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August 4, 1977  Vol. 297 No. 5

Original Articles
233-238

Intestinal pseudo-obstruction denotes a clinical syndrome characterized by signs of intestinal obstruction but without a demonstrable organic occlusion of the bowel lumen. Pseudo-obstruction may be seen in various disorders such as scleroderma, myxedema, ...

238-241

    Insulin therapy of diabetic ketoacidosis has traditionally consisted of large amounts of crystalline insulin administered by the intravenous or subcutaneous route. Several recent reports, however, have indicated that diabetic ketoacidosis is generally ...

    241-245

      The typical patient with poliomyelitis has an asymmetrical onset of weakness, fasciculations and areflexia, which rapidly progress to reach maximum severity within one to two weeks. Although pathologic involvement of the anterior horn cells of the spinal ...

      245-248

        The increased risk of overwhelming sepsis in young children subjected to splenectomy has been recognized for many years.1 , 2 More recently, in older children and adults with splenectomy for staging of Hodgkin's disease, aggressive treatment of the ...

        Special Article
        249-253

        For more than 20 years, vaccination against poliomyelitis has stood as a pre-eminent achievement among preventive health-care programs. Besides its inherent importance, it has symbolized the value of preventive measures for the American people. Thus, it ...

        Medical Intelligence
        254-258

        (Second of Two Parts)*

        Acute Myocardial Infarction

        Vasodilator therapy has been advocated for two purposes in patients with acute myocardial infarction: improvement in pump function; and reduction in myocardial ischemia.

        Pump Function

        Left ventricular ...

        258-260

        Prenatal diagnosis based on anatomic definition of the fetus in utero is an extremely difficult task, particularly in the first half of pregnancy. radiologic technics will give information about the skeleton, gastrointestinal tract and gross body contours,...

        260-261

        Maryland was the first state in the United States to adopt an organized, state-wide medical-examiner system under a chief medical examiner in its 1939 law.1 It was also the first of the colonies on the American continent to appoint a coroner. The year was ...

        Physiology in Medicine
        262-266

          IN this paper we marshal the facts that are available on the properties of water molecules found in cellular and subcellular materials. We begin with a consideration of the properties of water molecules as found in pure liquid water, proceed to the ...

          Case Records of the Massachusetts General Hospital
          266-274

            Presentation of Case

            A 50-year-old postal worker was admitted to the hospital because of respiratory distress.

            He was in his usual state of health until four months previously, when he began to complain of fatigue and ankle edema. Three weeks before ...

            Editorials
            275-277

            Epidemics that used to be excused as acts of God are now not excused as the results of the inactivity of man. In short, the incidence of many diseases has been moved from the area of chance to the area of choice. That is a vast change intellectually. Not ...

            277

              Ideally, words gracing the Journal's pages, whether crystal clear or obfuscatory, are inspired by lofty motives and resolute commitment. The facts, however, are that annoyance has been to a large degree responsible for what is probably the Journal's most ...

              Sounding Board
              278-279

              Ideal medical care depends to an important degree on the physician's being an advocate of the patient.1 , 2 In fact, however, we physicians have long been double agents, serving other interests as well; and now, as medical-care rationing begins, we face ...

              Massachusetts Medical Society
              280-281

              A 33-year-old gravida 7, para 3, with juvenile diabetes (onset at the age of 13 years) was admitted to the hospital at 32 weeks' gestation with nausea, vomiting, diabetic ketoacidosis, a history of four cesarean sections and mild uterine contractions.

              The ...

              Correspondence
              281-282

              No extract is available for articles shorter than 400 words.

              282

              No extract is available for articles shorter than 400 words.

              282-283

              No extract is available for articles shorter than 400 words.

              283-284

              No extract is available for articles shorter than 400 words.

              284

              No extract is available for articles shorter than 400 words.

              284

              No extract is available for articles shorter than 400 words.

              284-285

              No extract is available for articles shorter than 400 words.

              285

              No extract is available for articles shorter than 400 words.

              285

              No extract is available for articles shorter than 400 words.

              285-286

              No extract is available for articles shorter than 400 words.

              286

              No extract is available for articles shorter than 400 words.

              Books Received
              286-288

              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

              Basic Limbic ...

              Notices
              288

              GRANTS FOR RESEARCH IN TRAUMA AND BURNS

              A grants program to encourage new investigators in the field of trauma and burn research has been announced by the National Institute of General Medical Sciences. To be eligible, applicants must have an M.D. degree ...

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