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June 12, 1980  Vol. 302 No. 24

Original Article
1321-1327

    AMONG various mechanisms implicated in the pathogenesis of aplastic and hypoplastic anemias, an abnormal bone-marrow microenvironment has long been suspected.1 2 3 4 Experimental evidence such as radiation-induced or chemical-induced bone-marrow stromal ...

    Special Article
    1327-1332

      DECLINING birth rates, together with modest increases in longevity, have ushered in an era of greater concern for the elderly. Although the term "elderly" is customarily applied to people more than 65 years old, the group over the age of 75 years is ...

      Medical Progress
      1333-1343

      Redefinition of Amyloid Fibrils and Classification of the β-Fibrilloses

      The diversity of the major protein component of amyloid fibrils from classically accepted sites of amyloid deposition negates the unitary concept that all amyloid proteins are derived ...

      Medical Intelligence
      1344-1347

      AVAILABILITY of effective medical therapy for the Zollinger–Ellison syndrome (ZES)1 2 3 has removed much urgency from decisions about treatment and encouraged reevaluation of various options.3 4 5 A recurring question posed by clinicians is whether such ...

      1347-1349

        MULTIPLE myeloma is characterized by an increase of abnormal plasma cells in the bone marrow and monoclonal protein in the serum, often with osteolytic bone lesions. Its course is progressive: anemia, weakness, fatigue, fractures, bone pain, hypercalcemia,...

        1349-1351

        THE diagnosis of a subclavian steal is entertained on clinical grounds. Classic signs are an absent radial pulse, a difference in brachial-artery pressures greater than 20 mm Hg, and sometimes a supraclavicular bruit on the involved side. These signs may ...

        1351-1353

        THE function of many endocrine glands is influenced by age and sex.1 Only recently have these two factors been shown to influence the secretion of the calcemic peptide hormones parathyroid hormone and calcitonin.2 3 4 To evaluate the effects of age and ...

        Case Records of the Massachusetts General Hospital
        1354-1358

        Presentation of Case

        A 34-year-old nulliparous woman was admitted to the hospital because of right-sided pelvic pain.

        Twelve years before admission the patient experienced right-sided pelvic pain during ovulation and menstruation; a physician palpated a ...

        Editorials
        1359-1360

        IN this issue of the Journal, Ershler et al. present the most compelling evidence to date for the existence of a naturally occurring human disease of the hematopoietic microenvironment. Their patient had long-standing and probably congenital anemia due to ...

        1360-1362

        Pseudomonas aeruginosa is an opportunistic pathogen that causes more than 100,000 infections in the United States each year. Pseudomonas infections are associated with considerable morbidity and mortality despite the use of modern antibiotics.1 ...

        Correspondence
        1362

        No extract is available for articles shorter than 400 words.

        1362

        No extract is available for articles shorter than 400 words.

        1362-1363

        No extract is available for articles shorter than 400 words.

        1363-1365

        No extract is available for articles shorter than 400 words.

        1365

        No extract is available for articles shorter than 400 words.

        1365-1366

        No extract is available for articles shorter than 400 words.

        1366

        No extract is available for articles shorter than 400 words.

        1366-1367

        No extract is available for articles shorter than 400 words.

        1367

        No extract is available for articles shorter than 400 words.

        1367-1368

        To the Editor: Having been a chiropractor for 30 years, and as the father of a son about to graduate with a medical degree (University of Cincinnati Medical School), I found your discussions of chiropractic in the February 7 issue exceptionally ...

        1368-1369

        No extract is available for articles shorter than 400 words.

        1369

        To the Editor: For years I have wondered why physicians-in-training are required to work for up to 48 hours without sleep, without a break. Now, I know. It's due to magic, of a sort.

        In some psychiatric circles these days, people are discussing something ...

        Book Reviews
        1369-1370

        Adolescent medicine is a relatively new area of special interest for physicians. In 1951, Dr. Charles Janeway invited Dr. J. Roswell Gallagher to direct an ambulatory service for adolescents at Children's Hospital in Boston. Now there are adolescent ...

        1370

        No extract is available for articles shorter than 400 words.

        1370

        No extract is available for articles shorter than 400 words.

        Books Received
        1370-1372

        Anatomy, Histology, and Histochemistry

        Biomembranes: Fundamentals in relation to human biology. By James S. Beck. 172 pp., illustrated. New York, Hemisphere Publishing Corporation, 1980. $19.95.

        The Mast Cell: Its role in health and disease. Edited by J. ...

        Notices
        1372

        MATERNAL SERUM ALPHA-FETOPROTEIN

        A national conference entitled "Maternal Serum Alpha-Fetoprotein: Issues in the prenatal screening and diagnosis of neural tube defects" will be held at the Shoreham Hotel, Washington, D.C., July 28–30.

        Contact Ms. Hope ...

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