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February 14, 1980  Vol. 302 No. 7

Original Articles
357-361

ELEVATED levels of plasma high-density-lipoprotein (HDL) cholesterol may be associated with a lowered risk of coronary heart disease.1 2 3 4 Evidence indicates that women,1 , 2 middle-aged male exercisers,5 6 7 8 9 and nonsmokers10 have higher levels of ...

362-364

CHOLESTEROL cholelithiasis has been more common among women than men in every population examined.1 , 2 This difference between men and women begins during puberty, is present throughout the childbearing years, and is believed to be increased by ...

365-370

SINCE the dramatic summer of 1976, when Legionnaires' disease was first recognized,1 , 2 investigators have attempted to discover an environmental source of the causative bacillus and to elucidate the agent's mode of transmission. During an epidemic ...

Medical Progress
371-380

    IT is now over 20 years since Salmon and Daughaday hypothesized that stimulation of growth by growth hormone (somatotropin) was mediated by a circulating "sulfation factor."1 An understanding of this "factor" was hampered initially by technical problems ...

    Medical Intelligence
    381-384

    BUTORPHANOL tartrate (Stadol, Dorphanol) is one of a species of narcotic analgesics or opioids that combine the properties of the common opioids and the actions of an opioid antagonist such as the widely used naloxone (Narcan).1 The introduction of this ...

    384-388

      RETINAL microaneurysms and thickening of the capillary basement membrane are the hallmarks of diabetic small-vessel disease.1 2 3 4 Microaneurysms of retinal vessels in patients with long-standing diabetes mellitus4 contribute to the development of ...

      Case Records of the Massachusetts General Hospital
      389-395

      Presentation of Case

      A 24-year-old man was admitted to the hospital because of an abdominal mass.

      Eleven years previously he was seen at another hospital because of dyspnea. Physical examination revealed right supraclavicular lymphadenopathy and slight ...

      Editorials
      396-397

        Sir Hans Krebs has emphasized that whenever there is a critical interconversion of two metabolic intermediates at a rate-limiting step in a metabolic pathway or at a branching point between two pathways, nature provides opposing unidirectional enzymatic ...

        397-399

        In recent years, studies of gallbladder disease have focused on the lipid composition of bile.1 The actual function of the gallbladder in terms of contractility, residual volume, and rate of emptying has been difficult to study because of the repeated x-...

        399-400

        The mechanisms responsible for acceleration of atherosclerosis in diabetes mellitus and the pathophysiologic meaning of different forms of diabetic microangiopathy remain enigmatic despite considerable research aimed at elucidating the role of genetic, ...

        Sounding Board
        400-405

        IT has been suggested that both weight and metabolism are regulated, in part, by a common mechanism: substrate or "futile" cycling. The sensitivity of many regulatory mechanisms in metabolic pathways can be improved by the existence of a substrate cycle ...

        Correspondence
        405-406

        To the Editor: The results of Rodey and his colleagues1 confirm that the HLA antigens Dw3 and Dw4 are increased in black juvenile diabetics2 as they are in whites. Juvenile diabetes is rare in blacks in western Africa, where 99 per cent of American black ...

        407

        To the Editor: I would like to comment on the article in the October 4 issue, in which Dr. Bergsagel and his co-workers discussed the lack of benefit of multiple alkylating-agent combination therapy over melphalan and prednisone in myeloma; I am ...

        407-408

        No extract is available for articles shorter than 400 words.

        408-409

        No extract is available for articles shorter than 400 words.

        410-411

        No extract is available for articles shorter than 400 words.

        411

        No extract is available for articles shorter than 400 words.

        411-412

        No extract is available for articles shorter than 400 words.

        413

        No extract is available for articles shorter than 400 words.

        413-414

        Fifty-four years intact, then flung in a blink into a hospital, lying there answering questions like a student with superior grades. Even when they began to poke and prod I knew they wouldn't find anything beyond the little lump.

        Day after day they did ...

        Book Reviews
        414

        Since this book first appeared in 1961, it has been the bible of diagnostic cytology. Its success was due to the careful correlations of cytologic morphology with histopathology that provided a firm foundation for the rapidly growing field of cytology. A ...

        414

        No extract is available for articles shorter than 400 words.

        414-415

        No extract is available for articles shorter than 400 words.

        415

        This brief monograph identifies the sex-determining genes and explains why they must exist. Although the fact-hypothesis ratio occasionally becomes low, Ohno's teleologic approach is as refreshing here as in his previous works. Moreover, because of the ...

        415

        When Lawrence J. Henderson wrote his remarkable paper on the nature of medical practice,* he showed that medicine was process more than content — the process being the interaction between one doctor and one patient. The individuality of patients is ...

        416

        This book is one of a series of reviews designed as a reference for clinicians and biologists interested in atherosclerosis. The book contains seven chapters and over 700 references, and each chapter is written by one or more well-known specialists.

        The ...

        416

        No extract is available for articles shorter than 400 words.

        416

        No extract is available for articles shorter than 400 words.

        416-417

        No extract is available for articles shorter than 400 words.

        417

        No extract is available for articles shorter than 400 words.

        417

        During the past decade nuclear medicine has had tremendous growth, owing to many advances in radiopharmacy and instrumentation. This growth has been accompanied by a shift of emphasis from static imaging of anatomy to analysis of organ physiology, a shift ...

        417-418

        No extract is available for articles shorter than 400 words.

        418

        The Collaborative Perinatal Project, as it is now known, covered 1959 to 1966 and involved 12 collaborating American institutions who registered 58,000 women in the project. Later follow-up of their offspring shows the vastness of the multidisciplinary ...

        Books Received
        418-419

        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.

        Legal and Forensic

        The Doctor's ...

        Notices
        419-420

        FELLOWSHIPS IN INTERNAL MEDICINE

        The Henry J. Kaiser Family Foundation is supporting fellowship programs in general internal medicine. Applicants should contact the appropriate program directors at the following institutions conducting the fellowship ...

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