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November 15, 1979  Vol. 301 No. 20

Original Articles
1073-1076

PATIENTS with chronic renal failure who receive maintenance hemodialysis have hypertriglyceridemia,1 , 2 a reduced concentration of high-density-lipoprotein cholesterol2 and a high rate of mortality from cardiovascular disease.3 In persons without uremia, ...

1077-1080

ALTHOUGH cimetidine has been found to promote the healing of duodenal ulceration,1 2 3 4 its effect on ulcers recurring after gastric operations remains unclear. The incidence of recurrent ulcers after both Billroth I and II gastrectomies is equally high, ...

1080-1085

VENTRICULAR fibrillation is a life-threatening development within the spectrum of arrhythmias associated with the Wolff-Parkinson-White syndrome.1 2 3 4 5 This arrhythmia generally occurs when patients are in atrial fibrillation, with very rapid ...

Special Article
1086-1091

A FRONT-PAGE story in The New York Times recently reported the claim of a Congressional subcommittee that there were 2 million unneeded surgical operations in 1978, at a cost of $4 billion and more than 10,000 lives.1 The subcommittee recommended several ...

Medical Progress
1092-1098

    AFTER the radioimmunoassay for parathyroid hormone (PTH) was introduced by Berson et al. in 1963,1 initial enthusiasm for its clinical application was tempered because widely differing results were reported from several laboratories.2 3 4 5 The overlap of ...

    Medical Intelligence
    1099-1100

      PROCTITIS is characterized by tenesmus, diarrhea and rectal pain. Through proctoscopy and histological, bacteriological, and parasitological studies it can be categorized into infectious, ischemic, radiation-induced, toxic, granulomatous or nonspecific ...

      1100-1104

      IT is generally accepted that urokinase (EC 3.4.99.26) increases fibrinolytic activity by activating the plasma zymogen, plasminogen, to the serine proteinase, plasmin (EC 3.4.21.7).1 , 2 This interpretation is based largely on in vivo and in vitro ...

      Case Records of the Massachusetts General Hospital
      1104-1111

      Presentation of Case

      A 27-year-old woman was admitted to the hospital because of progressive muscular weakness.

      She was well until two years earlier, when she sustained soft-tissue injury to both legs in a motor-vehicle accident. Skin grafts were applied, ...

      Sounding Board
      1112-1113

        Richard Cabot of the Massachusetts General Hospital introduced the clinicopathological conference (CPC) as a formal teaching exercise early in this century, and it soon became an important feature of the educational programs at the MGH and at most other ...

        1113-1114

        When Cabot introduced the Clinical Pathological Conference (CPC) at the turn of the century, gross and microscopical pathology was a rapidly developing new field. Accurate morphologic diagnosis had become common only in the late 19th century. The ...

        1114-1116

        Dr. Lipkin has properly emphasized the importance of a physician's continuous focus on the psychologic, social, and economic factors involved in human disease. No one can argue with that viewpoint. However, his additional conclusion that CPC's are ...

        Massachusetts Medical Society
        1116-1118

        DEATHS

        Lindberg — Oliver S. Lindberg, M.D., formerly of Attleboro, died on August 27, 1976. He was in his 85th year.

        Dr. Lindberg received his degree from Loma Linda University School of Medicine in 1923.

        Lorenz — John Emerich Lorenz, M.D., of Boston, ...

        Massachusetts Department of Public Health
        1118-1121

        Improved patient care can result from changes in the organization and delivery of care as well as from new drugs and surgical techniques. Witness, for example, the dramatic changes that have occurred in the delivery of emergency medical services over the ...

        Correspondence
        1121-1122

        No extract is available for articles shorter than 400 words.

        1122-1124

        To the Editor: The mean duration of treatment with corticosteroids in the study by Fauci et al.1 was 22 months, and 16 patients showed either worsening functional impairment of involved organs or involvement of other organs while they were on ...

        1124-1125

        To the Editor: Dr. Cohen's very informative review of motor disorders of the esophagus in the July 26 issue of the Journal has again raised the question of which manometric findings really characterize diffuse esophageal spasm.1 He has chosen a ...

        1125-1126

        No extract is available for articles shorter than 400 words.

        1126-1127

        No extract is available for articles shorter than 400 words.

        1127-1128

        No extract is available for articles shorter than 400 words.

        1128-1129

        No extract is available for articles shorter than 400 words.

        1129

        No extract is available for articles shorter than 400 words.

        Occasional Notes
        1129-1130

        The "gate theory" of pain, proposed in 1965 by Melzack and Wall,1 envisioned a system of progressive presynaptic modulation of nociceptive impulses that started the moment posterior rootlets delivered their electrical information to sensory neurons in the ...

        Book Reviews
        1130

        No extract is available for articles shorter than 400 words.

        1130-1131

        No extract is available for articles shorter than 400 words.

        1131

        Hospital-acquired infections are of increasing concern to health professionals responsible for the care of susceptible patients, and to committees responsible both for infection-control efforts and for compliance with standards set by the Joint Commission ...

        1131-1132

        Publishing books is a commercial endeavor. My Body, My Health is no exception. The marketing approach is outlined in Chapter A (for physicians only), which suggests that the book be sold in physicians' offices. The consumer's edition costs $5.95, the ...

        Notices
        1132

        PROGRAMS FROM THE UNIVERSITY OF MINNESOTA

        The Office of Continuing Medical Education at the University of Minnesota will present the following programs: "Refraction for the Non-Ophthalmologist," November 14–16; "Time-Management-Money: A Briefing and ...

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