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June 14, 2001  Vol. 344 No. 24

Original Articles
1807-1814

The attack rate increased sharply with age, and seven patients died.

1815-1822

Umbilical-cord blood from unrelated donors can restore hematopoiesis in adults who receive myeloablative therapy.

1823-1831

Probable causative mutation was identified in a protein kinase gene (PRKAG2) on chromosome 7.

1832-1838

Failure of the transition to a cardiorespiratory circulation at birth results in persistent pulmonary hypertension of the newborn. Characterized by elevated pulmonary vascular resistance with extrapulmonary right-to-left shunting of blood across the ...

Images in Clinical Medicine
1839
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Figure 1. A male infant who had been delivered by elective cesarean section to a healthy 41-year-old woman at 38 weeks' gestation presented at 23 hours of age with increasing respiratory distress. Although well at birth, he began to have respiratory ...

Clinical Practice
1840-1845

Foreword

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' ...

Review Article
1846-1850

In 1849, Cumming1 said of the irritable bowel syndrome, “The bowels are at one time constipated, another lax, in the same person. How the disease has two such different symptoms I do not profess to explain.” Over the years, the unexplained ...

Case Records of the Massachusetts General Hospital
1851-1856

Presentation of Case

A 19-month-old boy was admitted to the hospital because of a febrile illness and refusal to walk.

The child's immunizations were up to date. His mother was Portuguese, and his father was Brazilian. Two months before admission, during ...

Editorials
1858-1859

Molecular diagnostic techniques, including the amplification of viral nucleic acid from cerebrospinal fluid by the polymerase chain reaction (PCR), have revolutionized the diagnosis of viral infections of the central nervous system.1 Nevertheless, the ...

1860-1861

Transplantation of umbilical-cord blood was successfully performed for the first time in 1988 to treat a boy with Fanconi's anemia; the donor, the boy's newborn sister, was a perfect HLA match for her brother.1 Since then, the advantages of cord blood as ...

1861-1864

Since its initial description1 seven decades ago, the Wolff–Parkinson–White syndrome has attracted cardiologists' attention not only because of its clinical importance but also because of the opportunity it provides to learn about electrical conduction in ...

Correspondence
1866-1867

To the Editor: The report by Murphy et al. (Feb. 22 issue)1 is misleading in stating that vaccination with the tetravalent rhesus–human reassortant rotavirus vaccine (RRV-TV) was associated with an increased risk of intussusception. The data show only ...

1867-1868

To the Editor: Tsubono et al. (March 1 issue)1 reported that the consumption of five or more cups of green tea per day was not associated with a decreased risk of gastric cancer in a prospective study in Japan. However, this study did not address a ...

1868

To the Editor: I enjoyed the captopril-augmented renal scan in Images in Clinical Medicine (Feb. 8 issue).1 The proposed approach, however, can result in unnecessary scanning. Unaugmented renal scanning has a false negative rate of 20 to 25 percent and ...

1868-1870
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To the Editor: We disagree with Marik (March 1 issue)1 about the bacteriology of aspiration pneumonia and his therapeutic recommendations. Marik contends that anaerobes are seldom involved in aspiration pneumonia, on the basis of both our results2 and ...

1870

To the Editor: Dr. Smith's addendum to the Case Record in the January 25 issue1 contains a misleading and erroneous statement. The patient is described as being “legally blind in the right eye” while able to see with an acuity of 20/30 in the left eye. A ...

1870-1871

To the Editor: Despite promising outcomes in the transplantation into pediatric recipients of umbilical-cord blood from unrelated donors, the low cell dose adversely affects both the rate of hematopoietic recovery and the probability of survival.13 The ...

Book Reviews
1872
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This book summarizes the latest information on the diagnosis and treatment of patients with vascular dementia. The authors, experts in the field, wrote this updated edition for neurologists and others who care for our growing elderly population. Vascular ...

1872-1873

Reading this book was a pleasure. The three authors have a wealth of experience, and their book is uniformly high in quality, authoritative, cohesive, down to earth, and easy to read. It has none of the unevenness and missing or overlapping topics so ...

1873

There is a vast difference between focal and generalized epilepsy, and even within these categories there are extensive differences in symptoms, causes, and treatments. Intractable Focal Epilepsy, the first book of its kind, deals with one major category ...

Corrections
1876

Longitudinal Assessment of Neurocognitive Function after Coronary-Artery Bypass Surgery Original Article, N Engl J Med 2001:344;395-402.. On page 397, in Table 1, the age of the patients who completed follow-up should have been 60.6±10.4, not 61.0±10.4, ...

1876
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Atrial Fibrillation Review Article, N Engl J Med 2001:344;1067-1078.. On page 1071, in Table 2, the maintenance dose for propafenone should have been, “150–300 mg every 8 hours,” not “150–300 mg twice daily,” as printed.