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September 8, 1977  Vol. 297 No. 10

Original Articles
517-523

IT is generally assumed that patients with thrombocytopenic purpura have antibodies to platelets. Indeed, in the majority of patients such antibodies can be demonstrated.1 2 3 4 5 6 Therefore, we suggest that this entity be designated idiopathic ...

524-527

    Tardive dyskinesia is a choreic movement disorder characterized by involuntary twitches in the tongue, lips, jaw and extremities.1 It typically occurs in susceptible persons after chronic ingestion of neuroleptic drugs and may involve an imbalance in the ...

    528-530

      Recent retrospective studies have reported possible teratogenic effects of chronic maternal alcohol abuse during pregnancy on offspring, termed the fetal alcohol syndrome.1 2 3 4 5 6 7 8 9 The features of this syndrome are reported as a recognizable ...

      Special Article
      531-538

        During the decade from 1960 to 1970, for the first time since the Great Depression, a sizable segment of the United States population experienced an increased death rate. Among men 25 to 34 years old, the overall mortality rate rose 16 per cent. The ...

        Medical Progress
        538-542

        (First of Two Parts)

        IN 1832, Elliotson described a patient with heart disease and "cold fits" who passed bloody urine "whenever the east wind blew."1 Halfa century later, Rosenbach described patients in whom hemoglobinuria occurred after their feet were ...

        Medical Intelligence
        543-545

        Everything alive needs iron, not too much of it and not too little. In the biosphere, where this toxic, essential element is pervasive, life has adapted itself to maintain a precarious balance. Organisms have means to exclude the iron not needed, to ...

        Case Records of the Massachusetts General Hospital
        546-551

        Presentation of Case

        A 50-year-old man was admitted to the hospital because of acute myelogenous leukemia.

        The patient was well until eight months previously, when he had an illness similar to a viral infection that persisted and was accompanied by rise ...

        Editorials
        552-553

        Violent crime, one of the most repugnant forms of human pathology, should be of special interest to physicians. But if they, as professionals, are to contribute more toward solving this problem than sutures and transfusions, they must bring to their ...

        553-554

        Many medical investigators now think that prospective randomized clinical trials offer the most reliable way of comparing alternative treatments. Although the concepts of randomized trials are quite widely understood, most physicians would be unsure how ...

        Sounding Board
        554-556

          IN 1970 the Association of American Medical Colleges set a goal of 12 per cent minority representation in American medical schools by the 1975–76 academic year. This goal was not achieved. First-year minority enrollment peaked at 10 per cent in 1974–75, ...

          Massachusetts Department of Public Health
          556-558

          Because of the serious consequences of the growing number of human injuries that involve firearms, gun control has become a concern of public health. In 1975, firearms caused the deaths of 271 persons in Massachusetts. Of that number, 145 (54 per cent) ...

          Correspondence
          558

          No extract is available for articles shorter than 400 words.

          558-559

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          559

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          559-560

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          560

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          560

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          560-561

          To the Editor: The interesting discussion on saccharin by Isselbacher and Cole (N Engl J Med 296:1348–1350, 1977) states that the banning of saccharin by the FDA was required by the Delaney Clause and suggests that the Delaney Clause ought to be revised. ...

          561

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          562

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          562

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          562

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          562-563

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          Notices
          563-564

          REVIEW OF MEDICINE

          Huntington General Hospital in Boston will present a program entitled "Review of Medicine for the Family Practitioner — A Core Curriculum," on the second and fourth Wednesday of each month beginning September 14. The lectures will be ...

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