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February 27, 1986  Vol. 314 No. 9

Original Articles
529-534

BLASTOMYCOSIS is a chronic granulomatous mycosis of humans and lower animals (primarily dogs) caused by the thermal dimorphic fungus Blastomyces dermatitidis: In humans, pulmonary, cutaneous, and disseminated forms have been described; the pulmonary form ...

535-540

FLOPPY mitral valve is also known as Barlow's syndrome; mucinous, myxoid, or myxomatous degeneration of the mitral valve; mitral-valve or mitral-leaflet click–murmur syndrome; hooded mitral valve; and mitral-valve prolapse.1 2 3 4 5 6 7 8 9 10 11 12 13 14 ...

541-547

ORNITHINE transcarbamylase deficiency (OTCD) is an inborn error of urea synthesis that is inherited as an X-linked trait1 (Fig. 1). Although there have been advances in the treatment of urea-cycle enzymopathies since Russell's description of OTCD in 1962,...

547-551

THE discovery of a unique fibrillary structure in brain-tissue preparations from animals with scrapie1 , 2 and humans with Creutzfeldt–Jakob disease,3 4 5 which contains a characteristic group of protease-resistant proteins with a relative molecular ...

Special Article
552-557

    THE transfer of patients from one hospital to another is a widespread practice throughout the United States. Transfer is considered appropriate when there is a need for specialty or tertiary care that is unavailable at the transferring hospital.1 , 2 ...

    Medical Intelligence
    557-560

      HUMAN pregnancy is characterized by the production of massive quantities of progesterone, which is supplied primarily by the placenta during the second and third trimesters, and of estrogens, which are formed in the placenta from steroid prehormones ...

      560-564

      VYAS and co-workers1 were the first to identify anti-IgA antibodies as the cause of anaphylactic reactions to human blood products in patients with selective IgA deficiency. Other reports of anaphylaxis due to anti-IgA antibodies soon followed,2 3 4 5 6 7 ...

      Case Records of the Massachusetts General Hospital
      564-574

      Presentation of Case

      A 39-year-old woman was admitted to the hospital because of bilateral chest pain and pulmonary infiltrates.

      She was well until three months earlier, when pleuritic left precordial pain developed, accompanied by pain in the left ...

      Editorials
      575-577

      In this issue, Klein and a cadre of epidemiologists, mycologists, and clinical and public health investigators describe the largest reported outbreak of acute blastomycosis with a known source; it involved persons attending an environmental camp on the ...

      577-578

      Although the auscultatory findings of mitral-valve prolapse have been known for a century, only 25 years have elapsed since the widespread recognition of the association of midsystolic clicks or late systolic murmurs (or both) with diverse clinical ...

      578-579

      The transfer of uninsured patients from private to public hospitals for purely economic reasons, a practice known as "dumping," has attracted much unfavorable publicity of late, particularly when it has involved patients requiring emergency care. As I ...

      Correspondence
      579-581

      No extract is available for articles shorter than 400 words.

      581

      No extract is available for articles shorter than 400 words.

      581

      No extract is available for articles shorter than 400 words.

      581-582

      No extract is available for articles shorter than 400 words.

      582-583

      No extract is available for articles shorter than 400 words.

      583-584

      To the Editor: We wish to report two cases of tocainide-induced aplastic anemia.

      A 70-year-old woman had a myocardial infarction in April 1981 and a coronary-artery bypass in May 1981. After operation, the values on her liver-function tests were elevated,...

      584

      To the Editor: Mexico is among the countries with a high frequency of aplastic anemia, and patients who do not respond to methylprednisolone or oxymetholone represent a therapeutic problem for us, since we lack bone marrow transplant techniques or ...

      584-585

      To the Editor: Although hemophilia-carrier testing and selective abortion of affected male fetuses are available,1 almost one third of new cases of hemophilia appear in families with no history of the disorder.2 Such "sporadic" cases result from new ...

      585-586

      To the Editor: The carpal tunnel syndrome has been observed increasingly in patients undergoing long-term hemodialysis treatment.9 Since there is a significant correlation between the duration of dialysis treatment and the incidence of carpal tunnel ...

      586

      To the Editor: We have observed the concurrence of multiple sclerosis and idiopathic inflammatory bowel disease in families in southern Alberta. These diseases are of unknown origin and are similar in that each occurs predominantly in young adults living ...

      587

      To the Editor: The article by Stover and Nightingale entitled "The Medical Profession and the Prevention of Torture" (Oct. 24 issue)1 is a welcome call for physicians and other health professionals to act on human-rights issues. It clearly describes how ...

      587

      No extract is available for articles shorter than 400 words.

      587-588

      No extract is available for articles shorter than 400 words.

      Book Reviews
      588

      In his later years, the eminent immunologist and virologist Macfarlane Burnet, in a remarkable lapse of judgment, insisted that molecular biology offered more dangers than benefits and that it would have little value in the control of infectious disease. ...

      588-589

      This book might better have been titled "How to Succeed in Science (and Obtain Your Just Desserts)," because it is much more concerned with rewards than with joy. Although it is an effective how-to book, it suffers from the disadvantages of its genre, ...

      589

      According to the author, the purpose of this book is to present the "contributions of epidemiology to the study of health services and the formulation of health policies." The author's approach is to focus on the key questions in evaluating diagnostic ...

      589-590

      In reviewing these two books simultaneously, one is struck both by the similarities and by the disparities between the role of the physician in rural America and that of the British community practitioner. The American physician in a rural community ...

      590

      Seven quite distinct papers are bound together in this book, the first of a series from the Committee on an Aging Society of the Institute of Medicine. The papers are treatises on the array of demographic changes that result from an aging society and that ...

      590-591

      This monograph presents a cogent argument for the contingent nature of specialization in American health care. Using rehabilitation medicine as a case study, Gritzer and Arluke contrast a naturalgrowth model, in which specialization is viewed as an ...

      Books Received
      591

      The receipt of these books is acknowledged, and this listing must be regarded as sufficient return for the courtesy of the sender. Books that appear to be of particular interest will be reviewed as space permits.

      Addresses of most overseas publishers ...

      Notices
      591-592

      Notices submitted for publication should contain a mailing address and phone number of a contact person or department. We regret we are unable to publish all Notices received.

      ECONOMICS AND MEDICAL CARE

      The Long Island Jewish Medical Center will sponsor ...

      Correction
      592

      No extract is available for articles shorter than 400 words.

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