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February 13, 1975  Vol. 292 No. 7

Original Articles
325-328

THE value of an elevated serum amylase as an indicator of acute pancreatitis is limited because elevations also occur with intestinal obstruction and inflammation, liver trauma and hepatitis, acute salpingitis and ruptured ectopic pregnancy, peptic-ulcer ...

329-332

    URINARY excretion of amylase has been shown to be increased and to remain elevated for several days after the return of serum amylase levels to normal in patients with acute pancreatitis.1 It has also been found that renal clearance of amylase tends to be ...

    332-333

    Hand–Schüller–Christian disease is characterized by the infiltration of many areas of the body, including the hypothalamus, by foamy histiocytes.1 When the infiltration involves the hypothalamus, prepubertal growth retardation resembling that seen with ...

    334-339

    IN 1971 a case–control epidemiologic investigation associated the recent occurrence of clear-cell adenocarcinoma of the vagina in young women with intrauterine exposure to diethylstilbestrol administered to their mothers for the therapy of high-risk ...

    Special Article
    340-343

    WHEN the Professional Standards Review provisions were added to the Social Security Amendments of 1972,1 congressional sponsors stated that the purpose of the PSRO law was to provide for a "grass-roots" quality-control mechanism. Professional Standards ...

    Medical Progress
    344-347

      (First of Two Parts)

      POLYMYOSITIS is an inflammatory myopathy of unknown cause to which the term dermatomyositis is applied in the presence of the characteristic skin rash. These disorders share common features with the connective-tissue diseases and are ...

      Medical Intelligence
      348-350

      VENOUS thrombosis of the lower extremity is not rare, but many aspects of its management remain controversial. This uncertainty is not the result of lack of interest but rather is due to a dearth of data based on well designed clinical trials. Recent ...

      351-352

      ORNITHINE transcarbamylase (OTC), the second enzyme in the Krebs—Henseleit urea cycle, catalyzes the formation of citrulline from ornithine and carbamyl phosphate in hepatic mitochondria. Inherited, virtually complete deficiency of OTC causes lethal ...

      352-353

      AMYLOIDOSIS associated with granulomatous bowel disease was reported in 1949 by Cohen and Fishman.1 Since then, 19 cases have been noted in the literature.2 Werther et al.3 found five cases of amyloidosis among 17 autopsied cases of regional enteritis. ...

      354-356

      OF all the revolutions of the past few years, the one that seems most likely to have the longest life is that in sex, simply because people have a vested or, as appropriately, a "bloused" interest. "Women's lib" in medicine bids fair to be as permanent as ...

      Case Records of the Massachusetts General Hospital
      357-363

      Presentation of Case

      A 29-year-old man was admitted to the hospital because of back pain.

      He was well until 11 months earlier, when he experienced the abrupt onset of chills, sweats and generalized aching. These symptoms subsided after several days, ...

      Editorials
      364-365

      To evaluate the specificity of any new method for diagnosing a disease, the correct diagnosis must first be definitively established by means independent of the test being evaluated. When the test under consideration is for the diagnosis of acute ...

      365-366

      In the article "PSRO Today: A Lawyer's Assessment" (p. 340), David Willett points out what he considers to be serious defects in the PSRO law and its implementation that threaten the "grass-roots" quality-control mechanism envisioned by the law's ...

      Sounding Board
      366-368

      A 1974 policy statement of the Institute of Medicine of the National Academy of Sciences, "Advancing the Quality of Health Care," presents the conclusions of a committee charged with considering the implications of mechanisms for the review of the quality ...

      Massachusetts Medical Society
      368

      DEATHS

      Auld—Eugene G. Auld, M.D., of Malden, died on November 18. He was in his 72d year.

      Dr. Auld received his degree from Tufts College Medical School in 1928, and served with the Army Medical Corps during World War II. He was a member of the American ...

      Massachusetts Department of Public Health
      369

      Public-health and occupational-health workers have carefully described the hazards to dentists, dental office and laboratory personnel as a result of exposure to mercury.1 2 3 4 Their reports have been based on environmental and physiologic data obtained ...

      Correspondence
      370

      No extract is available for articles shorter than 400 words.

      370-371

      No extract is available for articles shorter than 400 words.

      371

      No extract is available for articles shorter than 400 words.

      372

      No extract is available for articles shorter than 400 words.

      372

      No extract is available for articles shorter than 400 words.

      372

      No extract is available for articles shorter than 400 words.

      372-373

      To the Editor: In the description of a therapeutic trial for a particular drug, the statement is often found that none of the patients encountered side effects. A rule of thumb makes clear what this apparently reassuring statement implies in practice. ...

      373-374

      No extract is available for articles shorter than 400 words.

      374

      No extract is available for articles shorter than 400 words.

      Book Reviews
      374-375

      During the course of its history, the United States has both zealously embraced and vigorously outlawed the cannabis plant and its various products. Cultivation of the plant for its fiber was practically simultaneous with the founding of the early ...

      375

      Having advocated Deschooling Society (Harper and Row, New York, 1970) Ivan Illich now urges its demedicalization. Without such a purge, the author maintains, society will remain sick, very sick, because of its dependence on medicine, its drugs and its ...

      375-376

      No extract is available for articles shorter than 400 words.

      376

      No extract is available for articles shorter than 400 words.

      376

      This is claimed to be a new book on three major specialties; the preface promises it is for the nonspecialist and confesses that it had a difficult gestation. For the price, however, it is not a bargain. More important, the book fails to fulfill its ...

      377

      No extract is available for articles shorter than 400 words.

      377

      No extract is available for articles shorter than 400 words.

      377-378

      This monograph in a series entitled "Major Problems in Neurology" (edited by Professor John N. Walton) carries a title that understates its true value to clinical medicine. To be sure, the first 30 pages constitute a laboratory manual that describes up-to-...

      378

      Experts will not be enthusiastic about this book, but it was not written for experts. The authors have attempted to provide students with a shortened guide to find their way through a massive accumulation of data on the comparative anatomy and the ...

      378

      No extract is available for articles shorter than 400 words.

      Books Received
      378-380

      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.

      Anatomy and Histology

      ...

      Notices
      380

      LECTURE ON DIABETES

      A lecture on the role of diabetes mellitus in cardiovascular diseases will be given by Dr. William B. Kannel, at Joslin Clinic Auditorium, 194 Pilgrim Road, Boston, on Tuesday, March 25, at 8 a.m.

      AMERICAN ASSOCIATION OF CRITICAL-CARE ...

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