Patients with primary parathyroid hyperplasia represent a therapeutic dilemma. Not only is it imperative that all the parathyroid glands be identified, but the total parathyroid mass must also be reduced so that the patient is left in a normocalcemic ...

The hereditary spinocerebellar degenerations are a group of neurologic disorders that have not been characterized biochemically despite extensive clinical and pathological studies.¹ Different syndromes overlap clinically but can usually be separated by ...

Propranolol is documented to be an effective antihypertensive agent; however, the mechanism (or mechanisms) by which it lowers elevated blood pressure is uncertain. On the one hand Bühler et al.^{1 , 2} have reported that hypertensive patients with high ...

Three articles^{1 2 3} have recently appeared in the Journal on the subject of controlled clinical trials. Chalmers et al.¹ discuss the point of view espoused by A.B. Hill that randomized clinical trials are necessary for the valid assessment of therapeutic ...

(Second of Two Parts)

[Emergency end-to-side portacaval shunt.] For dependable relief of portal hypertension, emergency shunts for bleeding varices must decompress the splanchnic system immediately draining into the portal vein; in practice, the options ...

Diabetic retinopathy ranks as a leading cause of blindness in the United States. Cataracts and glaucoma are largely curable or at least controllable with modern medical and surgical technics. Ability to control diabetic retinopathy and to prevent ...

Age must bring wisdom, and experience its compensations, the physician over 50 likes to hope as he contemplates retirement and the blurred boundaries between senility and incompetence. The baby boom over, grammar schools in quiet neighborhoods are turned ...

Presentation of Case

A nine-year-old girl was admitted to the hospital because of congenital heart disease.

She was born of the fifth pregnancy of a mother aged 33 years. At two months of gestation rupture of the spleen occurred after minor abdominal ...

In the article entitled "Parathyroid Autotransplantation in Primary Parathyroid Hyperplasia" appearing elsewhere in this issue of the Journal Wells and his colleagues have demonstrated that it is possible with care and finesse to graft hyperplastic ...

Readers of the Journal have been witness to a remarkable series of articles over the past four years dealing with the effect of propranolol as an antihypertensive agent in patients representing various sub species of the genus renin. In brief ...

A trip to the Islands is balm to the harried soul of all New England mainlanders. Only recently have we learned that danger may lurk in the tall grass and behind the yellow broom on Nantucket. Babesiosis, a disease rarely seen in human beings, has been ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: A recent letter (N Engl J Med 294:1015, 1976) by Mr. Gasbarro laments the slighting of the expertise of the pharmacist by the physician. He implies that the physician should not use the PDR, but should routinely consult with the pharmacist ...

To the Editor: We have observed accumulation of serum caffeine in a patient with severe liver disease. A 35-year-old black man complained of severe abdominal pain of three days' duration. He had a long history of alcohol abuse and admitted consuming 475 ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: I-cell disease, a fatal neurodegenerative disorder of childhood with autosomal recessive inheritance,^{1 , 2} clinically resembles the mucopolysaccharidoses, but urinary excretion of mucopolysaccharides is usually normal. Characteristic ...

No extract is available for articles shorter than 400 words.

To the Editor: In the treatment of diabetic ketoacidosis, there is little agreement even among diabetologists concerning the optimum amount of insulin or its route of administration.¹ To our knowledge, there are only two well controlled randomized ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Every three or four months I see a woman with an advanced and usually inoperable breast cancer that had been present for months or years while the patient was receiving no treatment except Laetrile. I note no tendency for the frequency of ...

To the Editor: Free air under the diaphragm on x-ray examination usually means rupture of a hollow viscus, and therefore represents a surgical emergency. An exception to this is exemplified by the case described below, in which a carefully taken sexual ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

AMERICAN COLLEGE OF CARDIOLOGY CONTINUING-EDUCATION PROGRAMS

The American College of Cardiology has made available a schedule of the continuing-education programs they will sponsor during the academic year, September, 1976, through August, 1977.

Further ...