Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date

Table of contents for

February 21, 1991  Vol. 324 No. 8

Original Articles
509-516

CHRONIC granulomatous disease is a heterogeneous group of uncommon inherited disorders characterized by recurrent pyogenic infections that usually begin early in life and may lead to death in childhood.1 2 3 Two thirds of the cases involve disease ...

517-521
  • Free Full Text

GLUCOSE-BASED oral rehydration solutions have provided a simple and successful means of treating or preventing dehydration due to acute diarrhea in infants and children. Although glucose-based solutions stimulate the intestinal absorption of fluid and ...

522-526

TRANSIENT polyuria and polydipsia during pregnancy are infrequent but well recognized, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 although the mechanisms responsible for their occurrence are not entirely clear. Possible ...

527-531

THE control of hyperphosphatemia is a difficult clinical problem in the care of patients with chronic renal failure who are undergoing regular dialysis.1 With the recognition that long-term ingestion of large doses of phosphate-binding antacids containing ...

532-536
  • Free Full Text

THYROID hormones have a vital role in fetal development in many species. The best studied are fetal rats and sheep, in which thyroid hormones have important physiologic functions, including stimulation of neural growth and pulmonary development.1 What is ...

543-546
  • Free Full Text

A LARGE goiter in a fetus is a rare yet potentially dangerous condition. A large goiter may cause hyperextension of the neck of the fetus, resulting in malpresentation and complicating labor and delivery.1 In the neonate, the goiter can obstruct the ...

Special Article
536-543

ON two previous occasions we presented the number and population ratios of board-certified physicians and surgeons in practice in the United States, comparing them over time with the total number of physicians in active practice beyond residency according ...

Case Records of the Massachusetts General Hospital
547-555

Presentation of Case

A 69-year-old man was admitted to the hospital because of severe epigastric pain.

There was a history of coronary artery disease with an inferoposterior myocardial infarct 20 years earlier and four admissions to another hospital ...

Editorials
556-558

    Both clinicians and pregnant women know that pregnancy is typically accompanied by a change in the pattern of micturition, due to the pressure of an enlarging uterus on the adjacent bladder. This change in the pattern of voiding, which is characterized by ...

    558-559

    Aluminum was first used to control phosphate levels in patients undergoing dialysis 30 years ago, after Dr. Belding Scribner noted that his early patients on dialysis were "turning to stone"1 (and Scribner BH: personal communication). As phosphate levels ...

    559-561

    Newborn infants may have hyperthyroidism or hypothyroidism. Hyperthyroidism is usually recognized in newborns, not only because of its clinical manifestations, but also because it occurs in a setting in which it may be anticipated — namely, when the ...

    Correspondence
    561-562
    • Free Full Text

    To the Editor: I agree with the articles by Annas and others (Sept. 6 issue)1 , 2 on the problems in the Cruzan opinion, but I would like to suggest another way in which this decision is out of touch with medical reality. The Supreme Court in Cruzan ...

    562-564

    To the Editor: Buchwald et al. (Oct. 4 issue)* do a disservice to their careful study by presenting their data in a confusing and incomplete fashion. In the section "Overall and Cause-Specific Mortality," they report 44 deaths in the control group and 32 ...

    564-565

    To the Editor: The paper by Siegel et al. (Sept. 27 issue)1 raises a question about the interpretation of the results of ACTH stimulation tests in women with hirsutism. An excessive response (i.e., an increase to a value >2 SD above the mean in normal ...

    565

    To the Editor: Human T-cell lymphotropic virus Type II (HTLV-II), the second human retrovirus to be discovered, has recently been found to be endemic among intravenous drug users in the United States and Europe.1 2 3 4 In addition, about half the blood ...

    566

    To the Editor: The standard method for gaining access to the internal jugular vein is by the external anatomical-landmark method.1 Although this method usually allows venous access, a failure rate of up to 19 percent and a complication rate of 5 to 10 ...

    566-567

    To the Editor: Fuchs and Hahn (Sept. 27 issue)* address one potential liability of the Canadian health care system that has been conveniently ignored in most previous analyses. With regard to the "timeliness and convenience" of surgical and nonsurgical ...

    567

    To the Editor: The Committee on Scientific Freedom and Responsibility of the American Association for the Advancement of Science and Amnesty International wish to alert the medical community to the plight of up to 90 Syrian health professionals who are ...

    568

    In dark tangled woods the burnt man stalks me, his parched hand tracing my silhouette.

    But watch his onion head unravel and blow across the field like so many cartoons once I'm safe inside your Tudor home. There we extract the stings of disaster and dine ...

    Book Reviews
    568

    The opus has arrived. The prolific personnel in pediatric cardiology at Texas Children's Hospital have published yet another book, but this work is of an even higher order of magnitude than before. The editors have conceived and executed a three-volume ...

    568-569

    To my knowledge, this is the only textbook available on this subject. The book is well written and well organized, and it fills an important gap. It is a pleasure to have a subject covered from the basics through the clinical aspects by the same person. ...

    569

    Conception and organization are the greatest assets of this book. It focuses on the practitioner's office, not the rarefied world of the inpatient ward of a tertiary care children's hospital. The editors deserve considerable credit in pointing out that ...

    569

    When I was a resident in pediatrics, it was only in endocrinology that I-felt that pure satisfaction of mastering mechanisms of physiology that appeared to be played out with such exactness in the processes of human disease. In time, the mechanisms of ...

    569-570

    In his foreword to this atlas, Weatherall paints a poignant picture of an uneasy "adult hematologist" gazing in "gloomy despair" at the peripheral-blood smear of a sick newborn. This book will go a long way to lift the gloom, ease the despair, and restore ...

    570

    It has been 18 years since the publication of the first edition of this book. The second edition is an updated, four-volume work. Although the book has been written by a single author, he acknowledges assistance from many experts and credits the ...

    Books Received
    570-571

    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
    571-572

    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.

    UNIVERSITY OF IOWA

    The following conferences will be held in Iowa City: "Iowa-...