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January 5, 1978  Vol. 298 No. 1

Original Articles
1-6

THERE is a considerable body of evidence showing a direct relation between obesity and hypertension.1 2 3 4 In addition, many studies have demonstrated that a decrease in weight is associated with a fall in blood pressure.2 , 3 It has been estimated that ...

6-10

    AMONG the 48 million adult tobacco users in the United States are many who are continuously exposed to the high levels of carbon monoxide in tobacco smoke.1 The carbon monoxide inhaled has a marked affinity for hemoglobin, and is readily measurable as ...

    10-15

      CLINICIANS have long observed that atelectasis of lung parenchyma does not invariably occur with segmental or lobar obstruction. In 1930 Van Allen and Lindskog obstructed sublobar bronchi in dog lungs and noted no collapse distal to the obstructed ...

      Special Article
      15-21

      THE number of physicians in the specialties most frequently associated with the provision of primary medical care (general practice, family practice, internal medicine and pediatrics) has been decreasing while the number of physicians in all other ...

      Medical Progress
      21-26

      KOCH'S postulates may not always apply to human infections. In fact, many mixed infections appear to be synergistic processes in which disease exists only if each of a minimum number of different micro-organisms are present. Some infections may even be ...

      Medical Intelligence
      27-29

      INTRAVENOUS alimentation with amino acids in combination with glucose, vitamins and minerals is commonly used in the treatment of patients who are unable to maintain adequate nutrition by feeding.1 Recent studies in man indicate that perfusion of the ...

      29-32

      SECONDARY hyperparathyroidism, with markedly elevated levels of circulating parathyroid hormone, is a universal complication of chronic renal failure.1 , 2 Increased secretion has been accepted as the underlying mechanism responsible for the high levels ...

      32-33

      THE pages of the Journal have been open to controversial positions on the freedom of physicians to practice medicine as they see fit,1 particularly in the face of economic changes in medical practice and the strident claims of our day concerning a legal ...

      Case Records of the Massachusetts General Hospital
      34-45

      No extract is available for articles shorter than 400 words.

      Editorials
      46-48

      IN our recently heightened zeal to treat hypertensive patients with pressure-lowering drugs, we may be overlooking another potent avenue of therapy. The article by Reisin et al. in this issue of the Journal points this paradox out in very clear terms. ...

      48-49

      With the report of "Smokers' Polycythemia" by Smith and Landaw in this issue of the Journal (page 6) the list of physiologic abnormalities associated with cigarette smoking grows. The authors argue convincingly that the elevated carboxyhemoglobin levels ...

      49-50

      OF what importance is collateral ventilation in man? Perhaps the best way to begin to answer this question is to describe what happens when airways become occluded in the absence of collateral ventilation. Under these circumstances the alveolar gas ...

      Massachusetts Medical Society
      50-51

      Synopsis of Council Meeting October 12, 1977

      The Council met at the Treadway Inn, Chicopee, on Wednesday, October 12, 1977 at 10:15 a.m. with John J. Byrne, M.D., President, presiding. A quorum was continually present. One hundred and eighty-four ...

      Correspondence
      51-52

      No extract is available for articles shorter than 400 words.

      52-53

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      53-54

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      54

      No extract is available for articles shorter than 400 words.

      54

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      55

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      55-56

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      56

      To the Editor: Since its initial validation five years ago,1 the oxytocin challenge test has become an important tool for ante-partum evaluation of uteroplacental respiratory function. In a review of the overall experience with the test,2 1500 tests ...

      56-57

      No extract is available for articles shorter than 400 words.

      57

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      57

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      57-58

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      58-59

      To the Editor: Roos et al. (N Engl J Med 297:360–365, 1977) challenge as "simplistic" the proposal that high surgical rates reflect low standards of practice, basing their challenge on an analysis of Manitoba Health Services claims data in relation to "...

      59

      No extract is available for articles shorter than 400 words.

      Notices
      59

      BENJAMIN WATERHOUSE MEDICAL HISTORY SOCIETY

      The Benjamin Waterhouse Medical History Society meeting on "Treason and Other Medical Problems at the Siege of Boston" will be held in Room L-301 of the Instructional Building of Boston University School of ...

      Information for Authors
      60

      Manuscripts

      Manuscripts containing original material (Original Articles, Special Articles and brief reports in Medical Intelligence) are accepted for consideration with the understanding that neither the article, nor any part of its essential substance, ...

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