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September 25, 1975  Vol. 293 No. 13

Original Articles
619-623

THE arrest of traumatic bleeding is mainly due to the adhesion of platelets to reactive surfaces of the vascular subendothelium1 2 3 and to their subsequent aggregation by a special "storage-pool" of adenosine diphosphate (ADP) secreted from platelets ...

624-628

THE occurrence of thyrotoxicosis in chronic lymphocytic thyroiditis has been well documented.1 , 2 It has also been noted that the presence of thyrotoxicosis with chronic thyroiditis does not necessarily signify the supervention of Graves's disease3; the ...

628-632

AMONG the agents employed by granulocytes to kill bacteria are certain substances chemically related to oxygen, including Superoxide,1 , 2 hydrogen peroxide,3 and possibly hydroxyl radical and singlet oxygen.4 5 6 These substances are generated in a ...

632-636

SINCE the demonstration of the metabolic defect in Niemann-Pick disease as a deficiency of sphingomyelinase in 1966,1 it has been necessary to use radioactively labeled sphingomyelin for enzymatic diagnosis by means of peripheral leukocyte preparations2 ...

636-638

RECENT studies have noted an increased association of the histocompatibility antigen W27 (HL-A27) with various diseases. These diseases have included ankylosing spondylitis,1 Reiter's disease,2 3 4 and acute anterior uveitis.5 6 7 8 In a previous study9 ...

Special Article
639-642

THE current emphasis on increasing the effectiveness of health care in the United States has led to a growing concern about paramedical personnel. Much of this concern aims at upgrading the skills of such personnel, allowing them to perform tasks ...

Medical Progress
642-646

(First of Two Parts)

SKILLED physicians examining a patient may disagree regarding the findings. Such disagreements reflect the imperfect reliability of clinical methods and data. A decade ago, Fletcher1 urged physicians to abandon unreliable methods and ...

Medical Intelligence
647-650

THE first paper in this series* outlined the reasons for employing exercise testing in the clinical evaluation of pulmonary disease, presented the principles underlying the measurements, and described briefly the normal respiratory responses to exercise. ...

650-652

ALTHOUGH British doctors can practice medicine with far less fear of litigation than their American colleagues, they are sometimes involved in complaints that patients make against certain aspects of their treatment under the National Health Service. In ...

Case Records of the Massachusetts General Hospital
653-660

Presentation of Case

First admission. A seven-and-a-half-year-old girl was admitted to the hospital because of diabetes insipidus and short stature.

She was born of a normal pregnancy and delivery, weighing 3.27 kg (25th percentile). Her initial physical ...

Editorials
661-662

Subacute thyroiditis is an acute, subacute or chronic, generalized, self-limiting, nonbacterial, inflammation of the thyroid. Characteristic histologic findings include giant cells, granulomas and pseudotubercles. Characteristically, the thyroid gland is ...

662-663

Albert Einstein's famous search for a unified field theory failed, but Daniel Palmer was more fortunate. In 1895 he came up with a unified theory of disease with a single cause for which he devised a single treatment, thus cutting away the encumbering ...

663-665

    The Massachusetts Department of Public Health column this week presents an article entitled "Equus caballus," in which Robinson examines the impact of the horse on the health of man. He notes the many shared diseases, including the equine encephalitides. ...

    Massachusetts Department of Public Health
    665-666

    In 1910 the United States Census counted 19.83 million horses on United States farms. Man's long dependence on, and love affair with, the horse had reached its apogee. Though not the first domesticated animal, Equus caballus, more than any other, ...

    Correspondence
    667

    No extract is available for articles shorter than 400 words.

    667

    To the Editor: In several recent studies a differential distribution of subtype d and y has been found between acute and chronic forms of hepatitis B infections, and it has been suggested that these differences in subtype ratio may be attributable to ...

    667

    No extract is available for articles shorter than 400 words.

    668

    No extract is available for articles shorter than 400 words.

    668

    No extract is available for articles shorter than 400 words.

    668-670

    No extract is available for articles shorter than 400 words.

    670

    No extract is available for articles shorter than 400 words.

    670-671

    No extract is available for articles shorter than 400 words.

    671

    No extract is available for articles shorter than 400 words.

    Notices
    672

    ANTI-NEOPLASTIC DRUG SYMPOSIUM

    A symposium, entitled "Use of Anti-Neoplastic Agents in Non-Neoplastic Disease," and sponsored by Brown University, will be held at the University in Providence, Rhode Island, on Wednesday, October 8.

    Further information may ...

    Medicine and Public Affairs
    673-674

    The predicament of government health planners is that they have singled out the profit motive as a serious troublemaker in the national health enterprise, and they believe only government can tame it. But they work for a President who is seeking to ...

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