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November 10, 1977  Vol. 297 No. 19

Original Articles
1017-1021

Until recently the hereditary character of hemochromatosis was debated,1 , 2 and its mode of transmission the object of controversy.3 , 4 Diverse studies with contradictory results, published in part in this journal,5 6 7 8 were aimed at detection of ...

1022-1028

Sulfite oxidase deficiency is a rare metabolic disorder in sulfur metabolism and has only been reported once, by Mudd and his co-workers in 1967.1 2 3 4 This patient was abnormal at birth and had many neurologic abnormalities, including severe mental ...

1029-1032

The diagnosis of factitious hypoglycemia may be difficult despite a high index of suspicion and increasing laboratory sophistication. Cases due to selfadministration of insulin1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 or oral hypoglycemic drugs16 17 18 19 20 ...

1033-1036

Several studies indicate the clinical effectiveness of granulocyte transfusions.1 2 3 4 5 6 7 The dose of transfused granulocytes necessary to ameliorate the response to infection is unknown, but larger numbers are probably more effective. Pharmacologic ...

1036-1040

Neel has twice referred to the inheritance of diabetes mellitus as a "geneticist's nightmare."1 , 2 The bizarre patterns of familial aggregation do not fit Mendelian proportions, and pooled data from pedigree studies have suggested recessive, dominant, ...

Medical Progress
1041-1050

(Second of Two Parts)

Assays for Vitamin D Metabolites

The basic advances in our understanding of the metabolism and mechanism of action of vitamin D not only are important in physiology and nutrition but have been successfully applied to the study of the ...

Medical Intelligence
1051-1053

Ten, or even five years ago, the chief question concerning diet and pregnancy was, "Does it matter?" Currently, the question has become, To what degree does a good diet benefit pregnancy, and How can the benefits be measured?

The purpose of this paper is ...

Case Records of the Massachusetts General Hospital
1054-1059

Presentation of Case

A 39-year-old man was admitted to the hospital because of jaundice.

He was well until three months previously, when he began to have heartburn and frequent belching; he reduced his food intake and lost 7 kg in weight. Six weeks before ...

Editorials
1060-1062

    Several hundred papers, each reporting an increased frequency of one or more HLA antigens among patients with a particular human disease, have appeared in the medical literature in the last few years. This literary deluge, to which the New England Journal ...

    1062-1063

    The genetic basis for the familial predisposition to diabetes mellitus has been a controversial topic for decades. A prominent aspect of the controversy has been the relation between the brittle, juvenile-onset and the stable, maturity-onset types: do ...

    1063-1065

    IN its highest form medical controversy provides the energy for inquiry and progress. When controversy descends from the intellectual to the emotional plane, participants become more the advocates of belief than the seekers of truth. When the "experts" ...

    Massachusetts Department of Public Health
    1065-1068

      The ability of hospitals to renovate and expand physical capacity and to develop new services is subject to state-conducted certificate-of-need programs as mandated by the National Health Planning and Resources Development Act of 1974 (P.L. 93–641). In ...

      Correspondence
      1068

      No extract is available for articles shorter than 400 words.

      1068-1069

      No extract is available for articles shorter than 400 words.

      1069

      No extract is available for articles shorter than 400 words.

      1069-1070

      To the Editor: Case 36–1977 of the Massachusetts General Hospital (N Engl J Med 297:546–551, 1977) raised but left undiscussed a question that may shed some light on the unsolved problem of the etiology of the patient's facial swelling and tooth pain.

      ...

      1070

      To the Editor: Recently, we have had the opportunity to review the history of one of the patients described by Jeghers et al.1 in their 1949 article in the Journal.

      The patient is now a 73-year-old woman who was first admitted to our institution in 1938 ...

      1071

      No extract is available for articles shorter than 400 words.

      1071

      No extract is available for articles shorter than 400 words.

      1071

      No extract is available for articles shorter than 400 words.

      1071-1072

      No extract is available for articles shorter than 400 words.

      1072

      No extract is available for articles shorter than 400 words.

      1072-1073

      To the Editor: Whose responsibility is it to ensure appropriate language in an article published in the Journal? Initially, of course, the authors attempt, through the original draft and subsequent revisions of a manuscript, to arrive at acceptable ...

      1073

      To the Editor: The history of man's search for truth can be divided into eras according to the aspects of truth that were most prominent at the time. For instance, the primitive era of Aristotle, Vesalius and Leeuwenhoek, with its emphasis on collecting ...

      1073

      No extract is available for articles shorter than 400 words.

      1074

      No extract is available for articles shorter than 400 words.

      1074

      No extract is available for articles shorter than 400 words.

      Notices
      1074-1076

      WORKSHOP IN SOLID-STATE SENSORS IN BIOMEDICINE

      Case Western Reserve University in Cleveland will present a workshop entitled "Solid State Physical Sensors for Biomedical Applications" on December 8 and 9. The workshop is sponsored by the Research ...

      Correction
      1076

      No extract is available for articles shorter than 400 words.

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