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Table of contents for

July 23, 1981  Vol. 305 No. 4

Original Articles
181-185

    IDIOPATHIC aldosteronism is a syndrome characterized by hypertension, hypokalemia, and bilateral adrenal hypersecretion of aldosterone. Plasma renin activity is suppressed, and none of the mechanisms known to control the secretion of aldosterone appear to ...

    185-190

    BETA-ADRENERGIC agonists are frequently useful in the short-term management of severe congestive heart failure. Recently, it has been shown that the initial administration of the synthetic beta-adrenergic agonist pirbuterol to such patients increases ...

    191-194

      IN 1974, we described three adolescents with long-standing diabetes who had restricted mobility of small and large joints, thick, tight, waxy skin, growth impairment, and maturational delay.1 We subsequently identified four similarly affected young ...

      195-200

        CHLAMYDIA are obligate intracellular microorganisms, closely related to bacteria, that cause a variety of infections in human beings and animals.1 Chlamydia trachomatis causes trachoma, inclusion conjunctivitis, pneumonia of the newborn, and a wide ...

        Special Article
        200-204

        POSTOPERATIVE wound infections account for 20 per cent of all nosocomial infections1 and occur at a rate of 81 per 10,000 patients hospitalized.2 Their presence adds additional morbidity and expense to those expected from otherwise uncomplicated ...

        Medical Intelligence
        204-209

        PROLIFERATION of smooth muscle within the lung can occur as a nonspecific finding in a variety of chronic lung diseases; it can also be the major histologic manifestation in two clinical entities: benign metastasizing leiomyoma (BML) and ...

        209-211

        QUINIDINE causes a rise in serum steady-state concentrations of digoxin1 2 3 4 5 and reduces both renal and nonrenal clearances of digoxin.6 7 8 A redistribution of digoxin from tissue stores was suggested as a second underlying mechanism when it was ...

        Case Records of the Massachusetts General Hospital
        211-216

        Presentation of Case

        A 45-year-old man was admitted to the hospital because of recurrent gastrointestinal bleeding.

        At the age of 15 years massive upper gastrointestinal bleeding occurred, without previous gastrointestinal symptoms. The patient was ...

        Editorials
        217-219

        IN recent years, reports have appeared of contractures of the finger joints in Type I diabetes in the young. A variety of terms have been used for this condition, including "joint stiffness," "diabetic hand syndrome," "juvenile diabetic cheiroarthropathy,"...

        219-220

        This month marks the 25th anniversary of the National Health Survey Act, the landmark legislation in the recent development of national health-information sources. The Act made possible the design and continuing operation of a series of sample surveys, ...

        220

          No extract is available for articles shorter than 400 words.

          Massachusetts Medical Society
          220-221

          DEATHS

          Chassell—Joseph Olin Chassell, M.D., of Stockbridge, died on April 17. He was in his 81st year.

          Dr. Chassell received his degree from the University of Rochester School of Medicine in 1931. He was a member of the American Medical Association, the ...

          Correspondence
          222-223

          To the Editor: The recent Sounding Board article by Lown et al.* advocating that physicians form an international spearhead to abort the arms race was thought-provoking. However, even if one grants their questionable premise that physicians have more ...

          223-224

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          224

          To the Editor: A letter in the April 9 issue from Drs. Singer and Vann* may suggest to your readers that the World Health Organization is lax in maintaining surveillance to prevent the return of smallpox. May I take this opportunity to set the record ...

          224-225

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          225

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          225-226

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          226-227

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          227

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          227-228

          To the Editor: Cyclosporin A (CyA) is a potent immunosuppressive agent,1 and its initial use in renal, hepatic, and pancreatic transplantation in human beings has been extremely promising.2

          Until recently, however, the mode of degradation and ...

          228

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          229

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          229-230

          To the Editor: We wish to report additional evidence about the association among excessive thinness, delayed menarche, and irregular menstrual cycles discussed by Frisch et al. and by Fishman in the July 3, 1980, issue.1 , 2 The evidence stems from ...

          230-231

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          231

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          231

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          231-232

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          Book Reviews
          232

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          232

          Federal legislation is most often the product of compromises and concessions by the numerous special-interest groups that our society comprises. Health-care legislation is no exception. In Federal Health Programs, faculty from the University Health Policy ...

          233

          This book, by an eminent economist, is a compilation of 12 of his papers divided into three groups: Behavior of Hospitals and Hospital Costs; Tax Subsidies and Excess Health Insurance; and Issues in National Health Insurance. The author acknowledges that ...

          233-234

          Systems of care in the Western world have evolved out of a loose interplay between the judgments of clinical medicine and those of socioeconomic interest groups. Governmental policies for financing and organization represent state-of-the-art decisions. ...

          234

          Prof. Illsley, director of the Medical Research Council's Medical Sociology Unit at the University of Aberdeen, has added another distinguished volume to the well-known series of monographs written by holders of the Rock Carling Fellowship. Drawing on ...

          234-235

          The environment in which those working with mentally disordered persons must operate has been transformed by changes in mental-health law made by the courts and legislatures during the 1970s. For example, an important shift has occurred in the legal ...

          Books Received
          235-236

          Anatomy and Histology

          The Cell. Second edition. By Don W. Fawcett. 862 pp., illustrated. Philadelphia, W.B. Saunders, 1981. $36.

          Gray's Anatomy. 36th edition. Edited by Peter L. Williams and Roger Warwick. 1578 pp., illustrated. Philadelphia, W.B. ...

          Notices
          236

          NONPARAMETRIC STATISTICS

          Two courses will be offered by Ohio State University in September: "Applied Nonparametric Statistics," September 14–16; and "Recent Developments in Nonparametric Statistical Methods" on September 17 and 18, at the University ...

          Corrections
          236

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          236

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