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August 18, 1977  Vol. 297 No. 7

Original Articles
341-345

Gastric acid is believed necessary for the formation of duodenal ulcer. Therefore, it is reasonable to assume that reduction of gastric acidity with antacid therapy should hasten healing. The effect of antacid therapy on healing of duodenal ulcer has been ...

346-350

Many environmental carcinogens must be metabolized in the body to their ultimate carcinogenic product. Aryl hydrocarbon hydroxylase (AHH) catalyzes the first step in the metabolism of benzo[a]pyrene and other polycyclic aromatic hydrocarbons. AHH, found ...

350-356

    Reifenstein originally described a clinical phenotype of hereditary male pseudohermaphroditism consisting of hypospadias, gynecomastia with incomplete virilization at puberty and infertility.1 In 1965 Bowen et al.2 evaluated three families with this ...

    356-360

    Oophorectomy has been established as the initial therapeutic endeavor in premenopausal patients with recurrent or disseminated breast cancer. The objective tumor regressions that are reported to occur in 25 to 50 per cent of patients1 2 3 4 obviously ...

    Special Article
    360-365

    Great variation in rates for elective surgical procedures has been documented in many geographic areas.1 2 3 4 Explanations for this variation range from the philosophy of the surgeon2 to the differences in organization and payment of health services.3 ...

    Medical Progress
    365-370

    (Second of Two Parts)

    Pharyngitis

    Streptococcal pharyngitis is a self-limited disease whose suppurative complications have been rare since the availability of antibiotics. In contrast, approximately 100,000 new cases of acute rheumatic fever occur each ...

    Seminars in Medicine of the Beth Israel Hospital, Boston
    371-377

    Early in this century, colloid chemists debated about whether cells were bounded by a surface membrane. Today, they debate about the organization of molecules within that membrane. The research involved has led to two images of the cell membrane — as a ...

    Case Records of the Massachusetts General Hospital
    378-383

    Presentation of Case

    A 46-year-old woman was admitted to the hospital because of a rash.

    She was well until six months previously, when an erythematous, nonscaling, pruritic eruption developed over the cheeks, neck and shoulders during a difficult time in ...

    Editorials
    384-386

    The geographic distribution of different cancer types and epidemiologic studies of migrants suggest that the environment markedly influences the incidence of cancer.1 In most cases specific causal agents are unknown. The agents may be related to aspects ...

    386-387

    The development of insight into the pathogenesis of the Reifenstein syndrome illustrates an interesting development in the evolution of modern endocrinology. From their studies of the syndrome of pseudohypoparathyroidism, Fuller Albright and his ...

    387-389

    Few data raise such profound questions about the role of elective surgical care and safeguards for its appropriate application in developed countries than the marked variation in rates of elective operations found among either developed nations, or ...

    Massachusetts Medical Society
    389

    DEATHS

    Heard — Nathan Heard, Jr., M.D., of Ogdensburg, New York, died on July 6. He was in his 67th year.

    Dr. Heard received his degree from the College of Physicians and Surgeons in 1946. He was a member of the American Medical Association.

    Herzan — ...

    Massachusetts Department of Public Health
    390-392

      St. Francis and St. Benedight, Bless this house from wicked wight... Keep it from all evil spirits, Fairies, weasels, bats, and ferrets.... — William Cartwright, A House Blessing (1651).

      Folklore of all countries is replete with frightening allusions to ...

      Correspondence
      392-394

      To the Editor: In the editorial exception taken by Siperstein et al.1 to a previous editorial published in the Journal, an equation was made between capillary basement-membrane thickening and diabetic microangiopathy. We should like to point out that ...

      394-396

      To the Editor: The review article by Shen and Bressler, "Clinical Pharmacology of Oral Antidiabetic Agents" (N Engl J Med 296:787, 1977), has some misinterpretations of our prospective double-blind study in patients with asymptomatic diabetes; in ...

      396-397

      To the Editor: H. S. Jacobs, in his editorial comment (N Engl J Med 295:954, 1976), recommends treating infertility, associated with a suspected prolactin-secreting adenoma, with irradiation and bromocriptine. However, this drug is not available for ...

      397

      No extract is available for articles shorter than 400 words.

      397-398

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      398

      To the Editor: The interesting reports of Beem and Saxon1 and of Fromme1, Bruhn and Schwartzman,2 together with the comments of Taylor and Friedland,3 suggest a somewhat different picture of neonatal infections with Chlamydia trachomatis in the United ...

      398-399

      To the Editor: Levy et al.1 have described a blood test that, in their hands, appeared to delineate clearly between patients with multiple sclerosis (MS) and controls. Wroblewska,2 Offner3 and Warocquier4 and their colleagues have agreed that lymphocytes ...

      399

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      399

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      400-401

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      401

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      401

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      401-403

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      Books Received
      403-404

      No extract is available for articles shorter than 400 words.

      Notices
      404

      SYMPOSIUM ON CHROMIUM

      A symposium entitled "Health Aspects of Chromium Containing Materials," sponsored by the Pittsburgh-based Industrial Health Foundation and the Organization Resources Counselors of Washington, D.C., will be held at the Cross Keys Inn ...

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