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September 12, 1991  Vol. 325 No. 11

Original Articles
749-755
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POST-POLIOMYELITIS progressive muscular atrophy (post-polio syndrome)1 2 3 is characterized by new, slowly progressive muscle weakness affecting patients decades after there has been maximal recovery from acute paralytic poliomyelitis. The condition has ...

756-762

THE influence of exogenous hormones on the risk of cardiovascular disease has long been controversial. More than 20 studies published in the past decade have addressed the issue of postmenopausal estrogen use and coronary disease.1 Our earlier report of a ...

763-768
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CHAGAS' disease with cardiac involvement is an important public health problem in countries where Trypanosoma cruzi and its triatomid vector (the reduviid bug) are found in proximity to human habitation. It is likely that between 16 and 18 million people ...

769-774
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CYSTIC FIBROSIS, the most prevalent lethal hereditary disease in the white population, is characterized by chronic pulmonary and gastrointestinal dysfunction. The need for early diagnosis has been suggested by studies indicating that the prognosis is ...

Special Article
775-782

THE field of alcoholism treatment has long been divided over how much treatment is enough and over whether and when inpatient care is justified to supervise withdrawal from alcohol1 or manage alcohol dependence.2 , 3 Studies comparing inpatient treatment ...

Review Article
783-793

STREPTOCOCCUS PYOGENES (group A streptococcus) is one of the most common and ubiquitous of human pathogens. It causes a wide array of infections, the most frequent of which are acute pharyngitis ("strep throat") and impetigo (pyoderma). Other ...

Case Records of the Massachusetts General Hospital
794-799

Presentation of Case

A 47-year-old woman was admitted to the hospital because of severe back pain and an osteosclerotic lesion of the 11th thoracic vertebral body.

The patient was well until 11 weeks earlier, when she lifted a 9-kg bag of seed. On the ...

Editorials
800-802

Despite the important epidemiologic evidence provided by Dr. Stampfer and his colleagues in this issue of the Journal 1 of the apparently protective effect of postmenopausal estrogen-replacement therapy against coronary events in women, it is ...

802-804

IN every state in the United States, newborn infants are routinely screened for phenylketonuria and hypothyroidism. In one or more states, screening is routine for at least one of nine other disorders.1 The differences in states' policies on screening can ...

804-806

IN 1949 a group of wealthy Minnesotans bought a white farmhouse northeast of Minneapolis and named it Hazelden Farm. Thus was born the Minneapolis plan for the treatment of alcoholism. It took a while for the plan to catch on, but eventually it did, and ...

Sounding Board
806-808

    Over the past two years, the National Commission on AIDS has held hearings almost monthly to gain a better understanding of America's relentlessly advancing epidemic of human immunodeficiency virus (HIV) infection. We have issued four interim reports ...

    Correspondence
    809-811

    To the Editor: Angell (May 23 issue)* proposes a nationally funded program for the care of all persons infected with the human immunodeficiency virus (HIV). Although the provision of adequate medical care to all persons, including the HIV-infected, ...

    811-813

    To the Editor: We were surprised by the conclusion of Schnorr and her coworkers (March 14 issue)1 that exposure to electromagnetic fields emitted by video display terminals (VDTs) was not associated with an increased risk of spontaneous abortion.

    We ...

    813-814

    To the Editor: Drs. Crist and Kun gave an excellent overview of the status of pediatric oncology in their review article (Feb. 14 issue).1 Their statement concerning the role of radiation therapy in patients with neuroblastoma should, however, be ...

    814

    To the Editor: Primary pericardial mesothelioma is a rare disease. Mirabella* reviewed 206 cases reported from 1875 to 1978. We wish to report two cases of primary pericardial mesothelioma in Slovenia.

    A 44-year-old man had dyspnea for two years before ...

    814-815

    To the Editor: Low-density lipoprotein (LDL) cholesterol is a risk factor for atherosclerosis. It accumulates in vessel walls,1 and LDL that has been modified by oxidation may contribute to the genesis of atherosclerosis.2 Accordingly, the prevention of ...

    815

    To the Editor: In his article entitled "The Marlboro Grand Prix" (March 28 issue),* Dr. Blum stated that "several toymakers, including Mattel..., have manufactured toy racing cars with Marlboro and Camel decals that are sold at toy and hobby shops." We ...

    815-816

    To the Editor: In regard to the article by Dr. Barry (March 28 issue),1 a survey conducted by the Japanese tobacco industry in 1990 found that the prevalence of smoking was 60.5 percent among men and 14.3 percent among women; in other words, about 26.5 ...

    Book Reviews
    816-817
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    Bright, Cushny, and Smith would certainly be delighted with the insights into their favorite organ that are presented here, were they to examine these volumes. Each chapter has been written by scholars who have made important contributions to our ...

    817

    Although they use somewhat different approaches, both these monographs on the cardiovascular system cover basic physiology and discuss a number of clinical applications. The authors of both books state that they are intended for medical and graduate ...

    818

    Since the publication in 1986 of the third edition of Cardiac Catheterization and Angiography, substantial advances have been made in the field of interventional cardiology. The importance of this rapidly expanding field has been recognized in the title ...

    818

    This welcome new edition has grown by 100 pages since the third edition was published in 1988 and now includes contributions from 174 authors. The chapters are appropriately brief, with short bibliographies. New sections have been added on endocrine ...

    818-819

    Recent progress in the study of osteoporosis has drawn on the important developments that have occurred in other areas of metabolic bone disease. This splendid textbook summarizes many of these developments. The 24 chapters are, for the most part, ...

    Books Received
    819

    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 are ...

    Notices
    820-823

    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.

    NURSING IN THE AMBULATORY SURGERY SETTING

    The seminar will be held in Denver, ...

    Health Policy Report
    823-828

    The relationship between physicians and Medicare, which was turbulent throughout the 1980s, has entered a volatile new phase with one strikingly unusual dimension. Congress is solidly in the profession's corner in a protest over the manner in which the ...

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