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lifornia 94103 * Telephone (415) 777-2000

Editorial BoardChairman of the Board:Malcolm S. M. Watts, San Francisco

Alergy:M. Coleman Harris, Santa CruzNorman Shure, Los Angeles

Anesthesiology:John P. Bunker, Palo AltoJohn B. Dillon, Los Angeles

Dermatology and Syphilology:Rees B. Rees, San FranciscoRichard B. Stoughton, La Jolla

General Practice:Frank W. Norman, Santa RosaRobert L. Hippen, San Diego

General Surgery:William P. Longmire, Jr., Los AngelesRichard E. Gardner, San Francisco

Industrial Medicine and Toxicology:Homer S. Elmquist Los AngelesCharles H. Hine, San Francisco

Internal Medicine:Varner J. Johns, Jr. Loma LindaJ. Edward Berk, IrvineRobert J. Bolt, DavisDonald W. Petit, Los AngelesEdgar Wayburn, San FranciscoMarcus A. Krupp, Palo AltoNathan J. Zvalfier, San Diego

Neurology:Robert A. Fishman, San FranciscoPierre Dreyfus, Davis

Obstetrics and Gynecology:William J. Dignam, Los AngelesErnest W. Page, San Francisco

Ophthalmology:David 0. Harrington San FranciscoRobert M. Sinskey, ganta Monica

Orthopedics:Paul E. McMaster Beverly HillsJohn A. Blosser, 6akland

Otolaryngology:Paul H. Ward, Los AngelesMansfield F. W. Smith, San Jose

Pathology and Bacteriology:Averill A. Liebow, San Diego

Pediatrics:Henry R. Shinefield, San FranciscoPaul F. Wehrle, Los Angeles

Pharmacology:Kenneth L. Melmon, San FranciscoSydney M. Finegold, Los Angeles

Physical Medicine:Elizabeth S. Austin Los AngelesGregory Bard, San Francisco

Plastic Surgery:Richard L. Dakin San RafaelN. John Wilde, Fresno

PsZchfatry:Leon J. Epstein San FranciscoNorman Q. Brill, Los Angeles

Public Health:Edward Lee Russell, Santa AnaLouis F. Saylor, Pacific Grove

Radiology:Alexander R. Margulis San FranciscoRobert B. Engle, Pasadena

Thoracic and Cardiac Surgery:Beatty H. Ramsay, Los AngelesNorman E. Shumway, Jr., Palo Alto

Urology:Thomas F. Conroy, San MateoRuben F. Gittes, La Jolla

Consultants In Medical Services and Health Care:Gerald A. Besson, SunnyvalePaul Scholten, San Francisco

EDrIOR . . . . . . MALCOLM S. M. WATTS, M.D.ASSOCIATE EDITOR . LLOYD H. SMITH, JR., M.D.MANAGING EDITOR . . . . . ROBERT F. EDWARDS

- Policy Committee - Editorial BoardTHOMAS N. ELMENDORP . . . . . . . . . WillowsSTANLEY A. MooE . . . . . . . . . . San DiegoJOSEPH F. BOYLE . . . . . . . . . . Los AngelesHENRY V. EASTMAN . . . . . . . . . . . TustinE. KASH Ross . . . . . . . . . . . . . NapaHELEN B. WEYRAUCH ... . . . . . . San FranciscoMALCOLM S. M. WATTS . . . . . . . San Francisco

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2

CONSULTANTS FOR

California Medicine IN 1973

The editors wish to acknowledge with appreciation the valued services, beyondthose of members of the Editorial Board, given by the following persons to theJournal during the past year.

Abbott, JosephAckerman, FredAdams, ForrestAllen, David W.Asbury, Arthur K.Ashley, R. KirklinAttkisson, C. Clifford

Ball, Dexter T.Barker, Wiley F.Barrett-Connor, ElizabethBartel, Robert M.Becker, Charles E.Benioff, Mortimer A.Berrol, SheldonBeutler, ErnestBinger, Charles M.Blaisdell, F. WilliamBlasdel, Edward K.Boldrey, Edwin B.Boushey, HomerBradley, ThomasBrady, JuneBrandborg, LloydBraude, Abraham I.Brecher, GeorgeBruyn, Henry B.Burton, George G.

Carbone, John V.Carlsson, Erik S.Carr, IanCarr, Jesse L.Carrigg, Norman F.Cassan, Stanley M.

Chase, RobertChesbro, Wayne P.Christensen, Robert E.Clemente, Carmine D.Cline, Martin J.Cohen, PeterCohen, RichardCohen, Stephen N.Comings, DavidConant, Marcus A.Connor, James D.Crowley, Lawrence G.Curley, JackCurry, Francis

Dallman, Mary F.Deamer, William C.Decker, J. BarryDeftos, L. J.deLorimier, Alfred A.Diamond, IvanDiamond, Louis K.Drutz, David J.Duhl, Leonard J.Dunphy, J. Engelbert

Engleman, Ephraim P.Epstein, Charles J.Epstein, Wallace

Fenlon, Roberta F.Fessel, Walford J.Filler, MoreyFisher, Delbert A.Fonkalsrud, Eric W.

Forsham, Peter H.Friedman, William F.Fullenlove, Tom M.

Garfield, SydneyGerbode, FrankGershengorn, KentGetzen, Lindsay C.Gold, WarrenGoldge, DavidGoldman, LeonGoldman, Mervin J.Goldman, Robert N.Goldsmith, John R.Gooding, Charles A.Goodman, Willard E.Gordan, Gilbert S.Goulian, MehranGoyan, JereGrausz, HenryGreenspan, FrancisGreenspan, Richard H.Griffeath, Harold I.Grimes, Orville F.Grossman, MosesGulyassy, PaulGuze, Lucien B.

Hamburger, Robert N.Harrison, Donald C.Hassard, HowardHewitt, William L.Hill, Edward C.Hinman, Frank, Jr.

66 DECEMBER 1973 * 119 * 6

Hinshaw, H. CorwinHoeprich, PaulHolliday, Malcolm A.Hollister, LeoHolman, Halstead R.Hopewell, PhilipHopper, James, Jr.Houghie, George W.Hoyt, WilliamHurley, Edward J.Hutchinson, John C.

Ingbar, SidneyInman, Verne T.

Jacobs, Edwin M.Jergesen, Floyd H.Jones, MichaelJonsen, Fr. Albert

Kane, John P.Kaplan, George W.Kass, Edward H.Katz, Hilliard J.Kaufman, JosephKean, B. H.Kleinberg, FredericKlutch, MurrayKrevan%, Julius R.Kriss, Joseph P.

Langdell, John I.Lasser, Elliott C.Lawrence, RughLayzer, Robert B.Lee, Jane F.Lee, Philip R.Leeds, Frank H.Leonards, RichardLewin, Andrew J.Lim, Robert C.

Macrae, DonaldMaffly, RoyMalloy, MaryMargolis, Alan J.Marmor, JuddMarshall, Max S.Martin, David W., Jr.Massry, Shaul G.Maxwell, MortonMcCormack, Kenneth R.Mcllroy, Malcolm

Melby, James C.Meyer, Morton A.Miller, Ronald D.Morelli, Howard F.Morris, R. CurtisMorris, William J.

Newton, Thomas H.

Ockner, Robert K.O'Reilly, Robert A.Ornitz, Edward M.

Pappagianis, DemosthenesPasnau, RobertPassaro, Edward, Jr.Perkins, Herbert A.Petrakis, Nicholas L.Philips, IrvingPowell, Malcolm R.Price, David C.

Rapaport, Samuel I.Remington, Jack S.Richards, VictorRies, Curt A.Ritvo, EdwardRobinson, Saul J.Roe, BensonRoof, Betty S.Rose, AugustusRosenbaum, C. PeterRosenbaum, Ernest H.Rosenberg, Saul A.Rubsamen, DavidRytand, David A.

Sadler, H. HarrisonSahud, Mervyn A.St. Geme, Joseph W., Jr.Samson, Paul C.Saunders, John B. deC. M.Sborov, Victor MaxSchaffarzick, Ralph W.Schneider, Victor S.Schrier, StanleySeegmiller, J. EdwinSelzer, ArthurShaffrath, MaxShaw, Edward B.Sheft, Douglas J.Sheiner, LewisShen, Anthony

Siegal, RobertSimmons, Daniel H.Singer, Morley M.Slager, Ursula T.Sleisenger, MarvinSmith, David E.Smith, Donald R.Sobel, Burton E.Sokolow, MauriceSolomon, DavidSoarkes, Robert S.Specht, Elmer E.Spitler, LynnSpivack, Samuel D.Stamey, Thomas A.Steckel, Richard J.Steinbach, Howard L.Stevens, Rosemary W.Stiehm, E. RichardStites, DanielStockes, Joseph IIIStoney, Ronald J.Swerdloff, Ronald S.

Talal, NormanTakamine, JokichiThompson, James H.Tierney, Donald F.Tooley, William H.Turner, A. Franlin

Valente, MarioValentine, William N.Vaughan, ThomasVeith, IlzaVyas, Girish N.

Wallerstein, RalphWay, Lawrence W.Wheeler, Henry 0.White, Laurens P.Wilbur, Dwight L.Wilson, CharlesWise, BurtonWoeber, Kenneth A.Wood, David A.Wylie, Edwin J.

Yatsu, FrankYerushalmy, Jacob*

Zielinski, Florian W.

*Deceased October 15, 1973

- CALIFORNIA MEDICINE 67The Western Journal of Medicine

Volume 119 INDEX July-December 1973

AUTHOR INDEX

AAlazraki, Naomi P., San Diego ..........Ambrus, Laszlo, Harbor City ............Arbegast, Neil R., Bakersfield ............Ashburn, William L., La Jolla ............Ayres, Samuel, Jr., Los Angeles ..........

PAGE

(Sep)(Oct)(Oct)(Sep)(Oct)

BBecker, Charles E., San Francisco ..... ... (Aug)Behrstock, Barry, San Francisco ..... .... (Aug)Benioff, Mortimer A., San Francisco ...... (Aug)Beyer, Robert D., San Francisco ..... ..... (Sep)Bloom, Richard, Stanford .......... ...... (Oct)Bolton, John C., San Francisco ...... .... (Sep)Bray, George A., Torrance ....... ....... (Oct)Brookler, Morton I., Downey ...... ...... (Jul)Brown, Maurice J., San Diego ...... ..... (Nov)Bruner, C. W., San Diego ....... ....... (Nov)

CCahill, George F., Jr., Boston ...... ...... (Oct)Campbell, Harry J., Panorama City ........ (Sep)Catlett, G. F., Jamaica, NY ............. (Oct)Chater, Norman, San Francisco ..... .... (Aug)Chin, Jeffrey L., Davis ........ .......... (Sep)Ching, Akimi D., Los Angeles ..... ...... (Sep)Cohen, Harold M., Sylmar ....... ........ (Jul)Cohen, Theodore, San Jose ...... ....... (Aug)Colman, Arthur, San Francisco ..... ..... (Aug)Comer, Thomas P., Bakersfield ..... ..... (Oct)Cone, Lawrence A., Palm Springs ........ (Sep)Coplon, Norman S., Stanford ...... ...... (Oct)Costanza, David J., San Francisco ........ (Aug)Crandall, Barbara F., Los Angeles ........ (Nov)Crawford, Michael H., La Jolla ..... ..... (Sep)Cullen, P. Kent Jr., Santa Barbara ........ (Aug)

DDahlgren, James G., Los Angeles ........ (Aug)Dallman, Peter R., San Francisco (Jul) 1, (Oct)Dowell, V. R., Jr., Atlanta, Georgia ...... (Sep)Drutz, David J., San Francisco ..... ...... (Jul)

EElmendorf, Thomas, Willows .. (Nov) 63, (Dec)

FFalk, Peter M., Los Angeles ...... ...... (Aug)Feitelson, Philip J., Camp Pendleton ...... (Aug)Felch, William Campbell, Rye, N ....... (Nov)Fensterer, Fred S., New,York City ....... (Sep)Firestone, Frederick N., Newport Beach ... (Sep)Fiser, Robert H., Torrance ...... ........ (Oct)Fishbach, Ronald S., Los Angeles ..... ... (Aug)Fisher, Delbert A., Torrance ...... ........ (Oct)Fitzgerald, Garry, Houston ...... ........ (Oct)Flynn, Paul F., Oakland ....... ......... (Nov)Friedland, Gerald W., Stanford ..... ..... (Nov)

6666

2173

692974771

67228

5454

6366749

67597286296

571

781

2189

1746549

38

837362571

261

35698014

GGangarosa, Eugene F., Atlanta, Georgia ... (Sep)Glick, Ira D., San Francisco ...... ...... (Nov)Glynn, Kevin P., San Diego ...... ....... (Sep)Goldfield, Michael D., San Francisco .... (Nov)Goldstein, Elliot, Davis ....... ......... (Nov)Gray, Gary M., Stanford ....... ........ (Nov)

HHassard, Howard, San Francisco .... (Nov) 51,Hoeprich, Paul D., Davis ...... ........ (Nov)Hoffman, Richard B., Lynwood ..... ..... (Sep)Hopkins, G. Bruce, La Jolla ...... ....... (Oct)Hoversten, Vincent W., San Francisco .... (Aug)

JJones, Michael W., San Francisco ........ (Jul)Junkin, A. Bruce, Camp Pendleton ....... (Aug)

KKarliner, Joel S., La Jolla ...............Keane, James R., Los Angeles ............King, Ralph M., San Diego .............Klock, John C., San Francisco ...........Kovnat, Paul, Philadelphia .............Kristensen, Kai A. B., La Jolla ...........

LLeeds, Sanford E., San Francisco.Leopold, George R., La Jolla ............Ludbrook, Philip, La Jolla ..............

(Sep)(Sep)(Nov)(Aug)(Nov)(Oct)

(Aug)(Sep)(Sep)

MMani, John, San Francisco ....... ....... (Aug)Margulis, Alexander R., San Francisco .... (Nov)Mascovich, Paul, San Francisco ..... .... (Aug)Mason, Dean T., Davis ......... ........ (Sep)McNamara, J. J., Sacramento ...... ...... (Jul)Mentzer, William C., Jr.,San Francisco ........ ........ (Jul) 1, (Oct)

Merson, Michael H., Atlanta, Georgia .... (Sep)Meyer, George W., San Francisco ..... .... (Jul)Miller, Michael E., Los Angeles ..... .... (Aug)Miller, Warren B., Stanford ....... ...... (Aug)Minor, David, San Francisco ...... ...... (Aug)Mongan, Edward S., Downey ...... ...... (Jul)Moore, Francis D., Boston ....... ....... (Oct)Morris, R. Curtis, San Francisco ..... .... (Nov)

NNewton, Pamela J., San Francisco ........ (Jul)Niswander, Kenneth R., Davis ...... ...... (Jul)

0Oberhelman, Harry A., Jr...............Odell, William D., Torrance .............O'Rourke, Robert A., La Jolla ...........Ortega, Paul, San Francisco .............

(Nov)(Oct)(Sep)(Aug)

CALIFORNIA MEDICINE 75The Western Journal of Medicine

PAGE

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7659661073

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742121

949295369

7465154314298

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7811

25372174

pPapatheodorou, Christos, Long Beach .... (Oct)Pappagianis, Demosthenes, Davis ..... (Sep) 16,Peterson, Kirk L., La Jolla ......... ...... (Sep)

RRimoin, David L., Torrance .............Root, Irving, San Bernardino ............Rose, E. Kash, Napa ...................Rosen, Fred S., Boston .................Rosenberg, Sidney H., South San FranciscoRosenblatt, Jon E., Los Angeles .........Ross, John, Jr., La Jolla .................Ruskin, Joel, Los Angeles ...............Russell, Keith P., Los Angeles ...........

S

(Oct)(Sep)(Dec)(Aug)(Nov)(Aug)(Sep)(Sep)(Sep)

Sadler, Russell B., San Bernardino ........ (Oct)Sanford, Jay P., Dallas .......... ....... (Nov)Saw, Eng Chuan, Bakersfield ....... ...... (Oct)Scott, Wayne, San Bernardino ...... ..... (Sep)Sexton, Michael J., San Francisco ........ (Aug)Shabetai, Ralph Houston ......... ....... (Oct)Shapiro, Marvin J., Encino ....... ....... (Dec)Shell, William E., La Jolla ....... ....... (Nov)Shubin, Herbert, Los Angeles .: .......... (Nov)Shute, Evan V., London, Ontario ..... .... (Oct)Siegel, Robert C., San Francisco ..... .... (Aug)Silk, Arthur D., Garden Grove ...... .... (Aug)Smith, W. Byron, San Francisco .. (Jul) 1, (Oct)Sokol, Anthony B., Beverly Hills ........ (Aug)Sobel, Burton E., La Jolla ........ ....... (Sep)Sparkes, Robert S., Los Angeles ......... (Nov)

665121

14681

68641

215967

69506

685

8460877

7335867422211

Sperling, Mark A., Torrance ....... ....... (Oct)Stauffer, John L., San Francisco ..... .... (Oct)Stiehm, E. Richard, Los Angeles ........ (Aug)Swenson, Robert S., Stanford ...... ...... (Oct)Swerdloff, Ronald S., Torrance ...... .... (Oct)Szalay, Glenn C., Harbor City ...... ..... (Oct)

TTeberg, Annabel, Los Angeles ...... ..... (Oct)Teplitsky, Benjamin, Brooklyn ...... .... (Nov)Tharp, Barry R., Stanford ........ ....... (Jul)Thomas, Robert L., San Francisco ........ (Dec)Tonnemacher, K., San Francisco ........ (Aug)

VValle, Rosemary Keupper,San Francisco ........ ...... (Jul) 73, (Aug)

wWalter, Richard D., Los Angeles ...... .... (Jul)Waltz, Thomas A., San Diego ....... ..... (Sep)Watt, Rosemary, Stanford ....... ....... (Nov)Watts, Malcolm S. M., San Francisco. (Dec)Wax, Harold W., Los Angeles ..... ..... (Nov)Weil, Max Harry, Los Angeles ..... ..... (Nov)Werner, S. Benson, Berkeley ..: .......... (Sep)Whiting, William B., San Francisco ....... (Sep)Wilkes, R. Michael, San Francisco ........ (Sep)Willett, David E., San Francisco ..... .... (Nov)Wolf, Sheldon M., Los Angeles ..... ..... (Sep)

174843

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72

676

303

6971677387759

zZucker, Milton O., Lynwood ......... .... (Sep) 66

IN MEMORIAM

Abbott, Donald Humphrey, May 27, 1973 .. (Aug)Affierbaugh, Jack Kenneth, Jun 24, 1973 .. (Sep)Arbuckle, Robert K., Oct 23, 1973 ....... (Dec)Atkinson, Ray Cook, Aug 14, 1973 ....... (Oct)Baer, Charlotte C., Aug 15, 1973 ........ (Oct)Barden, George A., May 27, 1973 ........ (Aug)Barnes, Norman J., Jun 8, 1973 ....... .... (Sep)Barron, Henry Clinton, Jr., Aug 7, 1973 ... (Oct)Barton, Kenneth M., Jun 11, 1973 ........ (Aug)Billings, James Henry, Mar 3, 1973 ...... (Jul)Bilon, Louis, Jun 8, 1973 ....... ......... (Sep)Boland, Arthur E., Jul 20, 1973 ..... ..... (Sep)Bolzendahl, Walter H., Sep 5, 1973 ...... (Nov)Brotman, David M., Aug 8, 1973 ........ (Oct)Brower, Joseph Donald, Feb 3, 1973 ..... (Aug)Buck, Irwin M., Mar 14, 1973 ..... ...... (Jul)Buckley, Daniel Noel, Sep 17, 1973 ...... (Nov)Buckwald, Albert Irving, Apr 30, 1973 .... (Jul)Bunch, Claude Carlston, May 3, 1973 ..... (Jul)Burton, Thomas P., Oct 24, 1973 ........ (Dec)Cammack, Bragg C., Jul 18, 1973 ........ (Sep)Christie, Frank G. S., May 6, 1973 ...... (Aug)Clinco, Arthur A., May 6, 1973 ..... ..... (Jul)Conroy, Bernard J., Aug 2, 1973 ..... .... (Oct)Covington, Campbell H., Jun 9, 1973 .... (Aug)Crossan, John Wesley, May 20, 1973 ..... (Nov)Crow, Thayer A., Sep 16, 1973 ..... ..... (Nov)Cruden, Alexander Wesley, Sep 24, 1973 .. (Dec)Cummings, Edward Clarence, Mar 30, 1973 (Sep)Curry, Clarence, Jr., Apr 9, 1973.......... (Jul)Cutter, Robert Kennedy, Aug 9, 1973. (Oct)Dayton, Gordon A., Jan. 1, 1973 ......... (Sep)

9181698888918188918781818988918789878769819187889189896981878881

DeLaney, Roy Everette, Jr., May 28, 1973 . (Aug)Dick, Francis M., Sep 18, 1973 ..... ..... (Dec)Djong, Wayland W., Sep 22, 1973 ..... ... (Dec)Donnelly, Thomas E., Sep 10, 1973 ...... (Nov)Drew, Herbert L., May 6, 1973 ..... ...... (Jul)Eagan, John C., Jan 22, 1973 ...... ...... (Jul)Edson, David E., May 10, 1973 ..... ..... (Jul)Eisner, Cyrus I., Apr 3, 1973 ...... ...... (Jul)Enright, William Michael, Oct 1, 1973 .... (Dec)Eusden, Ralph B., Aug 5, 1973 ..... ..... (Oct)Falk, Charles C., Jr., Jul 13, 1973 ....... (Sep)Ferrier, Paul Alexander, Jr., Jul 9, 1973 ... (Sep)Fluhrer, John James, Oct 24, 1973 ....... (Dec)Forbes, Harry Benjamin, Apr 6, 1973 .... (Aug)Friend, William Keith, Jul 1, 1973 ....... (Dec)Fuller, William M., May 30, 1973 ........ (Aug)Gibson, Thomas E., Jun 1, 1973 .......... (Aug)Gladstone, Albert L., Sep 6, 1973 .... ... (Nov)Graham, Glenn G., Apr 19, 1973 ...... .... (Jul)Graham, Ralph Shaw, May 10, 1973 ...... (Aug)Granat, Henry George, Jan 15, 1973 ...... (Jul)Grannis, William R., Oct 11, 1973 ........ (Dec)Green, Berryman, Jr., Jul 4, 1973 ......... (Oct)Halbach, Robert McM., Mar 25, 1973 ..... (Jul)Hampton, Robert George, Jul 6, 1973 .... (Sep)Hanavan, Lewis Miller, Aug 1973 ........ (Oct)Hansen, Adolph M., May 10, 1973 ....... (Oct)Harkins, James Edwin, Jul 30, 1973 ...... (Oct)Harris, Charles P., May 23, 1973 ..... .... (Jul)Hartenstein, Paul E., Sep 20, 1973 ....... (Dec)Hebert, William Morrison, May 15, 1973 .. (Jul)Herron, Eugenia Lucille, Oct 6, 1973. (Dec)

76 DECEMBER 1973 * 119 * 6

9169698987878787698881816991699191898791876988878188888887698769

Herzer, Julio R., Dec 19, 1972 ..... ...... (Sep)Higbee, David Rothburn, Jul 25, 1973 .... (Nov)Hnilo, Joseph M., Jun 6, 1973 ..... ...... (Aug)Huntley, Eugene W., Apr 21, 1973 ........ (Jul)Ingram, William A., May 9, 1973 ........ (Jul)Jackson, Louis Harris, Jan 13, 1973 .... (Aug)Jakobovits, Rafael, May 28, 1973 ..... .... (Jul)Jenkins, Kenneth Baxter, Jun 28, 1973 .... (Sep)Johnson, Blaine LeRoy, Jan 4, 1973 ....... (Jul)Johnson, Elmer H., Sep 18, 1973 ........ (Dec)Johnson, Russell L., Jan 8, 1973 ..... .... (Sep)Johnston, Frank R., Dec 20, 1972 ........ (Jul)Jones, Milton Randle, Sr., Jan 25, 1973 ... (Jul)Joseph, Peter S., Sep 2, 1973 ...... ...... (Nov)Keig, William C., Juil 6, 1973 ...... ...... (Sep)Kenniker, Eldine Loraine, Aug 23, 1973 .. (Nov)Kerlan, Milton, Jan 26, 1973 ...... ...... (Sep)Leggitt, Roy C., Jan 4, 1973 ...... ....... (Aug)Lesko, Leo, Aug 11, 1973 ...... ........ (Oct)Luster, Henry H., Apr 21, 1973 ....... .... (Sep)Magan, Wellesley Percy, Sr., Sep 9, 1973 . (Nov)Mannell, Thomas J., Jun 17, 1973 ....... (Aug)Mayer, Harry J., Oct 15, 1972 ..... ...... (Jul)McBride, William Craig, Jr., Aug 25, 1973 . (Dec)McIntyre, Charles H., Apr 25, 1973 ....... (Jul)McKeever, Francis M., Mar 31, 1973 ...... (Jul)McMillen, Charles Howard, Jr., Jul 14, 1973 (Oct)Mikita, Michael M., Sep 2, 1973 ..... .... (Nov)Monaco, Salvatore, Sep 9, 1973 ..... .... (Dec)Motchan, Louis A., Feb 24, 1973 ..... .... (Sep)Newgard, K. Warren, Sep 24, 1973 ...... (Nov)Nicholudis, Thomas N., May 23, 1973 ..... (Sep)Norwood, George E., Jan 16, 1973 ........ (Jul)Pahl, Blythe W., Jul 7, 1973 ...... ....... (Sep)Peck, Richard Oliver, Apr 29, 1973 ....... (Jul)Pierce, Charles Henry, Jul 8, 1973 ........ (Sep)Pillsbury, Stirling G., May 18, 1973 ...... (Sep)Pinger, Robert R., Oct 30, 1973 ..... .... (Dec)Pope, Saxton Temple II, Aug 27, 1973 ..... (Oct)

818991878891888188698188888981898191888189918869888888896982898288828882827088

Pritchard, Jacob Leroy, Sep 1, 1973 ...... (Nov)Pruc, Wladimir, Sep 3, 1973 ...... ...... (Dec)Quinn, Robert S., Jul 20, 1973 ..... ...... (Sep)Reynolds, John G., Jul 6, 1973 ..... ..... (Sep)Rypins, Russell F., Aug 18, 1973 ..... .... (Oct)Rigler, Stanley Paul, Aug 8, 1973 ........ (Oct)Robertson, Hugh Schuyler, Jr., Jul 14, 1973 (Sep)Rochlin, Donald Bradley, Aug 7, 1973 ..... (Oct)Savage, John C., Aug 18, 1973 ..... ..... (Nov)Schramko, Edmund A., Jul 10, 1973 ...... (Sep)Schramm, Alfred John, Jun 14, 1973 ...... (Sep)Schroeder, Ralph L., Aug 2, 1973 ........ (Oct)Schulze, Fritz Johann, Oct 18, 1973 ...... (Dec)Shaw, William F., May 5, 1973 ...... ...... (Jul)Shector, Walter Eli, Jul 7, 1973 ..... ...... (Sep)Singer, Isay, Jul 31, 1973 ....... ........ (Sep)Slegel, Lorin, Jun 18, 1973 ...... ........ (Aug)Steere, Richard A., Jun 15, 1973 ..... .... (Sep)Stephens, Joseph M., Sep 10, 1973 ........ (Nov)Stevens, George Arnold, Aug 10, 1973 .... (Oct)Stofer, Dar D., May 7, 1973 ...... ....... (Jul)Stothers, Robert J., Jun 16, 1973 ..... .... (Sep)Stout, Kenneth Leslie, Feb 23, 1973 ...... (Sep)Sutterlin, Frederick K., Oct 1973 ........ (Dec)Talley, William Clinton, Jan 19, 1973 ...... (Jul)Tebbetts, Herbert E., Oct 4, 1973 ........ (Dec)Valvo, Frank Casper, Jun 24, 1973 ....... (Sep)Warnock, Archibald W., Apr 17, 1973 ..... (Jul)Weaver, Phillip Tennant, Apr 13, 1973 . ... (Jul)Welland, Frederick Hurd, Jul 29, 1973 .... (Oct)Westerhout, Fritz Cuthbert, Oct 16, 1973 .. (Dec)Wheeler, Omer William, May 17, 1973 .... (Jul)Wiebe, Frank E., Sep 25, 1973 ..... ..... (Dec)Wilson, J. Dwight, Nov 9, 1973 ..... .... (Dec)Wilt, Fillmore Martin, Oct 2, 1973 ....... (Dec)Windesheim, John Henry, Aug 31, 1973 ... (Nov)Woodruff, Hazel Nicola, Jul 28, 1973 ..... (Sep)Zumwalt, Elmo Russell, Sep 5, 1973 ...... (Nov)

SUBJECT INDEX

A

Abortion, see Attitudes of Obstetric and GynecologicResidents

Abortion, see Position PapersAbortion, Suction, see Laminaria TentsAccidental Ingestion of Water Hemlock-Report ofTwo Patients with Acute and Chronic Effects,David J. Costanza and Vincent W.Hoversten .......................... (Aug)

Acupuncture, see Position PapersAcute Renal Cortical Necrosis-Variable Course

and Changing Prognosis, Richard Bloom, RobertS. Swenson and Norman S. Coplon ..... (Oct)

Addict, Heroin, see False-Positive FTA-ABS TestAddict, Heroin, see Pyogenic Vertebral Osteomy-

elitisAMA Placement Service (Information) ... (Oct)Amendments, see ProposedAmerican Heart Association, see Clinical CardiologyAmerican Medicine, see Backlash: The Case forAmerican Society of Internal Medicine, see

Professional CompetenceAmniocentesis, see Prenatal DiagnosisAmphotericin B, see Cisternal PunctureAmphotericin B, see Coccidioidal Meningitis

78

1

86

Amputations, see Finger TipAngiomyolipomas, Renal, see PulmonaryLymphangiomyoma

Another Look at the Medical "Generation Gap"-Second Triennial Survey of Attitudes of MedicalStudents and Recent Graduates (SocioeconomicReport of CMA Bureau of Research and Plan-ning), Michael W. Jones andPamela J. Newton ........... .......... (Jul)Editorial ........... (Jul)

Anserina Bursitis-A Treatable Cause of Knee Painin Patients with Degenerative Arthritis, MortonI. Brookler and Edward S. Mongan ...... (Jul)

Antibiotic Therapy in Compromised Hosts (MedicalStaff Conference) .......... .......... (Jul)

Archeology Students, see CoccidioidomycosisArtery Bypass, see Superficial TemporalArthritis, Degenerative, see Anserina BursitisArthritis Caused by Viruses (Medical Staff

Conference) ............ ............ (Sep)ASIM, see Professional CompetenceAspirin, see On Some Unproven EffectsAssessment of Myocardial Infarction with SerumEnzyme Determinations (American Heart Asso-ciation Clinical Cardiology), WilliamE. Shell ............................. (Nov)

CALIFORNIA MEDICINE 77The Western Journal of Medicine

8970828288888289898282897088828291828989888282708870828888897088707070898289

7871

8

49

38

87

Attitudes of Obstetric and Gynecologic ResidentsToward Abortion, Paul Mascovich, BarryBehrstock, David Minor and ArthurColman .......... ................. (Aug)

Atypical Diabetic Coma, Ronald S. Swerdloff, seeObese Diabetic Symposium

Azygos Continuation, see Interruption of . . . VenaCava

B

Backlash: The Case for American Medicine [WmKerr Lecture-Gold Headed Cane Ceremony](Special Article), Francis D. Moore .... (Oct)Editorial ............... ............. (Oct)

[Bacteremia], see Treatmenzt of ShockBacterial Infections, see Treatment of Shock

29

7665

Book Reviews:Acupuncture Therapy-Current Chinese Practice,

Tan et al ........................... (Dec) 73Artificial Organs and Cardiopulmonary Support

Systems, Rapaport & Merrill ..... ..... (Nov) 90Atlas of Nuclear Medicine, Vol. 3, Reticuloendo-

thelial System, Liver, Spleen, and Thyroid, Deland& Wagner .............. ............ (Nov) 93

Bone Tumors 4th Ed., Lichtenstein ...... (Dec) 72Bronchopulmonary Diseases and Related Disorders-Vol. 1 & 2, Holman & Miuscheniheim .. (Dec) 74

Cardiac Surgery-2nd Ed., Norman ...... (Nov) 93Case for American Medicine, The, Schwarz (Aug) 92Chinese Art of Healing, The, Palos ........ (Oct) 90Chinese Versions of Modern Acupuncture, Lit (Dec) 73Critically Ill Child, The, Smith .......... (Nov) 91Current Pediatric Diagnosis and Treatment-2nd

Ed., Kempe et al .................... (Nov) 91Current Psychiatric Therapies, Vol. 11,Masserman ............. ........... (Nov) 92

Davis-Christopher Textbook of Surgery-10th Ed.,Sabiston .... (Oct) 90

Diseases of the Breast-2nd Ed., Haagensen (Dec) 71Disorders of the Respiratory Tract in Children-

Vol. 1, Pulmonary Disorders-2nd Ed.,Kendig ............................. (Oct) 90

Functional Aids for the Multiply Handicapped,Robinault ........................... (Dec) 74

Gastrointestinal Angiography-Vol. I in Series,Saunders Monographs in Clinical Radiology,Reuter & Redman ........ ........... (Dec) 73

General Urology-7th Ed., Smith ..... ... (Nov) 92Handbook of Pe-diatrics-l0th Ed.,

Silver et al .............. (Dec) 74Introduction to Neuroscience, Minckler-... (Aug) 92Major Problems in Clinical Pediatrics-Vol. II,

see Rheutmatic FeverMedical Specialty Terminology-X-Ray and Nu-

clear Medicine-Vol. 2, Young & Likos . (Nov) 90Pediatric Orthopedics-Vol I & Vol. II,

Tachdjian ........ ................. (Nov) 94Pediatrics-15th Ed., Barnett & Einhorn .. (Nov) 92Principles and Practice of Medicine, The, 18th Ed.,Harvey et al ........ (Nov) 93

Progress in Medical Genetics, Vol. VIII, Steinberg& Bearn ........ (Nov) 94

Pulmonary Disorders, see Disorders of the Respira-tory Tract in Children

Readings in Modern Surgery, Egdahl &Maynick ............. .............. (Dec) 71

Renal Disease in Childhood-2nd Ed., James (Dec) 72Respiration in Health and Disease-2nd Ed.,

Cherniack et al ........ ............. (Dec) 71

Reticuloendothelial System, Liver, Spleen & Thyroid,see Atlas of Nuclear Medicine-Vol 3

Rheumatic Fever-2nd Ed., Vol. II in Series,Major Problems in Clinical Pediatrics,Markowitz & Gordis ....... .......... (Dec)

Saunders Monographs in Clinical Radiology-Vol.I, see Gastrointestinal Angiography

Steroid Hormones and Brain Function-UCLAForum in Medical Sciences-No. 15,Sawyer & Gorski .......... .......... (Aug)

Textbook of Electrocardiography, Littmann (Nov)UCLA Forum in Medical Sciences, see Steroid

HormontesUpper Cervical Spine, The, Torklus & Gehle (Aug)Urinary Tract Infection and Its Management,Kaye ............................. (Nov)

Vectorcardiography in Congenital Heart Disease,Ellison & Restieaux ........ .......... (Nov)

Botulism, see More on-Bowel Disease, see InflammatoryBreast Carcinomas, see Whole Body Skeletal

ScintiphotographyBronchial Brushing, see Needle Lung Biopsy

Bureau of Research and Planning:Another Look at the Medical "Generation Gap":

Second Triennial Survey of Attitudes of MedicalStudents and Recent Graduates, Michael W. Jonesand Pamela J. Newton ................ (Jul)Editorial ...... ........... (Jul)

Bursitis, see Anserina

CCalifornia Medical Association-From the Past to

the Present, Thomas Elmendorf ..... ... (Dec)CALIFORNIA MEDICAL ASSOCIATIONSpecial Report:New Journal and an Energetic Medical Association,

(Introduction), E. Kash Rose ..... .... (Dec)Enlightened Self-Interest (Special Editorial) (Dec)The Threads of a Professional Association Through

the Fabric of Society-The CMA as a New Kindof Organizational Instrument,Malcolm S. M. Watts ...... .......... (Dec)

CMA in Action, Robert L. Thomas ...... (Dec)Introduction ........... ............. (Dec)1. Advancing the Science and Art ...... (Dec)2. Safeguarding the Quality of Care ... . (Dec)3. Government Advocacy ...... ....... (Dec)4. Improving the Availability of Care .. (Dec)5. Shaping a Healthier Environment ... (Dec)6. Serving the Membership ..... ....... (Dec)7. Planning and Evaluation ....... ..... (Dec)

From the Past to the Future,Thomas Elmendorf ......... .......... (Dec)

Where We Stand-CMA Position Papers:Abortion ............... ............ (Dec)Acupuncture ........... ............. (Dec)Chiropractic ........... ............. (Dec)Confidentiality ......... ............. (Dec)Cost of Care ........... ............. (Dec)Drug Abuse ........... ............. (Dec)Environmental Health ...... .......... (Dec)Health Education for the Public ....... (Dec)Health in the United States .(Dec)Health Quackery ........ ........ (Dec)Health Maintenance Organizations and Prepaid

Health Plans ........... .......... (Dec)

78 DECEMBER 1973 * 119 * 6

72

9291

92

92

91

7871

38

12

3181820222527303335

38

43444445464648495051

51

Health Manpower ................... (Dec)National Health Insurance ....... ..... (Dec)Physician's Assistants ................ (Dec)Physician Unions .................... (Dec)Professional Standards Review ......... (Dec)Quality Medical Care ................ (Dec)

Blue Shield, the Doctor and the Public TheyServe, Marvin J. Shapiro ......... ..... (Dec)

525355565758

60

California Medical Association:Committee on Continuing Medical Education, see

Continuing Medical EducationLegal Counsel, see Medical JurisprudenceMessage from the President [Certification], Thomas

Elmendorf .......................... (Nov) 63Officers, Commissions, Committees, Component So-

cieties Roster Pages, see Advertising Pages 3 to 9,August Issue

Position Papers, see Position Papers, CMAProgram, Annual Session, see following page 84,Dec Issue

Proposed Constitutional Amendments ..... (Sep) 79See Annual Session Program page 31, Dec Issue

Roster Pages, see Advertising Pages 3 to 9, AugustIssie

Short Stay Surgical Centers-Statement by CMACommission on Health Facilities(Information) ...................... (Aug) 87

Can Standardized Medical Care Really Be Humane?(Editorial) ........................ (Sep)

Carbohydrate in Diabetes, see Obese DiabeticSymposium

Carcinoid Tumors of the Colon and Rectum (In-formation), P. Kent Cullen, Jr . ........ (Aug)

Carcinomas, Breast, see Whole Body SkeletalScintiphotography

Cardiac Function, see Non-Invasive MethodsCase for "Backlash" (Editorial) ...... .... (Oct)Cerebral Vascular Disease, see Superficial Temporal

Artery Bypass[Certification], see Message from the President[Certification], see Professional Competence[Certification], see Some Problems in AssuringChest Diseases, see Needle Lung BiopsyChest Diseases, Important Advances in, see EpitomesChildren, see Congenital Postero-Lateral ... HerniaChiropractic, see Position PapersCisternal Puncture Complications-Treatment of

Coccidioidal Meningitis with Amphotericin B,James R. Keane ..................... (Sep)Editorial, Demosthenes Pappagianis. (Sep)

55

89

65

1051

Clinical Cardiology-(American Heart Association):Systolic Time Intervals-A Non-Invasive Method to

Determine Left Ventricular Function,Ralph Shabetai ...................... (Oct) 84

Assessment of Myocardial Infarction with SerumEnzyme Determinations, William E. Shell (Nov) 87

Clinical Medicine, Important Advances in, see

EpitomesClinician and Forensic Medicine, The, Irving Root

and Wayne Scott ... ........ (Sep)CMA as a New Kind of Organizational Instrument,

see Threads of a Professional AssociationCMA in Action, Robert L. Thomas [For Index to

subject matter, see under California Medical As-sociation Special Report]

Coccidioidal Meningitis, see Cisternal Puncture

68

Coccidioidal Meningitis-intrathecal Treatment withHyperbaric Amphotericin B, Kevin P. Glynn,Naomi P. Alazraki and Thomas A. Waltz (Sep)Editorial, Demosthenes Pappagianis ..... (Sep)

Coccidioides in the Soil and the Meninges (Edi-torial), Demosthenes Pappagianis ...... (Sep)

Coccidioidomycosis in Northern California-AnOutbreak Among Archeology Students near RedBluff, S. Benson Werner and DemosthenesPappagianis .............. . (Sep)Editorial, Demosthenes Pappagianis ..... (Sep)

Colitis, see Inflammatory Bowel DiseaseColon, see Carcinoid Tumors ofComa, Diabetic, see Obese Diabetic SymposiumCompetence, Professional, See Some ProblemsConfidentiality, see Position PapersCongenital Postero-Lateral Diaphragmatic Hernia

in Children, Eng Chuan Saw, Neil R. Arbegastand Thomas P. Comer ....... ......... (Oct)

Congenital Side-to-Side Tracheoesophageal Fistulain the Adult, Maurice J. Brown, Ralph M. King,and C. W. Bruner ......... .......... (Nov)

Congenital Syphilis in Newborn (Letter to Editor),Glenn C. Szalay ......... ............ (Oct)Reply, Annabel Teberg ...... ......... (Oct)

Consent, see InformedConstitutional Amendments, see ProposedConstrictive Pericarditis Presenting as a Mediastinal

Mass, Peter M. Falk ........ ......... (Aug)

Continuing Medical Education:Some Problems in Assuring the Professional Com-

petence of Physicians [Certification](Editorial) .......................... (Aug)Letter to Editor, Wm. Campbell Felch .. (Nov)

Message from the President [Certification] . (Nov)

Contraception, see SexualityControl of Insulin Secretion, Mark A. Sperling, see

Obese Diabetic SymposiumCost, Low, see Satisfactory CareCost of Care, see Position PapersCounseling About Sickle Cell (Editorial), J. J.McNamara .......................... (Jul)

Criteria for Levels of Care Evaluation under Medi-care (Government and Medicine), Paul F.Flynn ............................. (Nov)

Crohn's Disease, see Inflammatory Bowel DiseaseCrohn's Disease of the Colon, see Overlapping

SpectrumCryptococcosis-A Cause of Calcified IntracranialMass Lesions, Akimi D. Ching, Sheldon M. Wolfand Joel Ruskin .......... ........... (Sep)

Cystic Disease, see Renal

DDental Operation, see TetanusDiabetes Mellitus, see Obese Diabetic SymposiumDiabetes Mellitus (Editorial),

George F. Cahill, Jr ................... (Oct)Diabetes, Pregnancy and Obesity, Delbert A. Fisher,

See Obese Diabetic SymposiumDiabetic Coma, see Obese Diabetic SymposiumDiethylstilbestrol, Postcoital, see FDA Drug BulletinDisc Herniation, Lumbar, see Trauma andDrug Abuse, see Fact or Fancy?Drug Abuse, see Position PapersDrug-Induced Lung Disease: The Price of Progress

(Medical Staff Conference) ..... ....... (Oct)Drug Names, see Hazards of Sound-AlikeDyskinesia, Tardive, see FDA Drug Bulletin

CALIFORNIA MEDICINE 79The Western Journal ot Medlilne

651

51

1651

6

54

7575

83

816263

69

80

59

63

48

EEditorials:Can Standardized Medical Care Really BeHumane? ........................... (Sep) 55

Case for "Backlash"...................... (Oct) 65Coccidioides in the Soil and the Meninges,

Demosthenes Pappagianis ............. (Sep) 51Counseling about Sickle Cell, J. J. McNamara (Jul) 69Diabetes Mellitus, George F. Cahill, Jr. .. . (Oct) 63Enlightened Self-Interest ................ (Dec) 2Fact or Fancy?-Changing Medical Complications

of Illicit Drug Use, Charles E. Becker .. (Aug) 69From "Crisis" to Chaos to What? ........ (Nov) 52Informed Consent in Focus, Howard Hassard (Nov) 51Medical "Generation Gap"................. (Jul) 71Neonatal Susceptibility to Infection,

Fred S. Rosen ................. i.... (Aug) 68New Journal and an Energetic Medical Association,

E. Kash Rose ............... (Dec) 1Non-Invasive Cardiology, A New Horizon,Dean T. Mason ...................... (Sep) 53

Overlapping Spectrum of Radiologic Signs inChronic Ulcerative Colitis and Crohn's Diseaseof the Colon, The, Alexander R. Margulis (Nov) 49

Price of Quality in Medical Care .......... (Jul) 68Progress in Epilepsy, Richard D. Walter ... (Jul) 67"Prolixity Will Be Construed as Uncertainity,"

Jay P. Sanford ...................... (Nov) 50Public Confidence in the Medical Profession (Aug) 70Satisfactory Care at Low Cost ........... (Sep) 51Some Caveats for the FDA .............. (Oct) 64Some Problems in Assuring the Professional Com-

petence of Physicians [Accreditation] ... (Aug) 71Letter to Editor, William Campbell Felch (Nov) 62

Embolus, Pulmonary, see Interruption of ... Vena CavaEnlightened Self-Interest (Editorial) ...... (Dec) 2Environmental Health, see Position PapersEpilepsy, see Progress inEpilepsy, see Recent Progress in

Epitomes of Progress in Clinical Medicine:Obstetrics and Gynecology ....... ........ (Jul)Plastic Surgery ............. ........... (Aug)Pathology ............................ (Sep)Internal Medicine ........... ........... (Oct)Chest Diseases ............. ........... (Nov)

[Euthanasia], see To Heal or To Treat

FFact or Fancy?-Changing Medical Complications

of Illicit Drug Use (Editorial),Charles E. Becker ......... .......... (Aug)

False-Positive FTA-ABS Test in a Heroin Addict,A, Philip J. Feitelson and A. Bruce Junkin (Aug)Editorial, Charles E. Becker ..... ..... (Aug)

Fatigue, see Vitamin EFatigue Caused by Vitamin E? (Letter to Editor),

Harold M. Cohen .......... .......... (Jul)Letter to Editor, Samuel Ayres, Jr . ..... (Oct)Letter to Editor, Evan V. Shute ........ (Oct)

FDA Drug Bulletin-Selected Items:Intrauterine Devices: Precautions During Use (Oct)Poison Prevention Packaging for Drugs .. (Oct)Postcoital Diethylstilbestrol ...... ....... (Aug)Tardive Dyskinesia Associated with Antipsychotic

Drugs [Phenothiazines, etc.] ..... ...... (Aug)U-100 Insulin ......................... (Aug)

6064455642

69

7367

727373

858587

8888

[Federal Food and Drug Administration], see SomeCaveats

Fever of Unknown Origin, see LymphangiographyFinger Tip Amputations-Review of Procedures and

Applications, Anthony B. Sokol ........ (Aug)Fistula, Tracheoesophageal, see Congenital Side-To-

Side[Food and Drug Administration], see Some CaveatsForensic Medicine, see Clinician andFranciscan Mission Period (1769-1833), see Pre-

vention of SmallpoxFrom "Crisis" to Chaos to What? (Editorial) (Nov)From the Past to the Future,Thomas Elmendorf ................... (Dec)

FTA-ABS Test, see False-Positive

G

"Generation Gap," Medical, see Another Look"Generation Gap," see MedicalGenetic Disorders, see Prenatal DiagnosisGenetics of Diabetes Mellitus, David L. Rimoin, see

Obese Diabetic Symposium[Gold Headed Cane Lecture], see Backlash

Government and Medicine:Criteria for Levels of Care Evaluation under Medi-

care, Paul F. Flynn ......... ......... (Nov)

22

52

38

80

Granulomatous Colitis, see Inflammatory BowelDisease

Gynecology and Obstetrics, see Epitomes

H

Harbor General Hospital, see Specialty ConferencesHazards of Sound-Alike, Look-Alike Drug Names

(Letter to Editor), Benjamin Teplitsky .. (Nov) 62[Health Care] Medical Care, see Price of QualityHealth, Environmental, see Position PapersHealth Education for the Public, see Position PapersHealth in the United States, see Position PapersHealth Insurance, National, see Position PapersHealth Maintenance Organizations, see Position

PapersHealth Manpower, see Position PapersHealth Quackery, see Position PapersHematuria, see Sickle Cell TraitHemlock, Water, see AccidentalHemodialysis, see Recognition and Management of

PsychosisHemolytic Disease Reporting (Letter to Editor),

Keith P. Russell ...................... (Sep) 67Hernia, see Congenital Postero-LateralHeroin Addict, see False-Positive FTA-ABS TestHeroin Addicts, see Pyogenic Vertebral Osteomy-

elitis inHeroin Use, see RhabdomyolysisHigh-School Population, see Sexuality

Identifying and Counseling Patients with SickleTrait, W. Byron Smith, William C. Mentzer, Jr.,and Peter R. Dallman ................. (Jul)Editorial, J. J. McNamara ............. (Jul)Letter to Editor (Sickle Cell Trait in the Sky),

G. F. Catlett .................. (Oct)Reply ........ .......... (Oct)

169

7474

80 DECEMBER 1973 * 119 * 6

Ileostomy, The-Consideration of the Stoma, Peri-stomal Skin, Appliance and Diet, Rosemary Watt,see Inflammatory Bowel Disease-A Symposium

Illicit Drug, see Fact or Fancy?Immunoglobulin Studies in Newborns, see

PhagocyticInfection, see Neonatal Susceptibility toInferior Vena Cava, see Interruption ofInflammatory Bowel Disease-A Symposium (Stan-

ford University Specialty Conference) .. (Nov)Radiological Differential Diagnosis Between Ul-

cerative and Granulomatous (Crohn's) Coli-tis, Gerald W. Friedman ...... ...... (Nov)

Medical Treatment of Inflammatory Bowel Dis-ease, Gary M. Gray ....... ........ (Nov)

Operative Therapy for Ulcerative Colitis andCrohn's Disease,Harry A. Oberhelman, Jr . .......... (Nov)

The Ileostomy-Consideration of the Stoma,Peristomal Skin, Appliance and Diet,Rosemary Watt . (Nov)

Editorial, Alexander R. Margulis. (Nov)

Information:AMA Placement Service ....... ......... (Oct)American Heart Association-Cardiology, see

Clinical CardiologyBulletin on Drugs, see FDA Drug BulletinCarcinoid Tumors of the Colon and Rectum,

P. Kent Cullen, Jr . ............ (Aug)Short Stay Surgical Centers-Statement by CMACommission on Health Facilities ....... (Aug)

Workmen's Compensation Medico-Legal Interface-The Questions of "Arising Out of Employment inConnection with Employment" and the "Pre-sumption Clause," William B. Whiting andRobert D. Beyer ........... ......... (Sep)

Informed Consent-A Reappraisal of Patients' Re-actions (Medical Jurisprudence),Sidney H. Rosenberg ....... ......... (Nov)

Informed Consent in Focus (Editorial),Howard Hassard .......... .......... (Nov)

Injured Workman, see Medical-Legal ConceptsInsulin, see Obese Diabetic SymposiumInsulin, U-100, see FDA Drug BulletinInternal Medicine, Important Advances in, see

EpitomesInterruption of the Inferior Vena Cava with Azygos

Continuation and Pulmonary Embolus, Russell B.Sadler and Garry Fitzgerald ...... ..... (Oct)

Intracranial Mass Lesions, see CryptococcosisIntrauterine Devices: Precautions during Use, seeFDA DruTg Bulletin

Intravenous Therapy, see Pseudomonas Cepacia

K

Knee Pain, see Anserina Bursitis

L

Laminaria Tents as an Aid in Suction Abortion,Kenneth R. Niswander .. ............. (Jul)

Legal Counsel, see Medical JurisprudenceLesions, Calcified Intracranial, see CryptococcosisLetters to Editor:Congenital Syphilis in Newborn,Glenn C. Szalay .......... ........... (Oct)Reply, Annabel Teberg ....... ........ (Oct)

14

14

21

25

3050

86

89

87

77

64

51

69

11

7575

Fatigue Caused by Vitamin E?,Harold M. Cohen ........ ............ (Jul)Comment, Samuel Ayres, Jr . .......... (Oct)Comment, Evan V. Shute ...... ....... (Oct)

Hazards of Sound-Alike, Look-Alike Diug Names,Benjamin Teplitsky ....... ........... (Nov)

Hemolytic Disease Reporting,Keith P. Russell ......... ............ (Sep)

More on Botulism, Michael H. Merson, Eugene F.Gangarosa and V. R. Dowell, Jr : :.... (Sep)

On Some Unproven Effects of Aspirin and Sac-charine, Arthur D. Silk ....... ........ (Aug)

On Throw-aways and Such, John C. Bolton . (Sep)Pinpointing Preceptorships, Jeffrey L. Chin (Sep)Professional Competence [Certification], WilliamCampbell Felch [President ASIM]. (Nov)

Sickle Cell Trait Hematuria,Harry J. Campbell ....... ........... (Sep)Reply, Richard B. Hoffman andMilton 0. Zucker ........ ............ (Sep)

Sickle Cell Trait in the Sky, G. F. Catlett . . (Oct)Reply, W. Byron Smith, W. C. Mentzer,Peter R. Dallman ........ ............ (Oct)

Side Effects from Vitamin E,Samuel Ayres, Jr . ................... (Oct)

To Heal or To Treat? [Report on Euthanasia],Theodore Cohen ........ ............ (Aug)

Vitamin E Fatigue, Evan V. Shute ....... (Oct)

Lipid Metabolism, the Polyol Pathway and VascularComplications, Robert H. Fiser, see ObeseDiabetic Symposium

Lumbar Disc Herniation in Childhood, seeTrauma and

Lung Biopsy, see NeedleLung Disease, see Drug-InducedLymphangiography in Diagnosis of Fever of Un-known Origin, Elliot Goldstein andPaul D. Hoeprich ............ ....... (Nov)

MManpower, Health, see Position Papers-Mediastinoscopy, see Needle Lung BiopsyMedical Care, see Can StandardizedMedical Care, see Price of QualityMedical Care, Quality, see Position Papers[Medical] Care, see SatisfactoryMedical "Generation Gap" (Editorial) .... . (Jul)

727373

62

67

65

866767

62

66

6674

74

73

8673

59

71

Medical Jurisprudence:Informed Consent-A Reappraisal of Patients' Re-

actions, Sidney H. Rosenberg .......... (Nov) 64Informed Consent in Focus (Editorial),Howard Hassard ..................... (Nov) 51

Medical-Legal Concepts in the Evaluation of theInjured Workman, Harold W. Wax .... (Nov) 69

Medical Records-The Patient's Right to Informa-tion (Advice from Legal Counsel),David E. Willett .................... (Nov) 77

Retention of Medical Records (Advice from LegalCounsel), Howard Hassard ..... ...... (Nov) 76

Medical-Legal Concepts in the Evaluation of theInjured Workman (Medical Jurisprudence),Harold W. Wax ...... .............. (Nov) 69

Medical Profession, see Public Confidence in

Medical Progress:Recent Progress in Epilepsy-Diagnostic Procedures

and Treatment, Barry R. Tharp ........ (Jul)Editorial, Richard D. Walter ...... ..... (Jul)

1967

CALIFORNIA MEDICINE 81The Western Journal of Medicine

4368

750

Phagocytic, Opsonic and Immunoglobulin Studies inNewborns, Michael E. Miller andE. Richard Stiehm ........ ........... (Aug)Editorial, Fred S. Rosen .............. (Aug)

Treatment of Shock Caused by Bacterial Infections,Max Harry Weil and Herbert Shubin ... (Nov)Editorial, Jay P. Sanford ...... ....... (Nov)

Medical Records, see Retention ofMedical Records-The Patient's Right to Informa-

tion (Advice from Legal Counsel) (MedicalJurisprudence), David E. Willett ....... (Nov)

Medical Staff Conferences:Antibiotic Therapy in Compromised Hosts, Chief

Discussant: David J. Drutz ...... ....... (Jul)Progressive Systemic Sclerosis-"Something Old,

Something New, Something Borrowed, SomethingBlue," Chief Discussant: Robert C. Siegel (Aug)

Arthritis Caused by Viruses, Chief Discussant:R. Michael Wilkes ......... .......... (Sep)

Drug-Induced Lung Disease: The Price of Progress,Chief Discussant: John L. Stauffer ..... (Oct)

Renal Cystic Disease, Chief Discussant:R. Curtis Morris ........... .......... (Nov)

Medical Treatment of Inflammatory Bowel Disease,Gary M. Gray, see Inflammatory Bowel Disease-A Symposium

Medical Students, Attitudes, see Another LookMedicare, see Criteria for Levels of Care

Evaluation Under

Medicine in Perspective:Prevention of Smallpox in Alta California During

the Franciscan Mission Period (1769-1833),Rosemary Keupper Valle ...... ........ (Jul)Correction .......................... (Aug)

Meningitis, see Cisternal PunctureMeningitis, see CoccidioidalMessage from the President [Certification] (Con-

tinuing Medical Education),Thomas Elmendorf ........ .......... (Nov)

Metabolism, Lipid, see Obese Diabetic SymposiumMore on Botulism (Letter to Editor), Michael H.

Merson, Eugene F. Gangarosa andV. R. Dowell, Jr . .................... (Sep)

Myocardial Infarction, see Assessment of

N

National Health Insurance, see Position PapersNecrosis, see Acute Renal CorticalNeedle Lung Biopsy, Bronchial Brushing and Medi-

astinoscopy in the Management of Chest Dis-eases, Frederick N. Firestone .......... (Sep) I

Neonatal Susceptibility to Infection (Editorial),Fred S. Rosen ................. (Aug) 68

New Developments in Diabetes Obesity and InsulinResistance, George A. Bray, see Obese DiabeticSymposium

New Journal and an Energetic Medical Association,E. Kash Rose ...................... (Dec) 1

Newborns, see Phagocytic, Opsonic and Immuno-globulin Studies in

Non-Invasive Cardiology, A New Horizon (Edi-torial), Dean T. Mason .............. (Sep) 53

Non-Invasive Methods for the Assessment of Car-

diac Function (UC, San Diego, InterdepartmentalConference), Participants: John Ross, Jr., RobertA. O'Rourke, Kirk L. Peterson, Philip Ludbrook,Michael H. Crawford, George R. Leopold, JoelS. Karliner, Burton E. Sobel andWilliam L. Ashburn .................. (Sep)Editorial, Dean T. Mason ....... ...... (Sep)

2153

0Obese Diabetic, The-A Symposium on New De-

77 velopments (UC, Los Angeles, and Harbor Gen-eral Hospital Teaching Conference), Moderator:George A. Bray (Specialty Conference) (Oct) 14Genetics of Diabetes Mellitus,

49 David L. Rimoin .................. (Oct) 14Control of Insulin Secretion,Mark A. Sperling .................. (Oct) 17

35 New Developments in Diabetes Obesity and Insu-lin Resistance, George A. Bray .. (Oct) 22

38 Lipid Metabolism, the Polyol Pathway and Vascu-lar Complications, Robert H. Fiser .... (Oct) 26

48 Atypical Diabetic Coma,Ronald S. Swerdloff .(Sep) 29

36 Diabetes, Pregnancy and Obesity,Delbert A. Fisher. (Oct) 35

Role of Carbohydrate and Oral Agents in theTreatment of Diabetes Mellitus,William D. Odell (Oct) 37

Editorial, George F. Cahill . (Oct) 63Obesity, see Obese Diabetic SymposiumObstetrics and Gynecology, see EpitomesOcclusive Cerebral Vascular Disease, see Superficial

Temporal Artery BypassOfficers, Commissions, Committees, Component So-

cieties, see Roster PagesOn Some Unproven Effects of Aspirin and Sac-

73 charine (Letter to Editor), Arthur D. Silk (Aug) 8672 On Throw-aways and Such (Letter to Editor),

John C. Bolton .. (Sep) 67Operative Therapy for Ulcerative Colitis and

Crohn's Disease, Harry A. Oberhelman, Jr., seeInflammatory Bowel Disease-A Symposium

Opsonic Studies in Newborns, see Phagocytic63 Oral Agents, in Diabetes, see Obese Diabetics

SymposiumOsteomyelitis, see Pyogenic VertebralOverlapping Spectrum of Radiologic Signs in

65 Chronic Ulcerative Colitis and Crohn's Diseaseof the Colon (Editorial), Alexander R.Margulis ..... (Nov) 49

PPathology, Important Advances in, see EpitomesPatient's Right, see Medical RecordsPericarditis, see ConstrictivePhagocytic, Opsonic and Immunoglobulin Studies inNewborns (Medical Progress), Michael E.Miller and E. Richard Stiehm ..... .... (Aug)Editorial, Fred S. Rosen ...... ........ (Aug)

[Phenothiazines], Antipsychotic Drugs, see FDADrug Bulletin

Physician Unions, see Position PapersPhysician's Assistants, see Position PapersPhysicians, Competence of, see Some ProblemsPinpointing Preceptorships (Letter to Editor),

Jeffrey L. Chin ........ .............. (Sep)Placement Service, see AMAPlastic Surgery, Important Advances in, seeEpitomes

4368

67

82 DECEMBER 1973 * 119 * 6

Poison Prevention Packaging, see FDA DrugBulletin

Polyol Pathway, see Obese Diabetic Symposium

Position Papers, CMA:Abortion ......................... (Dec)Acupuncture ......................... (Dec)Chiropractic ......................... (Dec)Confidentiality ........................ (Dec)Cost of Health Care ................... (Dec)Drug Abuse ........................ (Dec)Environmental Health .......... ....... (Dec)Health Education for the Public ......... (Dec)Health in the United States ....... ....... (Dec)Health Maintenance Organizations and Prepaid

Health Plans ........................ (Dec)Health Manpower ..................... (Dec)Health Quackery .................... (Dec)National Health Insurance .............. (Dec)Physician's Assistants .................. (Dec)Physician Unions .................... (Dec)Professional Standards Review Organizations (Dec)Quality Medical Care .................. (Dec)

QQuackery, Health, see Position PapersQuality, see Price ofQuality Medical Care, see Position Papers

434444454646484950

5152515355565758

Postcoital Diethylstilbestrol, see FDA Drug BulletinPreceptorships, see PinpointingPregnancy, see SexualityPregnancy, and Diabetes, see Obese DiabeticSymposium

Prenatal Diagnosis of Genetic Disorders by Amnio-centesis, Barbara F. Crandall andRobert S. Sparkes ................... (Nov) 1

President, CMA, see MessagePresumption Clause, see Workmen's Compensation

Medico-Legal InterfacePrevention of Smallpox in Alta California During

the Franciscian Mission Period (1769-1833)(Medicine in Perspective), RosemaryKeupper Valle ....................... (Jul) 73Correction ........ ................. (Aug) 72

Price of Quality in Medical Care (Editorial) (Jul) 68Professional Association, see Threads ofProfessional Competence [Certification] (Letter to

Editor), William Campbell Felch (PresidentASIM) ............................ (Nov) 62

Professional Standards Review Organizations, seePosition Papers

Progress in Epilepsy (Editorial),Richard D. Walter .(Jul)67

Progressive Systemic Sclerosis-"Something Old,Something New, Something Borrowed, SomethingBlue" (Medical Staff Conference) ...... (Aug) 35

Proposed Constitutional Amendments (CMA) (Sep) 79"Prolixity Will Be Construed as Uncertainty"

(Editorial), Jay P. Sanford ........... (Nov) 50Pseudomonas Cepacia Septicemia Associated with

Intravenous Therapy, George W. Meyer .. (Jul) 15PSRO's, see Position PapersPsychosis, see Recognition and ManagementPublic Confidence in the Medical Profession

(Editorial) ..................... (Aug) ' 70Pulmonary Embolus, see Interruption of . .. VenaCava

Pulmonary Lymphangiomyoma with Renal Angio-myolipomas, Sanford E. Leeds, Mortimer A.Benioff and Paul Ortega .............. (Aug) 74

Pyogenic Vertebral Osteomyelitis in Heroin Addicts,Ronald S. Fishbach, Jon E. Rosenblatt andJames G. Dahlgren .................. (Aug) 1Editorial, Charles E. Becker ........... (Aug) 69Correction ................. .... (Sep) 56

RRadiological Differential Diagnosis Between Ulcera-

tive and Granulomatous (Crohn's) Colitis,Gerald W. Friedman, see Inflammatory BowelDisease-A Symposium

Recent Progress in Epilepsy-Diagnostic Proceduresand Treatment (Medical Progress),Barry R. Tharp . (Jul)Editorial, Richard D. Walter. (Jul)

Recognition and Management of Psychosis Asso-ciated with Hemodialysis, Ira D. Glick, MichaelD. Goldfield and Paul Kovnat ..... .... (Nov)

Records, see Retention ofRectum, see Carcinoid Tumors ofRed Bluff, see CoccidioidomycosisRenal Angiomyolipomas, see PulmonaryLymphangiomyoma

Renal Cortical Necrosis, see AcuteRenal Cystic Disease (Medical Staff

Conference) ...... (Nov)Renal Failure, Acute Myoglobinuric, see

RhabdomyolysisRetention of Medical Records (Advice from Legal

Counsel), Howard Hassard ..... ...... (Nov)Rhabdomyolysis and Acute Myoglobinuric Renal

Failure Following Heroin Use, John C. Klockand Michael J. Sexton ....... ......... (Aug)Editorial, Charles E. Becker ..... ...... (Aug)

Right, Patient's, see Medical RecordsRole of Carbohydrate and Oral Agents in the

Treatment of Diabetes Mellitus, William D. Odell,see Obese Diabetic Symposium

Roster Pages-Officers, Commissions, Committees,Component Societies, see Advertising Pages3-9, August Issue

SSaccharine, see On Some Unproven EffectsSatisfactory [Medical] Care at Low Cost

(Editorial) ........l. ........ (Sep)Scintiphotography, see Whole BodySclerosis, see Progressive SystemicSepticemia, see Pseudomonas CepaciaSerum Enzyme Determinations, see Assessment of

Myocardial InfarctionSexuality, Contraception and Pregnancy in a High-

School Population, Warren B. Miller .... (Aug)Shock, see Treatment ofShort Stay Surgical Centers-Statement by CMACommission on Health Facilities(Information) ......... ............. (Aug)

Sickle Cell, see Counseling aboutSickle Trait, see Identifying and Counseling Patients

withSickle Cell Trait Hematuria (Letter to Editor),

Harry J. Campbell ........ ........... (Sep)Reply, Richard B. Hoffman andMilton 0. Zucker ......... ........... (Sep)

Sickle Cell Trait in the Sky (Letter to Editor),G. F. Catlett ............. ........... (Oct)Reply, W. Byron Smith, W. C. Mentzer,Peter R. Dallman ......... ........... (Oct)

Side Effects from Vitamin E (Letter to Editor),Samuel Ayres, Jr . .................... (Oct)

CALIFORNIA MEDICINE 83The Western Joumal ot Medicine

1967

56

36

76

S69

51

14

87

66

66

74

74

73

Smallpox, see Prevention ofSocioeconomic Report, see Bureau of Research and

PlanningSome Caveats for the FDA (Editorial) ... (Oct)Some Problems in Assuring the Professional Com-

petence of Physicians [Certification](Editorial) ......................... (Aug)Letter to Editor, William Campbell Felch (Nov)

Special Articles:Clinician and Forensic Medicine, The, Irving Root

and Wayne Scott .(Sep)Backlash-The Case for American Medicine [Wm

Kerr Lecture-Gold Headed CaneCeremony], Francis D. Moore .......... (Oct)Editorial ........................... (Oct)

64

7162

68

7665

Specialty Conferences:Non-Invasive Methods for the Assessment of Car-

diac Function (UC, San Diego, InterdepartmentalConference), Participants: John Ross Jr., RobertA. O'Rourke, Kirk L. Peterson, Philip Ludbrook,Michael H. Crawford, George R. Leopold, JoelS. Karliner, Burton E. Sobel, andWilliam L. Ashburn ........ .......... (Sep) 21Editorial, Dean T. Mason ...... ....... (Sep) 53

Obese Diabetic, The-A Symposium on New De-velopments (UC, Los Angeles, and Harbor Gen-eral Hospital Teaching Conference), Moderator:George A. Bray ...................... (Oct) 14Genetics of Diabetes Mellitus,David L. Rimoin .................. (Oct) 14

Control of Insulin Secretion,Mark A. Sperling ................. (Oct) 17

New Developments in Diabetes Obesity andInsulin Resistance, George A. Bray ... (Oct) 22

Lipid Metabolism, the Polyol Pathway and Vas-cular Complications, Robert H. Fiser .. (Oct) 26

Atypical Diabetic Coma,Ronald S. Swerdloff ....... ......... (Oct) 29

Diabetes, Pregnancy and Obesity,Delbert A. Fisher ........... ........ (Oct) 35

Role of Carbohydrate and Oral Agents in theTreatment of Diabetes Mellitus,William D. Odell ....... ........... (Oct) 37

Editorial, George F. Cahill ..... ....... (Oct) 63Inflammatory Bowel Disease-A Symposium

(Stanford University) ................. (Nov) 14Radiological Differential Diagnosis Between Ul-

cerative and Granulomatous (Crohn's) Coli-tis, Gerald W. Friedland ............ (Nov) 14

Medical Treatment of Inflammatory Bowel Dis-ease, Gary M. Gray ........ ........ (Nov) 21

Operative Therapy for Ulcerative Colitis andCrohn's Disease,Harry A. Oberhelman, Jr . ........... (Nov) 25

The Ileostomy-Consideration of the Stoma, Per-istomal Skin, Appliance and Diet,Rosemary Watt ........... ........ (Nov) 30

Editorial, Alexander R. Margulis ...... (Nov) 50

Standardized Medical Care, see CanStanford University, see Inflammatory Bowel

DiseaseStatement by CMA Commission on Health Facili-

ties, see Short Stay Surgical CentersStatements, CMA, see Position PapersSuction Abortion, see Laminaria TentsSuperficial Temporal Artery Bypass in Occlusive

Cerebral Vascular Disease, Norman Chater, JohnMani and K. Tonnemacher. (Aug) 9

Surgery, Plastic, see EpitomesSurgical Centers, see Short StaySymposium, see Inflammatory Bowel DiseaseSymposium, see Obese DiabeticSyphilis in Newborn, see CongenitalSystolic Time Intervals-A Non-Invasive Method to

Determine Left Ventricular Function (AmericanHeart Association Clinical Cardiology)Ralph Shabetai ............ .......... (Oct) 84

TTardive Dyskinesia Associated with Antipsychotic

Drugs, see FDA Drug BulletinTetanus Following a Dental Operation, Lawrence A.Cone and Fred S. Fensterer ....... ..... (Sep) 57

Threads of a Professional Association Through theFabric of Society-The CMA as a New Kind ofOrganizational Instrument,Malcolm S. M. Watts ................ (Dec) 3

Throw-aways, see OnTime Intervals, see SystolicTo Heal or To Treat? [Report on Euthanasia] (Let-

ter to Editor), Theodore Cohen ....... (Aug) 86Tracheoesophageal Fistula, see Congenital Side-To-

SideTrauma and Lumbar Disc Herniation in Childhood,

Laszlo Ambrus andChristos Papatheodorou .(Oct) 66

Treatment of Shock Caused by Bacterial Infections(Medical Progress), Max Harry Weil andHerbert Shubin .................. (Nov) 7Editorial, Jay P. Sanford ............. (Nov) 50

UU-100 Insulin, see FDA Drug BulletinUC, Los Angeles, see Specialty ConferencesUC, San Diego, see Specialty ConferencesUlcerative Colitis, see Inflammatory Bowel DiseaseUlcerative Colitis, Chronic, see Overlapping

SpectrumUnions, Physician, see Position Papers

V

Vascular Complications, see Obese DiabeticSymposium

Vena Cava, Inferior, see Interruption ofVentricular Function, Left, see Systolic Time

IntervalsVertebral Osteomyelitis, see PyogenicViruses, see Arthritis Caused byVitamin E, see FatigueVitamin E, see Side Effects fromVitamin E Fatigue (Letter to Editor),Evan V. Shute ....................... (Oct) 73

w

Water Hemlock, see AccidentalWhere We Stand-CMA Position Papers [For Index

to subject matter, see under Position Papers]Whole Body Skeletal Scintiphotography in the

Detection of Occult Metastatic Breast Carcinomas,G. Bruce Hopkins and Kai A. B. Kristensen (Oct)

[Workmen's Compensation], see Medical-LegalConcepts

Workmen's Compensation Medical-Legal Interface-The Questions of "Arising Out of Employmentin Connection with Employment" and the "Pre-sumption Clause" (Information), William B.Whiting and Robert D. Beyer .......... (Sep)

10

77

84 DECEMBER 1973 * 119 * 6