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September 28, 1978  Vol. 299 No. 13

Original Articles
673-679

THE demonstration that the hepatic phenylalanine hydroxylating system is complex, consisting of several essential components — at least two enzymes, phenylalanine hydroxylase (catalyzing reaction 1) and dihydropteridine reductase (catalyzing reaction 2), ...

680-685

    AMYOTROPHIC lateral sclerosis and Parkinsonism-dementia, two chronic degenerative diseases of the central nervous system, have shown striking concentrations among the Chamorro population on G-am.1 2 3 Environmental4 as well as hereditary factors5 , 6 have ...

    686-689

    EXCEPT for unusual problems occurring under conditions of severe hypoxia,1 2 3 sickle-cell trait is generally regarded as a benign condition, requiring attention mainly to genetic counseling and family planning. Hematuria,4 hyposthenuria,5 and papillary ...

    Special Article
    690-694

    THIRTY years have elapsed since the publication of the first clinical trials employing randomization.1 Since then the randomized control trial has gradually become accepted as the most effective way of determining the relative efficacy and toxicity of a ...

    Medical Progress
    695-702

      OVER the past several years coronary-artery spasm, superimposed on either fixed arteriosclerotic coronary-artery disease or radiographically normal coronary arteries, has been shown clearly to be the cause of Prinzmetal's variant angina. More recently, ...

      Medical Intelligence
      703-705

        GALACTOSYLTRANSFERASE has been studied in human serum, and early reports failed to demonstrate an elevation of total serum galactosyltransferase in malignant disease.1 , 2 Subsequent electrophoretic studies from this laboratory revealed that, although the ...

        705-707

        THE successful extrauterine fertilization of a women's ovum with her husband's sperm, which was carried out in a laboratory by a Cambridge physiologist, Dr. Robert Edwards, in collaboration with Mr. Patrick Steptoe, a gynecologist in Oldham, Lancashire, ...

        Case Records of the Massachusetts General Hospital
        708-714

        Presentation of Case

        A 61-year-old man was admitted to the hospital because of carcinoma of the lung.

        He was well until two years previously, when arthralgia of the feet, ankles and knees occurred; oxyphenbutazone was administered. Four months before ...

        Editorials
        715-716

        Elsewhere in this issue of the Journal is an instructive illustration of Murphy's Law applied to medicine: if anything can go wrong, it will. On the basis of biochemical principles, three possible defects would allow phenylalanine to escape metabolism and ...

        716-717

        Since 1953, when Spühler and Zollinger reported from Switzerland the association of chronic interstitial nephritis with the ingestion of certain analgesic drugs,1 analgesic-associated nephropathy has been established as an important cause of chronic renal ...

        Sounding Board
        718-720

        As a consequence of the frustrations spawned by the escalating costs and the low returns of disease-oriented medicine, health education has begun to be touted as an antidote to the nation's health ills.

        At the federal level, interest in health education ...

        Massachusetts Medical Society
        720

        No extract is available for articles shorter than 400 words.

        Correspondence
        721

        No extract is available for articles shorter than 400 words.

        721

        No extract is available for articles shorter than 400 words.

        721-722

        No extract is available for articles shorter than 400 words.

        722

        No extract is available for articles shorter than 400 words.

        722-724

        No extract is available for articles shorter than 400 words.

        724

        No extract is available for articles shorter than 400 words.

        Book Review
        725

        This is an excellent book, and I congratulate the authors and the publishers. If you are interested in biochemistry, medicine, science, history, people and progress (and, of course, DNA) you will enjoy it as richly as did I.

        I had read Watson's The Double ...

        Notices
        725-726

        PROGRAM FROM TUFTS UNIVERSITY

        Tufts University School of Medicine and the Military and Hospitalier Order of St. Lazarus of Jerusalem announce the third annual Conference on Aging to be held October 28 at the Tufts University Medford campus.

        Further ...

        Corrections
        726

        No extract is available for articles shorter than 400 words.

        726

        No extract is available for articles shorter than 400 words.

        726

        No extract is available for articles shorter than 400 words.

        726

        No extract is available for articles shorter than 400 words.

        Washington Report
        727-728

        The perplexities that confront American scientists who value both human rights and collaboration with Soviet colleagues are nicely conveyed by a statement recently issued by the Committee on Human Rights of the National Academy of Sciences.

        Urging ...

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