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June 5, 1980  Vol. 302 No. 23

Original Articles
1269-1273

INTEREST in coronary-artery spasm has recently been heightened by evidence suggesting that spasm has a fundamental role in some forms of ischemic heart disease and by the availability of potent coronary spasmolytic agents.1 2 3 4 5 6 7 8 9 10 11 12 13 14 ...

1274-1277

SINCE cholesterol is insoluble in water, special mechanisms are required to maintain it in solution in bile. Solubilization is achieved through mixed micelles containing bile acids and lecithin. Increasing the proportion of cholesterol may result in ...

1277-1279

GRAY-SCALE ultrasonography has a high degree of accuracy in the detection of gallbladder calculi.1 2 3 4 5 6 However, three factors — the long examination time, the frequent difficulty in visualizing the gallbladder, and the considerable expertise ...

Special Article
1280-1283

IN our system of health care, individual doctors direct most medical expenditures, whereas administrators try to control costs through persuasion or regulation. This system predictably wastes money and time in conflicts between physicians and ...

Medical Progress
1283-1292

SINCE Cohen's review of amyloidosis was published in the Journal in 1967, there have been major advances in our understanding of what was less than a decade ago an untreatable, usually lethal disease complex of unknown nature, cause, and pathogenesis. ...

Medical Intelligence
1293-1297

ALTHOUGH most primary infections with Epstein–Barr virus (EBV) in childhood are silent or associated with mild nonspecific illness, a few are recognized as infectious mononucleosis, a lymphoproliferative disease that is usually self-limited.1 Atypical ...

1297-1299

A SERIOUS loss of judicial confidence in the efficacy of psychiatric treatment is clearly reflected in two decisions reached in the federal courts in recent months. The cases were hard fought on both sides, and the opinions are laboriously well thought ...

Case Records of the Massachusetts General Hospital
1299-1304

Presentation of Case

A 59-year-old man was admitted to the hospital because of weakness and melena.

He was well until four years earlier, when abdominal pain developed. He was seen at another hospital, where an abdominal soft-tissue mass was found. A ...

Editorials
1305-1307

Cholesterol gallstones are composed of crystalline cholesterol monohydrate and are formed from cholesterol dissolved in bile; thus, cholesterol monohydrate crystallization is a prerequisite for cholesterol-gallstone formation. This relation has been ...

1307-1308

The discovery in 1964 of a new type of herpesvirus in the neoplastic cells of a patient with Burkitt's lymphoma triggered an avalanche of research whose implications we are just beginning to appreciate. The virus, now known as the Epstein–Barr (EB) virus, ...

Massachusetts Medical Society
1308-1309

Ryan — William Francis Ryan, M.D., of Norwood, died on September 6. He was in his 65th year.

Dr. Ryan received his degree from Tufts College Medical School in 1940. He was formerly president of Norwood Hospital and chief of the ophthalmology department at ...

Correspondence
1309-1310

No extract is available for articles shorter than 400 words.

1310-1311

No extract is available for articles shorter than 400 words.

1311-1312

No extract is available for articles shorter than 400 words.

1312

No extract is available for articles shorter than 400 words.

1312-1314

No extract is available for articles shorter than 400 words.

1314-1315

No extract is available for articles shorter than 400 words.

1315-1316

No extract is available for articles shorter than 400 words.

1316-1318

No extract is available for articles shorter than 400 words.

Book Reviews
1318

This book deals with the pulmonary and systemic circulations in health and disease. It is an ambitious tome, one that aspires to encompass all aspects of pulmonary vascular disease, uncovering in the process the prospects for research and the implications ...

1318-1319

Modern psychiatry is almost 100 years old, and thus it is surprising that a textbook devoted exclusively to outpatient psychiatry has not been published before. In the heyday of hospital psychiatry over 20 years ago, when the number of inpatients exceeded ...

Books Received
1319

Surgery

Urological

Urologic Endoscopic Procedures. Second edition. By Alice Morel and Gilbert J. Wise. 223 pp., illustrated. St. Louis, Missouri, C.V. Mosby Company, 1979. $16.95.

Urology Case Studies. Second edition. By Bernard Fruchtman and Harry R. ...

Notices
1320

IMMUNOGENETICS

The Third International Menarini Symposium on Immunopathology, entitled "Immunogenetics," will be held in Florence, Italy, July 14–16.

Contact Fondazione Internazionale Menarini, Piazza del Carmina 4, 20121 Milan, Italy; or call (02) ...

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