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November 14, 1991  Vol. 325 No. 20

Original Articles
1393-1398

CARDIOPULMONARY resuscitation has been implemented extensively in hospitals throughout the United States in the 30 years since its inception.1 Originally used for victims of acute but reversible insult,2 its application has grown to include attempts to ...

1399-1405
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IN epidemiologic studies conducted a decade ago, we described an inverse relation between calcium intake and gestational hypertension and eclampsia.1 , 2 We also found that calcium supplementation lowered blood pressure in pregnant and nonpregnant women.3 ...

1406-1411

TRANSMISSION of the human immunodeficiency virus (HIV) to health care workers caring for HIV-infected patients has been well documented.1 The possibility of such transmission to patients receiving care from an HIV-infected health care worker was ...

1412-1417

PLANNING research, treatment, and rehabilitative services for eye diseases requires accurate estimates of the prevalence and causes of blindness. Few such data exist, particularly in Western countries, where the overall rates of blindness are ...

Special Articles
1418-1422
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GLAUCOMA is the second leading cause of irreversible blindness in the United States and the most common cause among black Americans.1 2 3 It has long been noted that black patients are overrepresented among those attending glaucoma clinics.2 Data from the ...

1423-1428
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DIARRHEAL disease has long been a serious problem for military forces, especially during combat.1 2 3 Acute diarrhea continues to be an important cause of morbidity and absence from work among U.S. military personnel who are deployed overseas.4 5 6 7 ...

Case Records of the Massachusetts General Hospital
1429-1436

Presentation of Case

A 64-year-old man was admitted to the hospital because of increasing bouts of hemoptysis, a bronchoesophageal fistula, and broncholithiasis.

There was a long history of chronic pulmonary disease characterized by a cough, exertional ...

Editorials
1437-1439

DESPITE the widespread implementation of emergency-resuscitation programs since the 1960s, only modest gains in the rate of successful resuscitation after cardiopulmonary arrest have been realized. Have we failed? Was the concept of resuscitation outside ...

1439-1440

IN 1941, Soma Weiss, in the foreword to his and Lewis Dexter's book Preeclamptic and Eclamptic Toxemia of Pregnancy, wrote, "Investigations in various branches of the natural sciences, including medicine, have shown that the study of problems which fall ...

1440-1442

IN a series of papers from the Baltimore Eye Survey, Sommer and colleagues have confirmed that the leading causes of blindness in the United States are cataract, primary open-angle glaucoma, and age-related macular degeneration.1 2 3 4 5 The results show ...

Correspondence
1442-1444

To the Editor: In their article (May 23 issue)* on indexes predictive of outcome in patients being weaned from mechanical ventilation, Drs. Yang and Tobin comment that traditional indexes used to predict the outcome of weaning have limited power and are ...

1444-1446

To the Editor: Dr. Trunkey provides a useful overview of the care of the patient with life-threatening injuries (May 2 issue).1 We certainly agree that timely and appropriate operative intervention is key to the successful treatment of the seriously ...

1446-1447

To the Editor: The data presented by Walsh et al. (April 11 issue)* assess the potential of a new test to document deep-seated candida infections. This assay appears to provide information complementary to that supplied by currently available tests. An ...

1447-1448

To the Editor: We report that the bacillary angiomatosis agent, BA-TF, described by Relman and colleagues,1 is very closely related to but distinct from Bartonella bacilliformis. Our evidence is based on an analysis of the 16S ribosomal RNA (rRNA) gene ...

1448-1449

To the Editor: Although for United States troops deployed to foreign countries acute gastroenteritis is a common problem [see the report by Hyams et al. elsewhere in this issue1], some troops may present later after their return to the United States with ...

1449-1450

To the Editor: We describe here the occurrence of isolated musculoskeletal pain in 26 renal-transplant recipients, in which cyclosporine was incriminated as the cause of the pain. Between 1982 and 1985, 234 patients received renal transplants at our ...

Book Reviews
1450-1451

(Editor's Note: Rather than review the book itself, two physicians review the issue raised by the book that is most important to the medical community — namely, confidentiality in psychotherapy.)

Anne Sexton lived on the edge of madness. A "confessional" ...

1451

Because questions of medical ethics make Diane Middlebrook's biography of Anne Sexton salient for the readers of the Journal, let me be explicit about my credentials. I have no qualifications as a literary critic; I shall not attempt to assess Anne Sexton ...

Books Received
1452

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. The Journal does not publish unsolicited ...

Notices
1452

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.

REGIONAL MEDICAL PROGRAMS

The conference, subtitled "Legislation and ...