognized scholars in various special areas. Each contributor has been charged with writing a chapter that captures ...

      1555

      No extract is available for articles shorter than 400 words.

      Notices
      1556

      PROFESSIONAL RELATIONS AND RESEARCH INSTITUTE

      The following meetings will take place: "1990 Annual Meeting of the Southern Association for Vascular Surgery" (Acapulco, Mexico, Jan. 24–27); "American Society for Gastrointestinal Endoscopy: 7th National ...

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