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Table of contents for

March 25, 1976  Vol. 294 No. 13

Original Articles
681-687

A small number of patients with acute viral hepatitis have a severe illness, often characterized by coma, ascites, protracted jaundice and markedly abnormal liver function.1 , 2 These patients may die during the acute illness, or chronic progressive liver ...

687-690

Acquired cold-induced urticaria is disorde in which patients, upon exposure to cold, experience an urticarial eruption that may evolve into angioedema. Recognized precipitating factors include cryoglobulins, cryofibrinogens, and cold hemolysins, but in ...

691-694

Myasthenia gravis is a synaptic disorder that produces electrophysiologic1 as well as structural2 defects at the neuromuscular junction. The exact origin of the muscular dysfunction and the factors that initiate the process have not been clearly ...

694-698

The cause of myasthenia gravis remains unknown, but several lines of evidence suggest that immune mechanisms have an important role in the disease. The basic defect in myasthenia lies at the myoneural junction, and recent studies suggest that the primary ...

699-702

    Although the clinical relevance of many drug-drug interactions has been seriously questioned, no one would argue that interactions involving drugs that have a low therapeutic ratio or are used to treat potentially fatal diseases can be clinically ...

    Special Article
    702-705

    The low-risk patient who receives obstetric care at Kaiser–Permanente Medical Center is offered two alternative modes of management: traditional care or the Family Centered Perinatal Care Program, described in 1972.1 As one step in the development of the ...

    Medical Intelligence
    706-708

    The sex chromosome abnormalities are one of the most common types of chromosome disorders, occurring once among every 1100 females and once among every 380 males. Their effect upon the clinical appearance or phenotype of the patient varies from the subtle ...

    708-710

    Swine influenza virus, or an antigenically closely related virus, has been considered to be the etiologic agent of the 1918 influenza pandemic.1 2 3 4 Influenza in swine has continued to occur in the United States5 and other countries, but despite ...

    710-712

    Oil rigs, tugs and giant tankers are now familiar sights off the East Coast of Scotland, and as the first oil begins to be pumped ashore, it seems appropriate to reflect on some of the medical problems involved in extracting oil from the seabed and ...

    Case Records of the Massachusetts General Hospital
    712-720

    Presentation of Case

    A 35-year-old black man was admitted to the hospital because of hypertension.

    He was well until 20 years previously, when he was first found to have hypertension. Four years later he was begun on hypotensive medications, but with poor ...

    Editorials
    721-722

    As the art of therapy is slowly transformed into the science of therapeutics, treatment of the individual patient can be expected to be a source of considerable confusion. A growing list of problems includes the use of antibiotics for infections not ...

    722-723

    Normal resting muscle exhibits at the end plate constantly recurring miniature potentials attributable to the release from motor-nerve endings of subliminal quanta of acetylcholine, which diffuses across the synaptic cleft and binds to receptors in the ...

    724-725

    During the first half of this century, cancer and allied diseases were generally thought to be caused by a variety of internal, presumably genetic and inherited, factors. The viral theory of cancer and leukemia was in disrepute. During those early years ...

    Massachusetts Medical Society
    726-728

    APPLICANTS FOR FELLOWSHIP

    Published in Accordance with the Provisions of Chapter II, Section 2.301 (3) of the Bylaws

    Barnstable

    Chiotellis, Philip, Cape Cod Medical Center, Hyannis 02601. Faculty of Medicine National University of Athens, 1966.

    Katherine ...

    Correspondence
    728-729

    No extract is available for articles shorter than 400 words.

    729

    No extract is available for articles shorter than 400 words.

    729

    No extract is available for articles shorter than 400 words.

    730

    To the Editor: We read with considerable interest the study by Newcomer and his colleagues,1 in which breath hydrogen rise after lactose ingestion was found to be the most accurate indirect determinant of lactase deficiency. Using an end-expiratory ...

    730

    No extract is available for articles shorter than 400 words.

    730-731

    To the Editor: The results of the Gonorrhea Therapy Study (N Engl J Med 294:1–4, 1976) are reassuring since they indicate that the gonococcus still remains sensitive to a variety of antibiotics. However, one issue is puzzling: the relative de-emphasis of ...

    731

    No extract is available for articles shorter than 400 words.

    732

    No extract is available for articles shorter than 400 words.

    732-733

    No extract is available for articles shorter than 400 words.

    733

    No extract is available for articles shorter than 400 words.

    733

    No extract is available for articles shorter than 400 words.

    733-734

    To the Editor: Dr. Vall-Spinosa's recent letter (February 5) on the regulation of the number of medical subspecialists calls for some comment from a chairman of medicine, because some of us are being reproached for having insufficient faith in the "laws ...

    734

    No extract is available for articles shorter than 400 words.

    Book Reviews
    734

    No extract is available for articles shorter than 400 words.

    734

    No extract is available for articles shorter than 400 words.

    Notices
    734-736

    HEADACHE AND PAINS OF THE HEAD, FACE AND NECK

    The Page and William Black Post-Graduate School of Medicine of the Mount Sinai School of Medicine will present a course entitled "Headache, and Other Pains of the Head, Face and Neck," to be held April 8–10. ...

    Medicine and Public Affairs
    737-738

    Lacking political strength to enforce its claims for government financial support, the postwar scientific community originally prospered on Cold War anxieties, good will, and high, often exaggerated, expectations about the value of research. Long use of ...

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