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Table of contents for

June 5, 1975  Vol. 292 No. 23

Original Articles
1199-1205

NONGONOCOCCAL urethritis (NGU) is extremely common among sexually active men. For example, NGU accounted for 348 (62 per cent) of 561 consecutive cases of urethritis in men seen at the Harborview Medical Center Venereal Diseases Clinic during 1974. Future ...

1205-1209

WHEN given intravenously, bile acids are rapidly cleared by the liver and secreted into bile.1 , 2 Delayed plasma disappearance of labeled or unlabeled cholic acid has been shown in patients with liver or biliary tract disease.3 , 6 Yet a test based on ...

1209-1214

UPTAKE and biliary secretion of bile acids are major hepatic functions,2 , 3 and serum bile acid concentrations are increased in severe parenchymal or obstructive liver disease.4 5 6 7 8 9 10 11 12 13 Nonetheless, serum bile acid measurements have rarely ...

1214-1217

THE combination of vasodilating agents with the beta-adrenergic receptor blocking drug propranolol was found by Gilmore et al.1 to have highly desirable hemodynamic characteristics with few side effects. Blood pressure could be lowered to or near normal ...

Medical Intelligence
1218-1222

THEOPHYLLINE (1,3-dimethylxanthine) is a naturally occurring alkaloid closely related to caffeine (Fig. 1). The pharmacologic actions of theophylline include stimulation of respiration, augmentation of cardiac inotropy and chronotropy, relaxation of ...

1222-1223

IN 1951 Bishopetal.described the technic of percutaneous pericardiocentesis with continuous electrocardiographic monitoring in which the paracentesis needle serves as an exploring electrode.1 With this procedure, an injury current is detected if the ...

1223-1224

COMPLAINTS about an alarming increase in malpractice suits and about the rising cost of malpractice liability insurance can be found in the medical literature of the United States during most of the decades of this century. For example, Louis Regan, of ...

Physiology in Medicine
1225-1230

DIETARY carbohydrate accounts for about half the calories ingested by man and consists of the polysaccharides, starch and glycogen, and the disaccharides, sucrose and lactose. In the Western diet, starch accounts for about 60 per cent, sucrose for 30 per ...

Case Records of the Massachusetts General Hospital
1231-1237

Presentation of Case

An 18-year-old man was admitted to the hospital because of inability to walk.

His development was normal until the age of three and a half years, when he fell and injured the left hip; he walked poorly thereafter, even with the use of ...

Editorials
1238-1239

And the Lord spake unto Moses and to Aaron, saying, "Speak unto the children of Israel and say unto them, when any man hath a running issue of his flesh, because of his issue he is unclean." [Leviticus 15:1–2]

The above quotation is often cited by ...

1239-1240

The cervical venous hum is a continuous machinery-like noise heard over the internal jugular vein at the base of the neck. It is loudest in diastole, during inspiration and with the patient in the upright position. It may be accentuated by turning of the ...

Sounding Board
1240-1241

Why can't doctors be treated like real professionals —professional athletes? Such a system could ensure public visibility, public accountability, and eventually even a better distribution of physicians. Actually, many components of a big-league system ...

Correspondence
1241-1242

No extract is available for articles shorter than 400 words.

1242

No extract is available for articles shorter than 400 words.

1242-1243

To the Editor: In a recent issue of the Journal Czaja and his co-workers reported on use of serial gastroduodenoscopies in acute gastroduodenal disease after thermal injury (N Engl J Med 291:925–929, 1974). They noted that behavior of early mucosal ...

1243

To the Editor: We were more than interested to read (N Engl J Med 292:592, 1975) that a pharmacologic agent, pimozide, is reported to be effective in the treatment of lipodystrophy. In the author's words, "most astounding of all," it caused the ...

1243-1244

No extract is available for articles shorter than 400 words.

1244

To the Editor: In a recent editorial (N Engl J Med 292:587–588, 1975), commenting on a study presented by Hahn and his co-workers1 in the same issue, Dr. Anast expressed a curious interest in the fact that no significant alterations in the serum ...

1244-1245

To the Editor: According to Dr. Koch,1 the risk that aspartame (ASM) might cause brain damage in fetuses of unidentified PKU females is an acceptable trade-off for the benefits that obese persons may derive from this good-tasting sugar substitute. I am ...

1245

No extract is available for articles shorter than 400 words.

1246

No extract is available for articles shorter than 400 words.

1246-1247

To the Editor: The recent doctors' strike in New York City was in some ways a revolutionary event in medical history. As participants in the strike we should like to explain our position. It was extremely painful for us to leave our patients' bedsides. ...

Book Reviews
1247

These twenty-five essays are by no means an old symposial stew or a hastily picked collection of miscellanea. Each contribution is pertinent to the central topic: the cytogenetics of cancer. The writing is authoritative and reflects the intense ...

1247-1248

Cancer is a fearful word for a patient and his family, and often also for the professional care-giver — the nurse, social worker and physician. For even those trained in the care of the living have been taught little about the care of the dying. This ...

1248

No extract is available for articles shorter than 400 words.

1248

This very specialized book, which resurrects the controversy over the suitability of psychoanalysis in the treatment of frequently seen non-neurotic disturbances in juveniles, favors expansion of the application of psychodynamic technics to the treatment ...

1248-1249

No extract is available for articles shorter than 400 words.

1249

No extract is available for articles shorter than 400 words.

1249

No extract is available for articles shorter than 400 words.

1249-1250

Although there are numerous publications on problem-oriented records (POR's), few can be recommended as concise, readable descriptions of the method. Dr. Easton has produced a book that goes a long way toward filling this need.

The introduction, in which ...

1250

This book contains 10 essays by persons recognized as experts in their field, on the goals, accomplishments and shortcomings of the Hunterdon Medical Center on its 20th anniversary. The writers focus on the purposes and problems of hospitals, which ...

1250

Few Americans leave the People's Republic of China without China fever, aptly described by Dr. Dimond:

Usually it expresses itself in a straightforward sentence: "I was the first American reporter to enter China in twenty-two years." This key sentence ...

Books Received
1251-1252

The receipt of the following 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.

Bio and Physical Chemistry

...

Notices
1252

AMERICAN SOCIETY OF PHARMACOGNOSY

A symposium entitled "Natural Flavors and Odors," sponsored by the American Society of Pharmacognosy and die Gesellschaft für Arzneipflanzenforschung, will be presented at the University of Connecticut, Storrs, July 22-...

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