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June 16, 1977  Vol. 296 No. 24

Original Articles
1365-1371

The higher rate of atherosclerosis suffered by patients with diabetes mellitus1 2 3 4 and their alleged increase in cholesterol gallstones5 6 7 8 suggested that cholesterol metabolism may be altered in this disease. Although some aspects of lipid ...

1372-1377

    Herpes simplex virus commonly produces severe infections in immunosuppressed patients. Painful, nonhealing mucocutaneous ulcerations have been well documented in renal-transplant patients,1 , 2 in patients with hematologic and lymphoreticular neoplasms3 ...

    1377-1379

      Chlamydia trachomatis is a causative agent of sexually transmitted diseases, the frequency of which probably exceeds even that of Neisseria gonorrhoeae.1 , 2 Except for ocular infections, including neonatal conjunctivitis, little information has appeared ...

      1380-1383

      Acute pelvic inflammatory disease remains a frequent source of morbidity in sexually active women and may result in sterility or chronic pelvic pain or both.1 In 1974 the Venereal Disease Control Advisory Committee of the Center for Disease Control2 ...

      Medical Progress
      1383-1386

        Other Possible Pineal Hormones

        In addition to melatonin, the mammalian pineal contains, and probably releases, two groups of compounds that may have hormonal activity: other methoxyindoles, such as 5-methoxytryptophol; and peptides, such as arginine ...

        Medical Intelligence
        1387-1389

          Few meical phenomena are more readily recog-nized yet regularly relegated to a position of inconsequence as the presence of pelvic phleboliths. Over a century has passed since Rokitansky1 confirmed the presence of calcified masses attached to pelvic veins,...

          1389-1390

          Specific tissue burdens of aluminum have been found to be increased in a number of conditions, and evidence has been presented that aluminum may be neurotoxic.1 , 2 The source of the aluminum has not been defined. An extensive review of biologic aspects ...

          1391-1392

          During the height of the 1975–76 influenza epidemic in Massachusetts,* several patients with acute inflammatory parotitis were seen in the Emergency Department of the Cable Memorial Hospital within a few days. Subsequent analysis of these and other cases ...

          Seminars in Medicine of the Beth Israel Hospital, Boston
          1393-1398

          Several groups of investigators have suggested that pharmacologic doses of certain water-soluble vitamins, including vitamins B6, B12 and C and niacin, may be useful in the treatment of schizophrenia.1 Oral doses of 10 to a thousand times the minimum ...

          Case Records of the Massachusetts General Hospital
          1399-1405

            Presentation of Case

            A 50-year-old woman was admitted to the hospital because of a neurologic disorder.

            She was well until 2 1/2 years earlier, when she sat down, heard a snapping sound and experienced the abrupt onset of low-back pain that was aggravated ...

            Editorials
            1406-1408

            One characteristic of contemporary physicians is the ease with which they have accepted Shakespeare's tenet that "Diseases desperate grown by desperate appliance are relieved...."1 Oncologists, rheumatologists, tissue transplanters and others are ...

            1408-1410

            Contrary to what some seem to believe, the Journal is neither Harvard-owned nor Harvard-dominated. Nevertheless, it is Harvard-surrounded, for the Journal's editorial office occupies as a paying tenant much of the top floor of Harvard's Countway Library ...

            Sounding Board
            1410-1411

            The current buzz-word is "primary care." A shortage of this commodity has been diagnosed, and a number of prescriptions written to remedy the deficiency. However, although we talk about the manifestations of the syndrome a good deal of ambiguity about the ...

            Correspondence
            1411-1412

            No extract is available for articles shorter than 400 words.

            1412

            No extract is available for articles shorter than 400 words.

            1412-1413

            No extract is available for articles shorter than 400 words.

            1413

            To the Editor: Recent discussion in the Journal has focused on criteria of process and outcome suitable for evaluating care of patients with high blood pressure (N Engl J Med 296:145, 1977). The Journal's editorialist, Dr. Robert H. Brook, has called for ...

            1413

            No extract is available for articles shorter than 400 words.

            1413-1414

            No extract is available for articles shorter than 400 words.

            1414

            No extract is available for articles shorter than 400 words.

            1414-1415

            No extract is available for articles shorter than 400 words.

            1415

            No extract is available for articles shorter than 400 words.

            1415

            No extract is available for articles shorter than 400 words.

            1415-1416

            To the Editor: The recent paper by Linn, Stephenson and Smith1 provides some useful insights, particularly into the importance and difficulty of measurements of severity in burn injury, and the quantification of the economic penalties accruing to ...

            1416

            To the Editor: The work described by Baker et al. in the February 3 issue of the Journal illustrates an important new dimension of the lead-poisoning problem. The close association of lead particulates, apparently brought home from the workplace, and ...

            1417-1418

            No extract is available for articles shorter than 400 words.

            Book Reviews
            1418

            No extract is available for articles shorter than 400 words.

            1418-1419

            Medicine and botany were once close allies. Physicians gave drugs, and drugs came from plants. Physicians of today rely even more on drugs than their counterparts of the past, and the majority of drugs in current use still come from plants — nearly 80 per ...

            1419

            These two books are, in their different ways, outstanding additions to the small number of books on adolescent medicine.

            The volume under that title is edited by Ralph Lopez, who states in the foreword that this series was conceived so "that for those ...

            1419-1420

            I used to despair that economists were running the world according to their own lights, buttressed by their peculiar belief that their discipline is somehow free of bias and subjectivity. The trend seemed to be abating, but Secretary of Commerce Juanita ...

            Books Received
            1420

            The receipt of the following books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.

            Orthopedics

            Biomechanics of the ...

            Notices
            1420

            AUSTRALIAN CONFERENCE ON THE FAMILY AND HEALTH

            The Royal College of General Practitioners and the University of Western Australia will sponsor a conference on the family and health entitled "The Changing Family...Who Cares?", August 14–20 at the ...

            Correction
            1420

            No extract is available for articles shorter than 400 words.

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