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April 14, 1977  Vol. 296 No. 15

Original Articles
829-834

Influenza A virus infections are poorly defined in the infant and young child.1 On clinical grounds alone these infections have not been readily distinguishable from other febrile or respiratory illnesses. Several reports have documented, on the basis of ...

835-838

    Medullary carcinoma of the thyroid gland usually occurs as a familial disease and is inherited as an autosomal dominant trait.1 , 2 Its detection has been greatly facilitated by the measurement of plasma calcitonin concentrations, which are increased in ...

    839-844

    Detection of the presence of coronary arterial narrowing by coronary angiography is useful in defining regions of potential ischemia. However, such anatomic information does not allow an accurate physiologic assessment of the presence or functional ...

    Special Article
    845-850

      Innovations in medical teaching rarely go unheralded or unanalyzed, but the gradual emergence of the system of visiting professorships during the past decade has somehow escaped the notice of social anthropologists and educators. Perhaps it is considered ...

      Medical Progress
      850-855

        The functions of the lung can be divided into those directly involved with respiration and those that, although perhaps having a secondary effect on respiration, are not its primary concern. It has been recognized that these functions are influenced by ...

        Medical Intelligence
        856-858

        Echocardiography may make substantial contributions to the definition and measurement of left ventricular function in man. Several unique features of this method make it attractive, but less obvious limitations have been recognized recently. ...

        858-860

          Hyponatremia has frequently been observed in patients with multiple myeloma, in some being associated with a relative hyperchloremia.1 , 2 More recent investigations have shown that, in multiple myeloma, the anion gap is lowered as compared to normal ...

          861-862

            Ectopic ACTH secretion may be indistinguishable from pituitary-dependent Cushing's syndrome (Cushing's disease) by current diagnostic tests.1 2 3 With increasing application of pituitary treatment for Cushing's disease, it becomes essential to distinguish ...

            862-863

              No extract is available for articles shorter than 400 words.

              863-864

              Science gets most of its information by the process of reductionism, exploring the details, then the details of the details, until all the smallest bits of the structure, or the smallest parts of the mechanism, are laid out for counting and scrutiny. Only ...

              Case Records of the Massachusetts General Hospital
              865-873

              Presentation of Case

              A 15-year-old boy was admitted to the hospital because of unresponsiveness and quadriparesis.

              He was in good health until seven weeks previously, when fever and a sore throat developed and persisted for two days. He soon began to ...

              Editorials
              874-875

              IN this issue of the Journal Rocklin et al. report that lymphocytes from 12 of 18 patients with familial form of medullary thyroid carcinoma produce macrophage migration inhibitory factor when exposed to antigenic extracts from allogeneic thyroid-...

              876-877

              The coronary arteries are overachievers. They satisfy 12 per cent of the body's oxygen consumption with only 5 per cent of the cardiac output. As a result, the increased oxygen demand that accompanies exercise must be met by dilatation of precapillary ...

              Sounding Board
              877

              Years of working and dozing in an editorial office persuaded me that the outside experts who advise editors are a saintly band who give unstinted help with no thought (and never a chance) of proper recognition. No general journal that publishes original ...

              Massachusetts Department of Public Health
              878-880

              Mandated by Congress in 1969,1 Periodic Medical Review (PMR) is a state-run program of external peer review of the care rendered Medicaid-supported patients in skilled-nursing facilities (SNF). In Massachusetts the Department administers PMR on behalf of ...

              Correspondence
              880

              To the Editor: Choriocarcinoma presenting as neonatal anemia has recently been described.1 During my medical-school clerkship I observed an additional case.

              The patient was a 23-year-old gravida II, para III, black woman. Term gestation was complicated ...

              880-881

              No extract is available for articles shorter than 400 words.

              881-882

              No extract is available for articles shorter than 400 words.

              882

              No extract is available for articles shorter than 400 words.

              883

              To the Editor: Oncologists are basically sensitive and good. They are empiric psychotherapists. They are constantly searching and striving to bring physical and emotional relief to their patients. How sad it is that they do not hear what they say to ...

              883-884

              No extract is available for articles shorter than 400 words.

              884

              No extract is available for articles shorter than 400 words.

              884-885

              No extract is available for articles shorter than 400 words.

              885

              No extract is available for articles shorter than 400 words.

              885

              No extract is available for articles shorter than 400 words.

              886

              No extract is available for articles shorter than 400 words.

              886-887

              No extract is available for articles shorter than 400 words.

              887

              To the Editor: One of the most recent articles of interest to information scientists is "Et Al. Gets Nobel Prize" by Frederick Hecht, M.D. (N Engl J Med 296:234, 1977). This amusing piece, which observed a constant increase in the number of authors per ...

              887

              No extract is available for articles shorter than 400 words.

              Notices
              888

              INTERNATIONAL SYMPOSIUM ON SOMATOSTATIN

              The International Symposium on Somatostatin, to be held in Freiburg, West Germany, September 25-27, will be a satellite symposium to the 13th annual meeting of the European Association for the Study of Diabetes, ...

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