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Table of contents for

May 27, 1976  Vol. 294 No. 22

Original Articles
1193-1199

    Herpes zoster is a common infection in immunocompromised patients,1 2 3 4 5 6 especially those with reticuloendothelial cancers. Because of its exaggerated course with immune suppression, herpes zoster is acutely debilitating and may even be life ...

    1200-1204

    A remarkable derangement in erythrocyte cation permeability has been described in hereditary stomatocytosis, a rare form of congenital hemolytic anemia in which the red cells are swollen and cup-shaped instead of normal biconcave disks. In severe cases, ...

    1205-1207

    Although methods of psychoprophylaxis and prepared childbirth have been discussed in the obstetric literature for over 20 years, the advantages and disadvantages of this training remain controversial. The first formal Lamaze course was introduced in our ...

    1208-1211

    Epidemic influenza continues to be a major recurring problem in control of disease. Although severe disease is usually seen in the aged, chronically ill or very young, it is present yearly and continues to constitute a threat to the general population. ...

    Special Article
    1212-1216

    I am grateful for this opportunity to talk to you about an issue of great concern to all of us. In being with you, I feel a sense of kinship in our common heritage in medicine, and a pride and devotion to medicine. But there is also a certain anxiety.

    In ...

    Medical Intelligence
    1217-1220

    The concept of lysosomal storage disease, proposed by Hers in 1965,1 embraces more than 25 genetic diseases with distinctive biochemical profiles (Table 1). Although relatively rare, these conditions have excited considerable interest among physicians and ...

    1221-1222

      Growth retardation often accompanies inflammatory bowel disease in children and adolescents, usually from a combination of nutritional and inflammatory factors. We have seen two patients with growth retardation and inflammatory bowel disease who, in ...

      1222

      Methyldopa, a frequently employed antihypertensive agent, has been shown to deplete the central nervous system of dopamine, norepinephrine, and serotonin.1 , 2 Among its Central-nervous-system side effects are excessive sedation,3 , 4 extrapyramidal ...

      1223-1224

        The use of lithium carbonate in man has historically been associated with three types of cardiovascular side effects: T-wave changes in the electrocardiogram,1 , 2 ventricular arrhythmias3 , 4 and myocarditis.4 , 5 Recently, Wellens et al. showed that ...

        1224-1226

        IT would be churlish not to give Mrs. Barbara Castle, Secretary of State at the Department of Health and Social Security, credit for her strenuous and successful efforts to protect her department from the worst effects of the cuts in public expenditure ...

        Case Records of the Massachusetts General Hospital
        1226-1232

        Presentation of Case

        First admission. A 50-year-old woman was admitted to the hospital because of a pulmonary lesion.

        She was well until three months earlier, when a cough productive of yellow sputum developed, and she began to experience fatigue and ...

        Editorials
        1233-1234

        As Whitley et al. point out in this issue of the Journal, the development of antiviral drugs for systemic use in man has had a rocky course. One reason is that viruses use the host's own biosynthetic machinery. Since normal host defenses must co-operate ...

        1234-1235

        The lipid bilayer model of membrane structure proposed by Davson and Danielli1 remains an attractive, but imperfect, description of erythrocyte membrane conformation. Important modifications have become necessary in this model, which depicts: (a) ...

        1235-1236

        Providing patients with clear, informative explanations has the beneficial effect of allowing them to participate in their own care. In this week's Journal, Scott and Rose show that childbirth education reduces narcotic use, the number of forceps ...

        Massachusetts Medical Society
        1236-1237

        COMMITTEE MEMBERS

        Blood Banks

        Charles N. Curtis, Chairman, Melrose

        Albert E. Anderson, Hyannis

        Arthur D. Baldwin, Wellesley

        Eugene M. Berkman, Boston

        Mark J. Brauer, Natick

        Robert J. Cross, Haverhill

        Charles P. Emerson, Wellesley Hills

        Charles E. Huggins, ...

        Correspondence
        1237-1238

        To the Editor: A number of tools are now available to the obstetrician to enable him to predict the failing placenta and recognize the fetus in danger of intrauterine asphyxia and death. The best established technics are urinary estriols, serial ...

        1238

        No extract is available for articles shorter than 400 words.

        1238-1240

        No extract is available for articles shorter than 400 words.

        1240

        No extract is available for articles shorter than 400 words.

        1240

        No extract is available for articles shorter than 400 words.

        1240-1241

        To the Editor: The editor of the Journal expressed his distaste for unlimited advertising by physicians and the Federal Trade Commission's position that prohibitions on physician advertising restrict competition and violate anti-trust laws. The benefits ...

        1241

        No extract is available for articles shorter than 400 words.

        1241-1242

        To the Editor: Dr. Michael Crichton's recent paper on medical obfuscation (N Engl J Med 293:1257–1259, 1975) stirred the medical writing community to evaluate its effectiveness; the consensus is that a real communication problem exists. We applaud Dr. ...

        Book Reviews
        1242

        No extract is available for articles shorter than 400 words.

        1242-1243

        Springer-Verlag is putting out a series of comprehensive manuals of surgical specialties. The first in the series is this manual, whose basic concept is to provide a greater sense of operative realism by use of superb color illustrations. These beautiful ...

        1243

        The third edition of this textbook appears 19 years after the first, which had as its objectives to "define the operative phase of obstetric practice and to include only where necessary, a brief discussion of obstetric complications." In this edition, the ...

        1243

        No extract is available for articles shorter than 400 words.

        1243-1244

        In this beautifully bound two-volume set, 89 of the world's experts on hemophilia and von Willebrand's disease meticulously chronicle the state of the art as of late 1974. The book is divided into eight major sections, beginning with a 60-page section on ...

        Notices
        1244

        LABORATORY TRAINING COURSES

        The Department of Health, Education, and Welfare announces the availability of a schedule of laboratory training courses sponsored by the Bureau of Laboratories of the Center for Disease Control, Atlanta, Georgia, July 12, 1976-...

        Medicine and Public Affairs
        1245-1246

        The Report of the President's Biomedical Panel, issued on April 30 in fulfillment of a 15-month study mandated by Congress, preaches oldtime religion about the virtues of unfettered basic research as the key to coping with disease. It does so at a time ...

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