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Since insomnia is often transient ana intermittent, prolonged administration is gener- ally not necessary or recommended. References — References should conform to the following order: name of author, title of article, name of periodical, and volume with inclusive pages, month and year — i.e. The result is that your time can be spent doing what you studied so hard for— practicing medicine. And the practice you’ll be given is as varied and challenging as any you’ll find in a civilian setting. (415) 765-5382 (collect) NAME (H-l) First STREET _ STATE. (Area Code & No.) DATE OF BIRTH *MY SPECIALTY (IF ANY) IS: □ Anesthesiology □ Neurology □ Family Practice □ Radiology □ Psychiatry □ Pathology □ Internal Medicine □ Pediatrics STATUS □ (CHECK ONE): □ Private Practice □ Hospital Staff □ Intern □ Resident be no one looking over your shoulder offering second guesses or opinions. • Simplified dosage regimen encourages pa- tient compliance: 2 tablets (1 Gm each) STAT — then 1 tablet B. While Gantanoi tablets were used in this study, one Gantanoi DS tablet has been proved bioequivalent to two Gantanoi tablets.* Gantanoi is contraindicated during preg- nancy, during the nursing period, and in in- fants under 2 months. Bedside and classroom training, practical aspects of clinical care and management. The purpose of this paper is to review the natural history of 27 cases of refractory sidero- blastic and nonsideroblastic anemia.

Contraindications: Known hypersensitivity to flurazepam HC1. Warnings: Caution patients about possible combined effects with alcohol and other CNS depressants. : Lee GS: The heart rhythm following therapy with digi- talis — In theory and practice. They should be listed in the order in which they are cited in the text, numbered in sequence and punctuated as above. You’ll be treating active duty, dependent and retired personnel— from infant care to geriatrics. The medical decisions you make will be yours and yours alone. JOE MORAN, NAVY MEDICAL PROGRAMS Navy Recruiting Area EIGHT Building One, NAVSUPPACT T. t MEDICAL SCHOOL t YEAR GRADUATED I AM INTERESTED IN (CHECK ONE): □ Flight Surgeon □ Undersea Medicine □ General Medical Officer □ Practicing My Specialty (Please Print or Type) CITY _ Last . But when needed, professional con- sultation is always available. The difference between civilian and military insurance is staggering. The best way to get all the facts is to mail the coupon, or call the Medi- cal Recruiter, toll-free, at 800 - 841 - 8000 . In these locations, call collect: Alaska, 272-9133, Puerto Rico, 724-4525.) You owe it to yourself to get all the facts on a great way to practice medicine. During therapy, main- tain adequate fluid intake, perform frequent CBC’s and urinalyses with careful micro- scopic examination. St PRECEPTORSHIPS AND TRAINEESHIPS Training for Physicians in General Internal Medicine. Patients and Methods All patients with anemia of at least a year’s duration who were seen at the City of Hope Medical Center between 19 were THE WESTERN JOURNAL OF MEDICINE 85 ANEMIA considered for inclusion in this study.

PETERS, MD Interdepartmental Clinical Case Conference, Department of Medicine, University of California, Los Angeles, School of Medicine MEDICAL STAFF CONFERENCE 24 The Pickwickian Syndrome chief Discussant: homer boushey, md IMPORTANT ADVANCES IN CLINICAL MEDICINE 32 Otolaryngology — Epitomes of Progress EDITORIALS 39 • The Laetrile Nightmare • Familial Mediterranean Fever — A Progress Report • An Extended Role for Physician Extenders CASE REPORT 43 Adenocarcinoma of the Small Intestine in Crohn Disease Involving the Small Bowel EUGENE J. lewis, md HEALTH CARE DELIVERY 63 A Physician Extender Training Program Based on Clinical Algorithms GERALD CHARLES, MD; DAVID H. MAURIER, Ph D SPECIAL ARTICLE 69 Maternity and Perinatal Services in an Urban-Suburban Area DONALD H. WALLACE, MD MEDICAL INFORMATION 77 Notes on Alcoholism and Drug Abuse INFORMATION 81 Text of Required Patient Information for l UD’s 84 In Memoriam Books Received, see Advertising Page 10 JL CONTINUING MEDICAL EDUCATION ACTIVITIES IN CALIFORNIA AND HAWAII; OREGON; WASHINGTON, ALASKA, MONTANA AND IDAHO (See Advertising Page 23) i Tisa v w Ncisoe onin7Hs ci jg iv Nanor 0 N\ns N 3 mhn xioaoosobns 3 N If you’ve been prescribing pentobarbital or secobarbital for insomnia, there’s good reason to reconsider. These may or may not be in harmony with the views of the editorial staff. Keflex cephalexin Additional information available to the profession on request.

HANDELSMAN, MD CORRESPONDENCE 46 • Informed Consent • Grip Test for Pseudoacetylcholine • Controversy Over Nursing • Avocados — A Parable • Medi-Cal Benefits Out of California TRAUMA ROUNDS 49 Wound Ballistics Chief Discussant: JAMES WILSON, MD INFORMED OPINION 55 Laetrile jerry p. Sanazaro, San Francisco, Ca Contributions of Scientific and Original Articles Responsibilities for Statements and Conclusions in Origi- nal Articles — Authors are responsible for all statements, conclusions and methods of presenting their subjects. • see brief summary of prescribing information on preceding page.

And more effective than pen- tobarbital through 28 nights of administration. 3 Dalmane, however, remained effective not only for 14 nights, but for 28 nights in chronic insomniacs, 3 ’ 4 without increasing dosage from night to night. Wilson, San Francisco, Ca Physical Medicine and Rehabilitation Elizabeth S. Every effort will be made to return unused manuscripts. Two partial responses occurred in the sideroblastic group and were attributed to androgen therapy in one patient and pyridoxine therapy in the other. It is concluded that currently used treatments have little effect on refractory anemia and that in most patients continuing transfusions are required.

Prolonged administration of Dalmane is seldom necessary, but when it is, periodic blood counts and liver and kidney function tests should be performed. Length of Articles — Ordinarily articles should not ex- ceed 3,000 words (approximately five printed pages). In the nonsideroblastic group, two partial responses occurred which were attributed to prednisone therapy. In a small percentage of patients, there is transformation to leukemia.

Kales A, et al: Clin Pharmacol Ther 19: 576-583, May 1976 3. That's a discontinuation rate of only 4.3%, and broader clinical experience appears to substantiate this low rate? For long-term control and comfortable compliance in mild to moderate hypertension. The reticulocyte counts in 11 of the 13 patients were low or normal, and increased in two cases.

Adverse Reactions: Dizziness, drowsiness, lightheadedness, staggering, ataxia and falling have occurred, particularly in elderly or debilitated patients. Precautions: Use cautiously in patients with impaired renal or hepatic function, severe allergy, bronchial asthma; in glu- cose-6-phosphate dehydrogenase-deficient individuals in whom dose-related hemolysis may occur. )/20 lbs of body weight initially, then 0.25 Gm/20 lbs b.i.d. Supplied: DS (double strength) tablets, 1 Gm sulfamethox- azole; Tablets, 0.5 Gm sulfamethoxazole; Suspension, 0.5 Gm sulfamethoxazole/teaspoonful. vember 6-9 — California Academy of Family Physicians — Annual Scientific Assembly. In the non- sideroblastic group there were 9 white females and 5 white males.

Severe sedation, lethargy, disorientation and coma, probably indicative of drug intoler- ance or overdosage, have been reported. (312) 641-0755 WEST: Advertising Department The Western Journal of Medicine 731 Market St. Maintain ade- quate fluid intake to prevent crystalluria and stone formation. Due to certain chemical similarities with some goitrogens, diuretics (acetazolamide, thiazides) and oral hypoglycemic agents, sulfonamides have caused rare instances of goiter pro- duction, diuresis and hypoglycemia as well as thyroid malignancies in rats following long-term administration. Dosage: Systemic sulfonamides are contraindicated in infants under 2 months of age (except adjunctively with pyrimethamine in congenital toxoplasmosis). Basic therapy with convenience and economy: Gantanoi (sulfamethoxazole) Roche " 1 Basic therapy with even more convenience and economy: Gantanof DS ( sulfamethoxazole) Roche " Roche Laboratories Division of Hoffmann-La Roche Inc Nutley, New Jersey 07110 gg ■ 3 ■•stti 1 j g -mmi HMIMMHi Bfcv j, - •-'■'' - '-(Mr., &*m mmi ■ When choosing a diuretic for day-in-day-out hypertension control with comfortable compliance... At time of diagnosis the age range was from 29 to 84 years, the median age 52 years and the mean age 54 years.

Periodic blood counts and liver and kidney func- tion tests are advised during repeated therapy. Frequent CBC and urinalysis with microscopic examination are recommended during sulfonamide therapy. In the sideroblastic group there were 8 white males, 1 black male and 4 white fe- males.

Observe usual precautions in presence of impaired renal or hepatic function. Insufficient data on children under six with chronic renal disease. At time of diagnosis the age range was from 6 to 79 years, with a median age of 62 years and a mean age of 60 years.

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