Mild thrombocytopenia associated with antico-agulation with heparin has been described extensively in the past.^{1 2 3 4 5} Recent case reports, however, have documented the rare occurrence of profound thrombocytopenia during heparin therapy that was thought ...

The hypersecretion of glucagon by pancreatic alpha-cell tumors is associated with diabetes mellitus and frequently with weight loss, dermatitis, stomatitis and anemia.^{1 2 3} The nature of the glucagon produced by these tumors is not known, although four ...

The oral administration of commercially prepared enzyme-rich pancreatic extracts has been accepted therapy for pancreatic insufficiency associated with cystic fibrosis. Aside from occasional oral or perianal inflammation and rare hypersensitivity ...

The depth and breadth of the problem of carcinoma of the breast as it affects Occidental women is well known. Since survival seems to be related to stage at time of discovery, it is natural to assume that "earlier" detection of cancer in larger numbers of ...

(Second of Two Parts)

Cell-Surface Modifications on Cancer Cells

The central importance of the cell surface in determining many features of tumor-cell behavior has served to stimulate a massive research effort to identify differences in the surface ...

Biopsy of radiologically suspicious breast lesions that are not palpable clinically or even at operation has become commonplace since the introduction of modern mammographic technics. Surgical localization of such lesions can be difficult because the ...

The physician seldom deals rationally with a patient complaining of excessive flatus. Lacking measurements of rectal gas volumes, excessive gas excretion is not documented. Evaluation usually consists of x-ray and endoscopic studies, when, in truth, there ...

It was a privilege to participate recently in an Anglo-American bicentennial discussion arranged by the Josiah Macy, Jr., Foundation. The theme was "The University and Medicine," the past, present and tomorrow, and the venue was Leeds Castle, near ...

We have chosen hysterectomy for these public-health rounds because of its prominence in the current national concern with accelerating costs of medical care in general, and with what is perceived as overutilization of specific medical services, such as ...

Presentation of Case

A 42-year-old woman was admitted to the hospital because of abdominal pain.

She was well until three weeks previously, when she began to have a constant, sharp pain in the right upper abdominal quadrant that was aggravated by movement ...

Thrombocytopenia has recently been observed in a surprising number of patients during treatment with heparin. A report of five cases appears in this issue of the Journal. Discovered in 1915, heparin has been extensively used in clinical medicine since the ...

Early in the development of immunology, it was realized that individuals possessed the ability to recognize foreign materials by an immune system and to protect themselves against invasion by foreign agents, such as microbes, with this immune system. ...

In the current controversy over the best way to train and use primary-care physicians, the need to increase the numbers has become almost axiomatic. A sharp decline in providers of primary care has been documented.^{1 , 2} Increasingly vocal demands by ...

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.

No extract is available for articles shorter than 400 words.

To the Editor: I am in general agreement with Dr. Louis Weinstein's editorial, "Influenza — 1918, a Revisit?" (N Engl J Med 294:1058–60), but find that the situation in Seattle in 1918–1919 does not support two of his recommendations.

First of all, the ...

No extract is available for articles shorter than 400 words.

To the Editor: The recent finding of a nonbiologic, free-floating structure in the extrahepatic biliary duct system at operation was a cause of surprise and chagrin and elicited a demand for explanation.

On March 30, 1976, a 46-year-old woman was ...

No extract is available for articles shorter than 400 words.

To the Editor: Use of shorter surfboards in recent years has encouraged surfers to tether their ankles to their surfboards with a length of cord (i.e., a "shock cord") or a leash, this apparatus being referred to locally as a "ding string." The ding ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Professor Davis (N Engl J Med 294:1118, 1976) has slandered the minority medical students who will graduate this year. He has cheapened their degrees. If patients believe his unsupported charges, how can they consult any physician who is a ...

To the Editor: By chance I happened to come across the following editorial, which appeared in the January, 1878, issue of the Richmond and Louisville Medical Journal, and thought the readers of this Journal would be interested (the problem of equal ...

1977 NEONATAL-PERINATAL MEDICINE EXAMINATION

The Sub-Board of Neonatal-Perinatal Medicine of the American Board of Pediatrics will offer its next examination on Friday, October 28, 1977. The registration period for the examination will extend from ...

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.