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February 23, 1978  Vol. 298 No. 8

Original Articles
409-413

AS an indication for tonsillectomy, a history of recurrent episodes of throat infection is viewed quite differently by different authorities. Some favor its use but leave unspecified the minimum number of episodes that would justify tonsillectomy1 , 2; ...

413-416

TREATMENT of acute, uncomplicated urinary-tract infection in women with a wide variety of antimicrobial agents results in an approximately 85 per cent initial success rate, but with an unacceptably high rate of recurrence.1 2 3 4 5 6 7 8 9 10 The great ...

417-421

    BULLOUS pemphigoid is a frequently self-limited cutaneous eruption characterized by multiple, tense blisters that usually occur in patients beyond the fifth decade of life. Pathological study of bullous lesions shows separation at the dermal-epidermal ...

    Special Article
    422-427

    DURING the past 30 years the clinical laboratory has evolved from a small, crowded room in the hospital basement to an organization of marvelous complexity. It has spawned high-technology industry; it includes publicly held corporations that supply ...

    Medical Progress
    428-435

    (First of Three Parts)

    CURRENTLY, what might be called the fifth epidemic of interest in the chlamydiae is occurring. Investigation of this large, diverse group of micro-organisms containing a number of pathogens that are important in both human and ...

    Medical Intelligence
    436-439

    CERTAIN parasitic helminths of lower animals are capable of infecting a variety of mammalian species that are not their definitive hosts. Under such conditions the invading larvae usually do not develop further but may survive indefinitely in the tissues. ...

    439-441

    SINCE the description of hepatitis B e antigen (HBeAg) and corresponding antibody to the antigen in 1972,1 these entities have attracted attention because of their apparent clinical implications. The presence of HBeAg in the serum of patients with acute ...

    442-444

    ONE of the most notable achievements of the earlier years of the National Health Service (NHS) was the upgrading of the nonteaching district hospitals. This advance was brought about by staffing them with well trained consultants who were enthusiastic in ...

    Case Records of the Massachusetts General Hospital
    445-452

    Presentation of Case

    A 22-year-old automobile mechanic was admitted to the hospital because of jaundice.

    He was well until six years earlier, when he began to pass fresh blood per rectum intermittently after bowel movements. Three years before admission ...

    Editorials
    453

    No extract is available for articles shorter than 400 words.

    453-454

    "But Doctor, Johnny had seven bouts of sore throat last year. Wouldn't it help to take out his tonsils?" This plaintive cry for help is known to most physicians dealing with children and is the most common reason given to justify the nearly one million ...

    454-455

    One of the most persistent misconceptions about hospital finances is that of "profit" by hospital clinical laboratories and certain other revenue-generating departments. In this issue of the Journal, Dr. Rex Conn makes some provocative observations about ...

    455

    The unpermitted, unprivileged touching of the person of another is a legal wrong or, technically, a battery. The defense to a charge of battery is consent. In the nonemergency medical encounter, however, such consent is ineffective as a defense1 without a ...

    Correspondence
    456

    No extract is available for articles shorter than 400 words.

    456-457

    No extract is available for articles shorter than 400 words.

    457

    No extract is available for articles shorter than 400 words.

    457-458

    No extract is available for articles shorter than 400 words.

    458

    No extract is available for articles shorter than 400 words.

    458-460

    To the Editor: Metz et al. report, in a well studied case (N Engl J Med 297:1084–1090, 1977), that selective deficiency of 1,25-dihydroxycholecalciferol causes selective impairment in the bone response to parathyroid hormone (PTH), with retention of the ...

    460

    No extract is available for articles shorter than 400 words.

    460-461

    No extract is available for articles shorter than 400 words.

    461

    No extract is available for articles shorter than 400 words.

    461-462

    No extract is available for articles shorter than 400 words.

    462-463

    To the Editor: We should like to comment on the claim made by Rubinstein et al. that juvenile insulin-dependent diabetes is inherited as a recessive trait (N Engl J Med 297:1036, 1977).

    Our group,1 Cudworth et al.,2 and others3 , 4 also have studied the ...

    463

    To the Editor: Many ambulatory patients with heart disease are receiving oral furosemide and digoxin. These are often prescribed as Lasix (Hoechst), 40-mg tablets, and Lanoxin (Burroughs Well-come), 0.25-mg tablets, respectively. Unfortunately, these two ...

    463-464

    To the Eitor: Dr. Julian Keith, in his Sounding Board (N Engl J Med 297:1007–1008, 1977), has made statements that, if not put into proper perspective, may be harmful to the continued developrm of the specialty of family practice.

    Dr. Keith has ...

    464

    No extract is available for articles shorter than 400 words.

    Books Received
    464-465

    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.

    Orthopedics

    Geriatric ...

    Notices
    465-466

    THE CHURCHILL TRAVELING FELLOWSHIPS-NEW YORK

    The Winston Churchill Traveling Fellowships are available for study in community medicine in British Commonwealth countries. Applicants for the 1978 award must be persons working in the field of community ...

    Washington Report
    467-468

    In describing the research and development portion of the budget that President Carter sent to Congress last month, Frank Press, the White House science adviser, observed with satisfaction that it provides "a tilt toward basic research."

    Since scientists ...

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