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May 3, 1979  Vol. 300 No. 18

Original Articles
1001-1005

THE possibility that sickle-cell trait could be an aggravating factor in diseases associated with tissue hypoxia, acidosis and thrombotic phenomena has been repeatedly suggested in many anecdotal reports, recently reviewed by Sears.1 Although it would be ...

1006-1011

IT has long been suspected that Hodgkin's disease is caused by an infectious agent.1 2 3 This notion received added impetus when Vianna et al. reported that 31 cases had occurred among members (and their "contacts") of one graduating class at Albany High ...

1012-1015

    THE histamine H2 receptor antagonist, cimetidine, has been shown to be an effective drug in the management of peptic-ulcer disease.1 2 3 4 5 In early clinical trials, few side effects of clinical importance, except for gynecomastia, have been recognized.6 ...

    Medical Progress
    1016-1027

    (First of Two Parts)

    IN recent years, there has been a substantial increase in the application of mathematical modeling and dynamic systems analysis to quantitative studies of metabolic pathways. Such technics, when applied by those who fully appreciate ...

    Medical Intelligence
    1028-1030

    EARLY attempts to cure rectal cancer were restricted to local removal by the perineal or sacral approach. In 1908, Ernest Miles described a radical operation for rectal cancer that encompassed all zones of lymphatic spread of the tumor.1 On the basis of ...

    1030-1031

    SURGICAL complications rarely occur late after renal transplantation. We have seen two patients with presumably spontaneous decapsulation of the kidney even while the grafts had excellent renal function. The decapsulation led to excessive fluid loss from ...

    1032-1034

    THE APPEARANCE in childhood of acute leukemia in one member of a monozygotic twin pair is frequently followed within a few months by the appearance of the same disease in the other twin. Concordance of acute leukemia in monozygotic twins can be as high as ...

    1034-1036

      DISPARITIES between biologic and immunologic potency estimates of several peptide hormones have been observed.1 , 2 The biologic implication of these differences is uncertain. Differences in estimates of the potency of serum luteinizing hormone have ...

      Case Records of the Massachusetts General Hospital
      1037-1045

      Presentation of Case

      A 34-year-old right-handed man was admitted to the hospital because of dysphasia.

      He was in excellent health until nine months earlier, when he noticed difficulty with vision to the far right. One month later his gait became slightly ...

      Editorial
      1046-1047

        In this issue of the Journal, Van Thiel et al. describe effects of cimetidine that have not been reported previously in man. Their paper also provides an opportunity to consider the general problem of identifying previously unrecognized adverse effects of ...

        Sounding Board
        1047-1049

        Although increasing evidence suggests that there will be a surfeit of physicians in this country within the next three decades, many doctors deny the possibility. Many others believe that new restrictions on the entry of physicians trained abroad — as a ...

        Massachusetts Medical Society
        1050-1051

        DEATHS

        Alexander — Benjamin Alexander, M.D., formerly of Boston, died on February 13, 1978. He was in his 70th year.

        Dr. Alexander received his degree from Harvard Medical School in 1934 and for many years was a member of the Department of Medicine, ...

        Correspondence
        1052-1054

        No extract is available for articles shorter than 400 words.

        1054-1055

        No extract is available for articles shorter than 400 words.

        1055-1056

        No extract is available for articles shorter than 400 words.

        1056

        No extract is available for articles shorter than 400 words.

        1056-1057

        No extract is available for articles shorter than 400 words.

        1057

        To the Editor: It is well known that a patient with Banter's syndrome is normotensive despite hyperactivity in the renin–angiotensin–aldosterone system. Unresponsiveness to exogenous angiotensin II is often suggested as a possible explanation for the ...

        1057-1059

        To the Editor: We should like to comment on a portion of Spencer's article entitled '''Code' or 'No Code.'''*

        As psychiatrists, we often are called upon to make a declaration of competence or incompetence and have found ourselves in the de facto position ...

        1059

        No extract is available for articles shorter than 400 words.

        Books Received
        1059

        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.

        Medicine

        Neurology

        Functions of ...

        Notices
        1060

        SEMINARS IN MEDICINE OF THE BETH ISRAEL HOSPITAL

        Seminars in Medicine of the Beth Israel Hospital will be held in the George Sherman Auditorium, Beth Israel Hospital, Boston, on the following Tuesdays at 4 p.m.

        MEDICALLEGAL SEMINAR

        The Pittsburgh ...

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