The most widely used technic for the preoperative assessment of surgical risk, the Dripps-American Surgical Association,^{1 , 2} is an excellent predictor of perioperative noncardiac complications³ but not necessarily of perioperative cardiac problems.⁴ ...

Multiple sclerosis is a primary demyelinating disease of the central nervous system of unknown cause. Many investigators believe that a cell-mediated immune response to one or more Central-nervous-system myelin components is a major pathogenic mechanism, ...

Oral pancreatic extracts are employed routinely in treatment for the malabsorption that occurs in pancreatic insufficiency.^{3 4 5 6} These preparations often are clinically useful, but steatorrhea is rarely abolished.⁷ Some patients remain symptomatic, with ...

Rocky Mountain spotted fever, an infectious disease caused by Rickettsia rickettsii, is endemic throughout the continental United States. Transmission to human beings occurs through the bite of an infected arthropod, the dog tick, Dermacentor variabilis, ...

A VARIETY of sources have commented on the changing roles of men and women in American society.^{1 2 3} Although these reviews vary in terms of their evaluation of this trend, most agree that barriers to equal opportunity in obtaining jobs, credit or loans ...

Elemental sulfur is widely used as a folk remedy. Usually combined with a sweet syrup or molasses, it has internal uses that include intestinal "spring-cleaning," treatment for dyspnea and as a "tonic."¹ Although of doubtful benefit, sulfur is generally ...

A FALL in partial pressure of arterial oxygen, or oxygen tension (Pao₂), occurring during hemodialysis is a well described phenomenon.^{1 , 2} The published data, however, are disparate over its cause and clinical implications. Bischel, Scoles and Mohler³ ...

(First of Two Parts*)

RECENT research on the pathogenesis of atherosclerosis has focused on the physicochemical nature of the arterial wall and on the roles of smooth-muscle cells, serum lipoproteins and defects in cellular metabolism of cholesterol that ...

Presentation of Case

A 34-year-old man was brought to the hospital after cardiopulmonary arrest.

The patient had enjoyed good health, without known hypersensitivity to medications. He was believed to have received penicillin for pneumonia while in the ...

This week's Journal carries a paper (page 859) on Rocky Mountain spotted fever by Oster et al. that is interesting and timely — interesting because it reconsiders the important problem of the protective efficacy of specific rickettsial vaccines and timely ...

IN a timely and provocative article concerned with sex differences in patterns of morbidity, mortality and medical-care utilization, Lewis and Lewis, elsewhere in this week's issue, ask whether women's fuller participation in the nation's economic life ...

Current Congressional interest in delaying or abolishing the age of obligatory retirement is an expression of the growing political strength of our elderly, who now number 23 million over the age of 65. Population projections indicate that by the year ...

Published in Accordance with Chapter II, Section 2.301 of the Bylaws

Barnstable

Conway, John Alvan, Tobey Hospital, Wareham 02571. New York Medical College, 1971.

Goslee, Timothy Evans, 14 Bramblebush Park, Falmouth 02540. St. Louis University School of ...

To the Editor: The concept of insulin resistance in ketoacidosis stems from the old observation that the small dose of insulin that rapidly produces hypoglycemia in normal subjects has little acute effect in patients with ketoacidosis.¹ In 1963, Walker ...

No extract is available for articles shorter than 400 words.

To the Editor: In 1966, the MB isoenzyme of creatine phosphokinase (CPK-MB) was introduced to assist in the diagnosis of acute myocardial infarction. The presence of CPK-MB was found to be a more specific marker of myocardial necrosis than previously ...

To the Editor: The recent reopening of the Correspondence columns in the Journal to the treatment of chronic idiopathic thrombocytopenic purpura (ITP) with vincristine (N Engl J Med 297:397, 1977) encourages us to report on our experience with 26 ...

No extract is available for articles shorter than 400 words.

SYMPOSIUM ON DIETARY CHOLINE AND THE BRAIN

A symposium on dietary choline sources and brain function will be held at the Massachusetts Institute of Technology in Cambridge on Thursday, November 3. There is no fee.

Further information may be obtained from ...

No extract is available for articles shorter than 400 words.