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March 8, 1979  Vol. 300 No. 10

Original Articles
513-517

SLEEP apnea and nocturnal oxygen desaturation have been reported in various clinical syndromes, including the Pickwickian syndrome, the syndrome of hypersomnolence with periodic breathing and chronic obstructive lung disease.1 2 3 4 5 6 7 8 9 The majority ...

518-523

    IN systemic lupus erythematosus, circulating immune complexes are present in patients with active disease, and it is believed that the activation of complement and other mediators of inflammation by these complexes, and their organ deposition, leads to ...

    524-530

    OUR studies of patients undergoing plasma exchange for immune-complex disease have highlighted the need to define the kinetics of distribution and disposal of circulating immune complexes.1 , 2 We have noted that in some patients plasma exchange seemed to ...

    530-534

    THE susceptibility of the human host to repeated infections with respiratory syncytial virus was recognized soon after the agent was identified as an important cause of acute respiratory disease. In early studies Kravetz and Johnson showed that adults ...

    Special Article
    535-537

    IN recent years, many self-care manuals and other resource books have been published for consumers' use in dealing with common health problems. Recommendations from these publications emphasize self-diagnosis, home remedies and appropriate use of the ...

    Medical Progress
    538-542

      (First of Two Parts)

      SINCE the introduction of gray-scale signal processing in 1974, B-scan sonography has become a widely accepted method for noninvasive imaging of nearly all abdominal and pelvic viscera. Results in varied clinical settings have proved ...

      Medical Intelligence
      543-545

      THE late William Dock, M.D., was reported to have advised medical students that "the most important thing to remember about rare diseases is that they are rare," and certainly such a statement is applicable to bone tumors. A comprehensive survey of the ...

      Case Records of the Massachusetts General Hospital
      546-553

      Presentation of Case

      A 31-year-old woman, a Mexican national, was admitted to the hospital because of weakness of the hands.

      She was well until five years earlier, when she burned her right hand but experienced no pain. Numbness appeared in the hands ...

      Editorials
      554-555

      Dear Colleagues:

      This letter is about our news embargo: what it is, why we defend it so staunchly and why we think you should, too.

      Many of you subscribe to the Journal. Those who have it delivered in the standard way by second-class mail usually receive ...

      555-556

      IF the health-care enterprise is to flourish as a central participant in our collective quest to improve the quality of life, clearer thinking will be needed in many quarters. It seems essential that politicians, administrators, deans, practitioners and ...

      Sounding Board
      556-559

      During nearly a decade of trying to bring decision analysis into clinical use, I have been impressed by the negative reactions of many students and physicians. On ward rounds, at lectures and at morning report the technic is disparaged, and its day-to-day ...

      Massachusetts Department of Public Health
      560-562

      The American College of Obstetricians and Gynecologists has encouraged regionalization of maternity and newborn care to achieve its goal of reducing infant mortality to 10 per thousand live births. Regionalization is based on early recognition of and ...

      Correspondence
      563-564

      No extract is available for articles shorter than 400 words.

      564-565

      No extract is available for articles shorter than 400 words.

      565

      No extract is available for articles shorter than 400 words.

      565

      No extract is available for articles shorter than 400 words.

      566

      No extract is available for articles shorter than 400 words.

      566-567

      No extract is available for articles shorter than 400 words.

      567

      No extract is available for articles shorter than 400 words.

      567-568

      No extract is available for articles shorter than 400 words.

      569

      No extract is available for articles shorter than 400 words.

      569

      No extract is available for articles shorter than 400 words.

      Occasional Notes
      569-571

      Although there are well known representations of disease in fiction it is surprising to discover how rare it has been for illness, which is so common an affliction of humanity, to be of central importance in literary works. Notable examples rapidly come ...

      Books Received
      571

      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.

      Nutrition

      Slim Chance in a Fat ...

      Notices
      572

      PRACTICUM IN CLINICAL TOXICOLOGY

      A practical experience in clinical toxicology for four to six weeks is offered by the Rocky Mountain Poison Center and the University of Colorado Medical Center. Programs are continuous, starting March 12.

      Further ...

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