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February 24, 1977  Vol. 296 No. 8

Original Articles
405-411

Plasma renin activity is elevated in some patients with essential hypertension — either very mild hypertension, or severe or accelerated disease.1 In severe high-renin essential hypertension hypertensive retinopathy is invariably present (often ...

412-417

    Otitis media is most frequent in the first two years of life.1 In the preschool years approximately two thirds of children are affected at least once, and annual incidence rates are 10 to 17 per cent.1 2 3 Twenty per cent of a group of five-year-old ...

    418-424

    Effects of aspirin on the kidney, although recognized for at least 60 years, rarely pose problems in the clinical management of patients. Changes in body water,1 , 2 urinary shedding of cells,3 4 5 6 changes in glomerular7 , 8 and tubular9 function and ...

    Special Article
    424-427

    The April 8, 1976 issue of the Journal included an article by Somers entitled "Violence, Television and the Health of American Youth." It prompted an editorial comment concluding with this boldly stated "call to arms" to the medical profession: "Or shall ...

    Medical Progress
    427-432

      Assessment or Ventricular Function

      A number of noninvasive technics have been advocated as reflecting left ventricular performance. These methods include systolic-time intervals, echocardiography and imaging of the left ventricular chamber with ...

      Medical Intelligence
      433-435

      Previous investigators have shown that patients with meningitis who have relatively large amounts of bacterial antigen in cerebrospinal fluid are more likely to have neurologic sequelae,1 subdural effusions,2 prolonged fever3 , 4 or greater morbidity and ...

      436-438

      The activities of the Nuffield Provincial Hospitals Trust have consistently acted as a stimulus for the improvement in the quality of medical care in this country, one of the Trust's most notable contributions in this field being the publication of the ...

      Case Records of the Massachusetts General Hospital
      439-444

      Presentation of Case

      A 53-year-old woman was admitted to the hospital because of a pelvic mass.

      She was well until 10 days previously, when she became constipated and felt lower abdominal "pressure," accompanied by dribbling incontinence of urine. One ...

      Editorials
      445-448

      From whatever standpoint — epidemiologic, clinical, or developmental — otitis media occupies a position of importance among the concerns of childhealth-care providers. In the United States otitis media is, next to the common cold, the most commonly ...

      448-449

      Lawrence Henderson, world-famous biochemist, also admonished physicians to become more aware of the sociologic adversities of their patients,1 tasted wines while he elaborated on the virtues of a certain side of a certain hill of a certain vineyard, and ...

      Massachusetts Medical Society
      449-450

      DEATHS

      Gospodarek — Francis S. Gospodarek, M.D., of Adams, died on September 20. He was in his 78th year.

      Dr. Gospodarek received his degree from the College of Physicians and Surgeons in 1926. He served with the Army Medical Corps during World War I. He ...

      Correspondence
      450-451

      No extract is available for articles shorter than 400 words.

      451

      No extract is available for articles shorter than 400 words.

      451-452

      To the Editor: Levy et al.1 have suggested a blood test for multiple sclerosis based on the adherence of lymphocytes to cells persistently infected with measles virus. In multiple sclerosis this reaction was increased. Levy et al.1 reported complete ...

      452

      To the Editor: Granulomatous angiitis is a rare and uniformly fatal necrotizing vasculitis confined primarily to the central nervous system. A recent CPC (N Engl J Med 295:944, 1976) illustrates the ostensibly protean manifestations of this disease, as ...

      452-453

      To the Editor: Baclofen, a γ-aminobutyric acid derivative was reported by Fredriksen1 to be of therapeutic value in the treatment of schizophrenic disorders. However, others found a deterioration of the schizophrenic symptoms in most of their patients.2 ,...

      453

      No extract is available for articles shorter than 400 words.

      454

      No extract is available for articles shorter than 400 words.

      454-455

      No extract is available for articles shorter than 400 words.

      455

      No extract is available for articles shorter than 400 words.

      456

      No extract is available for articles shorter than 400 words.

      456

      No extract is available for articles shorter than 400 words.

      456-457

      No extract is available for articles shorter than 400 words.

      457

      No extract is available for articles shorter than 400 words.

      Book Reviews
      457

      The authors have assembled a series of essays on the common syndromes occurring after gastric operations and illustrated it with their 25 years of experience in the field. The majority of the syndromes discussed are covered comprehensively.

      The cause of ...

      457-458

      This book, prepared for the Cystic Fibrosis Research Trust of England, is similar to the Guide to Diagnosis and Management of Cystic Fibrosis prepared by the professional education committee (1970–1971) of the Cystic Fibrosis Foundation of the United ...

      458

      These two publications meet a need long felt by medical and other health-related personnel working in the area of childhood deafness. Though both books provide a thorough compendium of genetic hearing loss, the manner in which the authors have arranged ...

      458-459

      In the American Society for Microbiology News, Noel R. Rose, of Wayne State University School of Medicine, and Herman Friedman, of the Albert Einstein Medical Center, described the process by which this book (published as a companion volume to the Society'...

      459

      It was not so long ago that an encounter between an average doctor and an average patient had about a 50–50 chance of producing some improvement in the patient's health. Those odds have improved considerably with the discovery of antibiotics and the ...

      Books Received
      459-460

      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.

      Anatomy and Histology

      Fairbanks ...

      Notices
      460-462

      AMERICAN COLLEGE OF NURSING HOME ADMINISTRATORS SYMPOSIUM

      The American College of Nursing Home Administrators will sponsor the third North American Symposium on Long-Term Care, August 17–19 for the Eastern Region and August 24–26 for the Western Region. ...

      Medicine and Public Affairs
      463-464

        What did Joseph A. Califano, Jr., the new Secretary of Health, Education, and Welfare, mean when he visited the National Institutes of Health on February 3 and pledged the "depoliticizing" of that great research institution?

        Whatever he meant, the pledge ...

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