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June 1, 1978  Vol. 298 No. 22

Original Articles
1213-1217

CONTROVERSY continues over the precise indications for coronary-artery bypass operation, mainly because the data necessary to assess the merits of the procedure are still incomplete.1 That the operation initially improves symptoms is clear, but the effect ...

1217-1222

THE purpose of this study was to clarify the relation of growth hormone to the complications of the diabetic state. In earlier studies my colleagues and I compared sexual ateliotic dwarfs with diabetic patients matched for age and sex. These dwarfs, who ...

1223-1228

MOST steroid hormone actions are mediated by an initial binding of the hormone to specific cytoplasmic receptor proteins.1 , 2 Such receptors are present in about 50 per cent of breast-tumor specimens.3 Furthermore, their presence is clearly associated ...

Special Article
1229-1238

THE invitation to give the Shattuck Lecture posed a problem for me. How could an economist from California relate to Dr. Benjamin Shattuck, colonial physician in Templeton, Massachusetts, and the distinguished line of Shattuck physicians that followed him?...

Medical Intelligence
1239-1241

FORMING the central, anterior portion of the ocular globe, the transparent cornea not only makes up part of the tough outer coat of the eye but also plays a primary part in determining its optical characteristics. A thin layer of epithelial cells forms ...

1241-1243

PREVIOUS studies have indicated that in pseudohypoparathyroidism there is a defect in the renal production of 1α,25-dihydroxyvitamin D. The mean concentration of the hormone in the circulation is abnormally low.1 , 2 We have reported in short-term studies ...

Case Records of the Massachusetts General Hospital
1244-1249

Presentation of Case

An 84-year-old woman was admitted to the hospital because of an abdominal mass.

She was well until four months previously, when anorexia and fatigue developed, accompanied by weight loss of unknown amount. A physician found an ...

Editorial
1250-1252

    The common perception of the complications of diabetes mellitus has been distorted by the heated controversy over two mutually exclusive unifying theories of their pathogenesis. The complications are a very heterogeneous group of clinical syndromes that ...

    Sounding Board
    1252-1253

      The introduction of direct-current discharge defibrillation into clinical use1 has provided a high yield of resuscitations and has gained universal acceptance. It seemed until recently that this starkly simple electronic device would withstand the ...

      1253-1255

      Congress has temporarily settled the health-manpower controversy with its compromised, but still controversial, legislation. As a condition for federal capitation support of medical schools, the new law requires a 5 per cent increase in third-year medical-...

      Massachusetts Medical Society
      1255-1256

      COMMITTEE ON MATERNAL WELFARE

      Two Dissecting Coronary-Artery Aneurysms Post Partum

      Case 1. Between the ages of 21 and 40 years an apparently normal woman was delivered at term of four infants of average birth weight. The pregnancies, parturitions and ...

      Correspondence
      1257-1259

      No extract is available for articles shorter than 400 words.

      1259-1260

      No extract is available for articles shorter than 400 words.

      1260

      No extract is available for articles shorter than 400 words.

      1260-1261

      No extract is available for articles shorter than 400 words.

      1261

      No extract is available for articles shorter than 400 words.

      1261-1262

      No extract is available for articles shorter than 400 words.

      1262

      To the Editor: In the Sounding Board article in the March 2 issue of the Journal Doege suggests discarding the terms "accident" and "accidental injury" in discussions of trauma medicine. He notes that "host characteristics" predispose to injury, making "...

      1262-1263

      No extract is available for articles shorter than 400 words.

      1263

      No extract is available for articles shorter than 400 words.

      1263

      To the Editor: Some of ray concerns about house officers are indicated in the following observations. I wonder if many readers of the Journal are in agreement.

      In the first place, our present house officers often complain that they are overworked, but ...

      Notices
      1263-1264

      MEETING ON CYSTIC FIBROSIS

      A regional meeting on cystic fibrosis, sponsored by the Children's Hospital Medical Center of Boston and the Cystic Fibrosis Foundation, will be held at Bates College on June 16 and 17.

      Further information may be obtained from ...

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