D. BarltropI. ChanarinK. M. CitronD. J. ColtartA. H. CrispI. J. T. DaviesC. D. M. Drew

Postgraduate Medical JournalEDITOR

B. I. HoffbrandADVISORY EDITORIAL BOARD

H. EllisR. GouldingJ. P. HopewellD. IngramH. S. JacobsD. G. James

R. S. KocenJ. G. LewisJ. S. MalpasD. E. SharlandP. TurnerD. Innes Williams

EDITORIAL REPRESENTATIVES FOR AUSTRALIAThomas Stapleton J. R. Lawrence

EDITORIAL ASSISTANTMrs J. M. Coops

The Fellowship of Postgraduate Medicine wasfounded by a group of Lond~n consultants after theFirst World War to assist postgraduates, particularlythose coming to London from the Commonwealth, topursue their studies. The Fellowship first publishedthe Postgraduate Medical Journal to give informationabout lectures, conferences and courses and toprovide a monthly review of all branches of medi-cine.

Postgraduate Medical Journal publishes originalpapers on subjects of current clinical importance andwelcomes review articles with extensive, up-to-datebibliographies as guides to further reading. Severalsymposia are published each year, each devoted to asingle subject and written by specialists in differentdisciplines. Most issues include authoritative CurrentSurveys of clinical problems, and well documentedReports of cases of particular interest, and BookReviews.A 'Notice to Contributors' is published on the

inside back cover of this issue. The Editor reservesthe right to make changes which may clarify orcondense papers where this is considered desirable.The Journal is covered by Current Contents,

Biological Abstracts.

EDITORIAL MATTERSAll editorial correspondence, including books forreview and reprint orders, should be addressed toThe Editor, The Postgraduate Medical Journal,Chandos 'House, 2 Queen Anne Street, LondonW IM9LE (Tel. 01-580 3210).

ADVERTISEMENTSAdvertisement enquiries and bookings should beaddressed to Blackwell Scientific Publications Ltd,Osney Mead, Oxford OX2 OEL.

SUBSCRIPTION INFORMATIONPostgraduate Medical Journal is published monthlyfor the Fellowship of Postgraduate Medicine byBlackwell Scientific Publications Ltd. The annualsubscription is £56.00 (U.K.), £67.50 (overseas),

$142.50 (U.S.A. & Canada) post free. Subscribers inthe U.S.A. and Canada should send their orders tothe J. B. Lippincott Company, East WashingtonSquare, Philadelphia, Pa 19105, U.S.A. The price ofsingle issues is £5.65 ($11.70), postage extra. Ifpayments are made by bank transfer, all charges shallbe at the remitter's expense. Copies of the journal aredispatched by air freight to New York for forwardingby surface mail throughout the Western Hemisphere,and by air freight to Singapore for forwarding bysurface mail to subscribers in India, Australasia andthe Far East. U.S. Mailing Agent: Expediters of thePrinted Word Ltd, 527 Madison Ave, Suite 1217,New York, NY 10022. Second class postage paid atNew York, NY. Postmaster: send address correctionsto Postgraduate Medical Journal, c/o Expediters ofthe Printed Word Ltd., 527 Madison Avenue, NewYork, NY 10022 (US mailing agent). Orders andbusiness correspondence should be addressed toBlackwell Scientific Publications Ltd, Osney Mead,Oxford OX2 OEL (Telephone Oxford 240201).

COPYRIGHT AND PHOTOCOPYING© The contents of this Journal are copyright and,subject to the provisions of Section 7 of the CopyrightAct, 1956, they may not be copied, adapted orreproduced without permission. Requests for permis-sion to reproduce material elsewhere, either in wholeor in part, should be addressed to The Editor.The appearance of the code at the bottom of the

first page of an article in this journal indicates thatpermission to photocopy for internal or personal useor the internal or personal use of specific clients isgranted by The Fellowship of Postgraduate Medicinefor libraries and other users registered with theCopyright Clearance Center (CCC), provided thatthe stated fee per copy is paid directly to the CCC, 21,Congress Street, Salem, MA 01970, U.S.A. Thisconsent does not extend to other kinds of copying,such as copying for general distribution, for advertis-ing or promotional purposes, for creating newcollective works or for resale. Special requests shouldbe addressed to the Editor.

Postgraduate Medical Journal (December 1983) 59, 803-804

Books received

Annual Review of Public Health. Volume 4, 1983. Edited by LESTERBRESLOW. JONATHAN E. FIELDING, Associate Editor; LESTER B.LAVE, Associate Editor. Pp. 424, illustrated. Annual Reviews Inc.,4139 El Camino Way, Palo Alto, California 94306, U.S.A., 1983.$27.00 (U.S.A.), $30.00 (elsewhere), prices include postage andhandling.

The Basic Neurology of Speech and Language. By MICHAEL L. E.ESPIR and F. CLIFFORD ROSE. 3rd edn. Pp. ix+213, illustrated.Blackwell Scientific Publications, Oxford, London, Edinburgh,Melbourne, Boston, 1983. £9.50.

Cardiovascular Disease. Integrated Clinical Science Series. Edited byJOHN R. HAMPTON. Pp. xi + 276, illustrated. William HeinemannMedical Books, London, 1983. £2.75.

Joseph Black, 1728-1799: a Commemorative Symposium. Paperspresented at a Symposium held in the Royal Scottish Museum on 4November 1978 in association with The Scottish Society of theHistory of Medicine, together with a Survey ofManuscript Notes ofJoseph Black's Lectures on Chemistry. Edited by A. D. C. SIMPSON.

Pp. viii+ 69, illustrated. The Royal Scottish Museum, Edinburgh,1982. £4.00 (plus 50p postage and packing in U.K. Overseas rateson application).

A Laboratory Guide to Clinical Diagnosis. By R. D. EASTHAM. 5thedn. Pp. xi+ 367. Wright, PSG, Bristol, London, Boston, 1983.£ 10.75.

Lecture Notes on Epidemiology and Community Medicine. By R. D. T.FARMER and D. L. MILLER. 2nd edn. Pp. viii + 214, illustrated.Blackwell Scientific Publications, Oxford, London, Edinburgh,Boston, Melbourne, 1983. £6.80.

Mnemonics, Rhetoric and Poetics for Medics. By ROBERT L.BLOOMFIELD and E. TED CHANDLER. Pp. 222, illustrated. Harbin-ger Press, Box 17201, Winston-Salem, N.C. 27106, U.S.A., 1982.$9.50.

Noninvasive Methods in Atherosclerosis Research. AtherosclerosisReviews. Edited by RUTH JOHNSSON HEGYELI. Vol. 10. Pp.xiv + 200, illustrated, Raven Press, New York, 1983. $49.00.

Book reviews

Antimicrobial Chemotherapy

Edited by DAVID GREENWOOD. Baillidre's Concise MedicalTextbooks. pp. 323, illustrated. Bailliere Tindall, London, 1983.£6.95.

The students at the University of Nottingham Medical School areindeed fortunate to be taught by the formidable team which DavidGreenwood has harnessed in this useful, concise textbook onantimicrobial chemotherapy. The subject matter is divided into five-arts, covering general properties, laboratory aspects, resistance,general principles and the therapeutic use of antimicrobial agents.The book is further sub-divided into 29 sections each of which iszoncise and self-contained.The book is illustrated with 35 tables and 37 figures; three of the

figures are of poor quality black and white photographs but thesedetract little from the overall value of the book. Each section variesin context although the styles of the different writers have beenmoulded to maintain continuity. The text is easy to read and is notcluttered with references although the student is given recommenda-tions for further reading at the end.

In terms of detail, the student will find few contentious pointsalthough it is a mark of the times that little is said about acyclovirand hepatitis B vaccine such is the speed ofnew innovations and thetime taken to publish even modest works. It would seem that even inthe last year, clinicians are casting doubts on the therapeutic value ofchloramphenicol combined with gentamicin in the treatment ofneonatal meningitis.

It seems incongruous that one part or section of any book shouldbe singled out, but I found the general principles of use ofantimicrobial agents especially useful and in particular wouldrecommend the section on adverse reactions to antibiotics. Neverthe-less, the colourful descriptions and sense ofhumour portrayed by theeditor will not be lost on the students but I hope the students willattend the practical courses as well as reading the results of their

mentors' art. At £6.95, this book is good value for all medicalstudents.

A. M. EMMERSONWhittington Hospital,

London N19 5NF.

Drugs and Pregnancy. Human Teratogenesis and Related Problems

Edited by D. F. HAWKINS. Pp. 243. Churchill Livingstone,Edinburgh, London, Melbourne and New York, 1983. £10.00.

This book is based on a symposium held at the Institute of Obstetricsand Gynaecology in 1980. Although the book is relatively short, itcovers a wide range of topics. The first section deals with theconcepts of teratogenesis, inappropriateness of animal testing,placental transfer of drugs and the general principles of prescribingin pregnancy. The second section considers therapeutics in normaland abnormal pregnancy and selected specific topics such as the useof corticosteroids and antibiotics, the effects of drugs of abuse, thetreatment of premature labour, neonatal jaundice and breastfeeding. Throughout the book, the emphasis has been to give abalanced viewpoint on the possible risks and benefits of drugtherapy in pregnancy, in contrast to the almost universal manufac-turer's disclaimer "safety in pregnancy has not been evaluated".There are some curious idiosyncrasies and inconsistencies. In

considering control of heparin treatment, heparin blood levels aredismissed as unpredictably unreliable and bedside estimation of theclotting time is recommended instead. This is surely even moreunreliable, and very few haematologists would endorse this opinion.In the chapter on placental transfer, all antibiotics except penicillinare cited as potential teratogens. The conclusion to the chapterdevoted to antibiotic therapy states that the antibiotics usedroutinely may be considered fairly safe for the foetus. I would agreewith the latter opinion.

However, in general I would recommend this book to the

~P~OSTGRADUATEMEDICAL JOURNAL

VOLUME 59

January to December 1983

LrnV LIugtARM

JAN 13 1984

SERIALS DEPT.

PUBLISHED FORTHE FELLOWSHIP OF POSTGRADUATE MEDICINE

BY BLACKWELL SCIENTIFIC PUBLICATIONSOXFORD LONDON EDINBURGH BOSTON MELBOURNE

Subject Index

*denotes clinical report

*Abortion,hypertonic saline-induced, complicated by amniotic

fluid embolism and disseminated intravascular coagu-lation. February, 127

spontaneous, and diabetes mellitus. May, 295*Achalasia-like disturbance, oesophageal motility following

truncal vagotomy and antrectomy. February, 100*ACTH-producing lung cancer, presenting with prostatic

metastasis. June, 371*Acute abdomen

in pregnancy, spleen rupture. September, 596surgery, review. July, 416

*Adenocarcinoma associated with hepatic granulomata.January, 66

*Adenoid cystic carcinoma, breast. January, 48*Adenosine arabinoside treatment for radiculomyelopathy

associated with herpes simplex genitalis. June, 388Adolescents, ethnic groups, blood pressure, two London

schools. October, 630Adult respiratory disease syndrome, recent advances:

review article. January, 1Africa, endomyocardial fibrosis. March, 170Africans, parasitic infestation protecting from atheroma.

October, 636*Air travel, acute pulmonary embolism following. February,

104*Alkalosis, metabolic, with fludrocortisone therapy. August,

506Alpha2HS-glycoprotein in the serum and urine of patients

with renal diseases. May, 304*Alpha heavy chain disease, antibiotic-induced remission.

July, 443Amiodarone and its desethyl metabolite, renal elimination.

July, 440*Amniotic fluid embolism and disseminated intravascular

coagulation complicating hypertonic saline-inducedabortion. February, 127

*Ampulla of Vater, carcinoid tumour, with neurofibromato-sis. November, 734

*Amyloidosiswith light chain myeloma, tetany and osteolysis, August,

527renal, and multifocal fibrosclerosis. July, 467

AnaemiaAsians in London. October, 645of chronic disorders: review article. September, 543

Anaesthesiafor burns and plastic surgery. Symposium, Nottingham

City Hospital, 23rd October, 1982. September, 603injection, local, followed by epidural abscess. June, 399

*Aneurysm, mitral valve, complicating Streptococcus millerdendocarditis. April, 250

*Angio-immunoblastic lymphadenopathy, pulmonary in-volvement. November, 728

*Angio-oedema and exercise-induced urticaria with relieffrom cromoglycate insufflation. September, 586

Anticoagulantclinic, audit, District General Hospital. August, 492therapy, oral, anterior mediastinal haematoma and left

haemothorax. February, 95Anti-depressant drugs after stroke. August, 489Antimicrobial drugs, recent advances: review article.

January, 3*Aortic stenosis, critical, left ventricular dysfunction in-re-

versal following aortic valve replacement. December,781

*Aortic valve replacement reversing left ventricle dysfunc-tion in critical aortic stenosis. December, 781

*Appendix vermiformis duplex. January, 69*Apudoma producing glucagonoma and gastrinoma syn-

dromes. May, 315Arthralgia in primary hyperparathyroidism. April, 236

*Arthritis, unusual cause. August, 522Asians

anaemia, London. October, 645blood pressure, Birmingham school study. October. 627breast cancer, Birmingham. October, 661congenital malformations. October, 657coronary artery disease, Birmingham. October, 634elderly, use of medical services. October, 668factory workers, blood pressure. October, 622hypertension, diabetic, effects of fibre, fat, and sodium.

October, 641prevalence in diabetic clinic. October, 637

nutrition, maternal, and birthweight. October, 655peak expiratory flow rate, Birmingham factory workers.

October, 671and primary health care. October, 664rheumatic diseases. October, 648stillbirths, normally formed. October, 659vitamin D deficiency, aetiology. October, 649

*Aspergirlus epidural abscess in obstructive airway disease.January, 43

Asthmabronchial, fenoterol and ipratropium combination in

aerosols. January, 28General Hospital, Kandy (Sri Lanka), clinical pat-tern. June, 357recent advances: review article. January, 7

diagnostic pitfalls: leading article. December, 739fenoterol plus ipratropium bromide compared with

salbutamol. November, 724fenoterol versus salbutamol nebulisation. August, 504

* presenting as cor pulmonale. December, 777* tracheal obstruction presenting as. December, 775Atheroma, parasitic infestation protecting the rural Afri-

can. October, 636Audit, medical, anticoagulant clinic, District General

Hospital. August, 492

Basal cell carcinoma, review of treatment especiallycryotherapy. November, 698

Index to Volume 59

Bereavement, effects of hospice care on surviving family.February, 73

Beta blockers and lipoproteins, thiazides: review article.August, 483

Birmingham, coronary artery diseases, Asians and whites.October, 634

Birthweight, ethnic differences, and maternal nutritionalrisk factors. October, 655

Blacksadolescents, blood pressure, two London schools. Octo-

ber, 630blood pressure, Birmingham school study. October, 627breast cancer, Birmingham. October, 661congenital malformations. October, 657elderly, use of medical services. October, 668factory workers, blood pressure. October, 622hypertension, diabetic, effects, fibre, fat, and sodium.

October, 641prevalence in diabetic clinic. October, 637

nutrition, maternal, and birthweight. October, 655peak expiratory flow rate, Birmingham factory workers.

October, 671rheumatic diseases. October, 648stillbirths, normally formed. October, 659

*Bladder, phaeochromocytoma, localized by selective ven-ous sampling and computed tomography. August, 533

*Bleomycin in verrucous squamous cell carcinoma of theoesophagus. September, 578

*Blooddyscrasias and mianserin. January, 31pressure, Birmingham school study. October, 627

black, white and Asian factory workers. October, 622clinic, developing country. October, 632in 15- to 16-year-old adolescents of different ethnic

groups, London schools. October, 630monitoring, 24-hr non-invasive, propranolol and pro-

pranolol LA in hypertension compared. December,770

Bonedisease after jejuno-ileal bypass for obesity. May, 299

* formation, new, in hypertrophic osteo-arthropathy with-out radiographic evidence. January, 54.

* marrow and mianserin. January, 31*Bradycardia, nodal, induced by tocainide. April, 262*Branchial cleft, first, anomaly. July, 447*Breast

adenoid cystic carcinoma. January, 48cancer, in blacks, Asians and whites, Birmingham.

October, 661surgery, review. July, 406

Bronchial asthma, see Asthma, bronchialBronchitis, chronic, recent advances: review article, Janu-

ary, 2*Bronchus

neurotensin-secreting carcinoma. January, 46* oat cell carcinoma, vasopressin secretion regulation.

April, 246BTPABA pancreatic function test in giardiasis. February,

79*Bullous skin eruption associated with carbamazepine

overdosage, May, 336*Burns

chemical, infant. July 472

compartment syndromes. September, 610 abst.management, gammaglobulin therapy, 5-year old girl.

September, 611 abst.pain, factors affecting. September, 604and plastic surgery, anaesthesia. Symposium, Notting-ham City Hospital, 23rd October 1982. September,603

surgery, haemostasis. September, 610 abst.

*Calcitonin secretion from a pancreatic tumour-clinicalimprovement after hepatic artery embolization. May,313

*Calf-muscle, hypertrophied, and juvenile proximal spinalmuscular atrophy. May, 327

*Cancerpatients, non-malignant complications, occult pulmo-

nary thromboembolism. August, 508terminal, corticosteroids. November, 702

Capillary blood collecting system for glucose determina-tion. May, 288

*Carbamazepineoverdosage, associated with bullous skin eruption. May,336in trigeminal neuralgia. July, 435

*Carcinoid tumour of ampulla of Vater, with neurofibroma-tosis. November, 734

*Cardiacconducting tissue disease, peroneal muscular atrophy.

August, 530pacing, temporary, district general hospital experiences.

September, 566Cardiotoxicity of eosinophils. March, 147

*Cast syndrome. August, 539Catecholamine measurements in clinical medicine: current

practice. August 479Causative factors: eradicating sources or removing results.

April, 232*Cefotaxime in primary klebsiella meningitis. April, 256Cefoxitin v. metronidazole, comparison, severe appendici-

tis. November, 720Central nervous system, need for prophylactic treatment,

in aggressive non-Hodgkin's lymphoma. May, 283*Cerebellar ataxia, acute, and infectious mononucleosis.

July, 457*Cetrimide burn, infant. July, 472Charcoal haemoperfusion, quinine poisoning. June, 365*Chest infection treated with erythromycin BP, factor X

deficiency and acute liver failure. August, 514*Chlormethiazole in treatment of neonatal status epilepti-

cus. December, 801Chlorpromazine, placebo and droperidol in nausea and

vomiting associated with cisplatin therapy. August, 500Chronic disorders, anaemia: review article. September, 543Cimetidine compared with ranitidine in short-term heal-

ing, duodenal ulcer. February, 88*Ciffhosis, cryptogenic, in relapsing polychondritis, April,

260Cisplatin therapy associated with nausea and vomiting, use

of chlorpromazine, placebo and droperidol. August, 500Cleft palate surgery, haemostasis. September, 611 abst.Common bile ducts, malignant obstruction, surgery, re-

view, July, 416

.

Postgraduate Medical Journal

Compartment syndromes and the burnt patient. Septem-ber, 610 abst.

*Computed tomography and venous sampling localizingphaeochromocytoma of the bladder. August, 533

Congenital malformations, ethnic differences. October,657

*Coparvax for malignant pleural effusion, acute polyarthri-tis following. December, 799

*Cor pulmonale, asthma presenting as. December, 777Coronary artery diseases, Asians and whites, Birmingham.

October, 634Corticosteroids in terminal cancer. November, 702*Corynebacterium parvum vaccine (Coparvax) for malig-

nant pleural effusion, acute polyarthritis following.December, 799

*Crohn's disease,erythema nodosum progressing to pyoderma gangreno-sum as complication. December, 791

nutritional disturbances: review article. November, 690*Cromoglycate insufflation relieving exercise-induced urti-

caria and angio-oedema. September, 586Cryosurgery, rectal carcinoma. April, 244Cryotherapy in basal cell carcinoma. November, 698Cyclic adenine nucleotide levels, lymphocytes, systemic

sclerosis: prostaglandin infusions. April, 241*Cystic ovarian teratoma, monodermal, composed of respi-

ratory epithelium. January, 52

Depression after stroke: a hospital treatment survey.August, 489

*Dermal exposure, paraquat poisoning, evidence of sys-temic toxicity. May, 338

Developing country, blood pressure clinic. October, 632*Di Guglielmo's syndrome, prolonged remission. January,

34*Diabetes

insipidus as complication of acute myelomonocyticleukaemia. February, 93

mellitus and spontaneous abortion. May, 295ketoacidosis with subcutaneous insulin infusion. July,438

neuropathy, painful, natural history, a 4-year study.September, 556

retinopathy and joint contractures. May, 291Diet and prevention of disease. April, 232*Disseminated intravascular coagulation and amniotic fluid

embolism complicating hypertonic saline-induced abor-tion. February, 127

Droperidol, chlorpromazine and placebo in nausea andvomiting associated with cisplatin therapy. August, 500

Drug-induced ocular reactions, June, 343*Duodenal

diverticulum, fistulating, with vitamin B,2 deficiency.August, 536

ulcer, short-term healing, ranitidine and cimetidinecompared. February, 88surgery, review. July, 410

*Duodenum obstruction and superior mesenteric arterysyndrome. June, 376

Elderly, ethnic differences in use of medical services.October, 668

Emphysema, recent advances: review article. January, 2*Endobronchial involvement, Wegener's granulomatosis.

July, 452*Endocarditis, Streptococcus milleri, complicated by mitral

valve aneurysm. April, 250Endomyocardial disease,

clinical features. March, 154and cardiological features compared, temperate and

tropical regions. March, 179in South America, 23 cases, Venezuela. March, 162two-dimensional echocardiography. March, 157surgical approaches, March, 160workshop on multicentre research project, London, 30thJune and 1st July 1982. March, 131

Endomyocardial fibrosisAfrica, March, 170epidemiology aspects. March 142pathological aspects. March, 135

Enflurane for controlled hypotension. September, 608*Enteric perforation, gall bladder. February, 125Eosinophils, cardiotoxicity. March, 147*Epidural abscess

aspergillus, in obstructive airway disease. January, 43* following local anaesthetic injection. June, 399*Epithelial cyst, spleen, spontaneous rupture, January, 65*Erythema nodosum progressing to pyoderma gangreno-

sum as complication of Crohn's disease. December, 791*Erythromycin BP, chest infection treatment, factor X

deficiency and acute liver failure. August, 514Ethnic differences in common diseases. Conference,Birmingham November 1982, October, 615-673

*Extradural haematoma, hemichorea as late sequel. July,462

Facial reconstruction, child, thirteen anaesthetics, Septem-ber, 611 abst.

*Factor X deficiency and acute liver failure following chestinfection treated with erythromycin BP. August, 514

Factory workers, blood pressure, ethnic differences. Octo-ber, 622

Familial venous thrombosis: review article. November, 677*Felty's syndrome, septic arthritis caused by Kingella

kingae. August, 525Fenoterol

plus ipratropium bromide compared with salbutamol inasthma. November, 724

and ipratropium combined in aerosols in asthma.January, 28

versus salbutamol nebulisation in asthma. August, 504*Fetus papyraceus- 1I cases. September, 598*Fever in tuberculosis suppressed by prednisolone. June,

373*Fibrosclerosis, multifocal and renal amyloidosis. July, 467*Fibrosis, coexisting retroperitoneal and mediastinal. July,

450*Filariasis, immune complex glomerulonephritis and

chronic anaerobic urinary tract infection. November, 730*Fludrocortisone therapy, extreme metabolic alkalosis.

August, 506Fractures, pelvic, September, 560

iv

Index to Volume 59

Gall bladderand bile ducts, surgery, review. July, 415enteric perforation. February, 125malignant melanoma. June, 390

Gammaglobulin therapy in burn management, 5-year oldgirl. September, 611 abst.

*Gastrinoma and glucagonoma syndromes produced byapudoma. May, 315

Giardiasis, BTPABA pancreatic function test. February, 79*Glomerulonephritis

immune complex, and chronic anaerobic urinary tractinfection-filariasis complications. November, 730

recurrent. January, 60*Glove starch powder, granulomatous peritonitis. Septem-

ber, 593*Glucagonoma and gastrinoma syndromes produced by

apudoma. May, 315Glucose determination, capillary blood collecting system,May, 288

Glycosylation and sialylation in renal failure. September,551

*Gold-induced lung disease. June, 368*Granulomatous

peritonitis caused by glove starch. September, 593* reaction, florid, in seminoma. May, 334*Guillain-Barrd syndrome associated with tuberculosis.

August, 516*Gut vessels, abnormalities, Turner's syndrome. February,

122

H2-receptor antagonist, plasma concentrations after hae-modialysis. January, 25

*Haematemesis, massive, and melaena from a Meckel'sdiverticulum. December, 786

Haematological disorders and primary immunoglobulindeficiency. May, 308

*Haemobilia from a hepatic artery aneurysm causingrecurrent acute pancreatitis. September, 590

*Haemodialysisin obstructive uropathy, fatal renal haemorrhage follow-

ing. January, 57and ranitidine plasma concentrations. January, 25

Haemoperfusion, charcoal, quinine poisoning. June, 365*Haemoperitoneum from benign ileal leiomyoma. June, 380*Haemophilus parainfluenzae causing liver abscess. Decem-

ber, 788*Haemorrhage

cardiac surgery, metastatic renal carcinoma. June, 384* gastrointestinal, from leiomyomata of the small bowel.

March, 196* intestinal, and constrictive pericarditis, due to Whipple's

disease. March, 194* intraperitoneal. June, 380* renal, fatal, following haemodialysis in obstructive

uropathy. January, 57Haemostasis

in burns surgery. September, 610 abst.and cleft palate surgery. September, 611 abst.

*Haemothoraxleft, and anterior mediastinal haematoma, on well-

controlled oral anticoagulant therapy. February, 95

* spontaneous, in Osler-Weber-Rendu disease. August,512

*Hairy cellleukaemia associated with Kaposi's syndrome. April,258

* sarcoma. January, 40Head injuries, surgery, review. July, 419*Heart failure, pleural effusion, pleurodesis for. May, 330*Hemichorea, late sequel ofan extradural haematoma. July,

462*Hemifacial spasm in tuberculous meningitis. September,

570*Hemiparesis, transient, rare complication of phenytoin

toxicity. September, 601*Heparin-associated priapism. May, 332*Hepatic

artery aneurysm, haemobilia, causing recurrent acutepancreatitis. September, 590

* embolization, pancreatic polypeptide and calcitoninsecretion from a pancreatic tumour-clinical im-provement, May, 313

* granulomata associated with adenocarcinoma. January,66

*Hepatocellular carcinoma, primary, arising in renal trans-plant recipient with polycystic disease. February, 120

*Hernia, transomental, causing intestinal obstruction, el-derly patient. December, 790

*Herpes simplex genitalis associated with radiculomyelo-pathy, adenosine arabinoside treatment. June, 388

Hirsuties and/or oligomenorrhoea, aetiology: a study of467 patients. January, 17

HLA antigens and necrobiosis lipoidica diabeticorum-insulin-dependent diabetics with and without necro-biosis compared. December, 759

*HLA-B27 disease, multiple joint tuberculosis. February,113

Hospice care, effects on surviving family. February, 73*Hypercalcaemia in sarcoidosis, incomplete suppression of

parathyroid hormone activity. September, 572Hyperparathyroidism, primary

changes in blood pressure and renal function afterparathyroidectomy. June, 350

rheumatic symptoms. April, 236* unmasked by nephrectomy. February, 118Hypersensitivity, cutaneous, in bronchial asthma, General

Hospital, Kandy. June, 357Hypertension

developing country. October, 632in diabetic clinic, ethnic prevalence, October, 637diabetic, effects fibre, fat, and sodium. October, 641after parathyroidectomy in primary hyperparathyroid-

ism. June, 350propranolol and propranolol LA compared, using 24-hr

non-invasive blood pressure monitoring. December,770

West Indies. October, 616*Hypertrophic osteoarthropathy. April, 254* without radiographic evidence of new bone formation.

January, 54*Hypertrophied calf-muscle, and juvenile proximal spinal

muscular atrophy. May, 327*Hypocalcaemia, a possible manifestation of thyrotoxicosis.

May, 317

v

Postgraduate Medical Journal

*Hypochromic anaemia, presenting symptom in neuro-fibrosarcoma in Von Recklinghausen's disease. January,38

*Hypoglycaemia, nocturnal, unrecognised, masqueradingas senile dementia. September, 575

Hypotension, controlled, enflurane. September, 608*Hypothyroidism, occult, polyneuropathy. August, 518*Hysterectomy, unusual late sequel. June, 396

*Immune complex glomerulonephritis and chronic anaero-bic urinary tract infection-filariasis complications.November, 730

Immunoglobulin deficiency, primary, and haematologicaldisorders. May, 308

*Immunoglobulin E myeloma associated with plasma cellleukaemia. December, 784

Indican excretion in the elderly. November, 717*Infectious mononucleosis and cerebellar ataxia, acute.

July, 457Insulindependent diabetics with and without necrobiosis com-pared-HLA antigens and necrobiosis lipoidica dia-beticorum. December, 759

infusion, subcutaneous, diabetic ketoacidosis with. July,438

* reversible diminished, requirement during acute renalfailure. April, 269

*Insunlioma with peripheral neuropathy. March, 189Interstitial lung disease, recent advances: review article.

January, 12*Interstitial pneumonitis, diffuse, in cancer patients, occult

pulmonary thromboembolism. August, 508*Intestinal obstruction

in elderly patient, caused by transomental hernia.December, 790

surgery, review. July, 418Intralipid-based mixtures in serious gastrointestinal dis-

ease, intravenous nutrition. June, 360*Intrarenal teratoma. February, 111Ipratropium bromide plus fenoterol compared with salbu-

tamol in asthma. November, 724

Jejuno-ileal bypass for obesity, bone disease after. May,299

Joint contractures and diabetic retinopathy. May, 291

*Kaposi's sarcoma after renal transplantation. May, 325*Kaposi's syndrome associated with hairy cell leukaemia.

April, 258*Kingella kingae causing septic arthritis in Felty's syn-

drome. August, 525*Klebsiella meningitis, primary, cefotaxime treatment.

April, 256

Large bowel, surgery, review. July, 411cancer, review. July, 411

*Leech, causing vaginal bleeding. April, 272

*Left ventricular dysfunction in critical aortic stenosis-reversal following aortic valve replacement. December,781

*Leiomyomataand acute urinary obstruction. June, 392

* benign ileal, haemoperitoneum. June, 380* small bowel, gastrointestinal haemorrhage from. March,

196*Leiomyosarcoma* ileum, Streptococcus milleri liver abscesses associated

with. May, 323* spermatic cord. July, 470Leprosy

in Birmingham-review. October, 652renal lesions, north Indian patients. November, 707

*Leucopenia and mianserin. January, 31*Leukaemia* acute myelomonocytic, diabetes insipidus as complica-

tion. February, 93* hairy cell, associated with Kaposi's syndrome. April, 258* plasma cell, associated with IgE myeloma. December,

784*Light chain myeloma with amyloidosis, tetany and osteo-

lysis. August, 527*Lincomycin therapy associated with sideroblastic anaemia.

December, 796Lipoproteins and beta blockers, thiazides: review article.

August, 483*Liver

abscess caused by Haemophilus parainfluenzae. Decem-ber, 788

* pyogenic, due to gut perforation by foreign body,antemortem diagnosis. July, 455

* Streptococcus milleri, associated with leiomyosarcomaof ileum. May, 323

surgery, review. July, 414and biliary tree, surgery, review. July, 413

* failure, acute, following chest infection treated witherythromycin BP, factor X deficiency. August, 514

function profiles in the elderly. December, 763metastases, surgery, review. July, 412trauma, surgery, review. July, 413

*Lung cancerectopic ACTH-producing, presenting with prostatic

metastasis. June, 371recent advances: review article, January, 11

*Lymphadenitis, axillary, due to Mycobacterium avium-intracellulare. September, 588

*Lymphadenopathy, sarcoid-like, in malignant teratoma.February, 108

Lymphocytes, cAMP levels, systemic sclerosis, effects ofprostaglandins. April, 241

Lymphoma(s)current management: review article. April, 219non-Hodgkin's aggressive, need for prophylactic treat-ment to central nervous system. May, 283

* and sarcoidosis in same patient. September, 581Lysine theophylline, new soluble theophylline, pharma-

cokinetics. February, 86

*Meckel's diverticulum, massive haematemesis and mela-ena from. December, 786

vi

Index to Volume 59

*Mediastinal haematoma, anterior, and left haemothoraxon well-controlled oral anticoagulant therapy. February,95

*Melaena and massive haematemesis from a Meckel'sdiverticulum. December, 786

*Melanoma, malignant* gallbladder. June, 390

surgery, review. July, 404*Mdndtrier's disease and trichobezoar of stomach. July, 464*Meningitis, tuberculous, hemifacial spasm. September, 570*Mesenteric lymphadenitis, staphylococcal suppurative.

March, 191Mesothelioma, pleural, malignant, 29 fatal cases. Novem-

ber, 712*Metabolic alkalosis, extreme, with fludrocortisone therapy.

August, 506Metronidazole v. cefoxitin comparison in severe appendi-

citis. November, 720*Mianserin

and blood dyscrasias. January, 31tetracyclic antidepressant, efficacy and side effects.

April, 229*Mitral valve aneurysm complicating Streptococcus milleri

endocarditis. April, 250*Muscular atrophy

peroneal, associated with cardiac conducting tissuedisease. August, 530

* spinal, juvenile, with early hypertrophy of calf-muscle.May, 327

Myalgia in primary hyperparathyroidism. April, 236*Mycobacterium avium-intracellulare causing axillary lym-

phadenitis. September, 588*Myeloma

IgE, associated with plasma cell leukaemia. December,784

* light chain, with amyloidosis, tetany and osteolysis.August, 527

* pseudoerythrocytosis, with associated peripheral neuro-pathy. April, 266

Myocardial infarction, acuteleft ventricular thrombi. August, 495plasma potassium, ventricular fibrillation. June, 354temporary cardiac pacing in district general hospital.

September, 566

Nausea and vomiting associated with cisplatin therapy, useof chlorpromazine, placebo and droperidol. August, 500

Necrobiosis lipoidica diabeticorum and HLA antigens-insulin-dependent diabetics with and without necro-biosis compared. December, 759

Necrotizing fasciitis, surgery, review, July, 405*Nephrectomy, primary hyperparathyoidism unmasked by.

February, 118*Neurofibromatosis with carcinoid tumour of ampulla of

Vater, November, 734*Neurofibrosarcoma, vagus nerve. February, 98* in Von Recklinghausen's disease presenting with hypo-

chromic anaemia. January, 38*Neuropathy, peripheral, in association with pseudoeryth-

rocytosis in myeloma. April, 266*Neurotensin-secreting carcinoma, bronchus. January, 46

Nocturnal nasogastric tube feeding at home. December,767

Nutritiondisturbances in Crohn's disease: review article. Novem-

ber, 690Nutrition, intravenous, using Intralipid-based mixtures in

serious gastrointestinal disease. June, 360maternal, and birthweight, ethnic differences. October,655

*Oat cell carcinoma, bronchus, vasopressin secretion regu-lation. April, 246

Obesity, jejuno-ileal bypass, bone disease after. May, 299*Obstructive airway disease, aspergillus epidural abscess in.

January, 43Ocular reactions to drugs, adverse: review article. June, 343*Oedema, laryngeal, complicating toxic shock syndrome.

April, 264*Oesophagus

carcinoma, in association with hypertrophic osteoar-thropathy. April, 254

* verrucous squamous cell carcinoma, bleomycin treat-ment. September, 578

Oligomenorrhoea and/or hirsuties, aetiology: a study of467 patients. January, 17

*Osler-Weber-Rendu disease, spontaneous haemothorax,August, 512

*Osteoarthropathy, hypertrophic see Hypertrophic osteoar-thropathy

*Osteolysis and tetany in light chain myeloma withamyloidosis. August, 527

Pacemaker implantation, sutureless skin closure, compari-son with subcuticular suture. February, 83

Pain in burned patients, factors affecting. September, 604Pancreatic

function test, BTPABA, in giardiasis. February, 79hormone research, recent advances: leading article.May, 277

* polypeptide secretion from a pancreatic tumour-clinicalimprovement after hepatic artery embolization. May,313

*Pancreatitis, acute, recurrent, due to haemobilia from ahepatic artery aneurysm. September, 590

*Paraquat poisoning: evidence of systemic toxicity afterdermal exposure. May, 338

Parasitic infestation protecting the rural African fromatheroma. October, 636

*Parathyroid hormone activity, incomplete suppression, insarcoidosis presenting with hypercalcaemia. September,572

Parathyroidectomy in primary hyperparathyroidismchanges in blood pressure and renal function. June, 350

*Parkinsonism and stridor. August, 520Parotid tumours, surgery, review. July, 403

*Pasteurella multocida septicaemia. February, 116Peak expiratory flow rate in Birmingham factory workers,

ethnic differences. October, 671Pelvis, fractures. September, 560Peptic ulcer, surgery, review. July, 410

vii

Postgraduate Medical Journal

*Pericarditis, constrictive, and intestinal haemorrhage dueto Whipple's disease. March, 194

*Peripheralneuropathy, insulinoma. March, 189

* in association with pseudoerythrocytosis in myeloma.April, 266

vascular disease, surgery, review. July, 407*Peritonitis

granulomatous, caused by glove starch, September, 593primary, children and adults. January, 21

*Phaeochromocytomabladder localized by selective venous sampling andcomputed tomography. August, 533

catecholamine measurements: current practice. August,479

*Phenytoin toxicity, transient hemiparesis. September, 601*Plasma cell leukaemia associated with IgE myeloma.

December, 784Plastic surgery and bums, anaesthesia. Symposium, Not-

tingham City Hospital, 23rd Ocotober, 1982. September,603

*Pleural effusionheart failure, pleurodesis for. May, 330

* malignant, acute polyarthritis following use of Coryne-bacterium parvum vaccine (Coparvax). December, 799

*Pleurodesis for pleural effusion, heart failure. May, 330Pneumonia in immune compromised host, recent ad-

vances: review article. January, 10*Pneumonitis

diffuse interstitial, in cancer patients, occult pulmonarythromboembolism. August, 508

* interstitial, gold-induced. June, 368*Pneumothorax, bilateral spontaneous, in sarcoidosis. Feb-

ruary, 106Point of view: eradicating sources or removing results.

April, 232*Polyarthritis, acute, following use of Corynebacterium

parvum vaccine (Coparvax) for malignant pleural effu-sion. December, 799

*Polychondritis, relapsing, with cryptogenic cirrhosis. April,260

*Polycystic disease, primary hepatocellular carcinomaarising in a renal transplant recipient. February, 120

*Polycythaemia rubra vera, reno-vascular disease. June, 382*Polyneuropathy in occult hypothyroidism. August, 518Potassium plasma levels in acute myocardial infarction,

ventricular fibrillation. June. 354*Prednisolone in fever suppression in pulmonary tuberculo-

sis. June, 373*Pregnancy

ulcerative colitis. July, 459vaginal vein thrombosis. June, 394

Prevention of disease. April, 232*Priapism, heparin-associated. May, 332Primary health care, inner-city residents, ethnic minorities.

October, 664Propranolol and propranolol LA compared in hyperten-

sion using 24 hr non-invasive blood pressure monitor-ing. December, 770

Prostacyclin bioassay: Nobel lecture. December, 743Prostaglandin infusions in systemic sclerosis. April, 241

*Prostatic metastasis, ACTH-producing lung cancer. June,371

*Pseudoerythrocytosis in myeloma with associated peri-pheral neuropathy. April, 266

*Psoriatic spondylitis in rheumatoid arthritis. May, 320*Pulmonary

embolism, acute, following air travel. February, 104* involvement in angio-immunoblastic lymphadeno-

pathy. November, 728* thromboembolism, occult, presenting as diffuse inter-

stitial pneumonitis in cancer patients. August, 508*Pyoderma gangrenosum, progression from erythema no-

dosum, Crohn's disease complication. December, 791

Quinine poisoning, charcoal haemoperfusion treatment.June, 365

*Radiculomyelopathy associated with herpes simplex geni-talis treated with adenosine arabinoside. June, 388

Ranitidinecompared with cimetidine in short-term healing, duode-

nal ulcer. February, 88plasma levels, after intravenous administration, normal

volunteers and haemodialysis patients. January, 25Rectal carcinoma, cryosurgery, April, 244*Renal

carcinoma, metastatic, presenting with profuse haemor-rhage of cardiac surgery. June, 384

diseases, alpha2HS-glycoprotein in the serum and urineof patients. May, 304

* failure, acute, reversible diminished insulin requirement.April, 269glycosylation and sialylation. September, 551

function after parathyroidectomy in primary hyperpara-thyroidism. June, 350

* haemorrhage, fatal, following haemodialysis in obstruc-tive uropathy. January, 57

lesions in leprosy amongst north Indian patients. Nov-ember, 707

* transplant recipient with polycystic disease, primaryhepatocellular carcinoma arising in. February, 120

* transplantation, Kaposi's sarcoma. May, 325*Reno-vascular disease in polycythaemia rubra vera. June,

382*Respiratory

epithelium, monodermal cystic ovarian teratoma com-posed of. January, 52

medicine, recent advances: review article. January, 1Retinopathy, diabetic, and joint contractures. May, 291Rheumatic

diseases in blacks, whites and Asians. October, 648symptoms in primary hyperparathyroidism. April 236

*Rheumatoid arthritis, psoriatic spondylitis in. May, 320

Salbutamolversus fenoterol nebulisation in asthma. August, 504compared with ipratropium bromide plus fenoterol,

asthma. November, 724*Sarcoid-like lymphadenopathy in malignant teratoma.

February, 108

.i.

Index to Volume 59

*Sarcoidosisbilateral spontaneous pneumothorax in. February, 106

* and lymphoma in same patient. September, 581* presenting with hypercalcaemia, incomplete suppression

of parathyroid hormone activity. September, 572*Sarcoma, hairy cell. January, 40*Seminoma, florid granulomatous reaction. May, 334*Senile dementia, unrecognised nocturnal hypoglycaemia.

September, 575*Septic arthritis in Felty's syndrome caused by Kingella

kingae. August, 525*Septicaemia, Pasteurella multocida. February, 116*Seronegative spondarthritides and HLA-B27. February,

113Sialylation and glycosylation in renal failure. September,

551*Sideroblastic anaemia associated with lincomycin therapy.

December, 7%*Small bowel, leiomyomata, gastro-intestinal haemorrhage

from. March, 196South America, endomyocardial disease, 23 cases, Vene-

zuela. March, 162*Spermatic cord, leiomyosarcoma. July, 470*Spinal muscular atrophy, with early hypertrophy of calf-

muscle. May, 327*Spleen

epithelial cyst, spontateous rupture. January, 65* spontaneous rupture, in early pregnancy. September, 596*Splenic abscess: successful non-surgical therapy. June, 386*Spondylitis, psoriatic, in rheumatoid arthritis. May, 320*Staphylococcal suppurative mesenteric lymphadenitis.

March, 191*Starch powder, glove, granulomatous peritonitis. Septem-

ber, 593*Status epilepticus, neonatal, chlormethiazole treatment.

December, 801Stillbirths, normally formed, ethnic differences. October,659

*Stomach perforation following correction of scoliosis, castsyndrome. August, 539

*Strangulated umbilical hernia in a child. December, 794*Streptococcus milleri endocarditis, complicated by mitral

valve aneurysm. April, 250* liver abscesses associated with leiomyosarcoma of the

ileum. May, 323*Stridor and parkinsonism. August, 520Stroke, depression following, August, 489Sudan, blood pressure clinic. October, 632

*Superior mesenteric artery syndrome. June, 376* following correction of scoliosis, cast syndrome. August,

539Surgery, general, review 1982. July, 403Systemic sclerosis, cAMP levels in lymphocytes, and

effects of prostaglandins. April, 241Systolic time intervals, measurement to assess cardiac

function: review article. July, 423

*Teratomaintrarenal. February, 111

* malignant, sarcoid-like lymphadenopathy in. February,108

Temperate regions, endomyocardial disease, clinical andcardiological features compared, March, 179

Terminal care, effects on surviving family. February, 73*Tetany and osteolysis in light chain myeloma with

amyloidosis. August, 527Thiazides, beta blockers and lipoproteins: review article.

August, 483*Thromboembolism, occult pulmonary, presenting as dif-

fuse interstitial pneumonitis in cancer patients. August,508

*Thrombosis, vaginal vein, in pregnancy. June, 394Thyroid

disorders, surgery, review. July, 403nodule, solitary, surgery, review. July, 404

*Thyroiditis, subacute, persistent vocal cord paralysis.November, 726

*Thyrotoxicosis, hypocalcaemia a possible manifestation.May, 317

*Tocainide, inducing nodal bradycardia. April, 262*Toxic shock syndrome complicated by laryngeal oedema.

April, 264Tracheal

intubation, difficult, improvements in translaryngealguide wire techniques. September, 612 abst.

* obstruction presenting as asthma. December, 775Translaryngeal guide wire techniques, difficult tracheal

intubation. September, 612 abst.*Transomental hernia causing intestinal obstruction in

elderly patient. December, 790*Trichobezoar ofstomach and Mdndtrier's disease. July, 464Trigeminal neuralgia, earlier referral for surgery. July, 435*Triple valve disease, congenital, in 51-year-old woman.

December, 779Tropical regions, endomyocardial disease, clinical and

cardiological features compared. March, 179Tube feeding, nocturnal nasogastric, at home. December,

767*Tuberculosis

associated with Guillain-Barre syndrome. August, 516* in association with hypertrophic osteoarthropathy. April,

254* multiple joint, presenting as HLA-B27 disease. Febru-

ary, 113* pulmonary, fever in suppressed by prednisolone. June,

373*Tuberculous meningitis, hemifacial spasm. September, 570*Turner's syndrome, gut vessel abnormalities. February, 122Two-dimensional echocardiography

in endomyocardial disease. March, 157left ventricular thrombi after acute myocardial infarc-

tion. August, 495

*Ulcerative colitis during successful pregnancy. July, 459*Umbilical hernia, strangulated, in a child. December, 794*Urinary obstruction, vesical leiomyoma. June, 392*Uropathy, obstructive, fatal renal haemorrhage following

haemodialysis. January, 57*Urticaria, exercise-induced, and angio-oedema with relief

from cromoglycate insufflation. September, 586

*Vaginalbleeding due to leech. April, 272

LX

Postgraduate Medical Journal

* vein thrombosis in pregnancy. June, 394*Vagotomy, truncal and antrectomy, achalasia-like distur-

bance of oesophagea motility following. February, 100*Vagus nerve, neurofibrosarcoma. February, 98Varicose ulcer, surgery, review. July, 409

*Vasopressin secretion, regulation, oat cell carcinoma,bronchus. April, 246

*Venoussampling and computed tomography localizing phaeo-chromocytoma of the bladder. August, 533

thrombosis, familial: review article. November, 677*Ventricle, left, dysfunction, in critical aortic stenosis,

reversal following aortic valve replacement. December,781

Ventricularfibrillation, initial plasma potassium in acute myocardial

infarction. June, 354thrombi, left, after acute myocardial infarction. August,495

*Verrucous squamous cell carcinoma of the oesophagus,bleomycin treatment. September, 578

*Vitamin B2 deficiency, fistulating duodenal diverticulum.August, 536

Vitamin D deficiency, aetiology, Asians. October, 649*Vocal cord paralysis, persistent, in subacute thyroiditis.

November, 726Vomiting and nausea associated with cisplatin therapy, use

of chlorpromazine, placebo and droperidol. August, 500*Von Recklinghausen's disease, neurofibrosarcoma in, pre-

senting with hypochromic anaemia. January, 38

*Wegener's granulomatosis, endobronchial involvement,July, 452

West Indians, peak expiratory flow rate, Birminghamfactory workers. October, 671

West Indies, hypertension. October, 616*Whipple's disease, constrictive pericarditis and intestinal

haemorrhage due to. March, 194Wound healing, surgery, review, July, 419

Author Index* denotes clinical report

*Abaskaron, M., Peterson, G. and Huang, T.Y.: Anteriormediastinal haematoma and left haemothorax on well-controlled oral anticoagulant therapy. February, 95

Abel, B.J., see Pickard, W.R.Acquatella, H.: Two-dimensional echocardiography in

endomyocardial disease. March, 157see Puigbo, J.J.

*Adams, P.C, Robinson, A., Reid, M.M., Vishu, M.C. andLivingston, M.: Blood dyscrasias and mianserin. Janu-ary, 31

Adrian, T.E., see Manche, A.Ahmed, M.E.K.: A blood pressure clinic in a developing

country. October, 632Ahmed, Z., see Islam, N.*Akinjide-Obonyo, A.P., Bray, C.L., Moussalli, H., Beton,

D.C. and Stanbridge, T.N.: Aneurysm of the mitralvalve complicating Streptococcus milleri endocarditis.April, 250

*Al-Fallouji, M.A.R. and Butler, M.F. First branchial cleftanomaly. July, 447

Al Khader, A., see Little, P.J.Al Yusuf, A.R., see Bhatnagar, S.K.Alam, M.N., see Islam, N.Aldhous, M.E., see Johnston, A.*Amin, R.: Endobronchial involvement in Wegener's gran-

ulomatosis. July, 452* Hypertrophic osteoarthropathy without radiographic

evidence of new bone formation. January, 54Anand, C.S., see Kapur, B.M.L.Anaya, A., see Gobernado, J.M.*Anderson, J.B., Hughes, R.G. and Williamson, R.C.N.:

Malignant melanoma of the gallbladder. June, 390Anderton, J.L., see Biggs, B.Appleyard, N., see Watkins, J.Arakawa, M., see Kishore, B.K.Arie, R., see Beigel, Y.Arkell, D.G., see de Bolla, A.R.Armitage, J.O., see Needleman, S.W.Armitage, T.G. and Williamson, R.C.N.: Primary peritoni-

tis in children and adults. January, 21Armstrong, W.D., see Boulton A.J.M.Asano, S., see Sakurai, T.Aschenbrener, C.A., see Needleman, S.W.Asquith,P., see Ross, I.N.

Bacon, P.A.: Rheumatic diseases in blacks, whites andAsians-some comments. October, 648

Bal, P., see Dodson, P.M.Ballantyne, D. and Ballantyne, F.C.: Thiazides, beta

blockers and lipoproteins, August, 483Ballantyne, F.C., see Ballantyne, D.

*Ballas, S., Lessing, J.B. and Michowitz, M.: Amniotic fluidembolism and disseminated intravascular coagulationcomplicating hypertonic saline-induced abortion. Febru-ary, 127see also Gitstein, S.

Banks, J., see Parrish, R.W.Bannan, L.T., see Cruickshank, J.K.

de Giovanni, J.V.Jackson, S.H.D.

Barak, C., see Naschitz, J.E.*Barber, P.V. and Lechler, R.: Hypertrophic osteoarthro-

pathy: two unusual causes. April, 254Batchelor, A.G.G.: Compartment syndromes and the

burnt patient. September, 610 abst.Bates, T., see Corder, A.P.Baylis, P.H., see Spruce, B.A.Beck, E.R., see Gellert, A.

Pang, J.Beevers, D.G.: Ethnic differences in common diseases:

introduction. October, 615see also Cruickshank, J.K.

de Giovanni, J.V.Jackson, S.H.D.Potter, J.F.

Beevers, M., see Cruickshank, J.K.de Giovanni, J.V.Dodson, P.M.Pacy, P.J.

*Beigel, Y., Arie, R., Wysenbeek, A.J., Halabe, E. andBlum, I.: Hypocalcaemia, a possible manifestation ofthyrotoxicosis. May, 317

*Bell J.M., Ritch, A.E.S. and Donovan, I.A.: Neurofibrosar-coma in Von Recklinghausen's disease presenting withhypochromic anaemia. January, 38

Beton, D.C., see Akinjide-Obonyo, A.P.Betts, S., see Wright, A.D.

*Bhakri, H.L., Cundy, T.F. and Pettingale, K.W.: Tetanyand osteolysis in light chain myeloma with amyloidosis.August, 527

Bhatnagar, S.K. and AL Yusuf, A.R.: Left ventricularthrombi after acute myocardial infarction. August, 495

*Biggs, B. and Anderton, J.L.: Reno-vascular disease inpolycythaemia rubra vera. June, 382

Bissenden, J.G., see Terry, P.B.Blakemore, K.: Ethnicity, self-reported illness and use of

medical services by the elderly. October, 668Blogg, C.E. and Ward, M.E.: Difficult tracheal intubation:improvements in trans-laryngeal guide wire techniques.September, 612 abst.

Bloom, S.R., see Chapple, M.Dawson, J.Manche, A.

Blum, I., see Beigel, Y.Boulton, A.J.M., Armstrong, W.D., Scarpello, J.H.B. andWard, J.D.: The natural history of painful diabeticneuropathy-a 4-year study. September, 556Knight, G., Drury, J. and Ward, J.D.: Diabetic ketoaci-

dosis associated with outpatient treatment usingcontinuous subcutaneous insulin infusion. July, 438

Bray, C.L., see Akinjide-Obonyo, A.P.*Brennan, M.J.W., see Sandyk, R.

Postgraduate Medical Journal

*Brennan, N.J., Fennelly, J.J., Towers, R.P. and Fitzgerald,M.X.: Sarcoidosis and lymphoma in the same patient.September, 581

Britt, R.P., Hollis, Y., Keil, J.E., Weinrich, M. and Keil,B.W.: Anaemia in Asians in London. October, 645

Brown, C., see Smedley, H.M.Brown, M.J.: Catecholamine measurements in clinical

medicine. August, 479Brown, R.C., see Ghose, R.R.Brown, T.M., see Bums, A.Buckman, R., see Stuart-Harris, R.Bunuan, H., see Little, P.J.

*Burke, B.J., Scott, G.L., Smith, P.J.B. and Wakerley, G.R.:Heparin-associated priapism. May, 332

Burkitt, D.P.: Eradicating sources or removing results:point of view. April, 232

Burnham, W.R., Knot, C.E., Cook, J.A. and Langman,M.J.S.: Simplified intravenous nutrition using Intrali-pid-based mixtures in patients with serious gastrointesti-nal disease. June, 360

*Bums, A., Brown, T.M. and Semple, P.: Extreme metabo-lic alkalosis with fludrocortisone therapy. August, 506

Butler, M.F., see Al-Fallouji, M.A.R.

Cabili, S., see Langevitz, P.Calcraft, B., see Shafi, M.Cameron, J. and Parkes, C.M.: Terminal care: evaluation

of effects on surviving family of care before and afterbereavement. February, 73

Cardew, S.A., see Johnson, M.R.D.Carpentier, A., see Dubost, C.

*Carr, R. and Innes, E.M.: Prolonged remission in DiGuglielmo's syndrome. January, 34

Casal, H., see Puigbo, J.J.Cawley, M.I.D., see Thurtle, O.A.*Chakrabarti, A.K., Singh, T.D, Joshi, K. and Malik, A.K.:

Mendtrier's disease and trichobezoar of stomach-anunusual association. July, 464

Chapple, M., Jung, R.T., Francis, J., Webster, J., Kohner,E.M. and Bloom, S.R.: Joint contractures and diabeticretinopathy May, 291

Charlton, J.E., Klein, R., Gagliardi, G. and Heimbach,D.M.: Factors affecting pain in burned patients-apreliminary report. September, 604

Chary, K.S.N., see Palaniswamy, R.*Chattopadhyay, B., Silverstone, P.H. and Winwood, R.S.:

Liver abscess caused by Haemophilus parainfluenzae.December, 788

*Chee, Y.C. and Poh, S.C.: Aspergillus epidural abscess in apatient with obstructive airway disease. January, 43

Chugh, K.S., Damle, P.B., Kaur, S., Sharma, B.K.,Kumar, B., Sakhuja, V., Nath, I.V.S. and Datta, B.N.:Renal lesions in leprosy amongst north Indian patients.November, 707

*Chung, K.F. and Snashall, P.D.: Suppression ofprolongedfever during treatment of pulmonary tuberculosis: im-portance of using twice versus single daily dose ofprednisolone. June, 373

Chusilp, S., see Tungsanga, K.Clark, A.H., see Pickard, W.R.Cockel, R., see Dawson, J.

*Coles, G.A.: Recurrent glomerulonephritis. January, 60

Coles, J.A., see Lubin, J.R.*Colley, E.W. and Cox, R.A.: Axillary lymphadenitis due to

Mycobacterium avium-intracellulare. September, 588Combellas, I., see Puigbo, J.J.Condie, R.G. and Terry, P.B.: Ethnic differences in

birthweight-related parameters with particular referenceto possible maternal nutritional risk factors. October,655see also Terry, P.B.

Cook, J.A., see Burnham, W.R.Cook, P.L., see Thurtle, O.A.Coomes, E.N., see Rustin, M.H.A.Cooper, M.J., see Kennedy, R.H.Corder, A.P., Bates, T., Prior, J.E., Harrison, M. and

Donaldson, P.J.: Metronidazole v. cefoxitin in severeappendicitis-A trial to compare a single intraoperativedose of two antibiotics given intravenously. November,720

Corrin, B., see Wood, A.J.*Corris, P.A.: Neurofibrosarcoma of the vagus nerve.

February, 98Costello, F.T., see Lee, F.I.Cox, R.A., see Colley, E.W.Craft, I.L., see Greenfield, C.

*Crake, T., Sandle, G.I., Crisp, A.J. and Record, C.O.:Constrictive pericarditis and intestinal haemorrhage dueto Whipple's disease. March, 194

Crisp, A.J., see Crake, T.Croker, J.R., see Lubin, J.R.Cross, M., see Johnson, M.R.D.Cruickshank, J.K., Jackson, S.H.D., Bannan, L.T., Beev-

ers, D.G., Beevers, M. and Osbourne, V.L.: Bloodpressure in black, white and Asian factory workers inBirmingham. October, 622

Cruickshank, J.K., see Jackson, S.H.D.Cundy, T.F., see Bhakri, H.L.Curtis, J.R., see Roberts, A.P.

Dadds, J.H., see Harrison, R.N.Damle, P.B., see Chugh, K.S.Dane, T.E.B., see Spence, R.A.J.Datta, B.N., see Chugh, K.S.Datta, S.K., see Mandal, S.K.

*Davidoff, D., Naparstek, Y. and Eliakim, M.: The use ofpleurodesis for intractable pleural effusion due tocongestive heart failure. May, 330

Davies, J., Spry, C.J.F., Vijayaraghavan, G. and De Souza,J.A.: A comparison of the clinical and cardiologicalfeatures of endomyocardial disease in temperate andtropical regions. March, 179see also Spry, C.J.F.

*Daw, E.: Fetus papyraceus- 1I cases. September, 598Dawkins, D.M., see Potter, J.F.Dawkins, R.L., see French, M.A.H.*Dawson, J., Bloom, S.R. and Cockel, R.: A unique

apudoma producing the glucagonoma and gastrinomasyndromes. May, 315

*de Bolla, A.R. and Arkell, D.G.: Leiomyosarcoma of thespermatic cord. July, 470

*De Cock, K.M., Kasili, E.G., Lucas, S.B., Radia, K.,Gichuyia, N.R. and Wankya, B.M.: Kaposi's sarcomaassociated with hairy cell leukaemia. April, 258

.i.

Index to Volume 59

de Giovanni, J.V., Pentecost, B.L., Beevers, D.G., Beevers,M., Jackson, S.H.D., Bannan, L.T., Osbourne, V.L. andMathews, K.: The Birmingham blood pressure schoolstudy. October, 627

De Souza, J.A., see Davies, J.Deloche, A., see Dubost, C.Dent, R.G., see Price, D.Dervenoulas, J., see Philippakos, D.Dharmadasa, K., see Jayasinghe, K.S.A.*Dick, D.J., Lane, R.J.M., Nogues, M.A. and Fawcett,

P.R.W.: Polyneuropathy in occult hypothyroidism.August, 518

Dixon, G.T., see Roberts, A.P.Dodson, P.M., Pacy, P.J., Beevers, M., Bal, P., Fletcher,

R.F. and Taylor, K.G.: The effects of a high fibre, lowfat and low sodium dietary regime on diabetic hyperten-sive patients of different ethnic groups. October, 641see also Pacy, P.J.

Donaldson, P.J., see Corder, A.P.Donovan, I.A., see Bell, J.M.Douglas, A.S., see Winter, J.H.Dowd, P.M., see Kovacs, I.B.Drury, J., see Boulton, A.J.M.Dubost, C., Prigent, C., Gerbaux, A., Maurice, P., Passe-

lecq, J., Rulliere, R., Carpentier, A. and Deloche, A.:Surgical approaches in endomyocardial disease (Ab-stract). March, 160

Dumbleton, I.B., see Thurtle, O.A.*Dunn, A.M., Hill, L.F. and Wilson, R.S.E.: Asthma

presenting as cor pulmonale. December, 777*Dymond, D.S., Wolf, F.G. and Schmidt, D.H.: Severe left

ventricular dysfunction in critical aortic stenosis-rever-sal following aortic valve replacement. December, 781

Eastwood, J.B., see Gilmore, I.T.Ebrahim, S.B.J., see Lim, M.L.Edward, N., see Ormerod, A.D.Eid, A.M.: Fractures of the pelvis. September, 560Eliakim, M., see Davidoff, D.Ellis, C.J.: Leprosy in Birmingham-a review. October,652

Ellis, H.: Review of general surgery 1982. July, 403Ellis, W.R., see Gilmore, I.T.Empey, D.W., see Ross, R.J.M.Evans, D.B., see Gardner, B.P.

Falase, A.O.: Endomyocardial fibrosis in Africa. March,170

Farthing, C.F., see Little, P.J.Fawcett, P.R.W., see Dick, D.J.Fenech, F.F., see Karnik, A.M.Fennelly, J.J., see Brennan, N.J.Fennerty, A.G., see Parrish, R.W.Fenton, S., see Gilmore, I.T.Ferriman, D. and Purdie, A.W.: The aetiology of oligome-

norrhoea and/or hirsuties: a study of 467 patients.January, 17

Fielding, J., see Gleeson, D.C.Fielding, J.D., see Lee, F.I.Firn, S.: Enflurane for controlled hypotension. September,608

Fitzgerald, M.X., see Brennan, N.J.Flenley, D.C.: Recent advances in respiratory medicine.

January, 1Fletcher, R.F., see Dodson, P.M.Fletcher, R.F., see Pacy, P.J.Flint, K.C., Hockley, B. and Johnson, N.McI.: A compari-

son between a combination ofipratropium bromide plusfenoterol in a single metered dose inhaler (Duovent) andsalbutamol in asthma. November, 724

Flynn, M.D., see Rustin, M.H.A.Forsythe, J., see Lever, A.M.L.

*Foster, M.E. and Rees, R.W.M.: A case of vesicalleiomyoma and acute urinary obstruction. June, 392

Francis, J., see Chapple, M.Fray, R., see Handler, C.E.Freedman, A., see Johnston, A.Freeman, J.G., see Shaw, P.J.French, M.A.H., Dawkins, R.L. and Jackson, J.M.: Pri-mary immunoglobulin deficiency and haematologicaldisorders. May, 308

Fuchigami, T., see Okada, M.Sakurai, T.

Garcia-Albea, E., see Gobernado, J.M.Gagliardi, G., see Charlton, J.E.

*Gardner, B.P. and Evans, D.B.: Primary hepatocellularcarcinoma arising in a renal transplant recipient withpolycystic disease. February, 120

Garvan, N.J. and Siegfried, J.: Trigeminal neuralgia-ear-lier referral for surgery. July, 435

*Gatling, W., Mufti, G.J., and McDonald, S.J.: Toxic shocksyndrome complicated by laryngeal oedema. April, 264

Gejyo, F., see Kishore, B.K.*Gellert, A., Green, E.S., Beck, E.R. and Ridley, C.M.:

Erythema nodosum progressing to pyoderma gangreno-sum as a complication of Crohn's disease, December, 791

Gerbaux, A., see Dubost, C.Ghilchik, M.W., see Lambrianides, A.L.*Ghose, R.R., Woodhead, J.S. and Brown, R.C.: Incom-

plete suppression of parathyroid hormone activity insarcoidosis presenting with hypercalcaemia. September,572

Ghose, R.R., see Wadhwa, N.K.Gichuyia, N.R., see De Cock, K.M.Gilmore, I.T., Eastwood, J.B., Ellis, W.R., Luck, V.A.,

Fenton, S., O'Grady, A.J., Harris, E. and Murray-Lyon,I.M.: Bone disease after jejuno-ileal bypass for morbidobesity. May, 299

Gimeno, A., see Gobernado, J.M.*Gitstein, S., Ballas, S. and Peyser, M.R.: Vaginal vein

thrombosis in pregnancy. June, 394*Gleeson, D.C., Fielding, J. and Heath, D.A.: Streptococcus

milleri liver abscesses associated with leiomyosarcoma ofthe ileum. May, 323

Glover, D.R., see Lowry, P.J.*Gobernado, J.M., Riva, C., Gimeno, A., Garcia-Albea, E.

and Anaya, A.: Juvenile proximal spinal muscularatrophy with early hypertrophy of calves. May, 327

*Godden, D.J. and McPhie, J.L.: Bullous skin eruptionassociated with carbamazepine overdosage. May, 336

Goodwin, J.F.: Endomyocardial disease-clinical features.March, 154

.x.i.

Postgraduate Medical Journal

Gow, N.M., see Mee, A.S.*Greatorex, R.A. and Thorpe, J.A.C.: Achalasia-like distur-

bance of oesophageal motility following truncal vago-tomy and antrectomy. February, 100

Green, E.S., see Gellert, A.*Greenfield, C., Pounder, R.E., Craft, I.L. and Lewis,

A.A.M.: Severe ulcerative colitis during successful preg-nancy. July, 459

Grell, G.A.C.: Hypertension in the West Indies. October,616

Halabe, E., see Beigel, Y.Haleem, A., see Little, P.J.Hamblin, T.J., see Hatty, S.

*Hamilton, D.V. and Thiru, S.: Multifocal fibrosclerosisand renal amyloidosis. July, 467

*Handler, C.E., Perkin, G.D., Fray, R. and Woinarski, J.:Radiculomyelopathy associated with herpes simplexgenitalis treated with adenosine arabinoside. June, 388

Hanks, G.W., Trueman, T. and Twycross, R.G.: Corticost-eroids in terminal cancer-a prospective analysis ofcurrent practice. November, 702

Harries, A.D. and Heatley, R.V.: Nutritional disturbancesin Crohn's disease: review article. November, 690

Harris, E., see Gilmore, I.T.Harris, L., Hind, C.R.K., McKenna, W.J., Savage, C.,

Krikler, S.J., Storey, G.C.A. and Holt, D.W.: Renalelimination of amiodarone and its desethyl metabolite.July, 440

Harrison, C., see Roberts, A.P.Harrison, M., see Corder, A.P.Harrison, R.N., Hibberd, S.C. and Dadds, J.H.: Malignant

pleural mesothelioma at St. Mary's Hospital, Ports-mouth-a review of 29 fatal cases. November, 712

Hassan, S. and Turner, P.: Systolic time intervals: a reviewof the method in the non-invasive investigation ofcardiac function in health, disease and clinical pharma-cology. July, 423

*Hatty, S., Mufti, G.J. and Hamblin, T.J.: Exercise-inducedurticaria and angio-oedema with relief from cromogly-cate insufflation. September, 586

Hawkey, C.J. and Toghill, P.J.: The need for prophylactictreatment to the central nervous system in patients withaggressive non-Hodgkin's lymphoma. May, 283

Hazarika, E. and Mason, J.: Problems of haemostasis inburns surgery. September, 610 abst.

Heath, D.A.: Thoughts on the aetiology of vitamin Ddeficiency in Asians. October, 649see also Gleeson, D.C.

Heatley, R.V., see Harries, A.D.Hedges, A., see Johnston, A.Heimbach, D.M., see Charlton, J.E.Helliwell, M.: Rheumatic symptoms in primary hyper-

parathyroidism. April, 236Henry, J.G., see Morgan, M.D.L.*Hertzanu, Y. and Hurwitz, J.: An unusual late sequel to

hysterectomy. June, 396Hetzel, M.R.: Pitfalls in the diagnosis of asthma: leading

article. December, 739*Heyd, J. and Simmeran, A.: Gold-induced lung disease.

June, 368Hibberd, S.C., see Harrison, R.N.

Hill, L.F., see Dunn, A.M.Hind, C.R.K., see Harris, L.Hobbs, K.E.F., see McIntosh, G.S.Hockley, B. and Johnson, N.McI.: Fenoterol versus

salbutamol nebulisation in asthma. August, 504see also Flint, K.C.

*Hollands, M.J. and Williams, G.: Primary hyperparathy-roidism unmasked by donor nephrectomy. February,118

Hollis, Y., see Britt, R.P.Holt, D.W., see Harris, L.*Hopkins, G.O.: Multiple joint tuberculosis presenting as

HLA-B27 disease. February, 113Horwich, A., see O'Connell, M.

*Hosker, J.P. and Jewell, D.P.: Transient, selective factor Xdeficiency and acute liver failure following chest infec-tion treated with erythromycin BP. August, 514

Howard, E.C., see Ince, C.S.Howells, D.P.M.: Does parasitic infestation protect the

rural African from atheroma? (Abstract) October, 636Huang, T.Y., see Abaskaron, M.Hughes, G.R.V., see Morley, K.D.Hughes, R.G., see Anderson, J.B.*Hughes, S. and Marsh, M.N.: Fistulating duodenal

diverticulum with associated vitamin B12 deficiency.August, 536

Hurwitz, J., see Hertzanu, Y.Hussey, J.K., see Ormerod, A.D.Hutt, M.S.R.: Epidemiology aspects of endomyocardial

fibrosis. March, 142

Ilie, B., see Michowitz, M.Immelman, E.J., see Miller, J.L.Ince, C.S. and Howard, E.C.: Thirteen anaesthetics for

facial reconstruction in a child. September, 611 abst.Innes, E.M., see Carr, R.

*Islam, N., Ahmed, Z. and Alam, M.N.: Cryptogeniccirrhosis in relapsing polychondritis. April, 260

Israsena, S., see Tungsanga, K.Iwashita, A., see Sakurai, T.

Jackson, J.M., see French, M.A.H.Jackson, S.H.D., Beevers, D.G., Cruickshank, J.K. and

Bannan, L.T.: Ethnic differences in peak expiratory flowrate in Birmingham factory workers. October, 671see also Cruickshank, J.K.

de Giovanni, J.V.Van Besouw, J.P.

*Jain, S.K. and Khanna, S.K.: Staphylococcal suppurativemesenteric lymphadenitis. March, 191

James, D.G., see Spiteri, M.A.*Jaworski, R.C., Kneale, K.L. and Smith, R.C.: Adenoid

cystic carcinoma of the breast. January, 48*Jayasinghe, K.S.A., Nimalasuriya, A. and Dharmadasa,

K.: A case of insulinoma with peripheral neuropathy.March, 189

Jessop, J., see Pang, J.Jewell, D.P., see Hosker, J.P.Jeyrajah, R. and Wickramasinghe, M.D.N.: The clinical

pattern of bronchial asthma in General Hospital, Kandy(Sri Lanka). June, 357

XIV

Index to Volume 59

Johnson, M.R.D., Cross, M. and Cardew, S.A.: Inner-cityresidents, ethnic minorities and primary health care.October, 664

Johnson, N.McI., see Flint, K.C.Hockley, B.

Johnston, A., Aldhous, M.E., Hedges, A., Weerasuriya, K.,Freedman, A. and Turner, P.: The pharmacokinetics oflysine theophylline, a new soluble theophilline, inhuman volunteers. February, 86

*Jolobe, O.M.P. and Melnick, S.C.: Splenic abscess: suc-cessful non-surgical therapy June, 386

Jones, D.B., Lucas, P.A., Jones, J.H., Wilkins, W.E., Lloyd,H.J. and Walker, D.A.: Changes in blood pressure andrenal function after parathyroidectomy in primaryhyperparathyroidism. June, 350

Jones, J.H., see Jones, D.B.*Jones, P.A. and Wastell, C.: Superior mesenteric artery

syndrome. June, 376Joshi, K., see Chakrabarti, A.K.Jung, R.T., see Chapple, M.

Kakouros, S., see Philippakos, D.Kappas, A., see Kokkini, G.*Kapur, B.M.L., Sarin, S.K., Anand, C.S. and Varma, K.:

Carcinoid tumour of ampulla of Vater associated withviscero-cutaneous neurofibromatosis. November, 734

*Karnik, A.M., Sughayer, A. and Fenech, F.F.: Spon-taneous haemothorax in Osler-Weber-Rendu disease.August, 512

Kasili, E.G., see De Cock, K.M.Kaur, S., see Chugh, K.S.Keil, B.W., see Britt, R.P.Keil, J.E., see Britt, R.P.*Kennedy, R.H. and Cooper, M.J.: An unusually severe

case of the cast syndrome. August, 539Keshavarzian, A., see Ledermann, J.A.Khandelwal, C., see Shukla, V.K.*Khanna, A.K.: Appendix vermiformis duplex. January, 69Khanna, S.K., see Jain, S.K.Khaw, K-T. and Marmot, M.G.: Blood pressure in 15- to

16-year-old adolescents of different ethnic groups in twoLondon schools. October, 630

Kirby, J.D.T., see Kovacs, I.B.Kirkland, J.L., Vargas, E. and Lye, M.: Indican excretion

in the elderly. November, 717Kishore, B.K., Gejyo, F. and Arakawa, M.: Alpha2HS-

glycoprotein in the serum and urine of patients withrenal diseases. May, 304Altered glycosylation and sialylation of serum proteinsand lipid bound sialic acids in chronic renal failure.September, 551

Klein, R., see Charlton, J.E.Kneale, K.L., see Jaworski, R.C.Knight, G., see Boulton, A.J.M.Knott, C.E., see Burnham, W.R.Kohner, E.M., see Chapple, M.Kohrogi, N., see Okada, M.

*Kokkini, G., Tsianos, E. and Kappas, A.: Sideroblasticanaemia associated with lincomycin therapy. December,796

Kovacs, I.B., Dowd, P.M., Kirby, J.D.T. and Turner, P.:Cyclic adenine nucleotide levels in lymphocytes frompatients with systemic sclerosis: efficiency of prostaglan-din infusions. April, 241

Kovar, I., see Miller, P.Krikler, S.J., see Harris, L.Kumar, B., see Chugh, K.S.Kumar, M., see Shukla, V.K.Kume, K., see Sakurai, T.

Laimayum, D.S., see Palaniswamy, R.Lambrianides, A.L. and Ghilchik, M.W.: Cryosurgery in

the treatment of rectal carcinoma. April, 244*Lamerton, A.J.: Spontaneous rupture ofthe spleen in early

pregnancy. September, 596Lane, R.J.M., see Dick, D.J.

*Langevitz, P. and Cabili, S.: Persistent vocal cord paralysisin subacute thyroiditis. November, 726

Langman, M.J.S., see Burnham, W.R.Lawford, P. and Palmer, K.N.V.: A single dose compari-

son of a combination of fenoterol and ipratropiumaerosols in bronchial asthma. January, 28

Lechler, R., see Barber. P.V.*Ledermann, J.A. and Keshavarzian, A.: Acute pulmonary

embolism following air travel. February, 104Lee, F.I., Fielding, J.D. and Costello, F.T.: Ranitidinecompared with cimetidine in the short-term healing ofduodenal ulcer, February, 88

Lee, Y.C., see Wood, J.R.Lennard-Jones, J.E., see McIntyre, P.B.Lessing, J.B., see Ballas, S.

*Lever, A.M.L., Forsythe, J. and Oxford, P.: Acute polyar-thritis following the use of Corynebacterium parvumvaccine (Coparvax) for malignant pleural effusion.December, 799

Lewis, A.A.M., see Greenfield, C.*Lewis, D.A. and Settas, L.: Kingella kingae causing septic

arthritis in Felty's syndrome. August, 525Li, A.K.C., see McIntosh, G.S.Lim, M.L. and Ebrahim, S.B.J.: Depression after stroke: a

hospital treatment survey. August, 489Lister, T.A. and Malpas, J.S.: The lymphomas-currentmanagement: review article. April, 219

*Little, P.J., Farthing, C.F., Al Khader, A., Bunuan, H. andHaleem, A.: Kaposi's sarcoma in a patient after renaltransplantation. May, 325

Littler, W.A., see Lowry, P.J.Livingston, M., see Adams, P.C.Lloyd, H.J., see Jones, D.B.

*Lockhart, S.P. and Phaure, T.A.J.: Pseudoerythrocytosis inmyeloma with associated peripheral neuropathy, April,266

Long, R.G.: Recent advances in pancreatic hormoneresearch. May, 277

*Lowry, P.J. and Littler, W.A.: Peroneal muscular atrophyassociated with cardiac conducting tissue disease: fur-ther observations. August, 530

Mace, P.J.E., Glover, D.R. and Littler, W.A.: The patternand severity of coronary artery disease in Asians andwhites living in Birmingham. October, 634

xv

Postgraduate Medical Journal

Lubin, J.R., Coles, J.A., Millward, B.A. and Croker, J.R.:Value of profiling liver function in the elderly. Decem-ber, 763

Lucas, P.A., see Jones, D.B.Lucas, S.B., see De Cock, K.M.Luck, V.A., see Gilmore, I.T.Lye, M., see Kirkland, J.L.

McConnachie, P.R., see Soler, N.G.McDonald, S.J., see Gatling, W.Mace, P.J.E., see Lowry, P.J.McIntosh, G.S., Osborne, D.R, Li, A.K.C. and Hobbs,

K.E.F.: Basal cell carcinoma-a review of treatmentresults with special reference to cryotherapy. November,698

McIntyre, P.B., Wood, S.R., Powell-Tuck, J. and Lennard-Jones, J.E.: Nocturnal nasogastric tube feeding at home.December, 767

McKenna, W.J., see Harris, L.Mackinnon, A.E., see Vyas, I.D.Malik, A.K., see Chakrabarti, A.K.Malpas, J.S., see Lister, T.A.*Manche, A., Wood, S.M., Adrian, T.E., Welbourn, R.B.

and Bloom, S.R.: Pancreatic polypeptide and calcitoninsecretion from a pancreatic tumour-clinical improve-ment after hepatic artery embolization. May, 313

*Mandal, S.K. and Datta, S.K.: Nodal bradycardia inducedby tocainide. April, 262

Marmot, M.G., see Khaw, K-T.Marsh, M.N., see Hughes, S.Marsiglia, I., see Puigbo, J.J.Mason, J., see Hazarika, E.Mathew, P.M., see Terry, P.B.Mathews, K., see de Giovanni, J.V.Maurice, P., see Dubost, C.Mayberry, J., see Shafi, M.McPhie, J.L., see Godden, D.J.*Mee, A.S., Turner, J.A.McM. and Gow, N.M.: Recurrent

acute pancreatitis due to haemobilia from a hepaticartery aneurysm. September, 590

Melnick, S.C., see Jolobe, O.M.P.*Mercer, D.M.: Cetrimide burn in an infant. July, 472Mervis, B., see Miller, J.L.*Michowitz, M., Stavorovsky, M. and Ilie, B.: Granuloma-

tous peritonitis caused by glove starch. September, 593see also Ballas, S.

*Miller, J.L., Immelman, E.J., Roman, T.E. and Mervis, B.:Phaeochromocytoma of the urinary bladder localized byselective venous sampling and computed tomography.August, 533

*Miller, P. and Kovar, I.: Chlormethiazole in the treatmentof neonatal status epilepticus. December, 801

Millward, B.A., see Lubin, J.R.Mordasini, C., see Reinhart, W.H.Morgan, M.D.L., Rainford, D.J., Pusey, C.D., Robins-

Cherry, A.M. and Henry, J.G.: The treatment ofquininepoisoning with charcoal haemoperfusion. June, 365

*Morley, K.D., Vickers, H.R. and Hughes, G.R.V.: Anunusual cause of arthritis, August, 522

Moussalli, H., see Akinjide-Obonyo, A.P.

Mufti, G.J., see Gatling, W.Hatty, S.

Murray-Lyon, I.M., see Gilmore, I.T.

Naparstek, Y., see Davidoff, D.*Naschitz, J.E., Barak, C. and Yeshurun, D.: Reversible

diminished insulin requirement during acute renalfailure. April, 269

Nath, I.V.S., see Chugh, K.S.*Needleman, S.W., Aschenbrener, C.A. and Armitage, J.O.:

Occult pulmonary thromboembolism presenting as dif-fuse interstitial pneumonitis in cancer patients. August,508

Nicholson, H.O., see Wright, A.D.Nimalasuriya, A., see Jayasinghe, K.S.A.Nogues, M.A., see Dick, D.J.

*O'Connell, M., Powell, S. and Horwich, A.: Sarcoid-likelymphadenopathy in malignant teratoma. February, 108

O'Donohue, J., see Shaunak, S.O'Grady, A.J., see Gilmore, I.T.Okada, M., Fuchigami, T., Ri, S., Kohrogi, N. and Omae,

T.: The BTPABA pancreatic function test in giardiasis.February, 79

Olsen, E.G.J.: Pathological aspects of endomyocardialfibrosis. March, 135Workshop on Multicentre Research Project on Endo-

myocardial Disease, London, 30th June and 1st July1982. March, 131

Omae, T., see Okada, M.Sakurai, T.

*Ormerod, A.D., Petersen, J., Hussey, J.K., Weir, J. andEdward, N.: Immune complex glomerulonephritis andchronic anaerobic urinary tract infection-complica-tions of filariasis. November, 730

Orr, G., see Besouw, J-P.Osborne, D.R., see McIntosh, G.S.Osbourne, V.L., see Cruickshank, J.K.

de Giovanni, J.V.Oxford, P., see Lever, A.M.L.

Pacy, P.J., Dodson, P.M., Beevers, M., Fletcher, R.F andTaylor, K.G.: The ethnic prevalence of hypertension ina diabetic clinic. October, 637see also Dodson, P.M.

*Palaniswamy, R., Singhal, P.C., Rao, M.S., Laimayum,D.S., Raghu, K. and Chary, K.S.N.: Fatal renal haemor-rhage following haemodialysis in a patient with obstruc-tive uropathy. January, 57

Palmer, K.N.V., see Lawford, P.Paneth, M., see Wood, A.J.*Pang, J. and Jessop, J.: Gastrointestinal haemorrhage from

leiomyomata of the small bowel. March, 196Vicary, F.R. and Beck, E.R.: Coexisting retroperitonealand mediastinal fibrosis. July, 450

Parkes, C.M., see Cameron, J.*Parrish, R.W., Banks, J. and Fennerty, A.G.: Tracheal

obstruction presenting as asthma. December, 775Passelecq, J., see Dubost, C.

xvi

Index to Volume 59

Paterson, K.R.: Experience of temporary cardiac pacing ina district general hospital. September, 566

*Penketh, C.: An unusual case of Pasteurella multocidasepticaemia. February, 116

Pentecost, B.L., see de Giovanni, J.VPerkin, G.D., see Handler, C.E.Peterson, J., see Ormerod, A.D.Peterson, G., see Abaskaron, M.Pettingale, K.W., see Bhakri, H.L.Peyser, M.R., see Gitstein, S.Phaure, T.A.J., see Lockhart, S.P.

*Philippakos, D., Kakouros, S., Dervenoulas, J. and Ponti-das, E.: Diabetes insipidus as a complication of acutemyelomonocytic leukaemia. February, 93

*Pickard, W.R., Clark, A.H. and Abel, B.J.: Florid granulo-matous reaction in a seminoma. May, 334

Pitcher, D.: Sutureless skin closure for pacemaker implan-tation: comparison with subcuticular suture. February,83

Poh, S.C., see Chee, Y.C.Pollock, A., see Wright, A.D.Pontidas, E., see Philippakos, D.Potter, J.F., Dawkins, D.M., Terry, P. and Beevers, D.G.:

Breast cancer in blacks, Asians and whites inBirmingham. October, 661

Pounder, R.E., see Greenfield, C.Powell, S., see O'Connell, M.Powell-Tuck, J., see McIntyre, P.B.

*Prasad, S.B.: Intrarenal teratoma. February, 111and Sinha, M.R.: Monodermal cystic ovarian teratomacomposed of respiratory epithelium. January, 52

* Vaginal bleeding due to leech. April, 272

Preston, J.R., see Thurtle, O.A.*Price, D. and Dent, R.G.: Pulmonary involvement in

angio-immunoblastic lymphadenopathy. November, 728Prigent, C., see Dubost, C.Prior, J.E., see Corder, A.P.Puigbo, J.J., Combellas, I., Acquatella, H., Marsiglia, I.,

Tortoledo, F., Casal, H. and Suarez, J.A.: Endomyocar-dial disease in South America-report on 23 cases inVenezuela. March, 162

Purdie, A.W., see Ferriman, D.Pusey, C.D., see Morgan, M.D.L.

Radia, K., see De Cock, K.M.Raghu, K., see Palaniswamy, R.Rainford, D.J., see Morgan, M.D.L.*Ramasamy, R.: Unrecognised nocturnal hypoglycaemia

masquerading as senile dementia. September, 575Rao, M.S., see Palaniswamy, R.*Read, D. and Young, A.: Stridor and parkinsonism.

August, 520*Rebello, R. and Warnes, T.W.: Hepatic granulomata

associated with adenocarcinoma. January, 66Record, C.O., see Crake, T.Rees, R.W.M., see Foster, M.E.Reid, M.M., see Adams, P.C.*Reinhart, W.H., Mordasini, C., Staubli, M. and Scheurer,

U.: Abnormalities of gut vessels in Turner's syndrome.February, 122

Ri, S., see Okada, M.

Richardson, P.J.: Workshop on Multicentre ResearchProject on Endomyocardial Diseases, London, 30thJune and 1st July 1982. March, 131

Ridley, C.M., see Gellert, A.Ritch, A.E.S., see Bell, J.M.Riva, C., see Gobernado, J.M.Roberts, A.P., Harrison, C., Dixon, G.T. and Curtis, J.R.:Plasma ranitidine concentrations after intravenous ad-ministration in normal volunteers and haemodialysispatients. January, 25

Robins-Cherry, A.M., see Morgan, M.D.L.Robinson, A., see Adams, P.C.Roman, T.E., see Miller, J.L.

*Ross, I.N., Thompson, R.A. and Asquith, P.: Alpha heavychain disease developing in an Asian resident in theUnited Kingdom and responding to antibiotics. July,443

*Ross, R.J.M. and Empey, D.W.: Bilateral spontaneouspneumothorax in sarcoidosis. February, 106

Rulliere, R., see Dubost, C.Rustin, M.H.A. and Coomes, E.N.: Comparison ofpropra-

nolol and propranolol LA in hypertension using 24-hrnon-invasive blood pressure monitoring. December, 770

* Flynn, M.D. and Coomes, E.N.: Acute sacral epiduralabscess following local anaesthetic injection. June, 399

Sakhuja, V., see Chugh, K.S.*Sakurai, T., Fuchigami, T., Omae, T., Iwashita, A., Kume,

K. and Asano, S.: Bleomycin in verrucous squamous cellcarcinoma of the oesophagus. September, 578

Samson, D.: The anaemia of chronic disorders: reviewarticle. September, 543

Sandle, G.I., see Crake, T.*Sandyk, R.: Hemichorea-a late sequel of an extradural

haematoma. July, 462* Hemifacial spasm in tuberculous meningitis. September,

570* Transient hemiparesis-a rare complication of pheny-

toin toxicity. September, 601* and Brennan, M.J.W.: Unusual presentation of primary

klebsiella meningitis: successful treatment with cefo-taxime. April, 256

Sarin, S.K., see Kapur, B.M.L.Savage, C., see Harris, L.Scarpello, J.H.B., see Boulton, A.J.M.Scheurer, U., see Reinhart, W.H.Schmidt, D.H., see Dymond, D.S.Scott, G.L., see Burke, B.J.Semple, P., see Burns, A.Senanayake, N., see Vyravanathan, S.Settas, L., see Lewis, D.A.Shafi, M., Mayberry, J. and Calcraft, B.: An audit of a

medical anticoagulant clinic in a District GeneralHospital. August, 492

Sharma, B.K., see Chugh, K.S.*Shaunak, S. and O'Donohue, J.: Massive haematemesis

and melaena from a Meckel's diverticulum. December,786

*Shaw, P.J. and Freeman, J.G.: The antemortem diagnosisof pyogenic liver abscess due to perforation ofthe gut bya foreign body. July, 455

Postgraduate Medical Journal

Shepherd, N.A., see Van Besouw, J-P.*Shukla, V.K., Khandelwal, C., Kumar, M. and Vaidya,

M.P.: Enteric perforation of the gall bladder. February,125

Siegfried, J., see Garvan, N.J.Silverstone, P.H., see Chattopadhyay, B.Simmeran, A., see Heyd, J.Singh, T.D., see Chakrabarti, A.K.Singhal, P.C., see Palaniswamy, R.Sinha, M.R., see Prasad, S.B.Sitprija, V., see Tungsanga, K.*Smedley, H.M., Brown, C. and Turner, A.: Ectopic

ACTH-producing lung cancer presenting with prostaticmetastasis. June, 371

Smith, A.M., see West, N.C.Smith, P.J.B., see Burke, B.J.Smith, R.C., see Jaworski, R.C.Snashall, P.D., see Chung, K.F.Soler, N.G. and McConnachie, P.R.: HLA antigens and

necrobiosis lipoidica diabeticorum-a comparison be-tween insulin-dependent diabetics with and withoutnecrobiosis. December, 759

*Spence, R.A.J. and Dane, T.E.B.: Spontaneous rupture ofan epithelial cyst of the spleen. January, 65

Spiteri, M.A., and James, D.G.: Adverse ocular reactionsto drugs. June, 343

*Spruce, B.A. and Baylis, P.H.: The regulation of vasopres-sin secretion in a patient with oat cell carcinoma of thebronchus. April, 246

Spry, C.J.F., Tai, P-C. and Davies, J.: The cardiotoxicity ofeosinophils. March, 147see also Davies, J.

Stanbridge, T.N., see Akinjide-Obonyo, A.P.Starke, I., see Stuart-Harris, R.Staubli, M., see Reinhart, W.H.Stavorovsky, M., see Michowitz, M.Storey, G.C.A., see Harris, L.Stuart-Harris, R., Buckman, R., Starke, I. and Wiltshaw,

E.: Chlorpromazine, placebo and droperidol in thetreatment of nausea and vomiting associated withcisplatin therapy. August, 500

Suarez, J.A., see Puigbo, J.J.Sughayer, A., see Karnik, A.M.

Tai, P-C., see Spry, C.J.F*Tasker, D.G.: Haemoperitoneum from benign ileal leiom-

yoma. June, 380Taylor, K.G., see Pacy, P.J.

Dodson, P.M.Wright, A.D.

Terry, P., see Potter, J.F.Terry, P.B. and Condie, R.G.: Ethnic differences in the

distribution of normally formed singleton stillbirths.October, 659Mathew, P.M., Condie, R.G. and Bissenden, J.G.:

Ethnic differences in the distribution of congenitalmalformations. October, 657see also Condie, R.G.

Thiru, S., see Hamilton, D.V.Thomas, R.D.: Ventricular fibrillation and initial plasma

potassium in acute myocardial infarction. June, 354Thompson, R.A., see Ross, I.N.

Thorpe, J.A.C., see Greatorex, R.A.*Thurtle, O.A., Dumbleton, I.B., Preston, J.R., Cook, P.L.

and Cawley, M.I.D.: Psoriatic spondylitis in a patientwith classical rheumatoid arthritis. May, 320

Toghill, P.J., see Hawkey, C.J.Tortoledo, F., see Puigbo, J.J.Towers, R.P., see Brennan, N.J.Trueman, T., see Hanks, G.W.Tsianos, E., see Kokkini, G.*Tungsanga, K., Chusilp, S., Israsena, S. and Sitprija, V.:

Paraquat poisoning: evidence of systemic toxicity afterdermal exposure. May, 338

Turner, A., see Smedley, H.M.Turner. J.A.McM., see Mee, A.S.Turner, P., see Hassan, S.

Johnston, A.Kovacs, I.B.

Twycross, R.G., see Hanks, G.W.

Vaidya, M.P., see Shukla, V.K.*Van Besouw, J-P., Shepherd, N.A., Orr, G. and Jackson,

S.H.D.: A case of congenital triple valve disease.December, 779

Vane, J.R.: Adventures and excursions in bioassay- thestepping stones to prostacyclin: Nobel lecture. Decem-ber, 743

Vargas, E., see Kirkland, J.L.Varma, K., see Kapur, B.M.L.Vicary, F.R., see Pang, J.Vickers, H.R., see Morley, K.D.Vijayaraghavan, G., see Davies, J.Vishu, M.C., see Adams, P.C.*Vyas, I.D. and MacKinnon, A.E.: Strangulated umbilical

hernia in a child. December, 794*Vyravanathan, S. and Senanayake, N.: Guillain-Barre

syndrome associated with tuberculosis. August, 516

*Wadhwa, N.K. and Ghose, R.R.: Acute cerebellar ataxiaand infectious mononucleosis. July, 457

Wakeling, A.: Efficacy and side effects of mianserin, atetracyclic antidepressant: review article. April, 229

Wakerley, G.R., see Burke, B.J.Walker, D.A., see Jones, D.B.Walters, F.J.M.: Haemostasis and cleft palate surgery.

September, 611 abst.Wankya, B.M., see De Cock, K.M.Ward, J.D., see Boulton, A.J.M.Ward, M.E., see Blogg, C.E.Ward, R., see West, N.C.Warnes, T.W., see Rebello, R.Wastell, C., see Jones, P.A.Watkins, J. and Appleyard, N.: Gammaglobulin therapy

in burn management with a report on the treatment of a5-year-old burn victim. September, 611 abst.

Watkins, P.J., see Wiles, P.G.*Watt, P.C.H.: Transomental hernia causing intestinal

obstruction in an elderly patient. December, 790*Waxman, J.H.Y.: Hairy cell sarcoma, January, 40Webster, J., see Chapple, M.Weerasuriya, K., see Johnston, A.Weinrich, M., see Britt, R.P.

.i.

Index to Volume 59

Weir, J., see Ormerod, A.D.Welbourn, R.B., see Manche, A.*West, N.C., Smith, A.M. and Ward, R.: IgE myeloma

associated with plasma cell leukaemia. December, 784Wickramasinghe, M.D.N., see Jeyrajah, R.Wiles, P.G. and Watkins, P.J.: Capillary blood collecting

system for glucose determination. May, 288Wilkins, W.E., see Jones, D.B.Williams, G., see Hollands, M.J.Williamson, R.C.N., see Anderson, J.B.

Armitage, T.G.Wilson, R.S.E., see Dunn, A.M.Wiltshaw, E., see Stuart-Harris, R.Winter, J.H. and Douglas, A.S.: Familial venous thrombo-

sis: review article. November, 677Winwood, R.S., see Chattopadhyay, B.Woinarski, J., see Handler, C.E.Wolf, F.G., see Dymond, D.S.*Wood, A.J., Wood, J.R., Corrin, B. and Paneth, M.:

Metastatic renal carcinoma presenting with profusehaemorrhage at cardiac surgery. June, 384

*Wood, J.R., Wood, S.M., Lee, Y.C. and Bloom, S.R.:Neurotensin-secreting carcinoma of the bronchus. Janu-ary, 46see also Wood, A.J.

Wood S.M., see Manche, AWood, J.R.

Wood, S.R., see McIntyre, P.B.Woodhead, J.S., see Ghose, R.R.Wright, A.D., Nicholson, H.O., Pollock, A., Taylor, K.G.and Betts, S.: Spontaneous abortion and diabetesmellitus. May, 295

Wysenbeek, A.J., see Beigel, Y.

Yeshurun, D., see Naschitz, J.E.Young, A., see Read, D.

xix

Postgraduate Medical Journal: Notice to Contributors

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Offprints. These may be purchased if ordered on the form which will be sent to the senior author with theproofs.

Postgraduate Medical JournalVOLUME 59 NUMBER 698 DECEMBER 1983Leading articlePitfalls in the diagnosis of asthmaM. R. HETZEL .739

Nobel lectureAdventures and excursions in bioassay-the stepping stones to prostacyclinJ. R. VANE .743

PapersHLA antigens and necrobiosis lipoidica diabeticorum-a comparison between insulin-dependent

diabetics with and without necrobiosisNORMAN G. SOLER AND PETER R. MCCONNACHIE .759Value of profiling liver function in the elderlyJ. R. LUBIN, J. A. COLES, B. A. MILLWARD AND J. R. CROKER .763

Nocturnal nasogastric tube feeding at homeP. B. MCINTYRE, S. R. WOOD, J. POWELL-TUCK AND J. E. LENNARD-JONES .767

Comparison of propranolol and propranolol LA in hypertension using 24-hr non-invasive bloodpressure monitoring

M. H. A. RUSTIN AND E. N. COOMES .770

Clinical reportsTracheal obstruction presenting as asthmaR. W. PARRISH, J. BANKS AND A. G. FENNERTY .775Asthma presenting as cor pulmonaleA. M. DUNN, L. F. HILL AND R. S. E. WILSON .777A case of congenital triple valve diseaseJ-P. VAN BESoUW, N. A. SHEPHERD, G. ORR AND S. H. D. JACKSON . 779

Severe left ventricular dysfunction in critical aortic stenosis-reversal following aortic valvereplacement

D. S. DYMOND, F. G. WOLF AND D. H. SCHMIDT .781IgE myeloma associated with plasma cell leukaemiaN. C. WEST, A. M. SMITH AND R. WARD .784Massive haematemesis and melaena from a Meckel's diverticulumS. SHAUNAK AND J. O'DONOHUE. 786Liver abscess caused by Haemophilus parainfluenzaeB. CHATTOPADHYAY, P. H. SILVERSTONE AND R. S. WINWOOD .788Transomental hernia causing intestinal obstruction in an elderly patientP.C.H.WATT .790Erytleua nodosum progressing to pyoderma gangrenosum as a complication of Crohn's diseaseA. GELLERT, E. S. GREEN, E. R. BECK AND C. M. RIDLEY .791Strangulated umbilical hernia in a childI. D. VYAS AND A. E. MACKINNON .794Sideroblastic anaemia associated with lincomycin therapyG. KOKKINI, E. TsIANOS AND A. KAPPAS. 7%Acute polyarthritis following the use of Corynebacterium parvum vaccine (Coparvax) for malignant

pleuiral effusionA. M. L. LEVER, J. FORSYTHE AND P. OXFORD .799

Chlormethiazole in the treatment of neonatal status epilepticusP. MILLER AND I. KOVAR .801

Books received; book reviews .803

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