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November 16, 1978  Vol. 299 No. 20

Original Articles
1089-1094

AN association between exogenous estrogens and endometrial cancer has been reported for postmenopausal women in five recent investigations1 2 3 4 5 that all employed the conventional methods of the "retrospective case–control" study.

In a case–control ...

1095-1098

THE major forms of porphyria are distinguishable by their unique pattern of porphyrin or porphyrin precursor accumulation,1 implying that each is caused by a unique biochemical defect (or defects) in the heme biosynthetic pathway. Porphyria cutanea tarda ...

Medical Progress
1099-1105

Relation of the Defect to Pulmonary Disease

It is clear that severely deficient subjects of phenotype PiZ and probably PiSZ are much more susceptible to the development of emphysema or chronic bronchitis (or both) than the general population, the large ...

Medical Intelligence
1106-1109

ABOUT 70 per cent of prescriptions for tricyclic antidepressants are written by non-psychiatrists, largely physicians in family practice or internal medicine. Depressions seem to be a common problem in medical practice. Despite this widespread recognition ...

1110-1113

    MALAKOPLAKIA, described in 1902,1 is an unusual chronic inflammatory disease generally confined to the collecting system of the urinary tract. Renal parenchymal involvement is rare and was bilateral in only five2 3 4 5 6 of the 11 reported cases. Two of ...

    1113-1114

    CARDIAC tamponade is an acute, life-threatening complication of malignant pericardial effusions. There have been conflicting views on the management of this clinical situation1; traditionally, the approach has been surgical, with establishment of a ...

    1115-1118

    INFECTIONS due to fungi of the class zygomycetes and order mucorales (rhizopus, mucor and absidia) are well recognized complications in the host compromised by underlying hematologic cancer or immunosuppressive therapy,1 2 3 diabetes mellitus4 or thermal ...

    1118-1121

      MUCH of the research and practice of clinical pharmacology depends on the measurement of drug concentrations in the serum.1 The error of these measurements can be monitored by assaying samples containing known amounts of drug.2 However, errors made in the ...

      Case Records of the Massachusetts General Hospital
      1121-1128

      Presentation of Case

      A 25-year-old man was admitted to the hospital because of abdominal pain.

      He was well until three months earlier, when he experienced diffuse abdominal cramps that disappeared after several days. Twenty-five days before admission ...

      Editorials
      1129-1130

        Horwitz and Feinstein, in an article in this issue of the Journal, suggest that a selection bias explains the strong association between exogenous estrogens and endometrial cancer reported by many investigators. To correct this bias, they propose a method ...

        1130-1131

        In 1947 Belk and Sunderman1 presented the results of a study of the quality of performance of clinical laboratories. Since that time a plethora of papers have appeared in the medical and scientific literature verifying, amending and extrapolating the ...

        Sounding Board
        1131-1133

        The spread of denturism has been the subject of increased attention by health professionals throughout the United States. Denturism can be defined as a movement of dental-laboratory technicians who are seeking to be licensed independently from other ...

        Massachusetts Medical Society
        1134

        No extract is available for articles shorter than 400 words.

        Correspondence
        1134

        No extract is available for articles shorter than 400 words.

        1134

        No extract is available for articles shorter than 400 words.

        1134-1135

        No extract is available for articles shorter than 400 words.

        1135-1136

        To the Editor: In the July 27 issue of the Journal Hunt and his colleagues do not give details of the patients with "vascular collapse." We do know if there is a type of reaction to stings with shock and low blood pressure, without atopic signs and ...

        1137

        To the Editor: Long considered a childhood disease, cystic fibrosis has been recognized with increasing frequency in adults.1 In the case reported below the diagnosis was made in an adult.

        A 48-year-old housewife had an intractable paroxysmal cough ...

        1137

        No extract is available for articles shorter than 400 words.

        1137

        No extract is available for articles shorter than 400 words.

        1137-1138

        No extract is available for articles shorter than 400 words.

        1138

        No extract is available for articles shorter than 400 words.

        1138

        No extract is available for articles shorter than 400 words.

        1138

        No extract is available for articles shorter than 400 words.

        1138

        No extract is available for articles shorter than 400 words.

        1139

        To the Editor: A recent editorial1 suggests that reviewed journals act mainly as "sponges" rather than "filters" since most papers rejected by the Journal of Clinical Investigation 2 and New England Journal of Medicine are subsequently published ...

        Book Reviews
        1139

        No extract is available for articles shorter than 400 words.

        1139

        No extract is available for articles shorter than 400 words.

        1140

        This textbook provides a concise and clinically oriented review of the major aspects of adult cardiovascular diseases. As the authors state in their preface, the text is primarily intended for medical students, house staff, trainees in cardiology, general ...

        1140

        No extract is available for articles shorter than 400 words.

        1140-1141

        This book is a welcome addition to the literature on the social and psychologic aspects of kidney transplantation. It constitutes an empirical analysis of the abilities and behavior of recipients and donors, adults and children, individuals and families ...

        1141

        The purpose of this book is clear enough: it is a brief for the defense. The great success of the wartime medical research that gave us penicillin and revolutionalized the treatment of the world's most lethal infectious disease, malaria, led to an ...

        1141-1142

        No extract is available for articles shorter than 400 words.

        1142

        Unfortunately, an admirable topic plus a qualified author do not necessarily a good book make. In this case the topic is timely and important — the reader needs to know the varieties of health-care organization throughout the world to make good choices ...

        1142

        No extract is available for articles shorter than 400 words.

        1142-1143

        Scholarship and theory in the anomalous field of bioethics are always in danger of being superficial, for the problems are deep and difficult to penetrate. One must range over diverse areas of inquiry (science, medicine, law, ethics and public policy), ...

        1143

        No extract is available for articles shorter than 400 words.

        Notices
        1143-1144

        THEODORE L. BADGER LECTURE

        Dr. Edward A. Gaensler will deliver the annual Theodore L. Badger Lecture, "Adventures in Respiration," at the Countway Library of Medicine, Boston, on November 30, at 4:30 p.m.

        Further information may be obtained from Margaret ...

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