Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date
NEJM Digital Archive

Table of contents for

December 7, 1989  Vol. 321 No. 23

Original Articles
1557-1562

TOPICAL cocaine anesthesia is used in over half the 370,000 rhinolaryngologic procedures performed annually in the United States, and more than 90 percent of otolaryngologists use cocaine routinely for anesthesia during nasal surgery.1 , 2 The ...

1562-1566

INFECTION with Helicobacterpylori (formerly called Campylobacter pylori) in the stomach and duodenum is highly associated with histologic gastritis and duodenal ulcer disease in patients with upper gastrointestinal symptoms.1 2 3 4 5 6 Preliminary data7 8 ...

1567-1571

    LAMBERT–EATON myasthenic syndrome is a disorder of peripheral cholinergic neurotransmission that results in muscle weakness, hyporeflexia, and autonomic dysfunction. The electrophysiologic defect of the myasthenic syndrome was characterized in 1956 by ...

    1572-1577

    The mortality rate in patients with insulin-dependent diabetes and diabetic nephropathy is more than 30 times higher than the rate in diabetic patients who do not have nephropathy.1 A substantial part of this excess mortality is caused by cardiovascular ...

    Special Articles
    1577-1583

    THE subject of climatic and environmental changes that result from human activity has been much in the news recently. Discussions of the greenhouse effect, thinning of the ozone layer, rising levels of carbon dioxide, global warming, chlorofluorocarbons, ...

    1584-1589

      INTENTIONAL injuries — that is, injuries resulting from acts of violence with intent to harm oneself or others — are now recognized as a major cause of death in the United States.1 2 3 Among children and adolescents under 20 years of age, there were 2151 ...

      Medical Intelligence
      1589-1594

      A VARIETY of neurologic disorders are associated with different forms of cancer.1 2 3 4 5 6 7 Secondary neurologic effects that become manifest in the absence of metastasis are collectively called paraneoplastic phenomena, and they include the rapid loss ...

      Case Records of the Massachusetts General Hospital
      1595-1603

      Presentation of Case

      A 71-year-old man was admitted to the hospital because of a colonic tumor.

      The patient was in a static state of health until two weeks earlier, when he noticed fresh blood in a stool. Examination revealed a positive test for occult ...

      Editorials
      1604-1606

        Clinical reports published over the past decade have established the fact that recreational abuse of cocaine may result in acute myocardial infarction.1 At least 58 cases of acute myocardial infarction temporally related to cocaine abuse have been ...

        1607-1608

        AN early manifestation of small-cell carcinoma of the lung and ovarian carcinoma is peripheral or central nervous system dysfunction — the so-called paraneoplastic syndromes — which is frequently encountered before the tumor is detected. Paraneoplastic ...

        Correspondence
        1608-1610

        No extract is available for articles shorter than 400 words.

        1610-1611

        No extract is available for articles shorter than 400 words.

        1611-1613

        No extract is available for articles shorter than 400 words.

        1613-1614

        To the Editor: A pelvic mass in an older woman is usually an inflammatory or neoplastic mass. We recently encountered a patient in whom such a mass quite unexpectedly proved to be a lithopedion.

        A 94-year-old woman was hospitalized for treatment of ...

        1614-1615

        No extract is available for articles shorter than 400 words.

        1615

        No extract is available for articles shorter than 400 words.

        1615-1616

        No extract is available for articles shorter than 400 words.

        Book Reviews
        1616-1617

        Views of in vitro fertilization (IVF) tend to adopt monochromatic extremes: dark visions of a future dehumanized by genetic manipulation or bright reassurances of miracle babies and genetic cures. Bonnicksen's study is a welcome departure. Using a full ...

        1617

        This book discusses functional disorders of the menstrual cycle, including premenstrual syndrome (PMS), dysmenorrhea, headache, and mastalgia. Of the 17 chapters in the book, 11 deal with PMS. This emphasis is not an accident. In the preface, the editors ...

        1617-1618

        At the outset, one may object to the limited anatomical scope of this work, but in its design it succeeds in addressing the needs of anatomical pathologists who study gynecologic material to assist in the care of the sick. The book provides an approach to ...

        Books Received
        1618

        Biomedical Science

        Anti-inflammatory Steroid Action: Basic and clinical aspects. Edited by Robert P. Schleimer, Henry N. Claman, and Arnold Oronsky. 564 pp., illustrated. San Diego, Academic Press, 1989. $110.

        Arachidonic Acid Metabolism in the Nervous ...

        Notices
        1619

        AWARD IN nutritional IMMUNOLOGY

        Letters of nomination are now being accepted. Deadline for receipt is Feb. 2. Contact Dr. Frank P. Schelp, Freie Universitat Berlin, Arbeitsgruppe Epidemiologie, Augustastrasse 37, 1000 Berlin 45, Federal Republic of ...

        Information for Authors
        1620

        These guidelines are in accordance with the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals." (The complete document is available in the June 12, 1982, issue of the British Medical Journal and the June 1982 issue of the Annals of ...

        Trends: Most Viewed (Last Week)

        More Trends