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August 23, 1990  Vol. 323 No. 8

Original Articles
497-502

EACH year in the United States, approximately 420,000 patients are hospitalized with head injuries.1 Five thousand to 30,000 of these patients have post-traumatic seizures,2 3 4 5 which can be disabling and require lifelong treatment.

Antiepileptic drugs ...

502-507
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MOST asthma in children and young adults is found in association with immediate hypersensitivity to inhaled allergens and is associated with a familial tendency toward various forms of hypersensitivity, a condition known as atopy.1 , 2 The clear evidence ...

508-513

THERE are two main forms of acquired systemic amyloidosis.1 , 2 AL amyloidosis, formerly known as primary amyloidosis, occurs in patients with B-cell or plasma-cell dyscrasias, in whom fragments of monoclonal immunoglobulin light chains form amyloid ...

514-520

IN patients with chronic stable angina, several studies1 2 3 4 have shown that many episodes of ST-segment depression during daily life are not preceded by an increase in heart rate, or occur at a heart rate much lower than that required to trigger ...

527-530

HYPOSPADIAS is a congenital defect in which the urethra terminates on the ventral surface of the penis. In about 20 percent of cases, the urethral meatus is at the base of the penis, and the anterior urethra is absent. Treatment in these cases requires ...

531-533

PNEUMOCYSTIS carinii pneumonia (PCP) is the most common illness defining the presence of the acquired immunodeficiency syndrome (AIDS). It occurred in 70 percent of the pediatric patients with the human immunodeficiency virus (HIV) infection whose cases ...

Review Article
520-526

    DISTURBANCES in the pattern of sleep are common in older adults. These sleep–wake disturbances can be the result of physiologic changes that are apparently part of normal aging, a primary sleep disorder, a secondary sleep problem resulting from one of a ...

    Case Records of the Massachusetts General Hospital
    534-539

    Presentation of Case

    A 74-year-old man was admitted to the hospital because of a failed right-hip replacement, with pain in the hip and an osteolytic lesion in the right acetabulum.

    There was a long history of degenerative joint disease of the right hip. ...

    Editorials
    540-542

    Every year, more than 500,000 people in the United States have brain injuries caused by cranial trauma.1 2 3 The incidence of brain injury is highest in the young adult population. In the majority, brain injury is manifested only by a brief loss of ...

    542-543

    Twenty-three years ago, when an extensive review of amyloidosis was published in the Journal, the disease was still regarded as very rare.1 In a lifetime of practice, a physician might see one case. The condition was also poorly understood. Over the past ...

    Sounding Board
    543-545

    Many proposals for national health care, including that offered by the Commission on Comprehensive Health Care (the Pepper Commission), are based on pressing or requiring employers to purchase health insurance for their employees. For employees whom this ...

    Correspondence
    545-548

    To the Editor: The study by Suddath et al. (March 22 issue)1 adds substantially to our knowledge of the nature of the brain changes in schizophrenia. However, neither that paper nor the editorial2 discussing its implications considers the possibility ...

    548-550

    To the Editor: In their review of prognosis and management after a first myocardial infarction (March 15 issue),1 Moss and Benhorin did not include psychosocial risk factors or the effectiveness of educational and supportive interventions in improving ...

    550-551

    To the Editor: Better and Stein (March 22 issue)1 have outlined a logical approach to the care of patients with traumatic rhabdomyolysis and have made recommendations for the provision of emergency dialysis services in the event of a catastrophic ...

    551

    To the Editor: The discussion of Case 38–1989 (Sept. 21 issue)* is typical in that it includes an elegant differential diagnosis but absolutely no reference to the wasteful evaluation actually done. Although there did not appear to be much doubt about ...

    551-552

    To the Editor: In the March 15 issue of the Journal, Grossman et al. reported the results of single-lung transplantation for bilateral pulmonary fibrosis.1 We found their data very interesting, but we disagree with their conclusion that single-lung ...

    552

    To the Editor: With reference to the patient who contracted an infection with human T-cell lymphotropic virus Type I (HTLV-I) from transfused blood as described by Gout et al. (Feb. 8 issue),1 we report the following cases.

    Two patients, 69 and 70 years ...

    552-553

    To the Editor: We recently saw a 59-year-old man with severe chyluria. Since our patient was raised in an area of endemic filariasis, past infection with Wuchereria bancrofti was the most likely cause. His chyluria had been mild at first but later became ...

    553

    To the Editor: I need not further congratulate Frezza et al.1 on their excellent article, since its virtues were appropriately discussed in the accompanying editorial by Schenker and Speeg (Jan. 11 issue).2 I do, however, believe that their paper ...

    Book Reviews
    553-554

    The historic event in this biography occurred when John Chamley was saved from oblivion by Minerva Medica, who had previously visited Britain to bestow her favors on William Harvey, John Hunter, and Joseph Lister. She reappeared at twilight on May 1, 1962,...

    554-555

    This work by Evarts has enjoyed a special position among textbooks of orthopedic surgery. It is intended "to present in one source the information needed to assess, plan and perform a surgical procedure on the musculoskeletal system of the adult." In this ...

    555

    At a time when interest, knowledge, and techniques in shoulder surgery are expanding, this book on shoulder reconstruction is very timely. Written by one of the country's foremost shoulder experts, it systematically and completely reviews the basics of ...

    555
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    This book was written with the intention of providing practicing clinicians with a definitive, all-inclusive textbook on the shoulder. Numerous authors were invited to contribute chapters on subjects with which they have had extensive clinical and ...

    555

    Among spine surgeons, the question of whether microsurgery for the treatment of lumbar disk disease has real value has been a controversial issue since the introduction of the technique about 15 years ago. Here is a compact but exhaustive book edited by ...

    556

    This is the second edition of a book first published in 1982. It serves as much more than a how-to manual for treatment of fractures, with an in-depth study of growth skeletal biology, anatomy, and physiology. This second edition includes many more ...

    Notices
    556

    OHIO STATE UNIVERSITY

    The following conferences will be held in Columbus: "Estrogen and Breast Cancer" (Sept. 15); "Brachytherapy" (Sept. 21 and 22); and "5th Annual Encodurietherapy Symposium: New Techniques in Adjuvant Therapy of Cancer" (Sept. 21 and ...

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