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March 19, 1981  Vol. 304 No. 12

Original Articles
685-691

THERE has been recent speculation about the role of prostaglandins and thromboxanes in ischemic heart disease.1 , 2 These naturally occurring compounds are potent modulators of vascular smooth-muscle tone and platelet aggregability.3 Prostaglandin I2 (PGI...

692-695

IN addition to its use in the treatment of peptic ulcer, the histamine H2-receptor antagonist cimetidine is commonly given to prevent gastrointestinal hemorrhage and aspiration pneumonitis in acutely ill patients.1 2 3 Recent evidence from animal ...

696-698

    SPONTANEOUS rupture of an intracranial saccular aneurysm results in a death rate exceeding 50 per cent in the first month.1 These aneurysms usually go undetected until rupture results in a clinical picture of subarachnoid hemorrhage, intracerebral ...

    Special Article
    699-701

    WHEN I first realized that I might have cancer, I felt immediately that I had entered a special place, a place I came to call "The Land of the Sick People." The most disconcerting thing, however, was not that I found that place terrifying and unfamiliar, ...

    Medical Progress
    702-712

    THE recent implementation of screening programs for the detection of congenital hypothyroidism has focused attention on the unique thyroid physiology and pathophysiology of the newborn. A high prevalence of both permanent and transient disorders of ...

    Medical Intelligence
    712-714

    ABLATIVE chemotherapy with allogeneic bone-marrow transplantation has become an accepted means of therapy for acute leukemia.1 It is the only treatment capable of producing long-term unmaintained remissions in patients with acute lymphoblastic leukemia ...

    Case Records of the Massachusetts General Hospital
    715-722

    Presentation of Case

    A seven-year-old girl was admitted to the hospital because of bloody diarrhea and oliguria.

    She was well until one week earlier, when vomiting and diarrhea developed, with a low-grade fever. Several days before admission the fever ...

    Editorials
    723-725

      IN this issue of the Journal, Feely and his co-workers convincingly demonstrate an interaction between cimetidine and propranolol that results clinically in a decrease in resting sinus rates beyond what would be expected if either propranolol or ...

      725-726

      Controversy continues in the neurosurgical literature concerning the treatment of patients with intracranial aneurysms. To some extent this is due to the paucity of data on the natural history of these lesions. Most patients who are found to have an ...

      Sounding Board
      726-729

        The possibility that nuclear weapons may cause an unprecedented catastrophe for humanity has not halted the nuclear-arms race. On the contrary, the insecurity resulting from these weapons is a factor in their multiplication. Nuclear devices of varying ...

        Massachusetts Medical Society
        729-730

        Brown — Stephen Brown, M.D., of Amherst, died on November 24. He was in his 74th year.

        Dr. Brown received his degree from Yale University School of Medicine in 1932. He served for many years as the physician in residence at Amherst College. He was a ...

        Correspondence
        730

        To the Editor: The FDA's critique1 of the Anturane (sulfinpyrazone) reinfarction trial2 , 3 and the accompanying editorial4 contain important lessons for the conduct and reporting of clinical trials.

        In the first place, it is clear that after a finding ...

        730-731

        No extract is available for articles shorter than 400 words.

        731

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        731-732

        No extract is available for articles shorter than 400 words.

        732

        No extract is available for articles shorter than 400 words.

        732

        To the Editor: In Reye's syndrome, elevations of intracranial pressure (ICP) are often accompanied by acute neurologic deterioration, and many current treatment protocols use continuous ICP monitoring to determine the need for osmotic diuresis, ...

        732-733

        No extract is available for articles shorter than 400 words.

        733

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        733-734

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        734

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        734-735

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        735

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        735-736

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        737

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        737

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        737

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        737

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        738

        No extract is available for articles shorter than 400 words.

        738

        No extract is available for articles shorter than 400 words.

        738-739

        No extract is available for articles shorter than 400 words.

        739

        No extract is available for articles shorter than 400 words.

        Book Reviews
        739

        No extract is available for articles shorter than 400 words.

        739

        No extract is available for articles shorter than 400 words.

        739-740

        My reaction to this book was utter astonishment followed by disapproval, gradually superseded by appreciation.

        The book is astonishing in several respects. Although called a "review," it has more the style of an outline, being neither interpretative, ...

        740

        The simultaneous appearance of these two books relating to neurosurgical anesthesia is timely and welcome. This discipline has been regarded more as an art than a science. Only a few practitioners have been devoted to its service. Verbal communication has ...

        740

        No extract is available for articles shorter than 400 words.

        741

        No extract is available for articles shorter than 400 words.

        741

        No extract is available for articles shorter than 400 words.

        741

        An anatomist and a clinician, with the support of 10 contributors from the disciplines of pathology, physiology, pediatrics, radiology, medicine, and rehabilitation medicine, have produced a new and different version of an old textbook. Previous editions, ...

        741-742

        Junqueira and Carneiro have produced a work on histology that lies midway between a review and a textbook; it is more than a compendium of structures, but is not encyclopedic. The authors consider histology from the standpoint of cell biology and make ...

        Books Received
        742-743

        Medicine

        Physical and Rehabilitative

        Behavioral Problems and the Disabled: Assessment and management. (Rehabilitation Medicine Library.) Edited by Duane S. Bishop. 473 pp. Baltimore, Williams and Wilkins, 1980. $39.

        Manipulation, Traction and Massage. ...

        Notices
        743-744

        NEUROLOGY

        The 50th Anniversary Meeting of the American Association of Neurological Surgeons will be held in the Hynes Auditorium in Boston, April 5–9. Contact Dr. Stephen R. Freidberg, Lahey Clinic Medical Ctr., 41 Mall Rd., Burlington, MA 01803; or call (...

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