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March 17, 1977  Vol. 296 No. 11

Original Articles
581-585

Rates of coronary-heart-disease mortality vary according to geographic region within the continental United States.1 In 1949–1951 and in 1959–1961 all the Rocky Mountain states except Nevada showed rates for whites below the national average among both ...

585-589

    Measles vaccine (live, attenuated virus) was licensed in 1963, and by early 1967, a marked decline in reported cases had occurred. In general, vaccinated youngsters remained free of measles. Scattered outbreaks continued to occur, however, and reports ...

    589-600

    Since the report by Chiari over a century ago1 galactorrhea has been noted to occur with a wide variety of endocrine and nonendocrine disorders. With the exception of the study by Tous et al.2 previous reports have dealt with a limited number of cases. ...

    Special Article
    601-608

    IS the periodic physical examination — annual or otherwise — worthwhile? How useful are mass screenings for specific diseases? What about multiphasic screening? Is health education a form of preventive medicine? If so, where and how should it be practiced?...

    Medical Intelligence
    608-611

      The presence of a capsule on Neisseria gonorrhoeae the causative organism of gonorrhea, has not been convincingly demonstrated.1 However, in 1959 Deacon and his co-workers showed with fluorescent antibody that gonococci in a urethral smear had a "K-...

      Seminars in Medicine of the Beth Israel Hospital, Boston
      612-616

      Although alcohol is best known for its influence on the brain, it actually affects almost every organ system in the body. I shall discuss some of the more important actions of alcohol and some disorders associated with them.

      That alcohol is metabolized in ...

      Case Records of the Massachusetts General Hospital
      617-623

      Presentation of Case

      A 57-year-old woman was admitted to the hospital because of abdominal pain and vomiting.

      The patient had chronic paranoid schizophrenia of long standing, which was managed on an ambulatory basis with chlorpromazine. Twenty months ...

      Editorials
      624-626

      Blood coagulation is a series of enzymatic reactions that sequentially convert zymogens of proteolytic enzymes to the corresponding active forms. The reaction sequence, termed waterfall or cascade reaction, ultimately leads to thrombin generation from ...

      626

      No extract is available for articles shorter than 400 words.

      Sounding Board
      627-628

      For nearly two decades medical schools throughout the English-speaking world have been adding behavioral-science courses to their curricula. At first there was widespread concern that such courses could create problems for medical education and, indeed, ...

      Massachusetts Medical Society
      628-629

      Jean Curran once told a son that he considered himself to be "an average guy who was lucky." The son, however, has summed up and emphasized three qualities that better explain his father's success: "a great capacity for loving and caring, the retention of ...

      Correspondence
      630

      No extract is available for articles shorter than 400 words.

      630-631

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      631-632

      No extract is available for articles shorter than 400 words.

      632-633

      To the Editor: Jamaican vomiting sickness and Reye's syndrome are characterized by profound brain edema and coma. Tanaka et al. have confirmed the presence of hypoglycin in patients with Jamaican vomiting sickness (N Engl J Med 295:461, 1976), and ...

      633-634

      No extract is available for articles shorter than 400 words.

      634

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      634-635

      To the Editor: We have documented two cases of choroidal melanoma and one case of squamous-cell carcinoma of the conjunctiva, occurring over three years (1971–74) in a population of chemical workers at a plant in the Ohio Valley region. The chemical ...

      635

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      635

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      636-637

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      637

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      637

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      637-638

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      638

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      Book Reviews
      638-639

      No extract is available for articles shorter than 400 words.

      Books Received
      639

      No extract is available for articles shorter than 400 words.

      Notices
      639-640

      SEMINAR ON CLINICAL NUCLEAR IMAGING

      The Nuclear Medicine Section of the Department of Radiology and the A. Webb Roberts Center for Continuing Education of the University of Texas Health Science Center at Dallas will sponsor a seminar entitled "Clinical ...

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