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Table of contents for

October 30, 1980  Vol. 303 No. 18

Original Articles
1017-1022

SODIUM and potassium-dependent adenosine triphosphatase (sodium-potassium-ATPase) is the enzymatic expression of the ubiquitous sodium pump, 1 , 2 and as such it serves a number of important functions. The pump maintains intracellular sodium and potassium ...

1023-1031

ALTHOUGH the exact nature of the basic defect underlying the classic form of vitamin D–resistant rickets (VDRR)1 is a matter of continuing debate, it is accepted that its hallmark, hypophosphatemia, is caused by a primary defect in renal transport of ...

Special Articles
1032-1038

    THE geographic distribution of physicians continues to be a major concern of public policy. The high degree of specialization among recent graduates has accentuated the fear that areas outside urban centers will remain underserved despite the large ...

    1038-1041

    MANY pitfalls are encountered in the analysis of data from clinical trials. This is true even of trials that are properly randomized, controlled, and double blind. Among these pitfalls are the following: repeated analysis of the data as they accrue over ...

    Medical Intelligence
    1042

      THE treatment of hirsute women is controversial and often presents a therapeutic dilemma. Mechanical methods (such as shaving or using depilatories) are safe but often unacceptable to the patient, whereas suppression of adrenal or ovarian function may not ...

      1043-1044

      INTRAVENOUS leiomyomatosis may be defined as the extension into venous channels of histologically benign smooth-muscle tumors arising either from a uterine myoma or from the walls of a uterine vessel.1 Marshall and Morris2 provided the first English-...

      1045-1047

      THE results of a recent study by Weiss and Sayvetz1 suggested that women who have used oral contraceptives of the combination type for at least one year have about half the risk of endometrial cancer experienced by other women. Their study also confirmed ...

      1047-1048

      FOR many years it has been accepted that the practicing physician can maintain his competence only by regular updating. The reading of medical journals, attendance at scientific meetings, and participation in regular hospital educational activities have ...

      Case Records of the Massachusetts General Hospital
      1049-1056

      Presentation of Case

      A 27-year-old woman was admitted to the hospital because of dyspnea.

      She was well until five weeks earlier, when she began to have pain in the left flank, hip, and thigh. Two weeks before admission progressive dyspnea and a dry cough ...

      Editorials
      1057-1058

      For the adipose tissues of an animal or a human being to increase, more calories must be ingested and absorbed than are needed to satisfy the organism's metabolic requirements. In normal persons, there is a close coupling between metabolic demands and ...

      1058-1059

      Equal access to high-quality health services in all geographic areas at an affordable cost is the nation's primary health-policy objective. Attainment requires an adequate supply of physicians in each specialty, an equitable geographic distribution of ...

      1059-1060

      The intervention trial of greatest benefit to patients satisfies three objectives: validity (its results are true), generalizability (its results are widely applicable), and efficiency (the trial is affordable and resources are left over for patient care ...

      Correspondence
      1060-1062

      To the Editor: In the June 19 issue of the Journal, Hulley et al. demonstrated that fasting plasma triglyceride levels were not an independent risk factor for coronary heart disease in healthy men between the ages of 41 and 61 who were followed for seven ...

      1062-1063

      To the Editor: The articles by Rubin and Peter and by Klinke and Gilbert in the January 10 issue, describing the beneficial effects of systemic vasodilators in the therapy of pulmonary hypertension, generated a considerable response. In the May 29 issue, ...

      1063

      To the Editor: In the June 26 issue Cavalli et al. described a man with testicular cancer that developed four years after radiotherapy and chemotherapy for Hodgkin's disease. The authors suggested that the testicular neoplasm arose as a result of the ...

      1063-1064

      No extract is available for articles shorter than 400 words.

      1064-1065

      No extract is available for articles shorter than 400 words.

      1065

      To the Editor: It has been found that HLA-B15, B8, and B18 antigens are associated with a gene (or genes) for susceptibility to insulin-dependent diabetes mellitus (IDDM).1 This association is secondary to a stronger association with DR3 (or DRw8, in ...

      1065-1066

      To the Editor: If the hypothesis that human insulin-dependent diabetes mellitus (IDDM) may, in some instances, be an autoimmune disorder is correct, 1 it is reasonable to assume that suppression of the immune response should have a favorable effect on ...

      1066

      No extract is available for articles shorter than 400 words.

      1066

      No extract is available for articles shorter than 400 words.

      1067

      No extract is available for articles shorter than 400 words.

      1067

      No extract is available for articles shorter than 400 words.

      1067

      No extract is available for articles shorter than 400 words.

      Book Reviews
      1068-1069

      As an instructor in courses dealing with health problems of the less industrialized countries of the world, I am frequently asked, "What is the best general tropical-medicine textbook?" The arrival of Prof. Maegraith's new edition was welcomed; it offered ...

      1069

      No extract is available for articles shorter than 400 words.

      1069

      No extract is available for articles shorter than 400 words.

      1069-1070

      This well-written, compact, and concise book instructs the primary-care physician to pay attention to preventive medicine and include it in his practice. It will be instrumental in avoiding the excessive attention of this new specialty to curative, even ...

      1070

      We now have many paperback synoptic reviews of various specialties in the medical literature. This author seeks to attain a practical, easy to read, and uncomplicated mastery of hematologic therapy. In his preface, Dr. Ungaro states, "The primary concern ...

      1070-1071

      This book is a collaborative effort between a group of British physicians and surgeons, mainly from Manchester, and a similar group from France, principally Marseilles. In the first section five chapters cover embryology, gross and microscopical anatomy, ...

      1071

      Professor Bond is eminently qualified to prepare a comprehensive précis on pain "written primarily for medical undergraduates in the clinical years of their studies" and seeking to cover all facets of the subject. Six chapters discuss the anatomic, ...

      1071

      Drugs of Choice is the 12th edition of a book designed to guide the practicing physician through the maze of available drugs, old and new, and provide sufficient information to select the drug of choice for the patient. In addition to chapters on ...

      Notices
      1071-1072

      AMERICAN MEDICAL WRITERS ASSOCIATION

      Dr. John P. Callan will speak about his one-year writing fellowship at the American Medical Association at a dinner meeting of the New England Chapter to be held at the Marriott Hotel in Newton, Mass., on November 12.

      ...

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