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April 22, 1976  Vol. 294 No. 17

Original Articles
911-915

    The discovery of proinsulin, the biosynthetic precursor of insulin, by Steiner and Oyer1 has led to speculations regarding the existence of abnormalities in proinsulin structure or in its conversion to insulin (or both). In the kindred described below, ...

    916-918

    Drugs can produce hemolytic anemia by a variety of mechanisms, including oxidant injury as in G-6-PD deficiency1 or immunologic injury as in hemolysis induced by methyldopa (Aldomet)2 or penicillin.3 By still another potential mechanism described below, ...

    919-921

      IN recent years physicians have become increasingly aware of the pulmonary complications of drug therapy. Several current reviews of the subject serve to emphasize the multiplicity of drugs capable of inducing pulmonary injury and the varied clinical ...

      922-925

      The presence of hepatitis B core antigen (HBc Ag) in hepatocytic nuclei and of hepatitis B surface antigen (HBs Ag) in hepatocytic cytoplasm of HBs Ag-seropositive patients has been well established by immunofluorescence, electron microscopy and ...

      Special Article
      925-930

        Multiphasic screening has advanced technically to the point that many laboratory tests can be performed quickly and at a relatively low unit cost. As a result, automated multiphasic health testing has been proposed as an efficient means of triaging ...

        Medical Progress
        930-936

        With heightened awareness of the need for better treatment of millions of hypertensive patients, physicians have markedly increased their use of antihypertensive drugs in the past few years. Empirical use of agents now available can control the blood ...

        Medical Intelligence
        937-938

          Cystic fibrosis was described as a specific entity in 1936. The failure to recognize it before then was a consequence of the fact that the clinical manifestations are common to many other disorders in infancy. Andersen, at Columbia University, and Fanconi,...

          938-939

            Hydrazine (H2N-NH2), a volatile chemical deoxygenator, is widely used in industry as a corrosion inhibitor and in the military as a rocket propellant.1 In laboratory animals it produces convulsions, circulatory collapse, pulmonary edema, hypoglycemia, ...

            939-941

              Polyarteritis nodosa is a rare disease of infancy that frequently affects the coronary arteries. In the infant with this syndrome described below, the diagnosis was confirmed by root flush coronary arteriography. Multiple coronary-artery aneurysms ...

              941

              Obstruction of the trachea by tumor poses grave problems in management that are directly proportional to the extent of the block. Not only is elective treatment difficult but even the emergency establishment of an adequate airway may prove formidable. In ...

              941-943

                WE have suggested the term "platypnea" to describe dyspnea produced by the assumption of an erect position and relieved by a recumbent one.1 , 2 The term "orthodeoxia" is now suggested to describe accentuated arterial oxygen unsaturation in the erect ...

                Case Records of the Massachusetts General Hospital
                944-951

                Presentation of Case

                A 19-year-old woman was admitted to the hospital because of hemoptysis.

                She was well until one month earlier, when she began to experience morning stiffness in the fingers and knees, accompanied by intermittent swelling of the wrists, ...

                Editorials
                952-953

                Insulin, like all proteins, is susceptible to mutational change. However, efforts to find abnormal insulin molecules have been unsuccessful mainly because of severe limitations in the availability of material for study. Thus, although over 150 hemoglobin ...

                954

                A growing number of chemical materials, including pharmaceutical agents, have been associated with acute diffuse lung injury with mild to moderate symptoms sometimes progressing to respiratory insufficiency. When biopsies are performed the pathologic ...

                Sounding Board
                954-956

                  Cat fever is a new disease entity that has a broad clinical spectrum. The predominant symptom appears as a feverish impulse to own, operate, exploit, or write about what has been known as Computerized Axial Tomography (CAT) but has now been renamed ...

                  Massachusetts Medical Society
                  956

                  No extract is available for articles shorter than 400 words.

                  Correspondence
                  956-957

                  No extract is available for articles shorter than 400 words.

                  957

                  No extract is available for articles shorter than 400 words.

                  957

                  No extract is available for articles shorter than 400 words.

                  957-959

                  To the Editor: Dr. Miles (N Engl J Med 294:399, 1976) asks about respiratory therapists. Respiratory therapists and technicians are being trained to work under the direction of physicians. This training is part of the ethical code of members of the ...

                  959

                  No extract is available for articles shorter than 400 words.

                  959-960

                  No extract is available for articles shorter than 400 words.

                  Books Received
                  960

                  No extract is available for articles shorter than 400 words.

                  Notices
                  960-962

                  DIAGNOSTIC ULTRASOUND CONFERENCE

                  The Los Angeles Radiological Society will present a diagnostic ultrasound conference at the Century Plaza Hotel, Los Angeles, May 14–16. Registration is limited.

                  SOCIETY FOR ADOLESCENT MEDICINE

                  The spring meeting of the ...

                  Corrections
                  962

                  No extract is available for articles shorter than 400 words.

                  962

                  No extract is available for articles shorter than 400 words.

                  Medicine and Public Affairs
                  963-964

                  It is difficult to find commercial television programs that do not contain messages for remedies to tighten dentures, loosen bowels, defeat flatulence, retain lovability, and induce or delay slumber.

                  The reason it is difficult is that commercial ...

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