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Table of contents for

June 30, 1983  Vol. 308 No. 26

Original Articles
1549-1552

Abstract Inherited antithrombin III deficiency is associated with an increased risk of thromboembolism. Using recombinant-DNA techniques, we isolated a molecular probe for the antithrombin III structural gene and identified a common DNA polymorphism ...

1553-1558

Abstract We examined the survival experience of 1038 white patients with end-stage renal disease to compare transplantation with maintenance dialysis. A mathematical model was used that permitted adjustment for the confounding effects of age and morbidity ...

1558-1563

ALTHOUGH analyses of the survival of patients with end-stage renal disease have appeared periodically,1 , 2 their focus has been either on patients receiving dialysis or transplants or on patients at particular Centers3 or within a given geographic area.1 ...

1563-1565

LYMPHOGRANULOMA venereum, a disease caused by three immunotypes of Chlamydia trachomatis (L1, L2, and L3), can produce a marked constitutional illness in its secondary stage and a destructive disfiguring process in its tertiary stage.1 Because facilities ...

1566-1570

DURING the past eight years there have been occasional reports of patients with stridor without an identifiable organic cause, which presented as an apparent medical emergency with upper-airway obstruction and was often managed by endotracheal intubation ...

1571-1575

THERE have been repeated claims that individual treatments may improve the outcome in patients with hematemesis and melena, and two types of agents that have received attention are the histamine H2-receptor antagonists1 2 3 4 5 6 7 8 9 and ...

Medical Progress
1576-1584

    Antiepileptic Drug Treatment

    The Start of Therapy

    Antiepileptic drug treatment is obligatory when a diagnosis of generalized or partial epilepsy has been made.31 The aim is to control epileptic seizures in the absence of systemic or neurologic toxicity. ...

    Case Records of the Massachusetts General Hospital
    1584-1592

    Presentation of Case

    A 65-year-old woman was admitted to the hospital because of a question of recurrent pancreatitis.

    She was well until five years earlier, when she experienced an attack of pain in the epigastrium, right upper quadrant, and back, ...

    Editorial
    1593-1595

    Each year in the United States end-stage renal disease develops in almost one person per 10,000 population. Patients with this disease must select a therapy to survive. Such patients have a variety of treatments from which to choose: in-center or home ...

    Editorial Retrospective
    1595-1597

    IN 1977, Yu and associates reported the existence of an inhibitory T lymphocyte in patients with osteogenic sarcoma. This cell type suppressed in vitro tumor-specific cytotoxicity mediated by non-T, non-B, non-monocyte effector cells from the same ...

    Massachusetts Medical Society
    1597-1598

    DEATHS

    Alemian — Arsham Alemian, M.D., of Orleans, died on April 28 at the age of 76.

    Dr. Alemian graduated from Tufts College Medical School in 1933. He was a member of the American Society of Abdominal Surgeons.

    Briggs — Maurice Taggart Briggs, M.D., of ...

    Correspondence
    1598-1599

    To the Editor: In their Abstract Cantekin et al. (Feb. 10 issue)1 concluded, "Decongestant–antihistamine combinations do not appear to be indicated for the treatment of otitis media with effusion in infants and children." Their study seems to be based on ...

    1600

    To the Editor: The observation has been made that in adolescents with Mauriac syndrome whose diabetes was poorly controlled, achievement of better control was accompanied by rapid progression of retinopathy to proliferative stages.1 We wish to report on ...

    1600-1601

    No extract is available for articles shorter than 400 words.

    1601-1602

    To the Editor: Kramer and McClain (Nov. 19, 1981, issue)1 and others2 , 3 have reported that influenza vaccination can be associated with severe drug toxicity in patients taking warfarin or theophylline. These reactions may result from vaccine-induced ...

    1602

    No extract is available for articles shorter than 400 words.

    1602

    No extract is available for articles shorter than 400 words.

    1602

    No extract is available for articles shorter than 400 words.

    1602-1603

    To the Editor: Of all the currently available techniques, fine-needle aspiration of thyroid nodules has the greatest sensitivity and specificity for predicting malignancy.1 2 3 4 Used successfully, it reduces the cost of medical care by decreasing the ...

    1603

    No extract is available for articles shorter than 400 words.

    1603-1604

    To the Editor: Yunis et al. (Nov. 11 issue)1 refer to the possibility that Burkitt's and pleomorphic non-Burkitt's lymphomas with a t(8;14)(q24;q32) represent variants of the same disease. We have proposed that the presence of a 14q translocation may be ...

    1604

    No extract is available for articles shorter than 400 words.

    1604

    To the Editor: We are counsel for a company that is defending in lawsuits alleging that tampons cause toxic-shock syndrome. Our review of documents pertaining to case–control studies of toxic-shock syndrome, obtained through pretrial proceedings, reveals ...

    1604-1606

    To the Editor: In describing the "pitfalls of the teaching nursing home," Dr. Ahronheim's article (Feb. 10 issue)* misses the point on three counts.

    First of all, the Teaching-Nursing-Home Program, as established by the National Institute on Aging, is a ...

    1606-1607

    No extract is available for articles shorter than 400 words.

    Book Reviews
    1607

    What happens when a doctor is accused of killing other doctors' patients with curare? If you enjoy reading about frustration, futility, and doctors in trouble, you might like Somebody Is Lying, a book that brings to light some of the most serious problems ...

    1607-1608

    This is not a pleasant book to read for someone deeply committed to the idea that science is a noble pursuit and that the scientific method provides a powerful tool for enhancing our understanding of the world around us. Broad and Wade challenge many of ...

    1608

    This is the third book written under the aegis of the Alfred P.

    Sloan Foundation in a series designed to increase public understanding of science. Two excellent books have already been written: Disturbing the Universe, by Freeman Dyson, and Advice to a ...

    1608-1609

    The Stinsons have compiled a stinging indictment of apparent medical arrogance in the context of sophisticated neonatal care. They document their interactions during the six months of hospitalization that were required for a host of horrible problems ...

    1609

    Seven years ago the case of Karen Quinlan brought to public attention serious ethical and legal questions about the care of critically ill patients. Many newspaper and journal articles then began to appear, each arguing what the rights of such patients ...

    1609-1610

    As legal issues continue to gain prominence in the educational curricula of medical schools, residency programs, and continuing-medical-education programs, teachers of medical jurisprudence search for appropriate instructional material to illuminate the ...

    Books Received
    1610-1611

    Medicine

    Patient Education in the Primary Care Setting. Fifth Annual Conference, Edited by Mary Nell Currie. 138 pp. Kansas City, Mo., St. Mary's Hospital of Kansas City Family Practice Residency, 1983. $15.

    Postgraduate Medicine. Fourth edition. By I. J. ...

    Notices
    1611-1612

    SEXUALLY TRANSMITTED DISEASES

    A symposium entitled "Critical Gay Health Needs: New Diseases. Persistent Problems and Prophylaxis" will be held at the Seattle Sheraton Hotel on August 4. The fee is $95.

    Contact Mark Behar. P.O. Box 239, Milwaukee, WI 53201;...

    Correction
    1612

    No extract is available for articles shorter than 400 words.

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