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Table of contents for

May 18, 1978  Vol. 298 No. 20

Original Articles
1101-1107

IDIOPATHIC thrombocytopenic purpura, the most common autoimmune hematologic disorder, usually occurs in older children and adults and untreated is almost always chronic or recurrent. It is to be distinguished from so-called idiopathic thrombocytopenic ...

1108-1111

PNEUMONIA due to aerobic gram-negative bacilli (i.e., members of the families enterobacteriaceae, pseudomonadaceae, and achromobacteriaceae) is becoming an increasingly important problem for the institutionalized elderly and chronically ill patient. A ...

1112-1116

RECENTLY, there has been a good deal of interest in a purported relation between community water fluoridation and cancer mortality. Burk and Yiamouyiannis1 , 2 reported on cancer mortality trends in 20 United States cities, half of which had fluoridated ...

1116-1122

    MYASTHENIA gravis is a neuromuscular disorder characterized by weakness and fatigability of muscles. It is now well established that there is a decrease of acetylcholine receptors at neuromuscular junctions of myasthenic patients,1 2 3 4 5 sufficient to ...

    Medical Progress
    1122-1128

    Prostaglandin and Thromboxane Metabolic Pathway — Overview

    THE prostaglandins (PG) are synthesized by virtually every tissue in the body.1 Their release can be stimulated by various means, including hormones (e.g., bradykinin and angiotensin II), nerve ...

    Medical Intelligence
    1129-1131

    APPLICATION of the terms tropical eosinophilia, pulmonary eosinophilia and eosinophilic lung to the same clinical entity has led to considerable confusion in the medical literature. The illness was initially described from the tropics, with its main ...

    1132

    PRESERVATION of the nipple for use in reconstruction of the breast removed in treatment of carcinoma has been recommended and practiced in recent years. The discovery of carcinoma in such a nipple transplanted to the groin prompted this report.

    Case ...

    Case Records of the Massachusetts General Hospital
    1133-1138

    Presentation of Case

    First admission. A 66-year-old policeman was admitted to the hospital because of nausea.

    He was well until one month previously, when he began to have occasional night sweats. Ten days before entry he became nauseated, and an uneasy ...

    Editorials
    1139-1140

    Idiopathic thrombocytopenic purpura is not as "idiopathic" as it once was since much evidence has accumulated to demonstrate the role of IgG antibody in its genesis.1 Its treatment is often quite simple and yet is sometimes fraught with great ...

    1140-1141

      In contrast to the generally accepted view that alcoholism may result from cultural, environmental and psychologic influences, newer epidemiologic evidence suggests that in addition to environmental factors there is probably a strong genetic component in ...

      Sounding Board
      1142

      A life in medicine seems a mixed blessing. We are filled with satisfaction if our work is well done but with chagrin if we fall short. We are flattered by appreciative patients but harangued by abusive ones. We are proud of our position but constantly ...

      Massachusetts Department of Public Health
      1143-1145

      A new industrial hazard has developed in the attempt to delead old houses. Although qualified contractors are available, serious problems may result from careless or inexperienced deleading practices. Many unsafe methods are being used that put in ...

      Correspondence
      1145-1146

      No extract is available for articles shorter than 400 words.

      1146

      No extract is available for articles shorter than 400 words.

      1146

      No extract is available for articles shorter than 400 words.

      1147

      No extract is available for articles shorter than 400 words.

      1147-1148

      To the Editor: We are currently studying abnormalities in blood lipids associated with Schistosoma mansoni infections in Brazilian patients, and we read with interest the recent Current Concepts article on schistosomiasis.1 In over 60 hepatointestinal, ...

      1148-1149

      No extract is available for articles shorter than 400 words.

      1149

      To the Editor: The question of whether diabetic complications are related to the degree of control of blood sugar is an important and still controversial one.1 , 2 In 1947 we began a long-term prospective study aimed at answering that question. We have ...

      1149-1150

      No extract is available for articles shorter than 400 words.

      1150

      No extract is available for articles shorter than 400 words.

      1150-1152

      No extract is available for articles shorter than 400 words.

      1152

      No extract is available for articles shorter than 400 words.

      1152

      No extract is available for articles shorter than 400 words.

      1153

      No extract is available for articles shorter than 400 words.

      1153-1155

      No extract is available for articles shorter than 400 words.

      1155

      To the Editor: The editorial by Sackett in the February 2 issue of the Journal stated that a deficiency in patient-physician communication could be critical in determining patient compliance. Simple explanations to the patient are not always sufficient ...

      Books Received
      1155

      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.

      Social Topics

      The Family in ...

      Notices
      1156

      PROGRAMS FROM TUFTS UNIVERSITY

      Tufts University School of Medicine, the Massachusetts Rehabilitation Hospital and the Massachusetts Audubon Society will present a program, "The Environment and Its Effect on Health and Disease" on June 5 at the ...

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