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Table of contents for

December 9, 1982  Vol. 307 No. 24

Original Articles
1469-1475

Beta-thalassemia is a disease characterized by decreased (β+) or absent (γ0) production of the β subunit of adult hemoglobin (hemoglobin A = α2β2). Decreased synthesis of β globin results in a relative excess of α-globin molecules that precipitate and ...

1476-1480

NAUSEA and vomiting are being increasingly recognized as factors limiting completion of a prescribed course of chemotherapy in patients with cancer. Although pharmacologic agents such as prochlorperazine, tetrahydrocannabinol, and metoclopramide have had ...

1481-1486

Hepatitis B virus (HBV) infection remains a threat to both medical staff and patients in hemodialysis centers.1 , 2 Although the incidence of infection has declined dramatically in the United States since the introduction of disposable equipment and the ...

Medical Intelligence
1487-1492

AN important question facing physicians today is whether to recommend cardiac catheterization to the patient who has just had an acute myocardial infarction. Although it has long been recognized that information obtained from cardiac catheterization ...

1492-1495

    Maple-syrup-urine disease, also known as branched-chain ketoaciduria, results from a primary defect in oxidative decarboxylation of the ketoacids derived from the branched-chain amino acids leucine, isoleucine, and valine.1 Neonates with the most common ...

    1495-1498

    Chronic immune thrombocytopenic purpura (ITP) appeared in monozygotic twin girls during adolescence. An older sister was discovered to have less severe thrombocytopenia without purpura. Increased amounts of platelet-associated immunoglobulin were detected ...

    Seminars in Medicine of the Beth Israel Hospital, Boston
    1499-1507

      IN 1897 Ehrlich1 coined the term "horror autotoxicus" to describe his view that the body seemed "unwilling" to mount an immune assault on its own tissues. In the early part of this century, with the hypothesis that the hyperplastic thymus gland might, in ...

      Case Records of the Massachusetts General Hospital
      1507-1514

      Presentation of Case

      First admission. A 62-year-old man was admitted to the hospital because of a question of subarachnoid hemorrhage.

      He was in excellent health until the evening of admission, when he experienced the sudden onset of a frontal headache ...

      Sounding Board
      1516-1518

      Current policies of the federal government include substantial cuts in government health expenditures and dismantling government regulations in the health and medical-care sectors. These policies are being pursued under an assumed popular mandate. The ...

      Editorials
      1515-1516

      The art of the molecular geneticist is no longer confined to the elegant but arcane domain of simple microbial genomes. Recombinant-DNA technology has rendered equally susceptible to his wizardry the several billion base pairs of DNA present in each human ...

      1518-1521

      Medical confidentiality, as it has traditionally been understood by patients and doctors, no longer exists. This ancient medical principle, which has been included in every physician's oath and code of ethics since Hippocratic times, has become old, worn-...

      Massachusetts Medical Society
      1521

      DEATHS

      DeCesare — Nicandro Francis DeCesare, M.D., of Methuen, died on October 29. He was in his 88th year.

      Dr. DeCesare received his degree from Tufts College Medical School in 1920. He was a member of the American Medical Association, the American ...

      Correspondence
      1521-1522

      No extract is available for articles shorter than 400 words.

      1522

      No extract is available for articles shorter than 400 words.

      1522

      No extract is available for articles shorter than 400 words.

      1522-1525

      To the Editor: In the July 29 issue of the Journal,1 Dr. Freis discussed the Hypertension Detection and Follow-up Program (HDFP). We believe he has several misconceptions about the HDFP.

      The HDFP was designed to test the effect on mortality of intensive ...

      1525-1526

      No extract is available for articles shorter than 400 words.

      1526

      No extract is available for articles shorter than 400 words.

      1526-1527

      No extract is available for articles shorter than 400 words.

      1527

      No extract is available for articles shorter than 400 words.

      1527-1528

      To the Editor: The National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases has initiated a multicenter clinical trial — the Diabetes Control and Complications Trial (DCCT) — to address the issue of the relation between metabolic ...

      1528

      No extract is available for articles shorter than 400 words.

      1528

      To the Editor: Although ethanol therapy has been used for the treatment of methyl alcohol intoxication for several years, there are few data on its effectiveness. We observed a patient who received prompt and aggressive ethanol therapy for methanol ...

      1528-1529

      To the Editor: In the July 29 issue Donabedian et al. reported that in a prospective trial of levamisole in a large group of patients with Job's syndrome (which includes chronic eczema, recurrent staphylococcal infections, eosinophilia, ...

      1529-1530

      No extract is available for articles shorter than 400 words.

      1530

      No extract is available for articles shorter than 400 words.

      1530

      No extract is available for articles shorter than 400 words.

      1530

      No extract is available for articles shorter than 400 words.

      1530-1531

      No extract is available for articles shorter than 400 words.

      1531

      No extract is available for articles shorter than 400 words.

      1531

      To the Editor: Articles written for medical journals usually take quite a while to appear in print; six months from submission of typescript to appearance of galley proofs is not an unusual interval. No real harm is done, since articles of major ...

      Occasional Notes
      1532-1533

      The conservative political mood in the United States and the apparent failure of law-enforcement agencies to curb violent crime have resulted in a resurgence of support for the death penalty across the country. Fifteen years ago, a majority of Americans ...

      Book Reviews
      1533

      In this unique book, Dr. Goodwin and her coauthors have integrated their extensive clinical experience in evaluating and treating incest victims with a careful review of the literature. The result is a comprehensive and clinically astute view of sexual ...

      1533-1534

      The title and size of this book encourage the reviewer to view its publication as a momentous event. I, like others who have labored in the "common ground" made graphic by the Venn diagram (on the book's jacket), approached the book with happy ...

      1534

      In 1948 Milton Senn, a pioneer in the introduction of psychologic concepts into pediatric practice, envisioned that pediatricians would develop a balanced competency in both the psychosocial and biomedical aspects of child health. In 1978 the Task Force ...

      1534

      Since its first appearance in 1974, the Primer has been a popular manual for psychiatric residents beginning therapeutic work with children. The publication of a second edition of this useful textbook is a welcome event.

      The book is divided into three ...

      1535

      No extract is available for articles shorter than 400 words.

      1535

      There is an ever-increasing awareness of the need for professionals to serve as advocates for children who are congenitally handicapped. Children Who Are Different was specifically developed for professionals working with handicapped children and their ...

      1535-1536

      No extract is available for articles shorter than 400 words.

      1536

      No extract is available for articles shorter than 400 words.

      Notices
      1536

      KILLINGTON PSYCHIATRY CONFERENCE

      The Killington Psychiatry Conference will be held in Killington, Vt., February 6–11.

      Contact Wilma Guerette, Northeast Conferences, P.O. Box 966, Lenox, MA 01240; or call (413) 637–0101.

      POSTRESIDENCY FELLOWSHIPS

      The ...

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