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September 27, 1979  Vol. 301 No. 13

Original Articles
677-681

    WHETHER induced abortion increases the risk of spontaneous miscarriages in future pregnancies is a question that has not yet been answered.1 Many gynecologists argue that cervical incompetence leading to midtrimester miscarriage or preterm birth may be a ...

    682-686

    PHEOCHROMOCYTOMA is a rare cause of hypertension, but its diagnosis is important; where-as the hypertension is usually curable by resection of the tumor, undetected pheochromocytoma is almost always fatal. Because these rare tumors usually elicit a ...

    687-690

    THE possible role of vitamin C in both the pathogenesis and therapy of malignant disease has been suggested by a variety of laboratory and clinical data. A deficiency of ascorbate has been reported in association with dissolution of the intercellular ...

    Special Articles
    690-694

    "MEDICINE begins in philosophy; philosophy ends in medicine" is an aphorism attributed to Aristotle. I like its demand to connect our thinking as physicians with our thinking in other dimensions. I begin by asking the question: If medicine begins in ...

    694-697

    I AM sure that an excellent case could be made by some unfriendly person that there are no critical values in medical education, only those priorities assigned by physicians and deans out of an instinct for self-preservation. Acknowledging ownership of ...

    Medical Intelligence
    698-703

    METOPROLOL TARTRATE (Lopressor) is a β-adrenoceptor antagonist released for clinical use in the United States last year (Fig. 1). It is the first systemic β-blocker to be allowed on the United States market since propranolol was approved for the treatment ...

    704-706

    BILIARY cancer often gets short shrift in the differential diagnosis of obstructive jaundice because it is considered both rare and irremediable. Actually, cancer of the gallbladder and extrahepatic bile ducts is responsible for about 80 deaths in the ...

    707-709

    THE Report of the Royal Commission on the National Health Service1 (NHS) set up in 1976 under the Chairmanship of Sir Alec Merrison, Vice-Chancellor of Bristol University, was published in July. The full report is lengthy, but the recommendations have ...

    Case Records of the Massachusetts General Hospital
    710-718

    Presentation of Case

    A 50-year-old man was admitted to the hospital because of biventricular failure.

    A heart murmur was discovered at the age of six years, and he became intolerant of exercise in his teens. At 33 years of age he was seen at this hospital,...

    Editorial
    719-720

    The capacity of the United States to educate new physicians has expanded remarkably in the past two decades. This expansion has been characterized by the growing enrollments of existing schools, the building of several traditional academic medical centers ...

    Sounding Board
    720-723

      Two different approaches are currently being used in the United States to limit the availability of legal abortions — restriction of public funds for abortion1 and regulation of conditions under which abortions can be performed. Regarding the latter, ...

      Correspondence
      724

      No extract is available for articles shorter than 400 words.

      724-725

      To the Editor: We wish to report our experience with lymphocyte capping for the detection of carriers of Duchenne muscular dystrophy; we have used a method of our own as well as those described by Pickard et al. in the October 19, 1978, issue of the ...

      726

      To the Editor: The activity of 5′-nucleotidase in biopsy specimens from skeletal muscle is reportedly increased in Duchenne muscular dystrophy when measured with histochemical1 and biochemical2 , 3 methods. We found that this is true only in patients ...

      726-727

      To the Editor: The report by Yoon et al. in the May 24 issue, of a fulminating virus infection with injury to the beta cells of the pancreas and production of similar injury and hypoglycemia in mice with the same virus, thus fulfilling Koch's postulates, ...

      727

      No extract is available for articles shorter than 400 words.

      727-728

      No extract is available for articles shorter than 400 words.

      728

      No extract is available for articles shorter than 400 words.

      728-729

      No extract is available for articles shorter than 400 words.

      729-730

      No extract is available for articles shorter than 400 words.

      730

      No extract is available for articles shorter than 400 words.

      Occasional Notes
      730-731

      The 190th session of the Salzburg Seminar, entitled "Health Care — Allocating Resources in Urban Societies," was the first to be devoted solely to a topic on health and took place from May 9 to June 1, 1979. There were 38 Fellows and seven faculty members*...

      Book Reviews
      732

      No extract is available for articles shorter than 400 words.

      732

      No extract is available for articles shorter than 400 words.

      732-733

      This monograph is the seventh in a series on cell pathology. Although the book claims to deal with the biochemical features of atherogenesis, it is actually a comprehensive compendium of detailed information on the involvement of lipoprotein in ...

      733

      About a century ago, Dr. J. Matthews Duncan noted that if a female — human or cattle — is bred too young, it is "at the expense" of the completion of normal growth and may result in both an inferior offspring and the death of the mother. Fifty years later,...

      733

      If the modern physician is to be compassionate, caring and medically expert, he should understand how successive technologic advances in medicine have changed medical practice and the doctor–patient relation. Dr. Reiser's book combines scholarly research, ...

      Notices
      734

      THE JOSEPH GARLAND LECTURE

      The Office of Development of the Boston Medical Library will present the fourth Joseph Garland Lecture entitled "Sustaining the Common Language," delivered by Dr. John Lister on October 17 at the Countway Library of Medicine, ...

      Washington Report
      735-736

        Legislation to control handguns is not usually included in the lists of health-related matters before the Congress. But that's where it belongs, because handguns now annually kill nearly 10,000 people in this country, seriously injure scores of thousands, ...

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