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June 27, 1991  Vol. 324 No. 26

Original Articles
1829-1838

THE modern treatment of patients with spinal-cord injuries began during World War II in England, and its success led to the development of centers treating such injuries in the United States.1 2 3 The emergency medical systems developed concurrently ...

1839-1844

BODY weight can fluctuate for a variety of reasons, one of which is dieting with the goal of weight reduction and the subsequent regaining of the weight that was lost. Because repeated episodes of weight loss and gain are so common, it is important to ...

1845-1851
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BENCE Jones proteins are of pathophysiologic importance in renal and systemic diseases associated with increased production of light chains. These diseases include myeloma (cast) nephropathy, light-chain deposition disease, and amyloidosis AL.1 Their ...

1852-1857
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IN normal subjects tissue oxygen consumption is maintained at around 110 ml per minute per square meter of body-surface area, and changes in oxygen delivery are counterbalanced by reciprocal changes in the proportion of oxygen extracted. In critically ill ...

1858-1864

Many authorities have emphasized that the findings in suffocation and sudden infant death syndrome (SIDS) are indistinguishable on postmortem examination.1 , 2 It is thus not surprising that difficulties in differentiating SIDS from accidental suffocation ...

Review Article
1865-1875

The vitamin K-antagonist drugs were reviewed in the Journal in the early 1970s.1 , 2 Since then, there has been considerable progress in research at both a basic and an applied level. The mode of action of coumarins has been clarified; their role in the ...

Case Records of the Massachusetts General Hospital
1876-1884

Presentation of Case

An 81-year-old man was admitted to the hospital because of an intrathoracic mass and weight loss.

The patient was well until two years earlier, when fatigue and anorexia developed, with a gradual loss of 18.2 kg in weight by the time ...

Editorials
1885-1887

Acute spinal-cord injury is an unexpected, catastrophic event, the consequences of which often persist for the life of the patient and influence in diverse ways not only the patient, but also family members and society at large. The incidence of acute ...

1887-1889

Being overweight has reached epidemic proportions in the United States and Canada. In adults it is defined as having a body-mass index (the weight in kilograms divided by the square of the height in meters) of 26 or more. According to this criterion, ...

1889-1890

The kidney is often a window on systemic disease. In particular, it is a major target organ for the deposition of proteins that are produced in various diseases, and such deposits often increase glomerular permeability. Thus, albuminuria may be the ...

Correspondence
1890-1891
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To the Editor: Smith et al. (Jan. 24 issue)1 raise the frightening specter of the possibility of latent rabies virus in animals and humans. This observation is not new. At the annual spring fur trappers' rendezvous held on the Green River in Utah in 1833,...

1892-1893

To the Editor: Dr. Gittes' review of carcinoma of the prostate (Jan. 24 issue)1 mentions the possible association between serum testosterone levels and the risk of prostatic cancer.2 I should like to add that the abuse of anabolic—androgenic steroids may ...

1893-1894

To the Editor: Interleukin-61 is a multifunctional cytokine produced by both inflammatory cells and tumor cells, including myeloma cells, cardiac myxoma cells, and renal-cell carcinoma cells. It is also an autocrine growth factor for multiple myeloma2 ...

1894-1895

To the Editor: Ellis et al. reported the successful treatment with cyclosporine of patients with plaque-type psoriasis (Jan. 31 issue).1 Treatment with cyclosporine may lead to nephropathy and hypertension.2 In the accompanying editorial, Lowe quite ...

1895-1896

To the Editor: Serologic assays for hepatitis C virus (HCV) have demonstrated that HCV is the chief cause of acute and chronic non-A, non-B hepatitis.1 Although it has been widely assumed that non-A, non-B hepatitis virus is a major cause of fulminant ...

1896

To the Editor: Hypertrichosis of the eyelashes associated with zidovudine therapy in the treatment of patients with the acquired immunodeficiency syndrome (AIDS) has not to our knowledge been reported as a drug-induced adverse effect. We present a case ...

1896-1897

To the Editor: In his editorial (Feb. 7 issue)1 Layzer concludes that little is known about the biochemistry of exercise-induced muscle fatigue. It is now becoming apparent, however, that such fatigue may be influenced by local and systemic potassium ...

1897-1898

To the Editor: Intramuscular injections are routinely performed by nurses and ancillary staff, and consequently, many physicians are not familiar with the proper technique or the potential complications.

One of the complications is secondary abscess ...

1898

Blanket draped on matted hair, the shuffling gutter-trekker, garbage picking, wall pissing, cast off like a burger wrapper, contents all consumed, to blow about in shifting winds through cold, gray caverns, then lie atop the steaming grates of howling ...

Book Reviews
1898-1899

The special strength of this book, the clearest analysis of the subject to date, is its remarkably well presented and researched explanation of the reasons for the crisis state of America's health care system. The three key factors identified by the ...

1899

Toxic waste is contaminating our world, the greed of corporate America has caused this disaster, the government stands idly by, and the citizen victims of contamination are left to fend for themselves. This is the thesis espoused in No Safe Place. The ...

1899-1900

I was first introduced to Rocky Mountain spotted fever by my mother. After a day in the woods, she would painstakingly search my body (and my brother's) for ticks. This ritual provoked a certain morbid fascination, though I thought the whole process ...

1900
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Infection with the human immunodeficiency virus (HIV), its complications, and its treatment present a new set of challenging problems to surgeons. Thrombocytopenia related to the acquired immunodeficiency syndrome (AIDS), biliary obstruction caused by ...

1900-1901

As patients become more savvy about and interested in health care, prevention, and "wellness," primary care physicians will be called on to provide more information about these subjects. This encyclopedia is a good source to which physicians may refer ...

1901

It is hard to believe that the wholesome, pleasant-looking woman whose photograph appears on the inside back cover of The Encyclopedia of Alternative Health Care is really its author, Kristin Gottschalk Olsen. After all, Olsen was a "barbarian warlord" in ...

Books Received
1901-1903

The receipt of these books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.

Addresses of most overseas publishers ...

Notices
1903-1904

Notices Submitted for publication should contain a mailing address and phone number of a contact person or department. We regret we are unable to publish all Notices received.

RADIOLOGY

The following courses will be offered: "Body Imaging: Ultrasound CT ...

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