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September 24, 1981  Vol. 305 No. 13

Original Articles
717-721

AS the treatment of hemophilia has become more successful, the management of bleeding in patients with antibodies to factor VIII has emerged as a major problem. Antibodies develop in about 5 to 15 per cent of patients with hemophilia A. These antibodies ...

722-727

    SINCE its introduction for the treatment of seizures in 1938, phenytoin has remained one of the most widely used anticonvulsants. Perhaps the most severe and potentially life-threatening side effect of the drug is a rare idiosyncratic reaction ...

    727-731

      DRAMATIC improvements in the therapy of disseminated testicular cancer have been made during the past decade. Combination chemotherapy for germ-cell tumors with cisplatin, vinblastine, and bleomycin was initiated at Indiana University in 1974.1 Thirty-...

      Special Article
      731-735

      IN 1977 a national survey in the United States estimated that almost 23.5 million persons were 65 years of age or older and that approximately 4.8 per cent were nursing-home residents.1 As the population continues to age, each year more and more Americans ...

      Medical Progress
      735-745

        TWO decades have passed since Denis Burkitt, a British surgeon working in Uganda, originally described the tumor that now bears his name.1 The discovery that this tumor has distinctive clinical and histologic features among the malignant lymphomas2 , 3 ...

        Medical Intelligence
        745-748

        CONVERSION symptoms are the relatively persistent losses or alterations in sensory or voluntary motor functioning that cannot be explained by known physical disorders or pathophysiologic mechanisms. Examples include paralysis, abnormal movements, aphonia, ...

        Case Records of the Massachusetts General Hospital
        748-756

        Presentation of Case

        A 58-year-old man was admitted to the hospital because of a cough, fever, and weight loss.

        He was well until three months earlier, when he began to experience fatigue, malaise, anorexia, fever, chills, and night sweats, with a dry ...

        Editorials
        757-758

        There are about 12,000 patients in the United States with classic hemophilia. Most can be treated effectively with factor VIII concentrates, but about 15 per cent acquire specific inhibitors (antibodies) to factor VIII that may render replacement therapy ...

        759-760

        Among the technologic, economic, and cultural milestones of the past decade, one was scarcely noticed: The number of beds committed to nursing-home care in the United States surpassed the number of beds in acute-care hospitals.1 Long-term care of the ...

        Sounding Board
        760-763

          During the past two decades, several reports favoring the institution of a federal system of no-fault compensation for injured research subjects have appeared.1 2 3 4 The proposals differ sharply on whether individual investigators, research institutions, ...

          Massachusetts Medical Society
          763

          DEATHS

          Bisgrove — John G. Bisgrove, M.D., of Danvers, died on June 30. He was in his 60th year.

          Dr. Bisgrove received his degree from the University of Colorado School of Medicine in 1948. He was a member of the American Academy of Physical Medicine and ...

          Correspondence
          764

          No extract is available for articles shorter than 400 words.

          764

          No extract is available for articles shorter than 400 words.

          764-765

          To the Editor: During last year alone, over 100,000 people ran marathons. Thus it is becoming important to appreciate that rather striking changes may occur in blood chemistry as a consequence of endurance training.1 , 2 Specifically, increased ...

          765

          To the Editor: Symptomatic foci of extramedullary hematopoiesis in the central nervous system have been reported in patients with agnogenic myeloid metaplasia, thalassemia, and cyanotic cardiovascular malformations.1 We have observed a case of ...

          766

          No extract is available for articles shorter than 400 words.

          766-767

          To the Editor: Podolsky et al. (May 28 issue),1 in evaluating test batteries that include galactosyltransferase isoenzyme II (GT-II) with one of the other recommended tests, have not specifically considered previously described principles of parallel-...

          767-768

          No extract is available for articles shorter than 400 words.

          768

          No extract is available for articles shorter than 400 words.

          768

          No extract is available for articles shorter than 400 words.

          768

          No extract is available for articles shorter than 400 words.

          768

          No extract is available for articles shorter than 400 words.

          769

          No extract is available for articles shorter than 400 words.

          769

          No extract is available for articles shorter than 400 words.

          769

          No extract is available for articles shorter than 400 words.

          769-770

          No extract is available for articles shorter than 400 words.

          770

          No extract is available for articles shorter than 400 words.

          770-771

          No extract is available for articles shorter than 400 words.

          Book Reviews
          771

          No extract is available for articles shorter than 400 words.

          771-772

          Whether or not Norman Holter envisioned, two decades ago, that his new procedure for ambulatory electrocardiograms would later emerge as a multimillion dollar industry remains a moot point. The method continues to burgeon but with minimal guidelines ...

          772

          These two books differ markedly in purpose, content, and style but share a handicap: addressing a technology that has progressed so rapidly that publication lags behind current practice.

          Evaluation of Cardiac Function by Echocardiography summarizes a ...

          772-773

          The black, formless design on the red cover of this conveniently sized paperback is the first item to stimulate the curiosity of the reader. Is it a Rorschach blot or a surrealist's view of the heart and circulation? On contemplation neither seems fitting ...

          773

          No extract is available for articles shorter than 400 words.

          773

          This atlas illustrates surgical techniques employed during operations on the esophagus, stomach, small intestine, and large intestine. The operative descriptions are augmented by brief discussions of the concepts on which the operations are based. The ...

          773-774

          No extract is available for articles shorter than 400 words.

          774

          No extract is available for articles shorter than 400 words.

          774

          More than a generation of English-speaking ophthalmologists have grown up under the literary guidance of Duke-Elder's 15-volume Textbook of Ophthalmology. Perhaps we shall never again see such a prodigious exposition of historic and scholarly material ...

          Books Received
          774-775

          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.

          The Journal solicits reviews of ...

          Notices
          775-776

          COURSES AT COLUMBIA UNIVERSITY

          The College of Physicians and Surgeons of Columbia University will offer five courses in the coming months: "Ocular Inflammation, Diagnosis and Therapeutics" (September 24 and 25); "Advances in Surgical Pathology" (October ...

          Correction
          776

          No extract is available for articles shorter than 400 words.

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