Postgraduate Medical Journal

EditorIAN GILLILAND M.D. F.R.C.P.

Assistant EditorB. I. HompRAND M.A. D.M. M.R.C.P.

Advisory Editorial BoardA. G. Apley F.R.C.S.D. Baritrop B.Sc. M.D. F.R.C.P. D.C.H.E. M. M. Besterman M.A. M.D. F.R.C.P.A. M. Breckenridge B.Sc. M.R.C.P.E. H. Brown D.M. F.R.C.P. D.C.H.A. E. R. Buckle F.R.C.S. F.R.C.O.G.J. 0. Craig F.R.C.S.I. D.M.R.D. F.F.R.A. H. Crisp M.D. F.R.C.P. F.R.C.P.Ed. F.R.C.Psych.

D.P.M.Sir Robert Drew K.C.B. C.B.E. F.R.C.P. F.R.A.C.P.R. Eban M.A. M.R.C.P. F.F.R.H. Ellis M.A. D.M. F.R.C.S.R. Goulding B.Sc. M.D. F.R.C.P.

J. P. Hopewell F.R.C.S.D. G. James M.A. M.D. F.R.C.P.S. B. Karani D.P.H. F.R.C.P. F.A.C.C.P.R. S. Kocen T.D. F.R.C.P.D. M. Krikler M.D. F.R.C.P. F.R.C.P.Ed. F.A.C.C.B. Lewis Ph.D. M.D. F.R.C.P. M.R.C.Path.C. E. Newman C.B.E. M.D. F.R.C.P.K. I. Nissen F.R.C.S.J. W. Paulley M.D. F.R.C.P.T. A. J. Prankerd M.D. F.R.C.P.D. A. Pyke M.D. F.R.C.P.J. H. Swallow M.D. F.R.C.P.P. Turner B.Sc. M.D. F.R.C.P.

Editorial Representative for AustliaProfessor Thomas Stapleton M.A. D.M. M.R.C.P. D.C.H.

Editorial AssistantsMrs J. M. Coops B.Sc. & Mrs L. Edmondston-Low

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Ihe Fellowship of Postgrduate Medicine wasfounded by a group of London consultants after theFirst World War to assist postgaduates, particularlythose coming to London from the Commonwealth,to pursue their studies. The Fellowship first publishedthe Postgraduate Medical Journal to give informa-tion about lectures, conferences and courses and toprovide a monthly review of all branches of medicine.

Postgraduate Medical Journal publishes originalpapers on subjects of current clinical importanceand welcomes review articles with extensive, up-to-date bibliographies as guides to further reading.Several symposia are published every year, eachdevoted to a single subject and written, by invitation,by specialists in different disciplines. Most issuesinclude authoritative Current Surveys of clinicalproblems, as well .as well documented Reports ofcases of particular interest, and Book Reviews.A 'Notice to Contributors' is published on the

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Postgraduate Medical Journal (December 1975) 51, 813.

Travel. Is it safe?

A Symposium held by the British Society for the Study of Infectionat the Zoological Society's Large Meeting Room, Regent's Park,

London, NWl, on 15 November 1974

Edited by: DR J. M. MEDLOCK

CONTENTS

Introduction . . . . . . . . . 815J. M. MEDLOCK

Food hygiene and travel at sea . . . . . . . . . 817BETrY C. HOBBS, M. J. COLBOURNE AND P. E. MAYNER

Diseases of travel with particular reference to tropical diseases . . . . 825A. W. WOODRUFF

Bites and stings in travellers . . . . . . . . . 830H. ALisTAIR REID

Sexually transmitted diseases and the mobility explosion . . . . . 838R. D. CATTERALL

Respiratory virus infections in travellers . . . . . . . 843D. A. J. TYRRELL

Problems of pilgrimages . . . . . . . . . . 845R. J. HENDERSON

Some problems of high speed travel . . . . . . . . 848D. C. READER

Subject Index

PageAbnormalities, coagulation-Ascites reinfusion

using the Rhodiascit apparatus-clinical experi-ence and ... S. P. Wilkinson, A. R. Davidson,J. Henderson and Roger Williams 583

Abnormalities-Prevalences of leg and chest...in four South African schoolchild populationswith special reference to vitamin D status... Barbara D. Richardson and A. R. P.Walker 22

Abscess-Hypothalamic-pituitary ... P. D. Mohr 468Absorption-. . . of different lead compounds ...D. Barltrop and F. Meek 805

Absorption-. . . of lead from dust and soil ...D. Barltrop, C. D. Strehlow, I. Thornton andJ. S. Webb 801

Absorption-The influence of nutritional factorson lead ... D. Barltrop and H. E. Khoo 795

Acidosis-Renal tubular ... in chronic liver disease... Peter L. Golding 550

Acute-. . . and long term studies of a new highpotency diuretic-bumetanide ... W. R. Murdochand W. H. R. Auld 10

Acute osteomyelitis-Clindamycin for . . . inchildren ... M. R. Wharton and F. H. Bed-dow 166

Acute renal failure relevant to hepatic failure,Consequences of ... M. J. Weston and S. P.Wilkinson 486

Adenoma, pituitary chromophobe-The diagnosticproblem of multiple intracranial tumours-casereport of a ... and cerebellar haemangioblas-toma ... P. D. Mohr, J. M. Anderson, P.Fletcher and J. M. Jefferson 423

Administration, diuretics-Potassium metabolismand ... in liver cirrhosis ... P. Vesin 545

Adrenal-Treatment of an ... cortical carcinomawith a combination of o,p-DDD and amino-glutethimide ... R. D. M. Scott 35

Adrenergic r-blockade-The effects of ... withoxprenolol on peripheral metabolism ... A. C.Asmal, A. J. Coleman and W. P. Leary 173

Agreement and disagreement-. . . between patho-logists in histological diagnosis ... H. A.Sissons 685

Alcohol-The association of syphilis with cir-rhosis: the role of ... and serum hepatitis ...F. Sadikali 69

Alimentary tract-Behcet's disease and the.J. V. Parkin and D. G. D. Wight 260

Aminoglutethimide-Treatment of an adrenalcortical carcinoma with a combination of o,p-DDD and ... R. D. M. Scott 35

Aminoplex 5-The effect of intravenous ... onserum gastrin and gastric secretion ... K. Chat-amra, J. I. MacNaughton, H. W. S. Pigott andC. Wastell 1

Anaemia-Autoimmune haemolytic . . . and ulcera-tive colitis ... D. W. Gorst, M. J. Leyland andI. W. Delamore 409

PageAnaesthesia-Surgical emphysema, bilateral

pneumothorax, pneumomediastinum andpneumoperitoneum complicating intubation for... J. K. Scott and J. Viner 654

Analyses, computer-aided-. . . in diagnostic histo-pathology ... Ivor R. H. Kramer, 690

Anastomosis-Effect of portacaval. . . on renalblood flow in cirrhosis-preliminary results ...H. Ring-Larsen, B. Hesse and B. Stigsby 499

Angiotensin sensitivity-The Rhodiascit system-individual response to reinfusion possibly relatedto .. .: Preliminary results ... L. Van Waes,M. Schurgers and L. Demeulenaere 567

Anovulation-endocrine aspects of ... R. S. Jacobs 209Anoxia-the effects of hyperosmolal coronary per-

fusion on the haemodynamic, metabolic andultrastructural changes of myocardial anoxia ...N. Brachfield, J. Christodoulou, R. Erlandsonand C. Smithen 299

Antibody-Precipitating . . . in the sputum inchronic respiratory disease ... C. W. Clarke 147

Anticoagulant-Intramural intestinal haemorrhage:a complication of ... therapy ... J. E. Hale 107

Anticonvulsants-Effects of ... and inactivity onbone disease in epileptics ... L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Antidiuretic hormone-Inappropriate secretion of... in pneumonia. . . Richard Charles and J.Russell Rees 663

Arteries-coronary-the ... in active viral cardio-myopathies ... G. E. Burch 311

Arteriovenous malformation-Periodic migrainousneuralgia associated with an ... A. L. Thomas 460

Ascites-A rational approach to the treatment of.. . V. Arroyo and J. Rodes 558

Ascites-Clinical experience with the Rh6ne-Poulenc ascites reinfusion apparatus...V. Arroyo, A. Mas and F. Vilardell 571

Ascites-Factors relating to sodium excretion inexperimental . . . L. M. Blendis 523

Ascites-Treatment of by reinfusion of concen-trated peritoneal fluid-review of 318 proceduresin 210 patients ... V. G. Levy, P. Opolon,N. Pauleau and J. Caroli 564

Ascites, experiences and problems in the manage-ment of ... with the Rhodiascit machine ...H. Thaler and G. Fous 581

Ascites, diuretic-resistant-Concentration-reinfu-sion (CR) of ascitic fluid in the treatment of de-compensated liver cirrhosis with. .. E. Ventura,M. L. Zeneroli 577

Ascites reinfusion-. .. using the Rhodiascitapparatus-clinical experience and coagulationabnormalities ... S. P. Wilkinson, A. R. David-son, J. Henderson and Roger Williams 583

Ascites reinfusion apparatus-Clinical experiencewith the Rhone-Poulenc ... P. J. A. Moult,S. P. Parbhoo and S. Sherlock 574

Postgraduate Medical Journal

Ascitic fluid-Concentration-reinfusion (CR) of... in the treatment of decompensated liver cir-rhosis with diuretic-resistant ascites . .. E. Ven-tura and M. L. Zeneroli 577

Asian patients-in Singapore-Thyrotoxic pretibialmyxoedema in ... C. W. Kee and J. S. Cheah 407

Aspirin idiosyncrasy-Prostaglandin levels in bloodplasma during asthmatic attacks in patientswith . . . J. C. Delaney, J. B. Smith and M. J.Silver 15

Association-The . . . of syphilis with cirrhosis:the role of alcohol and serum hepatitis.F. Sadikali 69

Asthmatic-Prostaglandin levels in blood plasmaduring ... attacks in patients with aspirin idio-syncrasy ... J. C. Delaney, J. B. Smith andM. J. Silver 15

Asymptomatic-. . . autoimmune liver disease inscleroderma ... M. M. Gupta, T. W. Warnesand L. Watson 185

Atrial-. . . fibrillation and hyperthyroidism: a newlook at their relationship and therapy with lido-flazine ... K. Bruyneel, H. Verhaegen and Ch.De Vil 4

Atrophicans-Poikiloderma ... vasculare as apointer to reticulosis of the skin . . . Robert S.Chapman and C. Jose Paul 463

Attacks-Prostaglandin levels in blood plasmaduring asthmatic. . in patients with aspirinidiosyncrasy ... J. C. Delaney, J. B. Smith andM. J. Silver 15

Autoimmune-Asymptomatic ... liver disease inscleroderma. .. M. M. Gupta, T. W. Warnesand L. Watson 185

Autoimmune-. . . haemolytic anaemia and ulcera-tive colitis . .. D. W. Gorst, M. J. Leyland andI. W. Delamore 409

Baby-Renal failure and suprarenal calcificationafter secondary haemorrhagic disease in a new-born ... M. W. Moncrieff and M. Hargreaves 40

Baclofen (Lioresal)-. . . for spasticity in multiplesclerosis. Evaluation of ... D. W. Hedley, J. A.Maroun and Michael L. E. Espir 615

Bacterial myositis-an unusual case of spontaneous... R. H. P. Williams and P. Thomas 255

Bacteroides-Intravenous trimethoprim/sulpha-dimidine in the treatment of ... septicaemia... Gillian M. Hanson and R. L. Woods 105

P-adrenergic-Metabolic responses to selective ...stimulation in man ... R. Goldberg, M. van As,B. I. Joffe, L. Krut, I Bersohn and H. C. Seftel 53

Behcet's disease and the alimentary tract...J. V. Parkin and D. G. D. Wight 260

Bilateral pneumothoraces-Diffuse pulmonaryfibrosis and . . . in systemic lupus erythematosus... Anthony J. Richards, I. C. Talbot, D. R.Swinson and E. B. D. Hamilton 851

Biliary-Primary . . . cirrhosis in brothers ...R. Brown, M. L. Clark and D. Doniach 110

Biochemical studies on biopsies from normal anddiseased cardiac tissue (Abstract) . . . T. J.Peters, F. J. Bloomfield and C. M. Oakley 298

Biopsies-biochemical studies on biopsies fromnormal and diseased cardiac tissue (Abstract)... T. J. Peters, F. J. Bloomfield and C. M.Oakley 298

Biopsy-problems of myocardial biopsyD. Harmjanz 291

Biopsy-results of endomyocardial biopsy: histo-logical, histochemical and ultrastructural analysis... E. G. J. Olsen 295

Biopsy-Small intestinal . . . in childhood coeliacdisease.... R. A. Risdon, E. A. Meinhard,D. G. Wadbrook and J. W. Keeling 716

Biopsy-technique of endomyocardial biopsy-including a description of a new form of endo-myocardial bioptome ... P. J. Richardson 282

Biopsy-transvenous endomyocardial biopsy-application of a method for diagnosing heartdisease ... P. Caves, J. Coltart, M. Billingham,A. Rider and E. Stinson 286

Bioptome-technique of endomyocardial biopsy-including a description of a new form of endo-myocardial bioptome ... P. J. Richardson 282

Bites-. . . and stings in travellers ... H. AlistairReid 830

Blood-Prostaglandin levels in ... plasma duringasthmatic attacks in patients with aspirinidiosyncrasy ... J. C. Delaney, J. B. Smith andM. J. Silver 1 5

Blood flow-Effect of portacaval anastomosis onrenal blood flow in cirrhosis-preliminary re-sults . . H. Ring-Larsen, B. Hesse and B.Stigsby 499

Blood pressure-Measurement of. . .-a routinetest in need of standardization. . . T. Thulin,G. Anderson and B. Schersten 390

Bone-Effects of anticonvulsants and inactivity on... disease in epileptics ... L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Bowel-Multiple carcinomas of the large and small... in childhood . . . David R. Harvey andFernando J. Paradinas 672

Brain-Cell counting in the human .. .: traditionaland electronic methods . . . J. A. N. Corsellis,R. L. Alston and A. K. H. Miller 722

Brainstem syndrome-A ... associated withMycoplasma pneumoniae infection-a report oftwo cases, . . J. Jachuck, C. Gardner-T-horpe,F. Clark and J. B. Foster 475

Breast-An unusual self-inflicted injury of the ...D. Sampson 116

Bronchodilator-A double-blind trial of salme-famol, a new brorchodilator... D. Bain-bridge, G. J. R. McHardy, Margaret V. Hoareand C. H. Dash 627

Brothers-Primary biliary cirrhosis in ..R. Bown, M. L. Clark and D. Doniach 110

Brucellosis-A 6-year survey of human ... in arural area of north-western England and northWales ... Pauline M. Poole 433

Index to Volume 51

Bumetanide-acute and long term studies ofa new high potency diuretic ... W. R. Murdochand W. H. R. Auld

By-pass-The treatment of priapism by corpus-saphenous ... R. J. E. Foley and L. R. de Jode

10

42

Calcification-Renal failure and suprarenal.after secondary haemorrhagic disease in a new-born baby ... M. W. Moncrieff and H. Har-greaves 40

Carbidopa (sinemet)-L-dopa and ... in the man-agement of Parkinsonism . .. Edmund Critchley 619

Carcinoma-Treatment of an adrenal cortical ..with a combination of o,p-DDD and amino-glutethimide ... R. D. M. Scott 35

Carcinoma, gastric-. . . and Turner's syndrome... D. Siegler 411

Carcinoma, liver-Functional renal failure (FRF)in cirrhosis of the liver and . .. P. Vesin andH. Traverso 489

Carcinoma of the cervix-excavating pulmonarymetastases in carcinoma of the cervix ... M. G.Kirubakaran, B. M. Pulimood and D. Ray 243

Carcinoma of the stomach-Skin metastases in ...

B. A. Adam and R. Murugasu 419Carcinomas-Multiple .., of the large and small

bowel in childhood ... David R. Harvey andFernando J. Paradinas 672

Cardiac muscle cell injury-new approach instudying ... G. Rona, M. Boutet and I. Hutt-ner 334

Cardiac tissue-biochemical studies on biopsiesfrom normal and diseased cardiac tissue(Abstract) ... T. J. Peters, F. J. Bloomfield andC. M. Oakley 298

Cardiomyopathies-the coronary arteries in activeviral ... G. E. Burch 311

Cardiomyopathy associated with methylsalicylateH. P. Ojiambo 344

Cardiomyopathy-pathological recognition of...E. G. J. Olsen 277

Cardiomyopathy-the relation between functionand causation in ... C. M. Oakley 271

Cardiovascular-Severe Guillain-Barre syndromefollowing urethritis with . .. and ophthalmicinvolvement ... A. J. Marshall and F. Eliza-beth Rogerson 643

Carpal tunnel syndrome-in patients on inter-mittent haemodialysis . . . D. J. Warren andL. S. Otieno 450

Cell counting-. . . in the human brain: traditionaland electronic methods . . . J. A. N. Corsellis,R. L. Alston and A. K. H. Miller 722

Cell membrane-The effect of lead on the red ...

H. S. Selhi and J. M. White 765Cerebellar haemangioblastoma-The diagnosticproblem of multiple intracranial tumours-casereport of a pituitary chromophobe adenoma and... P. D. Mohr, J. M. Anderson, P. Fletcherand J. M. Jefferson 423

Cervix-excavating pulmonary metastases in car-cinoma of the cervix. .. M. G. Kirubakaran,B. M. Pulimood and D. Ray 243

Chest-Prevalences of leg and ... abnormalities infour South African schoolchild populations withspecial reference to Vitamin D status...Barbara D. Richardson and A. R. P. Walker 22

Childhood-Ketotic hypoglycaemia of ... A. M.Pierides, J. Anderson and J. M. Stansfeld 737

Childhood-Multiple carcinomas of the large andsmall bowel in ... David R. Harvey and Fern-ando J. Paradinas 672

Childhood coeliac disease-Small intestinal biopsyin ... R. A. Risdon, E. A. Meinhard, D. G.Wadbrook and J. W. Keeling 716

Childhood lead poisoning-Current status of...Donald Barltrop 776

Children-Clindamycin for acute osteomyelitis in... M. R. Wharton and F. H. Beddow 166

Children-Ectopic thymus of the neck-report ofthree examples in . .. C. T. Lewis 35

Children-the current status of lead poisoning in... F. W. Alexander 780

Children under 2 years of age-Significance ofE. coli in the upper respiratory tract of.John D. Barrie and James B. Gallacher 373

Chinese woman-a case of sarcoidosis in a.Y. Y. Ong, C. H. Chew and S. C. Chiang 257

Chromophobe, pituitary-The diagnostic problemof multiple intracranial tumours-case report of a... adenoma and cerebellar haemangioblastoma... P. D. Mohr, J. M. Anderson, P. Fletcherand J. M. Jefferson 423

Chronic liver disease-Natriuretic hormone-itspossible role in fluid and electrolyte disturbancesin . . . Herbert J. Kramer 532

Chronic liver disease-Renal tubular acidosis in... Peter L. Golding 550

Cirrhosis-Clinical types and drug therapy of renalimpairment in ... J. Rodes, J. Bosch andV. Arroyo 492

Cirrhosis-Concentration-reinfusion (CR) ofascitic fluid in the treatment of decompensatedliver cirrhosis with diuretic-resistant ascites ...

E. Ventura and M. L. Zeneroli 577Cirrhosis-Effect of portacaval anastomosis on

renal blood flow in cirrhosis-preliminary re-sults.... H. Ring-Larsen, B. Hesse and B.Stigsby 499

Cirrhosis-Pathogenesis of renal failure in ... andfulminant hepatic failure.... S. P. Wilkinson,B. Portmann, D. Hurst and Roger Williams. 503

Cirrhosis-Potassium metabolism and diureticsadministration in liver . .. P. Vesin 545

Cirrhosis-Primary biliary . .. in brothers ...R. Bown, M. L. Clark and D. Doniach 110

Cirrhosis-Renal retention of sodium in ... andfulminant hepatic failure ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Cirrhosis-The association of syphilis with...the role of alcohol and serum hepatitis.F. Sadikali 6

v

Postgraduate Medical Journal

Cirrhosis of the liver-Functional renal failure(FRF) in ... and liver carcinoma.... P. Vesinand H. Traverso 489

Classification . . . of tumours of the nasal epi-thelium. Objectivity in the ... L. Michaels andV. G. Hyams 695

Clindamycin ... for acute osteomyelitis in chil-dren ... M. R. Wharton and F. H. Beddow 166

Clinical aspects-of renal failure in obstructivejaundice ... J. L. Dawson 510

Clinical experience-Ascites reinfusion using theRhodiascit apparatus-clinical experience andcoagulation abnormalities ... S. P. Wilkinson,A. R. Davidson, J. Henderson and RogerWilliams 583

Clinical experience-. . . with the Rhone-Poulencascites reinfusion apparatus ... V. Arroyo,A. Mas and F. Vilardell 571

Clinical experience-. . . with the Rh6ne-Poulencascites reinfusion apparatus ... P. J. A. Moult,S. P. Parbhoo and S. Sherlock 574

Clinical research-Review of recent advances oflead in ... A. Goldberg 747

Clinical types-. . . and drug therapy of renalimpairment in cirrhosis ... J. Rodes, J. Boschand V. Arroyo 492

Clofibrate-Reversible myopathy induced by...D. Geltner, M. Shapiro and M. Chaco 184

Coagulation abnormalities-Ascites reinfusionusing the Rhodiascit apparatus-clinical ex-perience and ... S. P. Wilkinson, A. R. David-son, J. Henderson and Roger Williams 583

Coeliac disease-Small intestinal biopsy in child-hood ... R. A. Risdon, E. A. Meinhard, D. G.Wadbrook and J. W. Keeling 716

Colitis-self-induced ... J. S. Byrne, M. W. P.Carney, D. S. Harry and F. I. Lee 246

Colitis, ulcerative-Autoimmune haemolytic anae-mia and ... D. W. Gorst, M. J. Leyland andI. W. Delamore 409

Complication-Intramural intestinal haemorrhage:a ... of anticoagulant therapy ... J. E. Hale 107

Computer-aided analyses-. . . in diagnostic histo-pathology ... Ivor R. H. Kramer 690

Concentration-reinfusion (CR)-. . . of ascitic fluidin the treatment of decompensated liver cirrhosiswith diuretic-resistant ascites ... E. Venturaand M. L. Zeneroli 577

Constitutional delayed puberty-The role ofluteinizing hormone-releasing hormone in thediagnosis of ... Julius Sagel, Larry A. DistillerBarry I. Joffe 611

Contraception, oral-Pancreatitis, multiple infarctsand ... M. E. Foster and D. E. B. Powell 667

Coronary arteries-the .., in active viral cardio-myopathies ... G. E. Burch 311

Coronary perfusion-the effect of hyperosmolalcoronary perfusion on the haemodynamic, meta-bolic and ultrastructural changes of myocardialanoxia ... N. Brachfield, J. Christodoulou, R.Erlandson and C. Smithen 299

Corpus-saphenous by-pass-The treatment of pria-pism by ... R. J. E. Foley and L. R. De Jode 42

Cortical-Treatment of an adrenal ... carcinomawith a combination of o,p-DDD and amino-glutethimide ... R. D. M. Scott 35

Cryptococcal meningitis-. . . in steroid-treatedsystemic lupus erythematosus ... M. AneesKhan and Sidney Sbar 660

Cyclotron produced lead-203 ... P. L. Horlock,M. L. Thakur and I. A. Watson 751

Cyst-Ruptured popliteal ... simulating deep veinthrombosis with false positive radiofibrinogenuptake ... D. Gibbons, M. Phillips and IreneM. Prossor 735

Cytomegalovirus mononucleosis-.., with urti-caria ... Daphne M. Humphreys and AlanMyers 404

Decompensated liver cirrhosis-Concentration-reinfusion (CR) of ascitic fluid in the treatmentof ... with diuretic-resistant ascites ... E. Ven-tura and M. L. Zeneroli 577

Diabetes mellitus-and primary hyperpara-thyroidism ... C. H. Walsh, N. G. Soler andJ. M. Malins 446

Diabetics-Diurnal patterns of oral glucose toler-ance in ... C. H. Walsh and A. D. Wright 169

Diagnosing heart disease-transvenous endomyo-cardial biopsy-application of a method fordiagnosing heart disease ... P. Caves, J. Col-tart, M. Billingham, A. Rider and E. Stinson 286

Diagnosis-Agreement and disagreement betweenpathologists in histological ... H. A. Sissons 685

Diagnosis-. . . of constitutional delayed puberty.The role of luteinizing hormone-releasing hor-mone in the ... Julius Sagel, Larry A. Distillerand Barry I. Joffe 611

Diagnostic histopatholology-Computer-aided an-alyses in ... Ivor R. H. Kramer 690

Dialysis-Use of in the treatment of renal failurein liver disease. . Victor Parsons, S. P. Wil-kinson and M. J. Weston 515

Diarrhoea-Thioradazine-induced ... A. B. S.Mitchell 182

Diarrhoea-Watery ... and hypokalaemia asso-ciated with a phaeochromocytoma ... C. A.Loehry, J. G. C. Kingham and P. J. Whorwell 416

Diazepam therapy for tetanus-Transient psycho-logical syndrome following ... J. Malatinsky,M. Prochazka and T. Kadlic 860

Diazoxide-Haemolysis associated with..., usedfor the control of hypertension ... R. A. Bestand H. M. Clink 402

Dietary protective factors-Possibility of. . induodenal ulcer ... F. I. Tovey, A. Paul Jayarajand C. G. Clark 366

Differentiation in mammals-sex determinationand .. .: hints from nature ... P. E. Polani 199

Diffuse pulmonary fibrosis-. . . and bilateralpneumothoraces in systemic lupus erythematosus.. . . Anthony J. Richards, I. C. Talbot, D. R.Swinson and E. B. D. Hamilton 851

Index to Volume 51

Digoxin-distribution of-in the human heart ...D. J. Coltart, H. G. Gullner, M. Billingham,R. H. Goldman, E. H. Stinson, S. M. Kalmanand D. C. Harrison 330

Disease-Effects of anticonvulsants and inactivityon bone .., in epileptics. . . L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Disease-Renal tubular acidosis in chronic liver... Peter L. Golding 550

Diseases-. . . of travel with particular reference totropical diseases . .. A. W. Woodruff 825

Diseases-Sexually transmitted . .. and themobility explosion . .. R. D. Catterall 838

Diuretic-Bumetanide-acute and long term studiesof a new high potency ... W. R. Murdoch andW. H. R. Auld 10

Diuretic-resistant ascites-Concentration-reinfusion(CR) of ascitic fluid in the treatment of decom-pensated liver cirrhosis with ... E. Ventura andM. L. Zeneroli 577

Diruetics-Potassium metabolism and ... admini-stration in liver cirrhosis . . . P. Vesin 545

Diurnal-. . . patterns of oral glucose tolerance indiabetics ... C. H. Walsh and A. D. Wright 169

Double-blind trial-A... of salmefamol, a newbronchodilator ... D. Bainbridge, G. J. R.McHardy, Margaret V. Hoare and C. H. Dash 627

Drug therapy-Clinical types and . .. of renalimpairment in cirrhosis . . . J. Rodes, J. Boschand V. Arroyo 492

Duodenal ulcer-The possibility of dietary pro-tective factors in ... F. I. Tovey, A. PaulJayaraj and C. G. Clark 366

Duodenum-Hodgkin's disease of the ... pre-senting with haemorrhage and perforation..K. D. Bardhan, Peter McArthur and ChristopherRigby 180

Dust-Absorption of lead from ... and soil ...D. Barltrop, C. D. Strehlow, I. Thornton andJ. S. Webb 801

Dwarfism Familial dwarfism: case report...S. Nader, J. A. Fisher, F. H. Doyle, K. Mashiterand G. F. Joplin 676

Ecology-Microbial ... of the female lower genitaltract during pregnancy ... John De Louvois,Valerie C. Stanley, Rosalinde Hurley, J. B. Jonesand J. E. B. Foulkes 156

Ectopic-. . . thymus of the neck-report of threeexamples in children ... C. T. Lewis 35

Effects-. . . of anticonvulsants and inactivity onbone disease in epileptics. . . L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Electrocardiogram-Phenothiazines and the...M. V. Jeeva Raj and R. Benson 65

Electrolyte disturbances-Natriuretic hormone-its possible role in fluid and . . . in chronic liverdisease ... Herbert J. Kramer 532

Endocrine aspects of anovulation ... H. S. Jacobs 209Endomyocardial biopsy-results of histological,

histochemical and ultrastructural analysis...E. G. Olsen 295

Endomyocardial biopsy-technique of: includinga description of a new form of endomyocardialbioptome ... P. J. Richardson 282

Endomyocardial biopsy-transvenous-applicationof a method for diagnosing heart disease...P. Caves, J. Coltart, M. Billingham, A. Riderand E. Stinson 286

Endomyocardial bioptome-technique ofendomyo-cardial biopsy-including a description of a newform of endomyocardial bioptome ... P. J.Richardson 282

Educational experience-Endemic cretinism-a continuous personal ... during 10 years ...A. Querido 591

Emphysema-Surgical emphysema, bilateral pneu-mothorax, pneumomediastinum and pneumo-peritoneum complicating intubation for anaes-thesia ... J. K. Scott and J. Viner 654

Endemic cretinism-a continuous personal edu-cational experience during 10 yearsA. Querido 591

Endocarditis-Spirillum endocarditis . . . C. S.McIntosh, P. J. Vickers and A. J. Isaacs 645

England (north-western) and north Wales A 6-year survey of human brucellosis in a rural areaof ... Pauline M. Poole 433

Eosinophilic-. . . granuloma of the ileum ...A. Myers, Daphne M. Humphreys and R. C. N.Williamson 99

Epileptics-Effects of anticonvulsants and in-activity on bone disease in . . . L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Epithelium, nasal-Objectivity in the classificationof tumours of the ... L. Michaels and V. J.Hyams 695

Erythematosus-Cryptococcal meningitis in steroid-treated systemic lupus ... M. Anees Khan andSidney Sbar 660

Erythematosus-Diffuse pulmonary fibrosis andbilateral pneumothoraces in systemic lupus...Anthony J. Richards, I. C. Talbot, D. R. Swinsonand E. B. D. Hamilton 851

Erythrocytes-Kinetics of lead interaction withhuman ... D. Barltrop and A. M. Smith 770

Escherichia coli-Significance of ... in upperrespiratory tract of children under 2 years of age... John D. Barrie and James B. Gallacher 373

Ethanol infusion-the effect of ... on the ultra-structure of human myocardium ... H. Kleinand D. Harmjanz 325

Excavating pulmonary metastases in carcinoma ofthe cervix ... M. G. Kirubakaran, B. M. Puli-mood and D. Ray 243

Excretion-Factors relating to sodium . . . inexperimental ascites ... L. M. Blendis 523

Exhaust-Uptake of inhaled lead from motor ...A. C. Chamberlain, W. S. Clough, M. J. Heard,D. Newton, A. N. B. Stott and A. C. Wells 790

*i.

viii Postgraduate Medical Journal

Failure-Consequences of acute renal failure rele-vant to hepatic failure. . M. J. Weston andS. P. Wilkinson 486

Failure-Pathogensis of renal failure in cir-rhosis and fulminant hepatic failure . .. S. P.Wilkinson, B. Portmann, D. Hurst and RogerWilliams 503

Failure-Renal ... and suprarenal calcificationafter secondary haemorrhagic disease in a new-born baby ... M. W. Moncrieff and H. Har-greaves 40

Failure, hepatic-Renal retention of sodium incirrhosis and fulminant ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Failure, hepatic-The role of renin in renalfailure associated with hepatic failure . I. K.Smith 506

Failure, liver-The significance of hyponatraemiain ... H. Ring-Larsen 542

Failure, renal-. . . in obstructive jaundice-clinical aspects ... J. L. Dawson 510

Failure, renal-. . . in obstructive jaundice-patho-genic factors . E. N. Wardle 512

Failure, renal-Use of dialysis in the treatment of... in liver disease ... Victor Parsons, S. P.Wilkinson and M. J. Weston 515

Fallot's tetralogy-Hypertrophic osteoarthropathyassociated with . . .: a case report . B. Olu.George and J. Olu. Mabayoje 648

Familial dwarfism-case report. . . S. Nader,F. H. Doyle, J. A. Fisher, K. Mashiter andG. F. Joplin 676

Fat necrosis-Traumatic pancreatitis with peri-pheral fat necrosis ... K. M. Cochran, J. R.Mason and J. S. H. Davidson 457

Fatal neonatal meningitis due to Group B strep-tocci ... B. Chattopadhyay 240

Fatigue-Muscle ... R. H. T. Edwards 137Fatty acid-Effect of hypocalcaemia on glucose

tolerance, insulin release and free. . . levels inhuman subjects ... S. Bansal, S. N. A. Rizvi,M. B. Rao and H. Vaishnava 471

Fetal maturity-. . . and morbidity as related toplacental weight and secondary ossification ...J. Pryse-Davies 727

Fertility-recent advances in the treatment of malesub-fertility . . . P. Bye 215

Fetoplacental unit-monitoring the .., the fetusA. Klopper 227

Fetoplacental unit-monitoring the. .-the pla-centa . . . T. Chard 221

Fetus-monitoring the fetoplacental unit-thefetus ... A. Klopper 227

Fibrillation-Atrial ... and hyperthyroidism: anew look at their relationship and therapy withlidoflazine ... K. Bruyneel, H. Verhaegen andCh. De Vil 4

Fibrosis-Diffuse pulmonary . . . and bilateralpneumothoraces in systemic lupus erythema-tosus ... Anthony J. Richards, I. C. Talbot,D. R. Swinson and E. B. D. Hamilton 851

Flora-The ... of the respiratory tract in chronicdisease ... J. Robert May 144

Fluid and electrolyte disturbances-Natriuretichormone-its possible role in . .. in chronic liverdisease ... Herbert J. Kramer 532

Fluid, ascitic-Concentration-reinfusion (CR) of... in the treatment of decompensated livercirrhosis with diuretic-resistant ascites . . . E.Ventura and M. L. Zeneroli 577

Fluid, peritoneal-Treatment of ascites by rein-fusion of concentrated .. .: Review of 318 pro-cedures in 210 patients . . . V. G. Levy, P.Opolon, N. Pauleau and J. Caroli 564

Food hygiene-. . . and travel at sea ... BettyC. Hobbs, M. J. Colbourne and P. E. Mayner 817

Forced alkaline diuresis-. . . for lithium intoxica-tion ... John A. H. Forrest 189

Fulminant hepatic failure-Pathogenesis of renalfailure in cirrhosis and. . . S. P. Wilkinson, B.Portmann, D. Hurst and Roger Williams 503

Fulminant hepatic failure-Renal retention ofsodium in cirrhosis and ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Fulminating-Leukaemoid reactions associatedwith ... ulcerative colitis ... B. T. Colvin,M. J. Lancaster-Smith, A. J. Suggett and D. J. H.Fisher 178

Functional renal failure (FRF)-. . . in cirrhosis ofthe liver and liver carcinoma . .. P. Vesin andH. Traverso 489

Gangrene, peripheral-. . . in polycythaemia vera.... Paul Getaz, Peter Jacobs and Jannie H.Louw. 733

Gastric-The effect of intravenous Aminoplex 5 onserum gastrin and ... secretion ... K. Chatamra,J. I. MacNaughton, H. W. S. Pigott and C.Wastell I

Gastric carcinoma-. . . and Turner's syndrome... D. Siegler 411

Gastrin-The effect of intravenous Aminoplex 5 onserum ... and gastric secretion ... K. ChatamraJ. I. MacNaughton, H. W. S. Pigott and C.Wastell I

Gene-The case of the illegitimate .. R. J.Crane 637

General surgery-Review of. . 1974. . . H. Ellis 121Genital tract-Microbial ecology of the female

lower ... during pregnancy ... John De Lou-vois, Valerie C. Stanley, Rosalinde Hurley, J. B.Jones and J. E. B. Foulkes 156

Glucose-Diurnal patterns of oral ... tolerancein diabetics ... C. H. Walsh and A. D. Wright 169

Glucose tolerance-Effect of hypocalcaemia on... . insulin release and free fatty acid levels inhuman subjects ... S. Bansal, S. N. A. Rizvi,M. B. Rao and H. Vaishnava 471

Gonadal tumour formation-malignant-in inter-sexual states . .. H. W. S. Pigott 252

Granuloma-Eosinophilic ... of the ileum ...A. Myers, Daphne M. Humphreys and R. C. N.Williamson 99

Index to Volume 51

Granulomas. . . of the liver ... E. Neville, K. H. G.Piyasena and D. Geraint James 361

Granulomata-Sarcoidosis presenting with multipletattoo ... J. M. I. Iveson, J. A. Cotterill andV. Wright 670

Guillain-Barre syndrome-Severe ... followingurethritis with cardiovascular and ophthalmicinvolvement ... A. J. Marshall and F. ElizabethRogerson 643

Haematemesis-Testicular tumour presenting as... M. R. Lock 857

Haemodialysis, intermittent-Carpal tunnel syn-drome in patients on ... D. J. Warren and L. S.Otieno 450

Haemangioblastoma, cerebellar-The diagnosticproblem of multiple intracranial tumours-casereport of a pituitary chromophobe adenoma and... P. D. Mohr, J. M. Anderson, P. Fletcherand J. M. Jefferson 423

Haemoglobin synthesis-Lead and...: a review... J. M. White 755

Haemolysis-associated with diazoxide, used forthe control of hypertension ... R. A. Best andH. M. Clink 402

Haemolytic anaemia, autoimmune-and ulcerativecolitis . . . D. W. Gorst, M. J. Leyland andI. W. Delamore 409

Haemorrhage-Hodgkin's disease of the duodenumpresenting with ... and perforation ... K. D.Bardhan, Peter McArthur and ChristopherRigby 180

Haemorrhage-Intramural intestinal...: a com-plication of anticoagulant therapy ... J. E.Hale 107

Haemorrhagic-Renal failure and suprarenalcalcification after secondary. . disease in anewborn baby ... M. W. Moncrieff and H. Har-greaves 40

Haemorrhoids-postulated pathogenesis and pro-posed prevention.... D. P. Burkitt and C. W.Graham-Stewart 631

Heart disease-transvenous endomyocardial biopsy-application of a method for diagnosing heartdisease ... P. Caves, J. Coltart, M. Billingham,A. Rider and E. Stinson 286

Heart-human-distribution of digoxin in the ...D. J. Coltart, H. G. Gullner, M. Billingham,R. H. Goldman, E. H. Stinson, S. M. Kalmanand D. C. Harrison 330

Hepatic failure-Consequences of acute renalfailure relevant to. . M. J. Weston and S. P.Wilkinson 486

Hepatic failure-Pathogenesis of renal failure incirrhosis and fulminant ... S. P. Wilkinson,B. Portmann, D. Hurst and Roger Williams 503

Hepatic failure-Renal retention of sodium in cir-rhosis and fulminant hepatic failure. . S. P.Wilkinson, Helen Moodie, A. Alam and RogerWilliams 527

Hepatic failure-The role of renin in renal failureassociated with hepatic failure . .. I. K. Smith 506

Hepatitis-The association of syphilis with cir-rhosis: the role of alcohol and serum...F. Sadikali 69

High speed travel-Some problems of... D. C.Reader 848

Hirsutism ... D. R. London 236Histochemical-results of endomyocardial biopsy:

histological, histochemical and ultrastructuralanalysis ... E. G. J. Olsen 295

Histochemistry-The role of ... in increasing ob-jectivity in histopathology ... A. G. E. Pearse 708

Histological-results of endomyocardial biopsy:histological, histochemical and ultrastructuralanalysis ... E. G. J. Olsen 295

Histological diagnosis-Agreement and disagree-ment between pathologists in ... H. A. Sissons 685

Histopathology-Computer-aided analyses in diag-nostic ... Ivor R. H. Kramer 690

Histopathology-The role of histochemistry in in-creasing objectivity in ... A. G. E. Pearse 708

Hodgkin's disease-. . . of the duodenum present-ing with haemorrhage and perforation ... K. D.Bardhan, Peter McArthur and Christopher Rigby 180

Hormone, antidiuretic-Inappropriate secretion of... in pneumonia ... Richard Charles andJ. Russell Rees 663

Hormonal mechanisms in the onset of puberty ...R. S. Swerdloff and W. M. Odell 200

Hormone-The response to luteinizing hormone-releasing ... in normal men ... M. Shahmanesh,A. R. Boyns, M. Ellwood, G. V. Groom, E.Nelson and M. Hartog 59

Hormone-The role of luteinizing hormone-re-leasing hormone in the diagnosis of constitutionaldelayed puberty. . Julius Sagel, Larry A.Distiller and Barry I. Joffe 611

Hormone, natriuretic-. . . its possible role in fluidand electrolyte disturbances in chronic liverdisease.... Herbert J. Kramer 532

Hormone-releasing-The response to luteinizing... hormone in normal men ... M. Shah-manesh, A. R. Boyns, M. Ellwood, G. V. Groom,E. Nelson and M. Hartog 59

Human brain-Cell counting in the...: Tradi-tional and electronic methods . . . J. A. N.Corsellis, R. L. Alston and A. K. H. Miller 722

Human brucellosis-A 6-year survey of. . in arural area on north-western England and northWales ... Pauline M. Poole 433

Human erythrocytes-Kinetics of lead interactionwith human erythrocytes ... D. Barltrop andA. M. Smith 770

Hygiene-Food hygiene and travel at sea.Betty C. Hobbs, M. J. Colbourne and P. E.Mayner 817

Hypercalcaemia-Hypocalcaemic response to strep-tomycin in malignant ... W. E. Roediger, D.Ludwin and R. A. Hinder 399

Hypocalcaemic response-to streptomycin in malig-nant hypercalcaemia ... W. E. W. Roediger,D. Ludwin and R. A. Hinder 399

1X

x Postgraduate Medical Journal

Hyperlipidaemia-Polymeric IgA myeloma,..and xanthomatosis: a further case and review ...P. J. Roberts-Thomson, G. S. Venables, A. C.Onitiri and B. Lewis 44

Hyperosmolal coronary perfusion-the effect of... on the haemodynamic, metabolic and ultra-structural changes of myocardial anoxia...N. Brachfield, J. Christodoulou, R. Erlandsonand C. Smithen 299

Hyperparathyroidism, primary-Diabetes mellitusand ... C. H. Walsh, N. G. Soler and J. M.Malins 446

Hypertension-Haemolysis associated with di-azoxide, used for the control of ... R. A. Bestand H. M. Clink 402

Hyperthyroidism-Atrial fibrillation and...: anew look at their relationship and therapy withlidoflazine ... K. Bruyneel, H. Verhaegen andCh. De Vil 4

Hypertrophic osteoarthropathy ... associatedwith Fallot's tetralogy-a case report . . . B.Olu. George and J. Olu. Mabayoje 648

Hypocalcaemia-Effect of ... on glucose tolerance,insulin release and free fatty acid levels in humansubjects ... S. Bansal, S. N. A. Rizvi, M. B.Rao and H. Vaishnava 471

Hypoglycaemia-Ketotic ... of childhood....A. M. Pierides, J. Anderson and J. M. Stansfeld 737

Hypokalaemia-Watery diarrhoea and ... asso-ciated with a phaeochromocytoma ... C. A.Lehry, J. G. C. Kingham and P. J. Whorwell 416

Hyponatraemia in liver failure-The significanceof ... H. Ring-Larsen 542

Hypothalamic-pituitary-abscess ... P. D. Mohr 468Hypothyroidism, transient-. . . after withdrawal

of thyroxin therapy.... L. A. Distiller andB. I. Joffe 665

Idiosyncrasy-Prostaglandin levels in blood plasmaduring asthmatic attacks in patients with aspirin... J. C. Delaney, J. B. Smith and M. J. Silver 15

Ileum-Eosinophilic granuloma of the ... A.Myers, Daphne M. Humphreys and R. C. N.Williamson 99

Illegitimate gene-The case of the ... R. J. Crane 637Inactivity-Effects of anticonvulsants and ... onbone disease in epileptics. . . L. E. Murchison,P. D. Bewsher, M. Chesters, J. Gilbert, G. Catto,E. Law, E. McKay and H. S. Ross 18

Infections-Respiratory virus ... in travellers ...D. A. J. Tyrrell 843

Infectious diseases-fortieth and final annual reviewof significant publications . .. Hobart A. Rei-mann 600

Inhaled lead-Uptake of ... from motor exhaust.. . . A. C. Chamberlain, W. S. Clough, M. J.Heard, D. Newton, A. N. B. Scott and A. C.Wells 790

Insulin levels-Urinary insulin levels in health anddisease-a concise review.... Frederico Aun,

Michael M. Meguid, J. Stuart Soeldner andNoedir A. G. Stolf 622

Insulin release-Effect of hypocalcaemia on glucosetolerance, and free fatty acid levels in humansubjects ... S. Bansal, S. N. A. Rizvi, M. B.Rao and H. Vaishnava 471

Intersexual states-malignant gonadal tumourformation in ... H. W. S. Pigott 252

Intestinal-Intramural ... haemorrhage: a com-plication of anticoagulant therapy . .. J. E. Hale 107

Intestinal biopsy-. . . in childhood coeliac disease,Small ... R. A. Risdon, E. A. Meinhard, D. G.Wadbrook and J. W. Keeling 716

Intoxication-Vick vapour rub ... J. M. DuckhamandH.A.Lee 115

Intoxication-water-associated with oxytocin in-fusion ... A. J. Ahmad, E. H. Clark and H. S.Jacobs 249

Intracranial tumours, multiple-The diagnosticproblem of . . .-case report of a pituitary chro-mophobe adenoma and cerebellar haemangio-blastoma ... P. D. Mohr, J. M. Anderson, P.Fletcher and J. M. Jefferson 423

Intramural-. . . intestinal haemorrhage: a com-plication of anticoagulant therapy . .. J. E. Hale 107

Intravenous-The effect of ... Aminoplex 5 onserum gastrin and gastric secretion . . . K.Chatamra, J. I. MacNaughton, H. W. S. Pigottand C. Wastell 1

Intravenous-. . . trimethoprim/sulphadimidine inthe treatment of Bacteroides septicaemia .

Gillian M. Hanson and R. L. Woods 105Introduction-. . . to 'Travel. Is it safe?' . . .

J. M. Medlock 815Intubation for anaesthesia-Surgical emphysema,

bilateral pneumothorax, pneumomediastinumand pneumoperitoneum complicating ... J. K.Scott and J. Viner 654

Jaundice-Renal failure in obstructive jaundice-clinical aspects ... J. L. Dawson 510

Jaundice-Renal failure in obstructive jaundice-pathogenic factors ... E. N. Wardle 512

Jaundice-Secondary syphilis presenting with...B. K. Bhowmick, B. Simpson and S. P. B. Way 412

Ketotic-. .. hypoglycaemia of childhood ...A. M. Pierides, J. Anderson and J. M. Stansfeld 737

Kinetics-. . . of lead interaction with humanerythrocytes ... D. Barltrop and A. M. Smith 770

Lactate-Methoxy-9-ellipticine ... in refractoryacute myeloid leukaemia ... B. M. Ansari andE. N. Thompson 103

Index to Volume 51 xi

Lactation and the physiology of prolactin secretion... A. S. McNeilly 231

L-dopa ... and carbidopa (sinemet) in the manage-ment of Parkinsonism .. . Edmund Critchley 619

Lead-Absorption of . .. from dust and soil . . .

D. Barltrop, C. D. Strehlow, I. Thornton andJ. S. Webb 801

Lead-. . . and haemoglobin synthesis: a review... J. M. White 755

Lead-. . . and the mitochondrion . . . Michael R.Moore 760

Lead-. . . in the teeth during the perinatal period... A. J. Burkitt, G. Nickless and M. V. Stack 778

Lead-Review of recent advances of lead in clinicalresearch ... A. Goldberg 747

Lead-The effect of ... on the red cell membrane... H. S. Selhi and J. M. White 765

Lead-Uptake of inhaled ... from motor exhaust... A. C. Chamberlain, W. S. Clough, M. J.Heard, D. Newton, A. N. B. Stott and A. C.Wells 790

Lead-203-Cyclotron produced ... P. L. Horlock,M. L. Thakur and I. A. Watson 747

Lead absorption-The influence of nutritionalfactors on ... D. Barltrop and H. E. Khoo 795

Lead compounds-Absorption of different...D. Barltrop and F. Meek 805

Lead interaction with human erythrocytes-Kinetics of ... D. Barltrop and A. M. Smith 770

Lead poisoning-Current status of childhood ...Donald Barltrop 776

Lead poisoning in children-The current status of... F. W. Alexander 780

Lead pollution problem-The current ... P. S. I.Barry 783

Leg-Prevalences of ... and chest abnormalities infour South African schoolchild populations withspecial reference to vitamin D status .

Barbara D. Richardson and A. R. P. Walker 22Leukaemia-Methoxy-9-ellipticine lactate in re-

fractory acute myeloid ... B. M. Ansari andE. N. Thompson 103

Leukaemoid-. . . reactions associated with ful-minating ulcerative colitis. . . B. T. Colvin,M. J. Lancaster-Smith, A. J. Suggett and D. J. H.Fisher 178

Levels-Prostaglandin ... in blood plasma duringasthmatic attacks in patients with aspirin idio-syncrasy ... J. C. Delaney, J. B. Smith andM. J. Silver 15

Lidoflazine-Atrial fibrillation and hyperthy-roidism: a new look at their relationship andtherapy with ... K. Bruyneel, H. Verhaegen andCh. De Vil 4

Lipid-Serum ... changes following the completedstroke syndrome ... F. D. Hollanders, J. Shafarand P. Burton 386

Listeriosis-Neonatal ... S. Variend and I. Blu-menthal 96

Lithium intoxication-Forced alkaline diuresis for. . .John A. H. Forrest 189

Liver-Concentration-reinfusion (CR) of asciticfluid in the treatment of decompensated liver

cirrhosis with diuretic-resistant ascitesE. Ventura and M. L. Zeneroli 577

Liver-Functional renal failure (FRF) in cirrhosisof the liver and liver carcinoma . .. P. Vesinand H. Traverso 489

Liver-Granulomas of the ... E. Neville, K. H. G.Piyasena and D. Geraint James 361

Liver-Potassium metabolism and diuretics admini-stration in liver cirrhosis . . . P. Vesin 545

Liver disease-Asymptomatic autoimmune. .. inscleroderma ... M. M. Gupta, T. W. Warnesand L. Watson 185

Liver disease-Natriuretic hormone-its possiblerole in fluid and electrolyte disturbances inchronic ... Herbert J. Kramer 532

Liver disease-Use of dialysis in the treatment ofrenal failure in . . . Victor Parsons, S. P. Wilkin-son and M. J. Weston 515

Liver disease, chronic-Renal tubular acidosis in... Peter L. Golding 550

Liver failure-The significance of hyponatraemia in... H. Ring-Larsen 542

Long term-Bumetanide-acute and . .. studies ofa new high potency diuretic ... W. R. Murdochand W. H. R. Auld 10

Lung disease-Objectivity and quantification in... Lynne Reid 711

Lupus erythematosus-Cryptococcal meningitis insteroid-treated systemic . .. M. Anees Khan andSidney Sbar 660

Lupus erythematosus-Diffuse pulmonary fibrosisand bilateral pneumothoraces in systemic.Anthony J. Richards, I. C. Talbot, D. R. Swin-son and E. B. D. Hamilton 851

Luteinizing hormone-releasing hormone-. . . innormal men. The response to ... M. Shahmanesh,A. R. Boyns, M. Ellwood, G. V. Groom, E.Nelson and M. Hartog 59

Luteinizing hormone-releasing hormone-. . . inthe diagnosis of constitutional delayed puberty.The role of . .. Julius Sagel, Larry A. Distillerand Barry I. Joffe 611

Lymphocytes and immune lymphocytes-Trans-plantation of ... in sarcoidosis and in malignantlymphadenomas ... J. Kohout 396

Male sub-fertility-recent advances in the treat-mentof ... P.Bye 215

Malignant gonadal tumour formation in inter-sexual states ... H. W. S. Piggott 252

Malignant lymphadenomas-. . . and sarcoidosis.Transplantation of lymphocytes and immunelymphocytes in .. . J. Kohout 396

Mammals-sex determination and differentiationin: hints from nature . .. P. E. Polani 199

Man-Metabolic responses to selective r-adren-ergic stimulation in ... R. Goldberg, M. van As,B. I. Joffe, L. Krut, I. Bersohn and H. C.Seftel 53

xii Postgraduate Medical Journal

Maturity-Fetal . . . and morbidity as related toplacental weight and secondary ossification ..

J. Pryse-Davies 727Mediastinal-Problems in the management of ...tumours ... R. C. Lallemand and J. R. W.Keates 89

Mellitus, Diabetes-and primary hyperparathy-roidism ... C. H. Walsh, N. G. Soler and J. M.Malins 446

Membrane-The effect of lead on the red cell ...H. S. Selhi and J. M. White 765

Membrane-plasma-in cardiomyopathy . . .

W. G. Mayley and W. Burian 350Men-The response to luteinizing hormone-re-

leasing hormone in normal ... M. Shahmanesh,A. R. Boyns, M. Ellwood, G. V. Groom, E. Nel-son and M. Hartog 59

Meningitis, cryptococcal-. . . in steroid-treatedsystemic lupus erythematosus . . . M. AneesKhan and Sidney Sbar 660

Meningitis-fatal neonatal meningitis due to GroupB streptococci ... B. Chattopadhyay 240

Mercury vapour-A case of acute . . . poisoning.... C. J. Eastmond and S. Holt 428

Metabolic-. . . responses to selective 3-adrenergicstimulation in man ... R. Goldberg, M. van As,B. I. Joffe, L. Krut, I. Bersohn and H. C. Seftel 53

Metabolism, potassium-. . . and diuretics admini-stration in liver cirrhosis . . . P. Vesin 545

Metastases in carcinoma of the cervix-excavatingpulmonary ... M. G. Kirubakaran, B. M. Pul-mimood and D. Ray 243

Metastases, skin-. . . in carcinoma of the stomach... B. A. Adam and R. Murugasu 419

Methoxy-9-ellipticine-. . . lactate in refractoryacute myeloid leukaemia . .. B. M. Ansari andE. N. Thompson 103

Methylsalicylate-the cardiomyopathy associatedwith ... H. P. Ojiambo 344

Microbial-. . . ecology of the female lower genitaltract during pregnancy ... John De Louvois,Valerie C. Stanley, Rosalinde Hurley, J. B. Jonesand J. E. B. Foulkes 156

Microhabitat-Skin as a . .. W. C. Noble 151Migrainous neuralgia, periodic-associated with an

arteriovenous malformation ... A. L. Thomas 460Mitochondrion-Lead and the ... Michael R.Moore 760

Mitral (Starr-Edwards) prosthesis-The phono-cardiogram in a partially detached ... M. V.Jeeva Raj, C. R. A. Clarke and H. A. Fleming 731

Mobility explosion-Sexually transmitted diseasesand the . .. R. D. Catterall 838

Monitoring the fetoplacental unit-the fetus .

A. Klopper 227Monitoring the fetoplacental unit-the placenta

... T. Chard 221Morbidity-Fetal maturity and . .. as related to

placental weight and secondary ossification..J. Pryse-Davies 727

Mononucleosis-Cytomegalovirus ... with urti-caria.... Daphne M. Humphreys and AllanMyers 404

Motor exhaust-Uptake of inhaled lead from ...A. C. Chamberlain, W. S. Clough, M. J. Heard,D. Newton, A. N. B. Stott and A. C. Wells 790

Multiple sclerosis-Evolution of baclofen (Lioresal)for spasticity in . . . D. W. Hedley, J. A. Marounand Michael L. E. Espir 615

Muscle-cardiac-new approach in studyingcardiac muscle cell injury . . . G. Rona, M.Boutet and I. Huttner 334

Muscle-. . . fatigue ... R. H. T. Edwards 137Mycoplasma pneumoniae-A brainstem syndrome

associated with ... infection-a report of twocases . .. S. J. Jackuck, C. Gardner-Thorpe,F. Clark and J. B. Foster 475

Myeloid-Methoxy-9-ellipticine lactate in refractoryacute ... leukaemia ... B. M. Ansari and E. N.Thompson 103

Myeloma-Polymeric IgA . . ., hyperlipidaemia andxanthomatosis: a further case and review...P. J. Roberts-Thomson, G. S. Venables, A. C.Onitiri and B. Lewis 44

Myocardial anoxia-the effects of hyperosmolalcoronary perfusion on the haemodynamic meta-bolic and ultrastructural changes of myocardialanoxia ... N. Brachfield, J. Christodoulou, R.Erlandson and C. Smithen 299

Myocardial biopsy-problems of ... D. Harm-janz 291

Myocardium-human-effect of ethanol infusionon the ultrastructure of human myocardium ...H. Klein and D. Harmjanz 311

Myopathy-Reversible ... induced by clofibrate... D. Geltner, M. Shapiro and M. Chaco 184

Myositis-an unusual case of spontaneous bac-terial myositis . .. R. H. P. Williams and P.Thomas 255

Myxoedema-thyrotoxic pretibial ... in Asianpatients in Singapore . .. C. W. Kee and J. S.Cheah 407

Nasal epithelium-Objectivity in the classificationof tumours of the ... L. Michaels and V. J.Hyams 695

Natriuretic hormone-. . . its possible role in fluidand electrolyte disturbances in chronic liverdisease ... Herbert J. Kramer 532

Neck-Ectopic thymus of the .. .-report of threeexamples in children . .. C. T. Lewis 35

Necrosis, fat-Traumatic pancreatitis with peri-pheral ... K. M. Cochran, J. R. Mason andJ. S. H. Davidson 457

Neonatal-fatal neonatal meningitis due to GroupB streptocci ... B. Chattopadhyay 240

Neonatal-. . . listeriosis ... S. Variend and I.Blumenthal 96

Neuralgia-Periodic migrainous ... associated withan arteriovenous malformation . . . A. L.Thomas 460

Neurosurgery-in the older patient ... Ian Stew-art, Paul Millac and R. H. Shephard 453

Index to Volume 51

Newborn-Renal failure and suprarenal calcifica-tion after secondary haemorrhagic disease in a... baby ... M. W. Moncrieff and H. Har-greaves 40

Neuritis-optic, and smoking ... G. D. Perkin,P. Bowden and F. Clifford Rose 382

Nitrogen-A method of determining daily...requirements ... H. A. Lee and T. F. Hartley 441

Normal-The response to luteinizing hormone-re-leasing hormone in ... men ... M. Shahmanesh,A. R. Boyns, M. Ellwood, G. V. Groom, E. Nel-son and M. Hartog 59

Norwegian scabies-. . following topical steroidtherapy ... Roger Clayton and Simon Farrow 657

Nutritional factors-The influence of. . . on leadabsorption ... D. Barltrop and H. E. Khoo 795

Obituary-Ian Gilliland 589Objectivity-. . . and quantification in lung disease

... Lynne Reid 711Objectivity-The role of histochemistry in in-

creasing . . . in histopathology... A. G. E.Pearse 708

Objectivity in the classification of tumours of thenasal epithelium. . L. Michaels and V. J.Hyams 695

O,P-DDD-Treatment of an adrenal corticalcarcinoma with a combination of ... and amino-glutethimide ... R. D. M. Scott 35

Obstructive jaundice-clinical aspects. . Renalfailure in ... J. L. Dawson 510

Obstructive jaundice-Renal failure in obstructivejaundice-pathogenic factors .. . E. N. Wardle 512

Ophthalmic involvement-Severe Guillain-Barresyndrome following urethritis with cardiovascularand ... A. J. Marshall and F. Elizabeth Rogerson 643

Optic neuritis-Smoking and ... G. D. Perkin,P. Bowden and F. Clifford Rose 382

Oral contraception-Pancreatitis, multiple infarctsand ... M. E. Foster and D. E. B. Powell 667

Ossification, secondary-Fetal maturity and morbi-dity as related to placental weight and . .. J.Pryse-Davies 727

Osteoarthropathy-Hypertrophic . . . associatedwith Fallot's tetralogy-a case report . . . B. Olu.George and J. Olu. Mabayoje 648

Osteomyelitis-Pseudomonas ... following punc-ture wounds ... A. E. MacKinnon 33

Oxprenolol-The effects of adrenergic P-blockadewith ... on peripheral metabolism ... A. C.Asmal, A. J. Coleman and W. P. Leary 173

Oxytocin infusion-water intoxication associatedwith ... A. J. Ahmad, E. H. Clark and H. S.Jacobs 249

Pancreatitis-. . . and the pill ... I. P. F. Mungall,and R. V. Hague

Pancreatitis-multiple infarcts and oral contracep-tion ... M. E. Foster and D. E. B. Powell 667

Pancreatitis, traumatic-with peripheral fat ne-crosis ... K. M. Cochran, J. R. Mason andJ. S. H. Davidson 457

Parkinsonism-L-dopa and carbidopa (sinemet) inthe management of ... Edmund Critchley 619

Pathogenesis-Haemorrhoids-postulated ... andproposed prevention ... D. P. Burkitt and C.W. Graham-Stewart 631

Pathogenesis-. . . of renal failure in cirrhosis andfulminant hepatic failure ... S. P. Wilkinson,B. Portmann, D. Hurst and Roger Williams 503

Pathogenic factors-. . . in renal failure in obstruc-tive jaundice ... E. N. Wardle 512

Pathological recognition of cardiomyopathy-. . .

E. G. J. Olsen 277Pathologists-Agreement and disagreement between

... in histological diagnosis ... H. A. Sissons 685Patients-Prostaglandin levels in blood plasma

during asthmatic attacks in . .. with aspirinidiosyncrasy ... J. C. Delaney, J. B. Smith andM. J. Silver 15

Perforation-Hodgkin's disease of the duodenumpresenting with haemorrhage and ... K. D.Bardhan, Peter McArthur and ChristopherRigby 180

Perfusion-the effects of hyperosmolal coronaryperfusion on the haemodynamic, metabolic andultrastructural changes of myocardial anoxia... N. Brachfield, J. Christodoulou, R. Erland-son and C. Smithen 299

Perinatal period-Lead in the teeth during the ...A. J. Burkitt, G. Nickless and M. V. Stack 778

Peripheral gangrene-. . . in polycythaemia vera... Paul Getaz, Peter Jacobs and Jannie H. Louw 733

Peripheral metabolism-The effects of adrenergicr3-blockade with oxprenolol on ... A. C. Asmal,A. J. Coleman and W. P. Leary 173

Peritoneal fluid-Treatment of ascites by reinfusionof concentrated ...: review of 318 procedures in210 patients ... V. G. Levy, P. Opolon, N.Pauleau and J. Caroli 564

Phaeochromocytoma-Watery diarrhoea and hypo-kalaemia associated with a ... C. A. Loehry,J. G. C. Kingham and P. J. Whorwell 416

Phenothiazines-. . . and the electrocardiogram... M. V. Jeeva Raj and R. Benson 65

Phonocardiogram-The ... in a partially detachedmitral (Starr-Edwards) prosthesis ... M. V.Jeeva Raj, C. R. A. Clarke and H. A. Fleming 731

Physiology of prolactin secretion-lactation and... A. S. McNeilly 231

Physiology-Prostaglandins in reproductive...Gillian M. Craig 74

Pilgrimages-Problems of ... R. J. Henderson 845Pill-Pancreatitis and the ... I. P. F. Mungall and

R. V. Hague 855Pituitary-Hypothalamic-. . . abscess ... P. D.Mohr 468

Pituitary-Primary thyroid failure presenting as a... tumour ... P. Daggett, P. Harsoulis, S. F.Kuku, E. E. Pearse and T. R. Fraser 85

.x.i.

Postgraduate Medical Journal

Pituitary chromophobe-The diagnostic problemof multiple intracranial tumours-case report ofa ... adenoma and cerebellar haemangioblas-toma.... P. D. Mohr, J. M. Anderson, P.Fletcher and J. M. Jefferson 423

Placenta-monitoring the fetoplacental unit-theplacenta ... T. Chard 221

Placental weight and secondary ossification-Fetalmaturity and morbidity as related to ... J. Pryse-Davies 727

Plasma-Prostaglandin levels in blood .., duringasthmatic attacks in patients with aspirin idio-syncrasy ... J. C. Delaney, J. B. Smith and M. J.Silver 1 5

Plasma membrane in cardiomyopathy ... W. G.Mayler and W. Burian 350

Pneumomediastinum-Surgical emphysema, bi-lateral pneumothorax, pneumomediastinum and... complicating intubation for anaesthesia.... J. K. Scott and J. Viner 654

Pneumonia-Inappropriate secretion of anti-diuretic hormone in ... Richard Charles andJ. Russell Rees 663

Pneumoperitoneum-Surgical emphysema, bi-lateral pneumothorax, pneumomediastinum and... complicating intubation for anaesthesia ...J. K. Scott and J. Viner 654

Pneumothoraces-Diffuse pulmonary fibrosis andbilateral ... in systemic lupus erythematosus.. . . Anthony J. Richards, I. C. Talbot, D. R.Swinson and E. B. D. Hamilton 851

Pneumothorax-Surgical emphysema, bilateral . . .,pneumomediastinum and pneumoperitoneumcomplicating intubation for anaesthesia.J. K. Scott and J. Viner 654

Poikiloderma atrophicans vasculare-as a pointer toreticulosis of the skin ... Robert S. Chapmanand C. Jose Paul 463

Poisoning-A case of acute mercury vapour...C. J. Eastmond and S. Holt 428

Poisoning-Current status of childhood lead...Donald Barltrop 776

Poisoning-The current status of lead ... in chil-dren ... F. W. Alexander 780

Pollution problem-The current lead ... P. S. I.Barry 783

Polycythaemia vara-Peripheral gangrene in... Paul Gdtaz, Peter Jacobs and Jannie H.Louw 733

Polymeric IgA-. . . myeloma, hyperlipidaemiaand xanthomatosis: a further case and review ...P. J. Roberts-Thomson, G. S. Venables, A. C.Onitiri and B. Lewis 44

Polyneuropathy-rubella ... I. W. Tomlinson 30Popliteal cyst, ruptured-. . . simulating deep vein

thrombosis with false positive radiofibrinogenuptake ... D. Gibbons, M. Phillips and IreneM. Prossor 735

Populations-Prevalences of leg and chest abnor-malities in four South Arican schoolchild...with special reference to vitamin D status.Barbara D. Richardson and A. R. P. Walker 22

Portacaval anastomosis, effect of-. . . on renalblood flow in cirrhosis-preliminary results.H. Ring-Larsen, B. Hesse and B. Stigsby 499

Potassium metabolism-. . . and diuretics admini-stration in liver cirrhosis . . . P. Vesin 545

Precipitating-. . . antibody in the sputum inchronic respiratory disease . .. C. W. Clarke 147

Pregnancy-Microbial ecology of the female lowergenital tract during . .. John De Louvois,Valerie C. Stanley, Rosalinde Hurley, J. B. Jonesand J. E. B. Foulkes 156

Potency-Bumetanide-acute and long term studiesof a new high ... diuretic ... W. R. Murdochand W. H. R. Auld 10

Pretibial myxoedema, thyrotoxic-in Asian patientsin Singapore ... C. W. Kee and J. S. Cheah 407

Prevalences-. . . of leg and chest abnormalities infour South African schoolchild populations withspecial reference to vitamin D status ... BarbaraD. Richardson and A. P. R. Walker 22

Prevention-Haemorrhoids-postulated patho-genesis and proposed prevention ... D. P.Burkitt and C. W. Graham-Stewart, 631

Priapism-The treatment of . . . by corpus-saphenous by-pass ... R. J. E. Foley and L. R.De Jode 42

Primary-. . . biliary cirrhosis in brothers ...R. Bown, M. L. Clark and D. Doniach 110

Primary-. . . thyroid failure presenting as a pitui-tary tumour ... P. Daggett, P. Harsoulis, S. F.Kuku, E. E. Pearse and T. R. Fraser 85

Prognostic-. . . factors in the rehabilitation ofpatients with spinal problems... Alan E.Richardson and Annemarie D. Tupper 161

Prolactin secretion-lactation and the physiologyof ... A. S. McNeilly 231

Prostaglandin-. . . levels in blood plasma duringasthmatic attacks in patients with aspirin iodio-syncrasy . . . J. C. Delaney, J. B. Smith and M. J.Silver 15

Prostaglandins-. . . in reproductive physiology ...Gillian M. Craig 74

Prosthesis-The phonocardiogram in a partiallydetached mitral (Starr-Edwards) .. . M. V. JeevaRaj, C. R. A. Clarke and H. A. Fleming 731

Pseudomonas-. . . osteomyelitis following punc-ture wounds ... A. E. MacKinnon 33

Psychological-Transient ... syndrome followingdiazepam therapy for tetanus.... J. Malatinsky,M. Prochazka and T. Kadlic 860

Puberty-hormonal mechanisms in the onset of ...R. S. Swerdloff and W. M. Odell 200

Puberty-The role of luteinizing hormone-releasinghormone in the diagnosis of constitutional de-layed puberty ... Julius Sagel, Larry A. Distillerand Barry I. Joffe 611

Pulmonary fibrosis-Diffuse . . . and bilateralpneumothoraces in systemic lupus erythematosus.... Anthony J. Richards, I. C. Talbot, D. R.Swinson and E. B. D. Hamilton 851

Pulmonary metastases-excavating- in carcinomaof the cervix ... M. G. Kirubakaran, B. M.Pulimood and D. Ray 243

xiv

Index to Volume 5I xv

Puncture-Pseudomonas osteomyelitis following... wounds ... A. E. MacKinnon 33

Quantification-Objectivity and . . in lungdisease . . . Lynne Reid 711

Radiofibrinogen uptake-Ruptured popliteal cystsimulating deep vein thrombosis with false posi-tive ... D. Gibbons, M. Phillips and Irene M.Prossor 735

Red cell membrane-The effect of lead on the ...H. S. Selhi and J. M. White 765

Refractory-Methoxy-9-ellipticine lactate in ...

acute myeloid leukaemia . .. B. M. Ansari andE. N. Thompson 103

Rehabilitation-Prognostic factors in the. . ofpatients with spinal problems . .. Alan E.Richardson and Annemarie D. Tupper 161

Reinfusion-. . . of concentrated peritoneal fluid.Treatment of ascites by . . . (review of 318 pro-cedures in 210 patients.) . . . V. G. Levy, P.Opolon, N. Pauleau and J. Caroli 564

Reinfusion-The Rhodiascit system-individualresponse to reinfusion possibly related to angio-tensin sensitivity. Preliminary results ... L. VanWaes, M. Schurgers and L. Demeulenaere 567

Reinfusion apparatus-Clinical experience with theRh6ne-Poulenc ascites ... V. Arroyo, A. Masand F. Vilardell 571

Reinfusion apparatus-Clinical experience with theRh6ne-Poulenc ascites ... P. J. A. Moult, S. P.Parbhoo and S. Sherlock 574

Reinfusion, ascites-. . . using the Rhodiascitapparatus-clinical experience and coagulationabnormalities ... S. P. Wilkinson, A. R. David-son, J. Henderson and Roger Williams 583

Relationship-Atrial fibrillation and hyperthy-roidism: a new look at their ... and therapywith lidoflazine. . . K. Bruyneel, H. Verhaegenand Ch. De Vil 4

Renal-. . . failure and suprarenal calcificationafter secondary haemorrhagic disease in a new-born baby ... M. W. Moncrieff and H. Har-greaves 40

Renal blood flow-Effect of portacaval anastomosison .. -preliminary results.... H. Ring-Larsen,B. Hesse and B. Stigsby 499

Renal failure-. . . associated with hepatic failure.The role of renin in . I. K. Smith 506

Renal failure-Consequences of acute . .. relevantto hepatic failure. . . M. J. Weston and S. P.Wilkinson 486

Renal failure-. . . in cirrhosis and fulminanthepatic failure. Pathogenesis of ... S. P. Wilkin-son, B. Portmann, D. Hurst and Roger Williams 503

Renal failure, functional (FRF)-. . . in cirrhosisof the liver and liver carcinoma . .. P. Vesinand H. Traverso 489

Renal failure-. . . in obstructive jaundice-clini-cal aspects ... J. L. Dawson 510

Renal failure-. . . in obstructive jaundice-patho-genic factors . .. E. N. Wardle 512

Renal failure-Use of dialysis in the treatment of... in liver disease ... Victor Parsons, S. P.Wilkinson and M. J. Weston 515

Renal impairment-. . . in cirrhosis. Clinical typesand drug therapy of . .. J. Rodes, J. Bosch andV. Arroyo 492

Renal retention-. . . of sodium in cirrhosis andfulminant hepatic failure ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Renal tubular acidosis. .-in chronic liverdisease ... Peter L. Golding 550

Renin-. . . in renal failure associated with hepaticfailure. The role of ... I. K. Smith 506

Reproductive medicine-recent advances in-introduction ... H. S. Jacobs and Harron Thom-son 197

Reproductive-Prostaglandins in . . . physiology... Gillian M. Craig 74

Research-Review of recent advances of lead inclinical . . . A. Goldberg 747

Respiratory-. . . virus infections in travellers ...D. A. J. Tyrrell 843

Respiratory disease-Precipitating antibody in thesputum in chronic .. . C. W. Clarke 147

Respiratory tract-Significance of Escherichia coliin upper ... of children under 2 years of age ...John D. Barrie and James B. Gallacher 373

Respiratory tract-The flora of the . .. in chronicdisease ... J. Robert May 144

Response-The . . . to luteinizing hormone-releasing hormone in normal men ... M. Shah-manesh, A. R. Boyns, M. Ellwood, G. V. Groom,E. Nelson and M. Hartog 59

Responses-Metabolic ... to selective 3-adrenergicstimulation in man ... R. Goldberg, M. van As,B. I. Joffe, L. Krut, I. Bersohn and H. C. Seftel 53

Retention, renal-. . . of sodium in cirrhosis andfulminant hepatic failure ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Reticulosis of the skin-Poikiloderma atrophicansvasculare as a pointer to ... Robert S. Chapmanand C. Jose Paul 463

Reversible-. . . myopathy induced by clofibrate... D. Geltner, M. Shapiro and M. Chaco 184

Review-. . . of general surgery 1974 ... H. Ellis 121Rhodiascit apparatus-Ascites reinfusion using the

... : clinical experience and coagulation abnor-malities ... S. P. Wilkinson, A. R. Davidson,J. Henderson and Roger Williams 583

Rhodiascit machine-Experiences and problems inthe management of ascites with the . .. H. Thalerand G. Fous 581

Rhodiascit system-The Rhodiascit system-indivi-dual response to reinfusion possibly related toangiotensin sensitivity. Preliminary results...L. Van Waes, M. Schurgers and L. Demeulenaere 567

Rh6ne-Poulenc ascites reinfusion apparatus. Clini-cal experience with . . . V. Arroyo, A. Mas andF. Vilardell 571

Postgraduate Medical Journal

Rh6ne-Poulenc ascites reinfusion apparatus-Clinical experience with the ... P. J. A. Moult,S. P. Parbhoo and S. Sherlock 574

Rubella-. . . polyneuropathy ... I. W. Tomlin-son 30

Ruptured popliteal cyst-. . . simulating deep veinthrombosis with false positive radiofibrinogenuptake ... D. Gibbons, M. Phillips and IreneM. Prossor 735

Salmefamol-a new bronchodilator-A double-blind trial of ... D. Bainbridge, G. J. R.McHardy, Margaret V. Hoare and C. H. Dash 627

Sarcoidosis-a case of ... in a Chinese woman ...Y. Y. Ong, C. H. Chew and S. C. Chiang 257

Sarcoidosis-. . . and malignant lymphadenomas,transplantatation of lymphocytes and immunelymphocytes in ... J. Kohout 396

Sarcoidosis-. . . presenting with multiple tattoogranulomata ... J. M. I. Iveson, J. A. Cotterilland V. Wright 670

Scabies, Norwegian-... following topical steroidtherapy ... Roger Clayton and Simon Farrow 657

Schoolchild-Prevalences of leg and chest abnor-malities in four South African ... populationswith special reference to vitamin D status.Barbara D. Richardson and A. R. P. Walker 22

Scleroderma-Asymptomatic autoimmune liverdisease in . .. M. M. Gupta, T. W. Warnes andL. Watson 185

Sclerosis, multiple-Evaluation of baclofen (Liore-sal) for spasticity in . . . D. W. Hedley, J. A.Maroun and Michael L. E. Espir 615

Sea-Food hygiene and travel at sea . .. Betty C.Hobbs, M. J. Colbourne and P. E. Mayner 817

Secondary-Renal failure and suprarenal calcifica-cation after ... haemorrhagic disease in a new-born baby ... M. W. Moncrieff and H. Har-greaves 40

Secretion-Inappropriate .., of antidiuretic hor-mone in pneumonia.... Richard Charles andJ. Russell Rees 663

Secretion-The effect of intravenous Aminoplex 5on serum gastrin and gastric. . K. Chatamra,J. I. MacNaughton, H. W. S. Pigott and C.Wastell 1

Selective-Metabolic responses to . ... -adrenergicstimulation in man ... R. Goldberg, M. van As,B. I. Joffe, L. Krut, I. Bersohn and H. C. Seftel 53

Self-induced colitis . . . J. S. Byrne, M. W. P.Carney, D. R. Harry and F. I. Lee 246

Self-inflicted injury-An unusual . .. of the breast... D. Sampson 116

Sensitivity-The Rhodiascit system-individual re-sponse to reinfusion possibly related to angioten-sin ... Preliminary results ... L. Van Waes,M. Schurgers and L. Demeulenaere 567

Septicaemia-Intravenous trimethoprim/sulphadi-midine in the treatment of BacteroidesGillian M. Hanson and R. L. Woods 105

Serum-The association of syphilis with cirrhosis:the role of alcohol and . .. hepatitis . .. F. Sadi-kali 69

Serum-The effect of intravenous Aminoplex 5 on. . gastrin and gastric secretion . . . K.

Chatamra, J. I. MacNaughton, H. W. S. Pigottand C. Wastell I

Serum-. . . lipid changes following the com-pleted stroke syndrome. . F. D. Hollanders,J. Shafar and P. Burton 386

Sex determination and differentiation in mammals:hints from nature . .. P. E. Polani 199

Sexually transmitted diseases-. . . and the mobilityexplosion . . . R. D. Catterall 838

Singapore-Asian patients in-Thyrotoxic pre-tibial myxoedema in .. . C. W. Kee and J. S.Cheah 407

Skin-. . . as a microhabitat ... W. C. Noble 151Skin metastases-. . . in carcinoma of the stomach

... B. A. Adam and R. Murugasu 419Skin, reticulosis of the-Poikiloderma atrophicans

vasculare as a pointer to ... Robert S. Chapmanand C. Jose Paul 463

Smoking-. . . and optic neuritis ... G. D. Perkin,P. Bowden and F. Clifford Rose 382

Sodium-Renal retention of ... in cirrhosis andfulminant hepatic failure ... S. P. Wilkinson,Helen Moodie, A. Alam and Roger Williams 527

Sodium excretion-. . . in experimental ascites.Factors relating to . .. L. M. Blendis 523

Soil-Absorption of lead from dust and soil...D. Barltrop, C. D. Strehlow, I. Thornton andJ. S. Webb 801

South African-Prevalences of leg and chest abnor-malities in four . .. schoolchild populations withspecial reference to vitamin D status . . . BarbaraD. Richardson and A. R. P. Walker 22

Spasticity in multiple sclerosis-Evaluation ofbaclofen (Lioresal) for ... D. W. Hedley, J. A.Maroun and Michael L. E. Espir 615

Spinal-Prognostic factors in the rehabilitation ofpatients with ... problems ... Alan E. Richard-son and Annemarie D. Tupper 161

Spirillum endocarditis ... C. S. McIntosh, P. J.Vickers and A. J. Isaacs 645

Sputum-Preciptiating antibody in the .., inchronic respiratory disease . .. C. W. Clarke 147

Steroid therapy-Norwegian scabies followingtopical ... Roger Clayton and Simon Farrow 657

Steroid-treated-Cryptococcal meningitis in ...systemic lupus erythematosus ... M. AneesKhan and Sidney Sbar 660

Stimulation-Metabolic responses to selective ,-adrenergic ... in man ... R. Goldberg, M. vanAs, B. I. Joffe, L. Krut, I. Bersohn and H. C.Seftel 53

Stings-Bites and stings in travellers . . . H. Alis-tair Reid 830

Stomach-Skin metastases in carcinoma of the ...B. A. Adam and R. Murugasu 419

Streptococci-fatal neonatal meningitis due toGroup B streptococci ... B. Chattopadhyay 240

xvi

Index to Volume 51 xvii

Streptomycin-Hypocalcaemic response to ... inmalignant hypercalcaemia. . W. E. W. Roe-diger, D. Ludwin and R. A. Hinder 399

Stroke syndrome-Serum lipid changes followingthe completed . .. F. D. Hollanders, J. Shafarand P. Burton 386

Studies-Bumetanide-acute and long term...of a new high potency diuretic ... W. R. Mur-doch and W. H. R. Auld 10

Suprarenal-Renal failure and ... calcificationafter secondary haemorrhagic disease in a new-born baby. . . M. W. Moncrieff and H. Har-greaves 40

Surgical emphysema, bilateral pneumothorax,pneumomediastinum and pneumoperitoneumcomplicating intubation for anaesthesiaJ. K. Scott and J. Viner 654

Synthesis-Lead and haemoglobin synthesis: areview . . . J. M. White 755

Syphilis-secondary, presenting with jaundice ...B. K. Bhowmick, B. Simpson and S. P. B.Way 412

Syphilis-The association of . .. with cirrhosis:the role of alcohol and serum hepatitisF. Sadikali 69

Systemic lupus erythematosus-Cryptococcalmeningitis in steroid-treated . .. M. Anees Khanand Sidney Sbar 660

Tattoo-Sarcoidosis presenting with multiple...granulomata ... J. M. I. Iveson, J. A. Cotterilland V. Wright 670

Technique of endomyocardial biopsy-including adescription of a new form of endomyocardialbioptome ... P. J. Richardson 282

Teeth-Lead in the ... during the perinatalperiod ... A. J. Burkitt, G. Nickless and M. V.Stack 778

Testicular tumour-. . . presenting as haematemesis... M. R. Lock 857

Tetanus-Transient psychological syndrome follow-ing diazepam therapy for . .. J. Malatinsky, M.ProchAzka and T. Kadlic 860

Therapy-Atrial fibrillation and hyperthyroidism:a new look at their relationship and . .. withlidoflazine ... H. Bruyneel, H. Verhaegen andCh. De Vil 4

Therapy-Clinical types and drug. . of renalimpairment in cirrhosis . . . J. Rodes, J. Boschand V. Arroyo 492

Therapy-Intramural intestinal haemorrhage: acomplication of anticoagulant . .. J. E. Hale 107

Therapy-Transient psychological syndrome fol-lowing diazepam therapy for tetanus ..

J. Malatinsky, M. Prochazka and T. Kadlic 860Thioradazine-induced-. . . diarrhoea ... A. B. S.

Mitchell 182Thrombosis-Ruptured popliteal cyst simulating

deep vein . .. with false positive radiofibrinogen

uptake .. . D. Gibbons, M. Phillips and IreneM. Prossor 735

Thymus-Ectopic .. . of the neck-report of threeexamples in children ... C. T. Lewis 35

Thyroid-primary ... failure presenting as a pitui-tary tumour. . . P. Daggett, P. Harsoulis, S. F.Kuku, E. E. Pearse and T. R. Fraser 85

Thyroxin therapy-Transient hypothyroidism afterwithdrawal of. . . L. A. Distiller and B. I.Joffe 665

Tolerance-Diurnal patterns of oral glucose.in diabetics ... C. H. Walsh and A. D.Wright 169

Topical steroid therapy-Norwegian scabiesfollowing ... Roger Clayton and Simon Far-row 657

Transient hypothyroidism-. . . after withdrawalof thyroxin therapy . .. L. A. Distiller and B. I.Joffe 665

Transvenous endomyocardial biopsy-applicationof a method for diagnosing heart disease.D. Caves, J. Coltart, M. Billingham, A. Riderand E. Stinson 286

Travel-Diseases of. . . with particular referenceto tropical diseases . .. A. W. Woodruff 825

Travel-Some problems of high speed ... D. C.Reader 848

Travel at sea-Food hygiene and . .. Betty C.Hobbs, M. J. Colbourne and P. E. Mayner 817

Travellers-Bites and stings in . . . H. AlistairReid 830

Travellers-Respiratory virus infections inD. A. J. Tyrrell 843

Treatment-. . . of ascites. A rational approach tothe ... V. Arroyo and J. Rodes 558

Treatment-. . . of ascites by reinfusion of concen-trated peritoneal fluid-review of 318 proceduresin 210 patients ... V. G. Levy, P. Opolon, N.Pauleau and J. Caroli 564

Treatment of decompensated liver cirrhosis withdiuretic-resistant ascites. Concentration-rein-fusion (CR) of ascitic fluid in the ... E. Venturaand M. L. Zeneroli 577

Treatment of renal failure in liver disease. Use ofdialysis in the . .. Victor Parsons, S. P. Wilkin-son and M. J. Weston 515

Trimethoprim/sulphadimidine-Intravenous ... inthe treatment of Bacteroides septicaemia .

Gillian M. Hanson and R. L. Woods 105Tropical diseases-Diseases of travel with particular

reference to ... A. W. Woodruff 825Tubular acidosis, renal-. . . in chronic liver

disease ... Peter L. Golding 550Tumour-Primary thyroid failure presenting as a

pituitary ... P. Daggett, P. Harsoulis, S. F.Kuku, E. E. Pearse and T. R. Fraser 85

Tumour-malignant gonadal tumour formation inintersexual states . . . H. W. S. Pigott 252

Tumour-Testicular ... presenting as haemate-mesis ... M. R. Lock 857

Tumours-Problems in the management ofmediastinal ... R. C. Lallemand and J. R. W.Keates 89

xviii Postgraduate Medical Journal

Tumours-The diagnostic problem of multipleintracranial . . . case report of a pituitarychromophobe adenoma and cerebellar haeman-gioblastoma ... P. D. Mohr, J. M. Anderson,P. Fletcher and J. M. Jefferson 423

Tumours of the nasal epithelium-Objectivity inthe classification of. . L. Michaels and V. J.Hyams 695

Tunnel syndrome-Carpal . .. in patients on inter-mittent haemodialysis . . . D. J. Warren andL. S. Otieno 450

Turner's syndrome-Gastric carcinoma and.D. Siegler 411

Ulcer-Duodenal ... possibility of dietary pro-tective factors in ... F. I. Tovey, A. PaulJayaraj and C. G. Clark 366

Ulcerative colitis-Autoimmune haemolytic anae-mia and . . . D. W. Gorst, M. J. Leyland andI. W. Delamore 409

Ulcerative colitis-Leukaemoid reactions associatedwith fulminating ... B. T. Colvin, M. J. Lan-caster-Smith, A. J. Suggett and D. J. H. Fisher 178

Ultrastructural analysis-results of endomyo-cardial biopsy-histological, histochemical andultrastructural analysis ... E. G. J. Olsen 295

Ultrastructure of human myocardium-effect ofethanol infusion on ... H. Klein and D. Harm-janz 325

Urethritis-Severe Guillain-Barre syndrome follow-ing .., with cardiovascular and ophthalmic in-volvement ... A. J. Marshall and F. ElizabethRogerson 643

Urinary insulin levels-. . . in health and disease-a concise review ... Frederico Aun, Michael M.Meguid, J. Stuart Soeldner and Noedir A. G.Stolf 622

Urticaria-Cytomegalovirus mononucleosis with... Daphne M. Humphreys and Allan Myers 404

Vapour rubVick ... intoxication ... J. M. Duck-ham and H. A. Lee 115

Vasculare-Poikiloderma atrophicans . . . as apointer to reticulosis of the skin . . . Robert S.Chapman and C. Jose Paul 463

Vein thrombosis-Ruptured popliteal cyst simu-lating deep ... with false positive radiofibrinogenuptake ... D. Gibbons, M. Phillips and IreneM. Prossor 735

Vera-Peripheral gangrene in polycythaemia vera.... Paul Getaz, Peter Jacobs and Jannie H.Louw 733

Vick-. . . vapour rub intoxication ... J. M. Duck-ham and H. A. Lee 115

Viral cardiomyopathies-the coronary arteries inactive ... G. E. Burch 311

Virus-Respiratory . . . infections in travellers.... D. A. J. Tyrrell 843

Vitamin D-Prevalences of leg and chest abnor-malities in four South African schoolchild popula-tions with special reference to . . . status ...Barbara D. Richardson and A. R. P. Walker 22

Water intoxication-associated with oxytocin in-fusion ... A. J. Ahmad, E. H. Clark and H. S.Jacobs 249

Wounds-Pseudomonas osteomyelitis followingpuncture ... A. E. MacKinnon 33

Xanthomatosis-Polymeric IgA myeloma, hyper-lipidaemia and...: a further case and review... P. J. Roberts-Thomason, G. S. Venables,A. C. Onitiri and B. Lewis 44

Author Index

PageAdam, B.A. (and Murugasu R.): Skin metastases

in carcinoma of the stomach 419Ahmad, A.J. (Clark, E.H. and Jacobs, H.S.): Water

intoxication associated with oxytocin infusion 249Alam, A. (Wilkinson, S.P., Moodie, Helen and

Williams, Roger): Renal retention of sodium incirrhosis and fulminant hepatic failure 527

Alexander, F. W.: The current status of leadpoisoning in children 780

Alston, R.L. (Corsellis, J.A.N. and Miller, A.K.H.):Cell counting in the human brain: traditional andelectronic methods 722

Anderson, G. (Thulin T. and Schersten B.): Mea-surement of blood pressure-a routine test inneed of standardization 390

Anderson, J. (Pierides A.M. and Stansfeld, J.M.):Ketotic hypoglycaemia of childhood 737

Anderson, J.M. (Mohr, P.D., Fletcher, P. andJefferson, J.M.): The diagnostic problem ofmultiple intercranial tumours-case report of apituitary chromophobe adenoma and cerebellarhaemangioblastoma 423

Ansari, B.M. (and Thompson, E.N.): Methoxy-9-ellipticine lactate in refractory acute myeloidleukaemia 103

Arroyo, V. (Mas, A. and Vilardell, F.): Clinicalexperience with the Rh6ne-Poulenc ascites re-infusion apparatus 571

Arroyo, V. (and Rodes, J.): A rational approach tothe treatment of ascites 558

Arroyo, V. (Rodes, J. and Bosch, J.): Clinical typesand drug therapy of renal impairment in cir-rhosis 492

As, M. van (Goldbert, R., Joffe, B.I., Krut, L.,Bersohn, I. and Seftel, H.C.): Metabolic responsesto selective ,-adrenergic stimulation in man 53

Asmal, A.C. (Coleman, A.J. and Leary, W.P.):The effects of adrenergic P-blockade with oxpre-nolol on peripheral metabolism 173

Auld, W.H.R. (and Murdoch, W.R.): Bumetanide-acute and long term studies of a new highpotency diuretic 10

Aun, Frederico (Meguid, Michael M., Soeldner, J.Stuart and-Stolf Noedir, A.G.): Urinary insulinlevels in health and disease-a concise review 622

Bainbridge, D. (McHardy, G.J.R., Hoare, MargaretV. and Dash, C.H.): A double-blind trial of salme-famol, a new bronchodilator 627

Bansal, S. (Rizvi, S.N.A., Roa, M.B., Vaishnava,H.): Effect ofhypocalcaemia on glucose tolerance,insulin release and free fatty acid levels in humansubjects 471

Bardhan, K.D. (McArthur, Peter and Rigby,Christopher): Hodgkin's disease of the duodenumpresenting with haemorrhage and perforation 180

PageBarltrop, D.: Current status of childhood lead

poisoning 776Barltrop, D. (and Khoo, H.E.): The influence of

nutritional factors on lead absorption 795Barltrop, D. (and Meek, F.): Absorption of

different lead compounds 805Barltrop, D. (and Smith, A.M.): Kinetics of lead

interaction with human erythrocytes 770Barltrop, D. (Strehlow, C.D., Thornton, I. andWebb, J.S.): Absorption of lead from dust andsoil 801

Barrie, John D. (and Gallacher, James B.): Thesignificance of Escherichia coli in the upperrespiratory tract of children under 2 years ofage 373

Barry, P.S.I.: The current lead pollution problem 783Beddow, F.H. (and Wharton, M.R.): Clindamycin

for acute osteomyelitis in children 166Benson, R. (and Jeeva Raj, M.V.): Phenothiazinesand the electrocardiogram 65

Bersohn, I. (Goldbert, R., As, M.van, Joffe, B.I.,Krut, L. and Seftel, H.C.): Metabolic responsesto selective 3-adrenergic stimulation in man 53

Best, R.A. (and Clink, H.M.): Haemolysis associatedwith diazoxide, used for the control of hyper-tension 402

Bewsher, P.D. (Murchison, L.E., Chesters M.,Gilbert, J., Catto, G., Law, E., McKay, E. andRoss, H.S.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Bhowmick, B.K. (Simpson, B. and Way, S.P.B.):Secondary syphilis presenting with jaundice 412

Billingham, H. (Caves, P., Coltart, J., Rider, A. andStinson, E.): Transvenous endomyocardial biopsy-application of a method for diagnosing heartdisease 286

Billingham, M. (Coltart, D.J., Gullner, H.G.,Goldman, R.H., Stinson, E.B., Kalman S.M.and Harrison, D.C.): Distribution of digoxin inthe human heart 330

Blendis, L.M.: Factors relating to sodium excre-tion in experimental ascites 523

Bloomfield, F.J. (Peters, T.J. and Oakley, C.M.):Biochemical studies on biopsies from normal anddiseased cardiac tissue (Abstract) 298

Blumenthal, I. (and Variend, S.): Neonatal listeriosis 96Boutet, M. (Rona, G. and Huttner, L.): New

approach in studying cardiac muscle cell injury 334Bowden, P. (Perkin, G.D. and Clifford Rose, F.):Smoking and optic neuritis 382

Bosch, J. (Rodes, J. and Arroyo. V.): Clinical typesand drug therapy of renal impairments in cir-rhosis 492

Bown, R. (Clark, M.L. and Doniach, D.): Primarybiliary cirrhosis in brothers 110

Boyns, A.R. (Shahmanesh M., Ellwood, M.,Groom, G.V., Nelson, E. and Hartog, M.):The response to luteinizing hormone-releasinghormone in normal men 59

xx Postgraduate Medical Journal

Brachfield, N. (Christodoulou, J., Erlandson, R.and Smithen, C.): The effects of hyperosmolalcoronary perfusion on the haemodynamic,metabolic and ultrastructural changes of myo-cardial anoxia 299

Bruyneel, K. (Verhaegen, H. and De Vil, Ch,):Atrial fibrillation and hyperthyroidism; a newlook at their relationship and therapy with lido-flazine 4

Burch, G.E.: The coronary arteries in active viralcardiomyopathies 311

Burian, W. (and Nayler, W.G.): The plasma mem-brane in cardiomyopathy 350

Burkitt, A.J. (Nickless, G. and Stack, M.V.): Leadin the teeth during the perinatal period 778

Burkitt, D.P. (and Graham-Stewart C.W.): Haemor-rhoids-postulated pathogensis and proposedprevention 631

Burton, P. (Hollander, F.D. and Shafar, J.): Serumlipid changes following the completed strokesyndrome 386

Bye, P.: Recent advances in the treatment of malesub-fertility 215

Byrne, J. (Carney, M.W.P., Harry, D.S. and Lee,F.I.): Self-induced colitis 246

Carney, M.W.P. (Byrne, J.S., Harry, D.S. and Lee,F.I.): Self-induced colitis 246

Caroli, J. (Levy, V.G., Opolon, P. and Pauleau, N.):Treatment of ascites by reinfusion of concen-trated peritioneal fluid-review of 318 proceduresin 210 patients 564

Catterall, R.D.: Sexually transmitted diseases andthe mobility explosion 838

Catto, G. (Murchison, L.E., Bewsher, P.D.,Chesters, M., Gilbert, J., Law, E., McKay, E.and Ross, H.S.): Effects of anticonvulsants andinactivity on bone disease in epileptics 18

Caves, P. (Coltart, J., Billingham, M., Rider, A.and Stinson, E.): Transvenous endomyocardialbiopsy-application of a new method for diag-nosing heart disease 286

Chaco, M. (Geltner, D. and Shapiro, M.): Rever-sible myopathy induced by clofibrate 184

Chamberlain, A.C. (Clough, W.S., Heard, M.J.,Newton D., Stott, A.N.B. and Wells, A.C.):Uptake of inhaled lead from motor exhaust 790

Chapman, Robert S. (and Jose, Paul C.): Poikilo-derma atrophicans vasculare as a pointer to reti-culosis of the skin 463

Chard, T. (and Klopper, A.): Monitoring the feto-placental unit-the fetus 227

Charles Richard (and Rees, Russell J.): Inappro-piate secretion of antidiuretic hormone in pneu-monia 663

Chatamra, K. (MacNaughton, J.I., Pigott H.W.S.and Wastell, C.): The effect of intravenousAminoplex 5 on serum gastrin and gastric secre-tion 1

Chattopadhyay, B.: Fatal neonatal meningitis dueto Group B streptococci 240

Cheah, J.S. (and Kee, C.W.): Thyrotoxic pretibialmyxoedema in Asian patients in Singapore 407

Chesters, Marion (Murchison, L.E., Bewsher, P.D.,Gilbert, J., Catto, G., Law, E., McKay, E. andRoss, H.S.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Chew, C.H. (Ong, Y.Y. and Chiang, S.C.): A caseof sarcoidosis in a Chinese woman 257

Chiang, S.C. (Ong, Y.Y. and Chew, C.H.): A caseof sarcoidosis in a Chinese woman 257

Christodoulou, J. (Brachfield, N., Erlandson, R.and Smithen, C.): The effects of hyperosmolalcoronary perfusion on the haemodynamic, meta-bolic and ultrastructural changes of myocardialanoxia 299

Clark, C.G. (Tovey, F.I. and Jayaraj, A. Paul): Thepossiblity of dietary protective factors in duo-denal ulcer 366

Clark, E.H. (Ahmad, A.J. and Jacobs, H.S.):Water intoxication association with oxytocin in-fusion 249

Clark, F. (Jachuck, S.J., Gardner-Thorpe, C.,Foster, J.B.): A brainstem syndrome associatedwith Mycoplasma pneumoniae infection-a reportof two cases 475

Clark, M.O. (Bown, R. and Doniach, D.): Primarybiliary cirrhosis in brothers 110

Clarke, C.R.A. (Jeeva, Raj M.V. and Fleming,H.A.): The phonocardiogram in a partially de-tached mitral (Starr-Edwards) prosthesis 731

Clarke, C.W.: Precipitating antibody in the sputumin chronic respiratory disease 147

Clayton, Roger (and Farrow, Simon): Norwegianscabies following topical steroid therapy 657

Clifford, Rose F. (Perkin, G.D. and Bowden, P.):Smoking and optic neuritis 382

Clink, H.M. (and Best, R.A.): Haemolysis associatedwith diazoxide, used for the control of hyper-tension 402

Clough, W.S. (Chamberlain, A.C., Heard, M.J.Newton, D., Stott, A.N.B. and Wells, A.C.):Uptake of inhaled lead from motor exhaust 790

Cochran, K.M. (Mason, J.R. and Davidson,J.S.H.): Traumatic pancreatitis with peripheralfat necrosis 457

Colbourne, M.J. (Hobbs, Betty C. and Mayner,P.E.): Food hygiene and travel at sea 817

Coleman, A.J. (Asmal, A.C. and Leary, W.P.):The effects of adrenergic P-blockade withoxprenolol on peripheral metabolism 173

Coltart, D.J. (Gullner, H.G., Billingham, M., Gold-man, R.H., Stinson, E.H., Kalman, S.M. andHarrison, D.C.): Distribution of digoxin in thehuman heart 330

Coltart, J. (Caves, P., Billingham, M., Rider, A.and Stinson, E.): Transvenous endomyocardialbiopsy-application of a method for diagnosingheart disease 286

Colvin, B.T. (Lancaster-Smith, M.J., Suggett, A.J.and Fisher, D.J.H.): Leukaemoid reactionsassociated with fulminating ulcerative colitis 178

Index to Volume 51 xxi

Corsellis, J.A.N. (Alston, R.L. and Miller, A.K.H.):Cell counting in the human brain: traditional andelectronic methods 722

Cotterill, J.A. (Iveson, J.M.I. and Wright, V.):Sarcoidosis presenting with multiple tattoogranulomata 670

Craig, Gillian M.: Prostaglandins in reproductivephysiology 74

Crane, R.J.: The case of the illegitimate gene 637Critchley, Edmund: L-dopa and carbidopa (sine-

met) in the management of Parkinsonism 619

Daggett, P. (Harsoulis, P., Kuku, S.F., Pearse,E.E. and Fraser, T.R.): Primary thyroid failurepresenting as a pituitary tumour 85

Dash, C.H. (Bainbridge, D., McHardy, G.J.R. andHoare, Margaret V.): A double-blind trial ofsalmefamol, a new bronchodilator 627

Davidson, A.R. (Wilkinson, S.P., Henderson, J.and Williams, Roger): Ascites reinfusion usingthe Rhodiascit apparatus-clinical experienceand coagulation abnormalities 583

Davidson, J.S.H. (Cochran, K.M. and Mason,J.R.): Traumatic pancreatitis with peripheral fatnecrosis 457

Dawson, J.L.: Renal failure in obstructive jaundice-clinical aspects 510

De Jode, L.R. (and Foley, R.J.E.): The treatment ofpriapism by corpus-saphenous by-pass 42

Delamore, I.W. (Gorst, D.W. and Leyland, M.J.):Autoimmune haemolytic anaemia and ulcerativecolitis 409

Delaney, J.C. (Smith, J.B. and Silver, M.J.):Prostaglandin levels in blood plasma duringasthmatic attacks in patients with aspirin idio-syncrasy 1 5

Demeulenaere, L. (Van Waes, L. and Schurgers,M.): The Rhodiascit system-individual responseto reinfusion possibly related to angiotensinsensitivity. Preliminary results 567

Distiller, L.A. (and Joffe, B.I.): Transient hypothy-roidism after withdrawal of thyroxin therapy 665

Distiller, Larry A. (Sagel, Julius and Joffe, Barry I.):The role of luteinizing hormone-releasing hor-mone in the diagnosis of constitutional delayedpuberty 611

Doniach, D. (Bown, R. and Clark, M.L.): Primarybiliary cirrhosis in brothers 110

Doyle, F.H. (Nader, S., Fisher, J.A., Mashiter, K.and Joplin, G.F.): Familial dwarfism: case report 676

Duckham, J.M. (and Lee, H.A.): Vick vapour rubintoxication 115

Eastmond, C.J. (and Holt, S.): A case of acute mer-cury vapour poisoning 428

Edwards, R.H.T.: Muscle fatigue 137Ellis, H.: Review of general surgery 1974 121

Ellwood, M. (Shahmanesh, M., Boyns, A.R.,Groom, G.V., Nelson, E. and Hartog, M.): Theresponse to luteinizing hormone-releasing hor-mone in normal men 59

Erlandson, R. (Brachfield, N., Christodoulou, J.and Smithen, C.): The effects of hyperosmolalcoronary perfusion on the haemodynamic, meta-bolic and ultrastructural changes of myocardialanoxia 299

Espir, Michael L.E. (Hedley, D.W. and Maroun,J.A.): Evaluation of baclofen (Lioresal) forspasticity in multiple sclerosis 615

Farrow, Simon (and Clayton, Roger): Norwegianscabies following topical steroid therapy 657

Fisher, D.J.H. (Colvin, B.T., Lancaster-Smith,M.J. and Suggett, A.J.): Leukaemoid reactionsassociated with fulminating ulcerative colitis 178

Fisher, J.A. (Nader, S., Mashiter, K., Doyle, F.H.and Joplin, G.F.): Familial dwarfism: case report 676

Fleming, H.A. (Jeeva, Raj M.V. and Clarke,C.R.A.): The phonocardiogram in a partiallydetached mitral (Starr-Edwards) prosthesis 731

Fletcher, P. (Mohr, P.D., Anderson, J.M. andJefferson, J.M.): The diagnostic problem ofmultiple intracranial tumours-case report of apituitary chromophobe adenoma and cerebellarhaemangioblastoma 423

Foley, R.J.E. (and De Jode, L.R.): The treatment ofpriapism by corpus-saphenous by-pass 42

Forrest, John A.H.: Forced alkaline diuresis forlithium intoxication 189

Foulkes, J.E.B. (Louvois, John De, Stanley, ValerieC., Hurley, Rosalinde and Jones, J.B.): Micro-bial ecology of the female lower genital tractduring pregnancy 156

Fous, G. (and Thaler, H.): Experiences and problemsin the management of ascites with the Rhodiascitmachine 581

Foster, J.B. (Jachuck, S.J., Gardner-Thorpe, C. andClark F.): A brainstem syndrome associated withMycoplasma pneumoniae infection-a report oftwo cases 475

Foster, M.E. (and Powell, D.E.B.): Pancreatitis,multiple infarcts and oral contraception 667

Fraser, T.R. (Daggett, P., Harsoulis, P., Kuku,S.F. and Pearse, E.E.): Primary thyroid failurepresenting as a pituitary tumour 85

Gallacher, James B. (and Barrie, John D.): Thesignificance of Escherichia coli in the upperrespiratory tract of children under 2 years ofage 373

Gardner-Thorpe, C. (Jachuck, S.J., Clark, F., andFoster, J.B.): A brainstem syndrome associatedwith Mycoplasma pneumoniae infection-a reportof two cases 475

xxii Postgraduate Medical Journal

Geltner, D. (Shapiro, M. and Chaco, M.): Re-versible myopathy induced by clofibrate 184

George B. Olu. (and Mabayoje, J. Olu.): Hyper-trophic osteoarthropathy associated with Fallot'stetralogy-a case report 648

Getaz, Paul (Jacobs, Peter and Louw, Jannie H.):Peripheral gangrene in polycythaemia vera 733

Gibbons, D. (Phillips, M. and Prossor, Irene M.):Ruptured popliteal cyst simulating deep veinthrombosis with false positive radiofibrinogenuptake 735

Gilbert, J. (Murchison, L.E., Bewsher, P.D.,Chesters, M., Catto, G., Law, E., McKay, E. andRoss, H.S.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Goldberg, A.: Review of recent advances of lead inclinical research 747

Goldberg, R. (As, M. van, Joffe, B.I., Krut, L.,Bersohn, I. and Seftel, H.C.): Metabolic re-sponses to selective P-adrenergic stimulation inman 53

Golding, Peter L.: Renal tubular acidosis inchronic liver disease 550

Goldman, R.H. (Coltart, D.J., Gullner, H.G.,Billingham, M., Stinson, E.B., Kalman, S.M.and Harrison, D.C.): Distribution of digoxin inthe human heart 330

Gorst, D.W. (Leyland, M.J. and Delamore, L.W.):Autoimmune haemolytic anaemia and ulcerativecolitis 409

Graham-Stewart, C.W. (and Burkitt, D.P.):Haemorrhoids-postulated pathogenesis andproposed prevention 631

Groom, G.V. (Shahmanesh, M., Boyns, A.R.,Ellwood, M., Nelson, E. and Hartog, M.): Theresponse to luteinizing hormone-releasing hor-mone in normal men 59

Gullner, H.G. (Coltart, D.J., Billingham, M.,Goldman, R.H., Stinson, E.H., Kalman S.M.and Harrison, D.C.): Distribution of digoxin inthe human heart 330

Gupta, M.M. (Warnes, T.W. and Watson, L.):Asymptomatic autoimmune liver disease inscleroderma 185

Hague, R.V. (and Mungall, I.P.F.): Pancreatitis andthe pill 855

Hale, J.E.: Intramural intestinal haemorrhage: acomplication of anticoagulant therapy 107

Hamilton, E.B.D. (Richards, Anthony J., Talbot,I.C. and Swinson, D.R.): Diffuse pulmonaryfibrosis and bilateral pneumothoraces in systemiclupus erythematosus 851

Hanson, Gillian M. (and Woods, R.L.): Intra-venous trimethoprim/sulphadimidine in thetreatment of Bacteroides septicaemia 105

Hargreaves, H. (and Moncrieff, M.W.): Renal failureand suprarenal calcification after secondaryhaemorrhagic disease in a newborn baby 40

Harmjanz, D.: Problems of myocardial biopsy 291Harmjanz, D. (and Klein, H.): Effect of ethanol

infusion on the ultrastructure of human myo-cardium 325

Harrison, D.C. (Coltart, D.J., Gullner, H.G.,Billingham, M., Goldman, R.H., Stinson, E.B.and Kalman, S.M.): Distribution of digoxin inthe human heart 330

Harry, D.S. (Byrne, J.S., Carney, M.W.P. andLee, F.I.): Self-induced colitis 246

Harsoulis, P. (Daggett, P., Kuku, S.F., Pearse,E.E. and Fraser, T.R.): Primary thyroid failurepresenting as a pituitary tumour 85

Hartley, T.F. (and Lee, H.A.): A method ofdetermining daily nitrogen requirements 441

Hartog, M. (Shahmanesh, M., Boyns, A.R., Ell-wood, M., Groom, G.V. and Nelson, E.): Theresponse to luteinizing hormone-releasing hor-mone in normal men 59

Harvey, David R. (and Paradinas, Fernando J.):Multiple carcinomas of the large and small bowelin childhood 672

Heard, M.J. (Chamberlain, A.C., Clough, W.S.,Newton, D., Stott, A.N.B. and Wells, A.C.):Uptake on inhaled lead from motor exhaust 790

Hedley, D.W. (Maroun, J.A. and Espir, MichaelL.E.): Evaluation of baclofen (Lioresal) forspasticity in multiple sclerosis 615

Henderson, J. (Wilkinson, S.P., Davidson, A.R.and Williams, Roger): Ascites reinfusion usingthe Rhodiascit apparatus-clinical experienceand coagulation abnormalities 583

Henderson, R.J.: Problems of pilgrimages 845Hesse, B. (Ring-Larsen, H. and Stigsby, B.): Effect

of portacaval anastomosis on renal blood flowin cirrhosis-preliminary results 499

Hinder, R.A. (Roediger, W.E.W. and Ludwin, D.):Hypocalcaemic response to streptomycin inmalignant hypercalcaemia 399

Hoare, Margaret V. (Bainbridge, D., McHardy,G.J.R. and Dash, C.H.): A double-blind trial ofsalmefamol, a new bronchodilator 627

Hobbs, Betty C. (Colbourne, M.J. and Mayner,P.E.): Food hygiene and travel at sea 817

Hollanders, F.D. (Shafar, J. and Burton, P.): Serumlipid changes following the completed strokesyndrome 386

Holt, S. (and Eastmond, C.J.): A case of acute mer-cury vapour poisoning 428

Horlock, P.L. (Thakur, M.L. and Watson, I.A.):Cyclotron produced lead-203 751

Humphreys, Daphne M. (Myers, A. and William-son, R.C.N.): Eosinophilic granuloma of theileum 99

Humphreys, Daphne M. (and Myers, Allan): Cyto-megalovirus mononucleosis with urticaria 404

Hurley, Rosalinde (Louvois, John De, Stanley,Valerie C., Jones, J.B. and Foulkes, J.E.B.):Microbial ecology of the female lower genitaltract during pregnancy 156

Hurst, D. (Wilkinson, S.P., Portmann, B. andWilliams, Roger): Pathogenesis of renal failure incirrhosis and fulminant hepatic failure 503

Index to Volume 51 xxiii

Huttner, I. (Rona, G. and Boutet, M.): Newapproach in studying muscle cell injury 334

Hyams, V.J. (and Michaels, L.): Objectivity in theclassification of tumours of the nasal epithelium 695

Isaacs, A.J. (McIntosh, C.S. and Vickers, P.J.):Spirillum endocarditis 645

Iveson, J.M.I. (Cotterill, J.A. and Wright, V.):Sarcoidosis presenting with multiple tattoogranulomata 670

Jachuck, S.J. (Gardner-Thorpe, C., Clark, F.,Foster, J.B.): A brainstem syndrome associatedwith Mycoplamsa pneumoniae infection-a reportof two cases 475

Jacobs, H.S.: Endocrine aspects of anovulation 209Jacobs, H.S. (Ahmad, A.J. and Clark, E.H.): Water

intoxication associated with oxytocin infusion 249Jacobs, H.S. (and Thomson, H.): Introduction 197Jacobs, Peter (Getaz, Paul and Louw, Jannie H.):

Peripheral gangrene in polycythaemia vera 733James D.G. (Neville, E. and Piyasena, K.):Granulomas of the liver 361

Jayaraj, A. Paul (Tovey, F.I. and Clark, C.G.): Thepossiblity of dietary protective factors in duodenalulcer 366

Jeeva, Raj M.V. (Clarke, C.R.A. and Fleming,H.A.): The phonocardiogram in a partiallydetached mitral (Starr-Edwards) prosthesis 731

Jefferson, J.M. (Mohr, P.D., Anderson, P. andFletcher, P.): The diagnostic problem of multipleintracranial tumours-case report of a pituitarychromophobe adenoma and cerebellar haeman-gioblastoma 423

Joffe, B.I. (and Distiller, L.A.): Transient hypo-thyroidism after withdrawal of thyroxin therapy 665

Joffe, B.I. (Goldbert, R., As, M.van, Krut, L.,Bersohn, I. and Seftel, H.C.): Metabolic re-sponses to selective 3-adrenergic stimulation inman 53

Joffe, Barry I. (Sagel, Julius and Distiller, Larry A.):The role of luteinizing hormone-releasing hor-mone in the diagnosis of constitutional delayedpuberty 611

Jones, J.B. (Lourvois, John De, Stanley, Valerie C.,Hurley, Rosalinde, and Foulkes, J.E.B.): Micro-bial ecology of the female lower genital tractduring preganancy 156

Joplin, G.F. (Nader, S., Doyle, F.H., Fisher, J.A. andMashiter, K.): Familial dwarfism: case report 676

Jose, Paul C. (Chapman, Robert S.): Poikilodermaatrophicans vasculare as a pointer to reticulosis ofthe skin 463

Kadlic, T. (Malatinsky, J. and Prochazka, M.):Transient psychological syndrome followingdiazepam therapy for tetanus 860

Kalman, S.M. (Coltart, D.J., Gullner, H.G.,Billingham, M. Goldman, R.H. and Harrison,D.C.): Distribution of digoxin in the human heart 330

Keates, J.R.W. (Lallemand, R.C.): Problems in themanagement of mediastinal tumours 89

Kee, C.W. (and Cheah, J.S.): Thyrotoxic pretibialmyxoedema in Asian patients in Singapore 407

Keeling, J.W. (Risdon, R.A., Meinhard, E.A. andWadbrook, D.G.): Small intestinal biopsy inchildhood coeliac disease 716

Khan, M. Anees (and Sbar, Sidney): Cryptococcalmeningitis in steroid-treated systemic lupuserythematosus 660

Khoo, H.E. (and Barltrop, D.): The influence ofnutritional factors on lead absorption. 795

Kingham, J.G.C. (Loehry, C.A. and Whorwell,P.J.): Watery diarrhoea and hypokalaemiaassociated with a phaeochromocytoma 416

Kirubakaran, M.G. (Pulimood, B.M. and Ray, D.):Excavating pulmonary metastases in carcinomaof the cervix 243

Klein, H. (and Harmjanz, D.): Effect of ethanol in-fusion on the ultrastructure of human myo-cardium 325

Kohout, J.: Transplantation of lymphocytes andimmune lymphocytes in sarcoidosis and inmalignant lymphadenomas 396

Kramer, Herbert J.: Natriuretic hormone-itspossible role in fluid and electrolyte disturbancesin chronic liver disease 532

Kramer, Ivor R.H.: Computer-aided analyses indiagnostic histopathology 690

Krut, L. (Goldbert, R., As, M.van, Joffe, B.I.,Bersohn, I. and Seftel, H.C.): Metabolic responsesto selective 3-adrenergic stimulation in man 53

Kuku, S.F. (Daggett, P., Harsoulis, P., Pearse, E.E.and Fraser, T.R.): Primary thyroid failure pre-senting as a pituitary tumour 85

Lallemand, R.C. (and Keates, J.R.W.): Problemsin the management of mediastinal tumours 89

Lancaster-Smith, M.J. (Colvin, B.T., Suggett, A.J.and Fisher, D.J.H.): Leukaemoid reactionsassociated with fulminating ulcerative colitis 178

Law, Elizabeth (Murchison, L.E., Bewsher, P.D.,Chesters, M., Gilbert, J., Catto, G., KcKay, E.and Ross, H.S.): Effects of anticonvulsants andinactivity on bone disease in epileptics 18

Leary, W.P. (Asmal, A.C. and Coleman, A.J.):The effects of adrenergic P-blockade with oxpre-nolol on peripheral metabolism 173

Lee, F.I. (Byrne, J.S., Carney, M.W.P. and Harry,D.S.): Self-induced colitis 246

Lee, H.A. (Duckham, J.M.): Vick vapour rubintoxication 115

Lee, H.A. (and Hartley, T.F.): A method of deter-mining daily nitrogen requirements 441

Levy, V.G. (Opolon, P., Pauleau, N. and Caroli,J.): Treatment of ascites by reinfusion of concen-trated peritoneal fluid-review of 318 proceduresin 210 patients 564

xxiv Postgraduate Medical Journal

Lewis, B. (Roberts-Thomson, P.J., Venables, G.S.and Onitiri, A.C.): PolymericIgAmyeloma, hyper-lipidaemia and xanthomatosis: a further case andreview 44

Lewis, C.T.: Ectopic thymus of the neck-report ofthree examples in children 38

Leyland, M.J. (Gorst, D.W. and Delamore, I.W.):Autoimmune haemolytic anaemia and ulcerativecolitis 409

Lock, M.R.: Testicular tumour presenting ashaematemesis 857

Loehry, C.A. (Kingham, J.G.C. and Whorwell,P.J.): Watery diarrhoea and hypokalaemiaassociated with a phaeochromocytoma 416

London, D.R.: Hirsutism 236Louvois, John De (Stanley, Valerie C., Hurley,

Rosalinde, Jones, J.B. and Foulkes, J.E.B.):Microbial ecology of the female lower genitaltract during pregnancy 156

Louw, Jannie H. (Getaz Paul, and Jacobs, Peter):Peripheral gangrene in polycythaemia vera 733

Ludwin, D. (Roediger, W.E.W. and Hinder, R.A.):Hypocalcaemic response to streptomycin inmalignant hypercalcaemia 399

Mabayoje, J.Olu. (and George, B.Olu.): Hyper-trophic osteoarthropathy associated with Fallots'tetralogy-a case report 648

Malatinsky, J. (Prochazka, M. and Kadlic, T.):Transient psychological syndrome followingdiazepam therapy for tetanus 860

Malins, J.M. (Walsh, C.H. and Soler, N.G.):Diabetes mellitus and primary hyperparathy-roidism 446

Maroun, J.A. (Hedley, D.W. and Espir, MichaelL.E.): Evaluation of baclofen (Lioresal) forspasticity in multiple sclerosis 615

Marshall, A.J. (and Rogerson, F.Elizabeth): SevereGuillain-Barre syndrome following urethritiswith cardiovascular and ophthalmic involve-ment 643

Mas, A. (Arroyo, V. and Vilardell, F.): Clinicalexperience with the Rh6ne-Poulenc ascites rein-fusion apparatus 571

Mashiter, K. (Nader, S., Doyle, F.H., Fisher, J.A.and Joplin, G.F.): Familial dwarfism: casereport 676

Mason, J.R. (Cochran, K.M. and Davidson,J.S.H.): Traumatic pancreatitis with peripheralfat necrosis 457

May, J.Robert: The flora of the respiratory tract inchronic disease 144

Mayner, P.E. (Hobbs, Betty C. and Colbourne,M.J.): Food hygiene and travel at sea 817

Medlock, J.M.: Introduction to 'Travel. Is it safe?' 815Meek, F. (and Barltrop, D.): Absorption of different

lead compounds 805Meguid, Michael M. (Aun, Frederico, Soeldner, J.

Stuart and Stolf, Noedir A.G.): Urinary insulinlevels in health and disease-a concise review 622

Meinhard, E.A. (Risdon, R.A., Wadbrook, D.G.and Keeling, J.W.): Small intestinal biopsy inchildhood coeliac disease 716

Michaels, L. (and Hyams, V.J.): Objectivity in theclassification of tumours of the nasal epithelium 695

Millac, Paul (Stewart, Ian and Shephard, R.H.):Neurosurgery in the older patient 453

Miller, A.K.H. (Corsellis, J.A.N. and Alston, R.L.):Cell counting in the human brain: traditionaland electronic methods 722

Mitchell, A.B.S.: Thioradazine-induced diarrhoea 182Mohr, P.D.: Hypothalamic-pituitary abscess 468Mohr, P.D. (Anderson, J.M., Fletcher, P. and

Jefferson, J.M.): The diagnostic problem ofmultiple intracranial tumours-case report of apituitary chromophobe adenoma and cerebellarhaemangioblastoma 423

Moncrieff, M.W. (and Hargreaves, H.): Renal failureand suprarenal calcification after secondaryhaemorrhagic disease in a newborn baby 40

Moodie, Helen (Wilkinson, S.P., Alam, A. andWilliams, Roger): Renal retention of sodium incirrhosis and fulminant hepatic failure 527

Moore, Michael R.: Lead and the mitochon-drion 760

Moult, P.J.A. (Parbhoo, S.P. and Sherlock, S.):Clinical experience with the Rhone-Poulencascites reinfusion apparatus 574

Mungall, I.P.F. (and Hague, R.V.): Pancreatitis andthe pill 855

Murugasu, R. (and Adam, B.A.): Skin metastases incarcinoma of the stomach 419

Murchison, Lilian E. (Bewsher, P.D., Chesters, M.Gilbert, J., Catto, G., Law, E., McKay, E. andRoss, H.S.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Murdoch, W.R. (and Auld, W.H.R.): Bumetanide-acute and long term studies of a new highpotency diuretic 10

Myers, A. (Humphreys, D.M. and Williamson,R.C.N.): Eosinophilic granuloma of the ileum 99

Myers, Allan (and Humphreys, Daphne M.): Cyto-megalovirus mononucleosis with urticaria 404

McArthur, Peter (Bardhan, K.D. and Rigby,Christopher): Hodgkin's disease of the duodenumpresenting with haemorrhage and perforation 180

McHardy, G.J.R. (Bainbridge, D., Hoare, MargaretV. and Dash, C.H.): A double-blind trial ofsalmefamol, a new bronchodilator 627

McIntosh, C.S. (Vickers, P.J. and Isaacs, A.J.):Spirillum endocarditis 645

McKay, E. (Murchison, L.E., Bewsher, P.D.,Chesters, M., Gilbert, J., Catto, G., Law, E. andRoss, H.S.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Mackinnon, A.E.: Pseudomonas osteomyelitisfollowing puncture wounds 33

MacNaughton, J.I. (Chatamra, K, Pigott, H.W.S.and Wastell, C.): The effect of intravenousAminoplex 5 on serum gastrin and gastricsecretion I

McNeilly, A.S.: Lactation and the physiology ofprolactin secretion 231

Index to Volume 51 xxv

Nader, S. (Doyle, F.H., Fisher, J.A., Joplin, G.F.and Mashiter, K.): Familial dwarfism: casereport 676

Nayler, W.G. (and Burian, W.): The plasma mem-brane in cardiomyopathy 350

Nelson, Eva (Shahmanesh, M., Boyns, A.R., Ell-wood, M., Groom, G.V. and Hartog, M.): Theresponse to luteinizing hormone-releasing hor-mone in normal men 59

Neville, E. (Piyasena, K.H.G. and James, D.G.):Granulomas of the liver 361

Newton, D. (Chamberlain, A.C., Clough, W.S.,Heard, M.J., Stott, A.N.B. and Wells, A.C.):Uptake of inhaled lead from motor exhaust 790

Nickless, G. (Burkitt, A.J. and Stack, M.V.): Leadin the teeth during the perinatal period 778

Noble, W.C.: Skin as a microhabitat 151

Oakley, C.M.: The relation between function andcausation in cardiomyopathy 271

Oakley, C.M. (and Olsen, E.G.J.): Introduction-Cardiac biopsy in cardiomyopathy 269

Oakley, C.M. (Peters, T.J. and Bloomfield, F.J.):Biochemical studies on biopsies from normal anddiseased cardiac tissue (Abstract) 298

Odell, W.D. (and Swerdloff, R.S.): Hormonalmechanisms in the onset of puberty 200

Ojiambo, H.P.: The cardiomyopathy associatedwith methylsalicylate 344

Olsen, E.G.J.: Pathological recognition of cardio-myopathy 277

Olsen, E.G.J.: Results of endomyocardial biopsyhistological, histochemical and ultrastructural

analysis 295Ong, Y.Y. (Chew, C.H. and Chiang, S.C.): A case of

sarcoidosis in a Chinese woman 257Onitiri, A.C. (Roberts-Thomson, P.J., Venables,

G.S. and Lewis, B.): Polymeric IgA myeloma,hyperlipidaemia and xanthomatosis: a furthercase and review 44

Opolon, P. (Levy, V.G., Pauleau, N. and Caroli, J.):Treatment of ascites by reinfusion of concen-trated peritoneal fluid-review of 318 proceduresin 210 patients 564

Otieno, L.S. (and Warren, D.J.): Carpal tunnelsyndrome in patients on intermittent haemodi-alysis 450

Paradinas, Fernando J. (and Harvey, David R.):Multiple carcinomas of the large and small bowelin childhood 672

Parbhoo, S.P. (Moult, P.J.A. and Sherlock, S.):Clinical experience with the Rh6ne-Poulencascites reinfusion apparatus 574

Parkin, J.V. (and Wight, D.G.D.): Behcet's diseaseand the alimentary tract 260

Parsons, Victor (Wilkinson, S.P. and Weston,M.J.): Use of dialysis in the treatment of renalfailure in liver disease 515

Pauleau, N. (Levy, V.G., Opolon, P. and Caroli,J.): Treatment of ascites by reinfusion of con-centrated peritoneal fluid-review of 318 proce-dures in 210 patients 564

Pearse, A.G.E.: The role of histochemistry in in-creasing objectivity in histopathology 708

Pearse, E.E. (Daggett, P., Harsoulis, P., Kuku, S.F.and Fraser, T.R.): Primary thyroid failure pre-senting as a pituitary tumour 85

Perkin, G.D. (Bowden, P. and Clifford, Rose F.):Smoking and optic neuritis 382

Peters, T.J. (Bloomfield, F.J. and Oakley, C.M.):Biochemical studies on biopsies from normal anddiseased cardiac tissue (Abstract) 298

Phillips, M. (Gibbons, D, and Prossor, Irene M.):Ruptured popliteal cyst simulating deep veinthrombosis with false positive radiofibrinogenuptake. 735

Pierides, A.M. (Anderson, J. and Stansfeld, J.M.):Ketotic hypoglycaemia of childhood 737

Pigott, H.W.S.: Malignant gonadal tumour forma-tion in intersexual states 252

Pigott, H.W.S. (Chatamra, K., MacNaughton, J.I.and Wastell, C.): The effect of intravenousAminoplex 5 on serum gastrin and gastrin secre-tion 1

Piyasena, K.H.G. (Neville, E. and James, D.G.):Granulomas of the liver 361

Polani, P.E.: Sex determination and differentiationin mammals: hints from nature 199

Poole, Pauline M.: A 6-year survey of humanbrucellosis in a rural area of north-westernEngland and north Wales 433

Portmann, B. (Wilkinson, S.P., Hurst, D. andWilliams, Roger): Pathogenesis of renal failurein cirrhosis and fulminant hepatic failure 503

Powell, D.E.B. (and Foster, M.E.): Pancreatitis,multiple infarcts and oral contraception 667

Prochazka, M. (Malatinsky, J. and Kadlic, T.):Transient psychological syndrome followingdiazepam therapy for tetanus 860

Prossor, Irene M. (Gibbons, D. and Phillips, M.):Ruptured popliteal cyst simulating deep veinthrombosis with false positive radiofibrinogenuptake 735

Pryse-Davies, J.: Fetal maturity and morbidity asrelated to placental weight and secondary ossi-fication 727

Pulimood, B.M. (Kirubakaran, M.G. and Ray, D.):Excavating pulmonary metastases in carcinomaof the cervix 243

Querido, A.: Endemic cretinism-a continuouspersonal educational experience during 10 years 591

Raj, M.V.Jeeva (and Benson, R.): Phenothiazinesand the electrocardiogram 65

xxvi Postgraduate Medical Journal

Rao M.B.: (Bansal, S., Rizvi, S.N.A., Vaishnava,H.): Effect of hypocalcaemia on glucose toler-ance, insulin release and free fatty acid levels inhuman subjects 471

Ray, D. (Kirybakaran, M.G. and Pulimood, B.M.):Excavating pulmonary metastases in carcinomaof the cervix 243

Reader, D.C.: Some problems of high speed travel 848Rees, J.Russell: (and Charles, Richard): Inappro-

priate secretion of antidiuretic hormone inpneumonia 663

Reid, H.Alistair: Bites and stings in travellers 830Reid, Lynne: Objectivity and quantification in lung

disease 711Reimann, Hobart A.: Infectious diseases: fortiethand final annual review of significant publications 600

Richards, Anthony J. (Talbot, I.C., Swinson, D.R.and Hamilton, E.B.D.): Diffuse pulmonaryfibrosis and bilateral pneumothoraces in systemiclupus erythematosus 851

Richardson, Alan E. (Tupper, Annemarie D.):Prognostic factors in the rehabilitation ofpatients with spinal problems 161

Richardson, Barbara D. (and Walker, A.R.P.):Prevalences of leg and chest abnormalities in fourSouth African schoolchild populations withspecial reference to vitamin D status 22

Richardson, P.J.: Technique of endomyocardialbiopsy-including a description of a new form ofendomyocardial bioptome 282

Rider, A. (Caves, P., Coltart, J., Billingham, M.and Stinson, E.): Transvenous endomyocardialbiopsy-application of a method for diagnosingheart disease 286

Rigby, Christopher (Bardhan, K.D. and McArthur,Peter): Hodgkin's disease of the duodenum pre-senting with haemorrhage and perforation 180

Ring-Larsen, H.: The significance of hyponatraemiain liver failure 542

Ring-Larsen, H. (Hesse, B. and Stigsby, B.): Effectof portacaval anastomosis on renal blood flow incirrhosis-preliminary results 499

Risdon, R.A. (Meinhard, E.A., Wadbrook, D.G.and Keeling, J.W.): Small intestinal biopsy inchildhood coeliac disease 716

Rizvi, S.N.A. (Bansal, S., Rao, M.B., Vaishnava,H.): Effect of hypocalcaemia on glucose toler-ance, insulin release and free fatty acid levels inhuman subjects 471

Roberts-Thomson, P.J. (Venables, G.S., Onitiri,A.C. and Lewis, B.): Polymeric IgA myeloma,hyperlipidaemia and xanthomatosis: a furthercase and review 44

Rodes, J. (Arroyo, V.): A rational approach to thetreatment of ascites 558

Rodes, J. (Bosch, J. and Arroyo, V.): Clinicaltypes and drug therapy of renal impairment incirrhosis 492

Roediger, W.E.W. (Ludwin, D. and Hinder, R.A.):Hypocalcaemic response to streptomycin inmalignant hypercalcaemia 399

Rogerson, F.Elizabeth (and Marshall, A.J.):Severe Guillain-Barr6 syndrome following ure-

thritis with cardiovascular and ophthalmic inv-volvement. 643

Rona, G. (Boutet, M. and Huttner, L.): Newapproach in studying cardiac muscle cell injury 334

Ross, H.S. (Murchison, L.E., Bewsher, P.D.Chesters, M. Gilbert, J., Catto, G., Law, E. andMcKay, E.): Effects of anticonvulsants and in-activity on bone disease in epileptics 18

Sadikali, F.: The association of syphilis withcirrhosis: the role of alcohol and serum hepa-titis 69

Sagel, Julius (Distiller, Larry A. and Joffe, BarryI.): The role of luteinizing hormone-releasinghormone in the diagnosis of constitutional de-layed puberty 611

Sampson, D.: An unusual self-inflicted injury ofthe breast 116

Sbar, Sidney (and Khan, M.Anees): Cryptococcalmeningitis in steroid-treated systemic lupuserythematosus 660

Schersten, B. (Thulin, T. and Anderson, G.):Measurement of blood pressure-a routine testin need of standardization 390

Schurgers, M. (Van Waes, L. and Demeulenaere,L.): The Rhodiascit system-individual responseto reinfusion possibly related to angiotensinsensitivity. Preliminary results 567

Scott, J.K. (and Viner, J.): Surgical emphysema, bi-lateral pneumothorax, pneumomediastinum andpneumoperitoneum complicating intubation foranaesthesia 654

Scott, R.D.M.: Treatment of an adrenal corticalcarcinoma with a combination of o,p-DDD andaminoglutethimide 35

Seftel, H.C. (Goldberg, R., As, M.van, Joffe, B.I.,Krut, L. and Bersohn, I.): Metabolic responses toselective ,-adrenergic stimulation in man 53

Selhi, H.S. (and White, J.M.): The effect of lead onthe red cell membrane 765

Shafar, J. (Hollanders, F.D. and Burton P.): Serumlipid changes following the completed strokesyndrome 386

Shahmanesh, M. (Boyns, A.R., Ellwood, M.,Groom, G.V., Nelson, E. and Hartog, M.): Theresponse to luteinizing hormone-releasing hor-mone in normal men 59

Shapiro, M. (Geltner, D. and Chaco, M.): Rever-sible myopathy induced by clofibrate 184

Shephard, R.H. (Stewart, Ian and Millac, Paul):Neurosurgery in the older patient 453

Sherlock, S. (Moult, P.J.A. and Parbhoo, S.P.):Clinical experience with the Rh6ne-Poulencascites reinfusion apparatus 574

Siegler, D.: Gastric carcinoma and Turner's syn-drome 411

Silver, M.J. (Delaney, J.C. and Smith, J.B.):Prostaglandin levels in blood plasma duringasthmatic attacks in patients with aspirin idiosyn-crasy 15

Index to volume 51 xxvii

Simpson, B. (Bhowmick, B.K. and Way, S.P.B.):Secondary syphilis presenting with jaundice 412

Sissons, H.A.: Agreement and disagreementbetween pathologists in histological diagnosis 685

Smith, A.M. (and Barltrop, D.): Kinetics of leadinteraction with human erythrocytes 770

Smith, I.K.: The role of renin in renal failureassociated with hepatic failure 506

Smith, J.B. (Delaney, J.C. and Silver, M.J.): Pro-staglandin levels in blood plasma during asth-matic attacks in patients with aspirin idiosyn-crasy 1 5

Smithen, C. (Brachfield, N., Christodoulou, J. andErlandson, R.): The effects of hyperosmolalcoronary perfusion on the haemodynamic,metabolic and ultrastructural changes of myo-cardial anoxia 299

Soeldner, J.Stuart (Aun, Frederico, Meguid,Michael M. and Stolf, Noedir A.G.): Urinaryinsulin levels in health and disease-a concisereview 622

Soler, N.G. (Walsh, C.H. and Malins, J.M.):Diabetes mellitus and primary hyperparathy-roidism 446

Stack, M.V. (Burkitt, A.J. and Nickless, G.): Leadin the teeth during the perinatal period 778

Stanley, Valerie C. (Louvois, John De, Hurley,Rosalinde, Jones J.B. and Foulkes, J.E.B.):Microbial ecology of the female lower genitaltract during pregnancy 156

Stansfeld, J.M. (Pierides, A.M. and Anderson, J.)Ketotic hypoglycaemia of childhood 737

Stewart, Ian (Millac Paul and Shephard, R.H.):Neurosurgery in the older patient 453

Stigsby, B. (Ring-Larsen, H. and Hesse, B.): Effectof portacaval anastomosis on renal blood flowin cirrhosis-preliminary results 499

Stinson, E. (Caves, P., Coltart, J., Billingham, M.and Rider, A.): Transvenous endomyocardialbiopsy-application of a method for diagnosingheart disease 286

Stinson, E.B. (Coltart, D.J., Gullner, H.G.,Billingham, M., Goldman, R.H., Kalman, S.M.and Harrison, D.C.): Distribution of digoxin inthe human heart 330

Stolf, Noedir A.G. (Aun, Frederico, MeguidMichael M. and Soeldner, J. Stuart): Urinaryinsulin levels in health and disease-a concisereview 622

Stott, A.N.B. (Chamberlain, A.C., Clough, W.S.,Heard, M.J., Newton, D. and Wells, A.C.):Uptake of inhaled lead from motor exhaust 790

Strehlow, C.D. (Barltrop, D., Thornton, I. andWebb, J.S.): Absorption of lead from dust and soil 801

Suggett, A.J. (Colvin, B.T., Lancaster-Smith, M.J.and Fisher, D.J.H.): Leukaemoid reactions asso-ciated with fulminating ulcerative colitis 178

Swerdloff, R.S. (and Odell, W.D.): Hormonalmechanisms in the onset of puberty 200

Swinson, D.R. (Richards Anthony, J., Talbot, I.C.and Hamilton, E.B.D.): Diffuse pulmonaryfibrosis and bilateral pneumothoraces in systemiclupus erythematosus 851

Talbot, I.C. (Richards, Anthony J., Swinson, D.R.and Hamilton, E.B.D.): Diffuse pulmonaryfibrosis and bilateral pneumothoraces in systemiclupus erythematosus 851

Thakur, M.L. (Horlock, P.L. and Watson, I.A.):Cyclotron produced lead-203 751

Thaler, H. (and Fous, G.): Experiences and prob-lems in the management of ascites with theRhodiascit machine 581

Thomas, A.L.: Periodic migrainous neuralgiaassociated with an arteriovenous malformation 460

Thomas, P. and Williams, R.H.P.: An unusual caseof spontaneous bacterial myositis 255

Thompson, E.N. (and Ansari, B.M.): Methoxy-9-ellipticine lactate in refractory acute myeloidleukaemia 103

Thomson, H. (and Jacobs, H.A.): Introduction 197Thornton, I. (Barltrop, D., Strehlow, C.D. andWebb, J.S.): Absorption of lead from dust andsoil 801

Thulin, T. (Anderson, G. and Schersten, B.):Measurement of blood pressure-a routine testin need of standardization 390

Tomlinson, I.W.: Rubella polyneuropathy 30Tovey, F.I. (Jayaraj, A.Paul and Clark, C.G.): The

possibility of dietary protective factors in duo-denal ulcer 366

Traverso, H. (and Vesin, P.): Functional renalfailure (FRF) in cirrhosis of the liver and livercarcinoma 489

Tupper, Annemarie D. (and Richardson, Alan E.):Prognostic factors in the rehabilitation ofpatients with spinal problems 161

Tyrrell, D.A.J.: Respiratory virus infections intravellers. 843

Vaishnava, H. (Bansal, S., Rizvi, S.N.A. and Rao,M.B.): Effect of hypocalcaemia on glucosetolerance, insulin release and free fatty acid levelsin human subjects 471

Van Waes, L. (Schurgers, M. and Demeulenaere,L.): The Rhodiascit system-individual responseto reinfusion possibly related to angiotensinsensitivity. Preliminary results 567

Variend, S. (and Blumenthal, I.): Neonatallisteriosis 96

Venables, G.S. (Roberts-Thomson, P.J., Onitiri,A.C. and Lewis, B.): Polymeric IgA myeloma,hyperlipidaemia and xanthomatosis: a furthercase and review 44

Ventura, E. (and Zeneroli, M.L.): Concentration-reinfusion (CR) of ascitic fluid in the treatmentof decompensated liver cirrhosis with diuretic-resistant ascites 577

Verhaegen, H. (Bruyneel, K. and Vil, Ch.De):Atrial fibrillation and hyperthyroidism: a newlook at their relationship and therapy with lido-flazine 4

Vesin, P.: Potassium metabolism and diureticsadministration in liver cirrhosis 545

xxviii Postgraduate Medical Journal

Vesin, P. (Traverso, H.): Functional renal failure(FRF) in cirrhosis of the liver and liver carcinoma 489

Vickers, P.J. (McIntosh, C.S. and Isaacs, A.J.):Spirillum endocarditis 645

Vil, Ch.De (Bruyneel, K. and Verhaegen, H.): Atrialfibrillation and hyperthyroidism: a new look attheir relationship and therapy with lidoflazine 4

Vilardell, F. (Arroyo, V. and Mas, A.): Clinicalexperience with the Rh6ne-Poulenc ascites rein-fusion apparatus 571

Viner, J. (and Scott, J.K.): Surgical emphysema,bilateral pneumothorax, pneumomediastinumand pneumoperitoneum complicating intubationfor anaesthesia 654

Wadbrook,.D.G. (Risdon, R.A., Meinhard, E.A.and Keeling, J.W.): Small intestinal biopsy inchildhood coeliac disease 716

Walker, Alexander R.P. (and Richardson, BarbaraD.): Prevalences of leg and chest abnormalitiesin four South African schoolchild populationswith special reference to vitamin D status 22

Walsh, C.H. (Soler, N.G. and Malins, J.M.):Diabetes mellitus and primary hyperparathy-roidism 446

Walsh, C.H. (and Wright, A.D.): Diurnal patternsof oral glucose tolerance in diabetics 169

Wardle, E.N.: Renal failure in obstructive jaundice-pathogenic factors 512

Warnes, T.W. (Gupta, M.M. and Watson, L.):Asymptomatic autoimmune liver disease inscleroderma 185

Warren, D.J. (and Otieno, L.S.): Carpal tunnelsyndrome in patients on intermittent haemodi-alysis 450

Wastell, C. (Chatamra, K., MacNaughton, J.L.and Pigott, H.W.S.): The effect of intravenousAminoplex 5 on serum gastrin and gastricsecretion 1

Watson, I.A. (Horlock, P.L. and Thakur, M.L.):Cyclotron produced lead-203 751

Watson, L. (Gupta, M.M. and Warnes, T.W.):Asymptomatic autoimmune liver disease inscleroderma 185

Way, S.P.B. (Bhowmick, B.K. and Simpson, B.):Secondary syphilis presenting with jaundice 412

Webb, J.S. (Barltrop, D., Strehlow, C.D. andThornton, I.): Absorption of lead from dust andsoil 801

Wells, A.C. (Chamberlain, A.C., Clough, W.S.,Heard, M.J., Newton, D. and Stott, A.N.B.):Uptake of inhaled lead from motor exhaust 790

Weston, M.J. (Parsons, Victor and Wilkinson, S.P.):Use of dialysis in the treatment of renal failure inliver disease 515

Weston, M.J. (and Wilkinson, S.P.): Consequencesof acute renal failure relevant to hepatic failure 486

Wharton, M.R. (and Beddow, F.H.): Clindamycinfor acute osteomyelitis in children 166

White, J.M.: Lead and haeomoglobin synthesis: areview 755

White, J.M. (Selhi, H.S.): The effect of lead on thered cell membrane 765

Whorwell, P.J. (Loehry, C.A. and Kingham,J.G.C.): Watery diarrhoea and hypokalaemiaassociated with a phaeochromocytoma 416

Wight, D.G.D. (and Parkin, J.V.): Behcet's diseaseand the alimentary tract 260

Wilkinson, S.P. (Davidson, A.R., Henderson, J.and Williams, Roger): Ascites reinfusion usingthe Rhodiascit apparatus-clinical experienceand coagulation abnormalities 583

Wilkinson, S.P. (Moodie, Helen, Alam, A. andWilliams, Roger): Renal retention of sodium incirrhosis and fulminant hepatic failure 527

Wilkinson, S.P. (Parsons, Victor and Weston, M.J.):Use of dialysis in the treatment of renal failurein liver disease 515

Wilkinson, S.P. (Portmann, B., Hurst, D. andWilliams, Roger): Pathogenesis of renal failurein cirrhosis and fulminant hepatic failure 503

Wilkinson, S.P. (and Weston, M.J.): Consequencesof acute renal failure relevant to hepatic failure 486

Williams, Roger (Wilkinson, S.P., Davidson, J.and Henderson, A.R.): Ascites reinfusion usingthe Rhodiascit apparatus-clinical experience andcoagulation abnormalities 583

Williams, Roger (Wilkinson, S.P., Moodie, Helenand Alam, A.): Renal retention of sodium incirrhosis and fulminant hepatic failure 527

Williams, Roger (Wilkinson, S.P., Portmann, B.and Hurst, D.): Pathogenesis of renal failure incirrhosis and fulminant hepatic failure 503

Williams, R.H.P. (and Thomas, P.): An unusualcase of spontaneous bacterial myositis 255

Williamson, R.C.N. (Myers, A. and Humphreys,D.M.): fosinophilic granuloma of the ileum 99

Woods, R.L. (and Hanson, G.M.): Intravenoustrimethoprim/sulphadimidine in the treatment ofBacteroides septicaemia 105

Woodruff, A.W.: Diseases of travel with particularreference to tropical diseases 825

Wright, A.D. (and Walsh, C.H.): Diurnal patternsof oral glucose tolerance in diabetics 169

Wright, V. (Iveson, J.M.L. and Cotterill, J.A.):Sarcoidosis presenting with multiple tattoogranulomata 670

Zeneroli, M.L. (and Ventura, E.): Concentration-reinfusion (CR) of ascitic fluid in the treatmentof decompensated liver cirrhosis with diuretic-resistant ascites 577

Postgraduate Medical Journal: Notice to Contributors

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gram(s) g second(s) seckilogram(s) kg cubic millimetre(s) mm3milligram(s) millimetre(s) mm

(lOg) mg centimetre(s) cmmicrogram(s) millicurie(s) mCi

(1O6g) I±g millilitre(s) mlnanogram(s) pound(s) lb

(IOr-g) ng milliequivalent mEqpicogram(s)

(10-12g) pg RF values RFhour(s) hrminute(s) min gravitational acceleration gmicron(s) 0 percent %

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