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Table of contents for

May 12, 1983  Vol. 308 No. 19

Original Articles
1113-1116

THROMBOANGIITIS obliterans (Buerger's disease) is an occlusive arterial disease that occurs mainly in medium and small vessels. It affects young male smokers and often leads to severe disability. It may result in lower-extremity or upper-extremity ...

1117-1123

ANOREXIA nervosa is a psychiatric syndrome characterized by a striking increase in physical activity and a marked diminution of food intake in the obsessive pursuit of thinness.1 2 3 In some cases, it is also associated with various forms of hypothalamic-...

1124-1129

    RHEUMATOID arthritis is a chronic inflammatory disorder of unknown cause, in which altered immune mechanisms have been implicated.1 , 2 On the assumption that a disturbance in immune function may be important pathogenetically, investigators have attempted ...

    Special Article
    1129-1132

      THE task faced by the clinical teacher "is unique in the entire realm of teaching. In no other field does the nature of the material demand of the teacher this degree of preparedness without preparation. We suggest that the problem of learning how to ...

      Medical Intelligence
      1132-1135

      ALTHOUGH tumors of the pineal gland are not the most common brain tumors, their treatment is among the most controversial. The controversy relates in part to the fact that current neurodiagnostic techniques can detect very small lesions but cannot ...

      1135-1138

        THE process of adaptation to high altitude has been studied extensively.1 Most studies, however, have been performed at altitudes under 5000 m (16,400 ft). This altitude is of interest because it appears to define the highest altitude at which human ...

        1138-1141

        COMPLEMENT has a pivotal role in host defense against bacterial pathogens. Most patients with primary or acquired deficiencies of the third component of complement (C3) have recurrent bacterial infections with a variety of microorganisms.1 Patients with ...

        1141-1146

        THE development of techniques for the in vitro clonogenic assay of hematopoietic progenitors1 has allowed investigation of clinical syndromes associated with immunologic injury to human stem cells.2 T-lymphocyte suppression of granulopoiesis has been ...

        Case Records of the Massachusetts General Hospital
        1147-1156

        Presentation of Case

        A 44-year-old woman was admitted to the hospital because of respiratory failure.

        She was well until 19 months earlier, when a mass was noted in the right breast. Evaluation elsewhere revealed that the mass was an abscess. An x-ray ...

        Editorial
        1157-1158

        Since Leo Buerger reported his classic studies in 1908,1 clinicians and investigators have been interested in thromboangiitis obliterans (Buerger's disease), which has several characteristic features. No other occlusive peripheral arterial disease has the ...

        Editorial Retrospective
        1158-1160

        Five years ago, the Journal 1 published the results of a successful field trial with a Group A meningococcal polysaccharide vaccine conducted in children between three months and five years of age during an epidemic of meningococcal A disease in Finland. ...

        Massachusetts Medical Society
        1160-1161

        Bloomfield — Stanley Theodore Bloomfield, M.D., of Stamford, Conn., died on April 12, 1982, at the age of 69.

        Dr. Bloomfield graduated from Boston University School of Medicine in 1937. He was a member of the American Medical Association, the American ...

        Correspondence
        1161-1163

        No extract is available for articles shorter than 400 words.

        1163-1164

        No extract is available for articles shorter than 400 words.

        1164-1165

        No extract is available for articles shorter than 400 words.

        1165

        No extract is available for articles shorter than 400 words.

        1165-1166

        No extract is available for articles shorter than 400 words.

        1166

        To the Editor: Physicians practicing in areas where both babesiosis and Lyme disease are prevalent should be aware that these infectious diseases can occur simultaneously, as shown by the following case report.

        A 36-year-old man, a summer resident of ...

        1166-1167

        No extract is available for articles shorter than 400 words.

        1167-1168

        To the Editor: A year ago I fell asleep during midday while driving and demolished my car. It was eventually determined that I was one of an estimated 50 million people with sleep apnea. A permanent tracheostomy was done so that I could breathe through ...

        1168

        To the Editor: Last summer, I became aware of a peculiar constellation of symptoms that occurred in three women, each of whom described annoying sensations involving the suborbital area, the nose, and the upper incisors. I believe that this syndrome is ...

        1168

        No extract is available for articles shorter than 400 words.

        1168

        No extract is available for articles shorter than 400 words.

        1169

        No extract is available for articles shorter than 400 words.

        1169

        To the Editor: Siegler calls confidentiality in medicine "a decrepit concept" that is "old, worn-out, and useless" (Dec. 9 issue).* It is surely old, and it is badly battered, but it is far from useless.

        Siegler makes several statements ex cathedra. For ...

        Occasional Notes
        1170-1173

        Ambivalence toward the news media is not an isolated phenomenon among scientists. Despite the potential benefits of "good publicity," few investigators are unaware of the horror stories of colleagues who have submitted to interviews. Although distortions ...

        Book Reviews
        1173-1174

        Here, the author exemplifies what seems to be a generic proclivity for medical history among neurologists; perhaps it arises from their professional reliance on eponyms. Many of his stories make good bedside reading (site-tested by me). This collection ...

        1174

        Founded in 1887, the American Physiological Society has recently instituted a five-year plan to celebrate its centennial; one of the first items has been the publication in 1982 of this book, which was first published in 1964. The decision to reprint it ...

        1174-1175

        No one has been more instrumental than Ernst Mayr in forging the "modern synthesis" of biology, evolution, and genetics. Perhaps no one else could have written this epic story with Mayr's perception and perspective.

        This is a scholarly and lucid account ...

        1175-1176

        Two things characterize a good work in the philosophy of medicine: the careful, lucid, and dispassionate exposition of a problem, and the reasoned, detailed, articulate, and logical discussion of its implications. For want of one or the other, many ...

        1176

        What makes a medical fact "true"? Are medical facts timeless? What is the relation between medical knowledge and social structure? These questions demand a more subtle and complex approach than the simple hagiography often used to introduce grand rounds. ...

        1176-1177

        No extract is available for articles shorter than 400 words.

        1177

        It has long been known that life style affects health. Yet medicine has often failed to apply this knowledge, partly because of its diagnose-and-treat mentality, partly because little has really been known about health promotion until recently, and partly ...

        Books Received
        1177-1179

        Biomedical Science

        Advances in Polyamine Research. Vol. 4. Edited by Uriel Bachrach, Alvin Kaye, and Ralph Chayen. 808 pp., illustrated. New York, Raven Press, 1983. $58.

        Advances in Prostaglandin, Thromboxane. and Leukotriene Research. Vol. 11 and 12. ...

        Notices
        1180

        LECTURE AT BOSTON UNIVERSITY SCHOOL OF MEDICINE

        Dr. Samuel Shapiro will deliver the first Dennis Slone Lecture, entitled "The Decision to Publish: Ethical Dilemmas," on May 25 at 4 p.m. in Room 110 of the School, 80 East Concord St., Boston.

        Contact the ...

        Corrections
        1180

        No extract is available for articles shorter than 400 words.

        1180

        No extract is available for articles shorter than 400 words.

        1180

        No extract is available for articles shorter than 400 words.

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