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October 18, 1984  Vol. 311 No. 16

Original Articles
1001-1006

GLOBAL left ventricular function is an important determinant of survival after acute myocardial infarction.1 2 3 4 The prognostic importance of an alteration in regional left ventricular performance and a distortion of regional left ventricular ...

1006-1010

    AS early as 1923 MacWilliam1 noted that "night and sleep are occasionally the season of acute reflex and emotional disturbances which. . . induce a very pronounced effect on the circulatory system." The relation between cardiac arrhythmias and sleep (or, ...

    1010-1015

    THE term "chondrodysplasia punctata" is used to describe a heterogeneous group of bone dysplasias whose common characteristic is stippling of the epiphyses in infancy. Epiphyseal stippling occurs rarely as part of a number of syndromes and has also been ...

    1015-1018

      METHYLMALONIC acidemia is an inborn error of organic acid metabolism resulting from deficient activity of methylmalonyl-CoA mutase, an enzyme that converts methylmalonyl-CoA to succinyl-CoA.1 This enzyme requires a cobalamin (B12) cofactor; a genetic ...

      Medical Progress
      1019-1029

      RECENT advances have solidified the development of immunology as a laboratory discipline and accelerated its evolution as a clinical science. An important benefit of this progress is the improvement in our understanding of autoimmunity. In this article we ...

      Medical Intelligence
      1030-1032

      THE safety and efficacy of hepatitis B vaccine have been established in controlled trials.1 2 3 The vaccine consists of purified 22-nm particles of hepatitis B surface antigen derived from the plasma of chronic carriers of the surface antigen, many of ...

      1032-1036

      THE McCune–Albright syndrome was originally described in the 1930s as the triad of polyostotic fibrous dysplasia, café-au-lait pigmentation, and precocious puberty.1 , 2 The mechanism of the precocious puberty has been unclear, with evidence for ...

      Case Records of the Massachusetts General Hospital
      1036-1043

      Presentation of Case

      A 29-year-old woman was admitted to the hospital because of a lytic skull lesion.

      She was well until eight months earlier, when she was involved in a motor-vehicle accident and struck her head on the windshield. She did not lose ...

      Editorial
      1044-1045

      Unexpected cardiac arrest happens hundreds of times each day in the United States. In view of its frequency, it is remarkable that so little is known about the events immediately preceding sudden death. When ambulatory electrocardiograms are recorded by ...

      Sounding Board
      1045-1048

      Traditionally, the purpose of undergraduate education at virtually all medical schools has been to prepare students to enter practice immediately after graduation. Early in this century, a rotating internship was added as a requirement. It was not until ...

      1048-1050

      From time to time neurology has been subjected to close scrutiny and criticism, both by neurologists and by colleagues in other medical specialties. It has recently been claimed that an excessive number of neurologists are being trained and that the ...

      Correspondence
      1051-1052

      To the Editor: The association between the acquired immunodeficiency syndrome (AIDS) and Kaposi's sarcoma in younger men has been recognized since the beginning of the AIDS outbreak1 in 1981. Before 1981, Kaposi's sarcoma was seen in the United States ...

      1052

      To the Editor: The concept of antithrombotic treatment with low-dose aspirin has attracted much interest1 since claims that the cyclooxygenase in platelets is more sensitive than vascular cyclooxygenase to the actions of aspirin.2 However, there is still ...

      1052-1053

      To the Editor: We agree with Teutsch et al. (Feb. 9 issue)* that although hypoglycemia contributed to only 3 of 35 deaths among diabetic patients using continuous subcutaneous insulin-infusion pumps, these deaths are potentially preventable and thus ...

      1053-1055

      To the Editor: Jannetta et al. (June 28 issue)* suggest that they have discovered and described a new subclassification of vertigo, which they term "disabling positional vertigo." However, several questions remain.

      Can we really assume that this is a ...

      1055-1056

      No extract is available for articles shorter than 400 words.

      1056

      To the Editor: Pulmonary aspergillosis is a common fungal infection in neutropenic patients with cancer.1 2 3 This opportunistic disease appears to be transmitted by air. At the Institut Jules Bordet, the cancer center of the Université Libre de ...

      1056-1057

      No extract is available for articles shorter than 400 words.

      Occasional Notes
      1057-1061

      The essence of private medical practice lies in the nature of the relationship between patients and their physicians. In its most simple form this relationship is characterized by patients' making their own choice of doctors, establishing a direct ...

      Book Reviews
      1061-1062

      A survey report of an admittedly nonrandom group of 4246 persons between the ages of 50 and 93 is a welcome addition to the minimal data regarding sexuality in the later years. Respondents to questionnaires included only the readers of Consumer Reports ...

      1062

      In March 1970, Hawaii became the first state to enact unrestricted abortion legislation. Within four months abortion was permitted in New York.

      In January 1973, the Supreme Court invalidated almost all existing state abortion laws. Physicians trained to ...

      1062-1063

      No extract is available for articles shorter than 400 words.

      1063

      No extract is available for articles shorter than 400 words.

      1063

      Until recently, experience with the management of diabetes during pregnancy has been rare in the training of internists. The subject is covered briefly, if at all, in most textbooks of medicine. Now we have a thorough and detailed book that is useful for ...

      1063

      No extract is available for articles shorter than 400 words.

      Notices
      1064

      BAYLOR COLLEGE OF MEDICINE

      The College will offer a course entitled "Bay-Cap IX: The Physiology and Pharmacology of the Perioperative Period" at the Four Seasons Hotel in Houston, November 9 and 10.

      Contact the Office of Continuing Education, Baylor ...

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