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February 9, 1984  Vol. 310 No. 6

Original Articles
337-341

THE tropical splenomegaly syndrome is found in adult, long-term residents of malarious areas. The syndrome is defined by the presence of massive splenomegaly for which no cause other than malaria can be found, markedly elevated levels of serum total IgM, ...

341-346

    THE glycosylated hemoglobin assay is a powerful research tool that is unique as a retrospective index of glucose control over time in patients with diabetes.1 2 3 Although when properly performed, the assay has been demonstrated to correlate with mean ...

    347-352

    SYSTEMIC vascular resistance is regulated by a variety of neurohumoral and local mechanisms, which have offsetting vasoconstrictor and vasodilator effects on the peripheral circulation. Circulatory states characterized by enhanced peripheral ...

    352-356

    THE positive and negative effects of gastric surgery for obesity have not been evaluated prospectively in patient groups randomly assigned to either gastroplasty or a nonsurgical dietetic regimen. We undertook such a study because the justification of ...

    356-360

    SLIGHTLY increased urinary excretion of albumin has been shown to be predictive of clinical nephropathy in insulin-dependent diabetics.1 Such an increase in albumin excretion is not generally measurable by the test ordinarily used to detect proteinuria ...

    Special Article
    361-368

    CONTINUOUS subcutaneous insulin-infusion pumps are now widely available for achieving intensive glycemic control of diabetes.1 2 3 These devices represent a series of technologic innovations in the treatment of diabetes. Because they have been introduced ...

    Medical Progress
    368-375

    AS many as a quarter of adult women may experience an episode of acute dysuria each year.1 Dysuria is one of the most common clinical problems seen by clinicians in the developed Western nations,2 3 4 accounting for over 3 million office visits per year ...

    Case Records of the Massachusetts General Hospital
    375-383

    Presentation of Case

    A 20-year-old woman was admitted to the hospital because of pulmonary densities.

    She was in vigorous health until four months earlier, when a cough developed and subsequently increased in severity. Three months before admission she ...

    Editorial
    384-385

    The chemical reaction between glucose and hemoglobin is an example of a widespread biologic process called "nonenzymatic glycosylation" (more properly called "glucosylation," in reference to glucose–protein linkages, or adducts). In this instance, a ...

    Sounding Board
    386-389

    Editor's note: The following commentary was invited as a response to the unsolicited essays by Anderson and by Powers, which appear in this issue under "Occasional Notes." None of the authors read the other statements before preparing his article, but ...

    Correspondence
    389

    No extract is available for articles shorter than 400 words.

    389

    To the Editor: In June and July 1981 the unprecedented occurrence of Pneumocystis carinii pneumonia, other opportunistic infections, and Kaposi's sarcoma was first recognized in young, previously healthy homosexual men.1–3 Within the short span of two ...

    390-391

    No extract is available for articles shorter than 400 words.

    391

    No extract is available for articles shorter than 400 words.

    391-392

    To the Editor: A negative association between allergic disorders and cancer has been emphasized by many reports, and the relation of histamine to tumor growth has been a matter of controversy.1 2 3 To investigate this matter, we compared serum histamine ...

    392-393

    No extract is available for articles shorter than 400 words.

    393

    No extract is available for articles shorter than 400 words.

    393-395

    To the Editor: The article by Mueller et al. (Sept. 8 issue) 1 on the extent of the autopsy on infants during the perinatal period is a useful challenge to pathologists at isolated hospitals in which autopsies are frequently not performed on such ...

    395

    No extract is available for articles shorter than 400 words.

    395-396

    To the Editor: The art and science of transplantation have progressed dramatically in the past 10 years. Through advances in tissue typing, surgical technique, immunosuppressive drugs, and patient care before and after transplantation, success rates in ...

    Occasional Notes
    396-398

      IN the past year, the lay press has described medical education in the United States as being "brutal" and "dehumanizing." Matriculating medical students have been categorized as "aggressive, competitive, narrow, dishonest, unfriendly individuals — in ...

      398-401

      While completing a research fellowship and a residency in internal medicine at the University of Virginia, I served on the medical-school admissions committee. Last year I decided that it would be an interesting experience to take the Medical College ...

      Medical Intelligence
      401-404

      Few men in Victorian England presented greater contrasts than the Quaker physician Dr. Thomas Hodgkin and the Jewish financier Sir Moses Montefiore, yet for more than 40 years, they were remarkably good friends. Hodgkin's role as physician to various ...

      Book Reviews
      404-405

      No extract is available for articles shorter than 400 words.

      405

      This volume is the third relating to the field of general surgery.

      The first two (reviewed in N Engl J Med 1983; 309:995) deal with the upper alimentary tract, liver, biliary tract, pancreas, and spleen. Like the others, this is a massive volume, ...

      405

      This is a well-written, tightly edited, authoritative book that should be accepted as the current standard textbook on cutaneous melanoma. The observations and recommendations are based on extensive experience at New York University, where a prospective ...

      406

      No extract is available for articles shorter than 400 words.

      406

      Here is a very good book written for those involved in the treatment of testicular cancers. The authors present their biases clearly.

      Testicular cancer is an unusual and devastating disease. In the past decade, treatment advances and successes have been ...

      406-407

      Publishing houses, many of them components of large industrial complexes, dance to the tune of advances in medicine. Whereas formerly a specialty might have been represented by a standard textbook or two and an officially sponsored journal, now we are ...

      407

      No extract is available for articles shorter than 400 words.

      407

      No extract is available for articles shorter than 400 words.

      407

      No extract is available for articles shorter than 400 words.

      Notices
      408

      MEDICAL COLLEGE OF GEORGIA

      The College will offer three programs in the coming months: "The 19th Annual Family Practice Symposium" (Feb. 20–25); "The 7th Annual Symposium on Emergency Medicine" (March 6–9); and "Ocular Toxicology" (April 27 and 28).

      ...

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