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May 25, 1978  Vol. 298 No. 21

Original Articles
1157-1159

A DRUG-induced syndrome similar to systemic lupus erythematosus is a well documented adverse consequence of chronic therapy with several drugs. Procainamide, hydralazine and isoniazid are the drugs best known for their ability to induce this syndrome.1 , ...

1160-1163

LIDOCAINE is the most widely used intravenous antiarrhythmic agent for management of acute ventricular arrhythmias. Increasing numbers of investigators1 2 3 have used lidocaine prophylactically after acute myocardial infarction. Lie et al.,2 employing a ...

1164-1171

ATAXIA telangiectasia, an autosomal recessive syndrome characterized by progressive cerebellar ataxia, telangiectasias and diverse abnormalities of the immune system, is often accompanied by glucose intolerance and insulin resistance.1 , 2 Schalch et al.1 ...

Special Article
1171-1177

SYSTEMATIC assessment and assurance of the quality of medical care are now major elements of national health policy.1 2 3 4 5 This progress has come about despite only marginal advances in methods since the landmark contributions to medical auditing by ...

Medical Intelligence
1178-1180

TRICHINOSIS as a clinical disease now occurs very infrequently in this country, and it is not surprising that physicians may not recognize it. For example, in a recent small epidemic involving 13 persons who acquired their infection while passengers on a ...

1180-1181

THE influence of the modern medical school on liberal-arts education in this country over the last decade has been baleful and malign, nothing less. The admission policies of the medical schools are at the root of the trouble. If something is not done ...

1182-1184

THE latest report of the Universities Central Council on Admissions1 shows that in Britain, medicine retains its position as one of the most popular career choices for university entrants, although the total of 12,098 applicants for 3742 places last ...

Case Records of the Massachusetts General Hospital
1184-1192

Presentation of Case

A 58-year-old man was admitted to the hospital because of dyspnea and anasarca.

He was well until eight years previously, when an enlarged right cervical lymph node was found. Examination was otherwise negative. An x-ray film of the ...

Editorials
1193-1194

    How much of what drug for whom?1 Good habits of mind are encouraged when the physician asks these questions before prescribing a drug. Two articles concerning antiarrhythmic drugs in this issue of the Journal provide an opportunity to practice this ...

    1194-1196

    An increasing number of clinicians are becoming involved in programs designed to assess and assure the quality of medical care, such as the Professional Standards Review Organization (PSRO) reviews or the Joint Commission on Accreditation of Hospitals ...

    Sounding Board
    1196-1197

    The outcome of a given chronic disease is of much interest to the individual patient and his physicians. Knowledge of the natural history of untreated disease becomes particularly important in decisions regarding initiation of treatment and assessing the ...

    Massachusetts Medical Society
    1197-1198

    Synopsis of Council Meeting March 22, 1978

    The Council met at the Park Plaza Hotel, Boston, on March 22, 1978 at 10:10 a.m. There were 218 councilors in attendance. The minutes of the meeting of the Executive Board on January 11, 1978, were accepted.

    The ...

    Correspondence
    1198-1200

    No extract is available for articles shorter than 400 words.

    1200

    No extract is available for articles shorter than 400 words.

    1200-1202

    No extract is available for articles shorter than 400 words.

    1202-1203

    To the Editor: The article by Koivisto and Felig in the January 12 issue of the Journal provides further evidence that exercising the region in which insulin is given subcutaneously increases its rate of absorption and consequent glucose-lowering ...

    1203

    No extract is available for articles shorter than 400 words.

    1203

    No extract is available for articles shorter than 400 words.

    1203-1204

    No extract is available for articles shorter than 400 words.

    1204

    No extract is available for articles shorter than 400 words.

    1204-1205

    To the Editor: Alopecia, occurring after the use of cytotoxic chemotherapy, often presents an esthetic and psychologically disturbing problem and may on occasion result in refusal to accept a treatment that is of proved efficacy in a variety of solid ...

    1205-1206

    No extract is available for articles shorter than 400 words.

    1206-1207

    No extract is available for articles shorter than 400 words.

    1208-1209

    No extract is available for articles shorter than 400 words.

    Notices
    1209-1210

    SYMPOSIUM ON NOSOCOMIAL INFECTION

    A symposium on control of nosocomial infection will be held at Our Lady of Fatima Unit of St. Joseph's Hospital on June 3. Preregistration is required.

    Further information may be obtained from Mr. Brian Wallin, St. Joseph'...

    Washington Report
    1211-1212

    Rosalynn Carter is to mental health as Jacqueline Kennedy was to antiques and Ladybird Johnson to flower beds along the highways.

    She is in favor of her interest, as they were in favor of theirs. And though the Constitution is silent on the authority to ...

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