Postgraduate Medical Journal

EDITORB.I. Hoffbrand, London

ASSISTANT EDITORP.J.A. Moult, London

EDITORIAL BOARD

J. Bamford, Leeds A. Al-]P.J. Barnes, London K.T. I

A.H. Barnett, Birmingham P.H.M.C. Bateson, Bishop Auckland M.W.N

G.F. Batstone, Salisbury N.T.J. O'C.J. Bulpitt, London M.

C. Coles, Southampton M. SiD.J. Coltart, London T. TG.C. Cook, London P. 1

P.N. Durrington, Manchester J.A. NR.C. Evans, Cardiff I.V.DJ.C. Gingell, Bristol P.D. V

C.R.K. Hind, Liverpool W.F. ID. Ingram, London P.R. Wilki

C.D. Johnson, Southampton

International Editorial RepresentativesN. Angomachalelis, GreeceC.S. Cockram, Hong Kong

J.W.F. Elte, The NetherlandsF.F. Fenech, MaltaB.M. Hegde, IndiaP. Tugwell, Canada

Editorial AssistantMrs J.M. Coops

Khutoubi, LondonKhaw, CambridgeMillard, London[. Nicholls, London'Connor, ShrewsburySarner, Londonuper, Manchesterreasure, Londonrurner, LondonVale, Birmingham). Weller, LondonWelsby, EdinburghWhimster, Londoninson, Ashford, Middx

3ROWN UNIVERSITYIV A "V

JAN 1 3 1995

Volume 70, Number 830December 1994

The Postgraduate Medical Journal is published on behalfof the Fellowship of Postgraduate Medicine byMacmillan Press Ltd.

Scope Postgraduate Medical Journal publishes originalpapers on subjects ofcurrent clinical importance. Eachissue contains commissioned reviews and leading articlesbut unsolicited submissions are also welcome. Each issuealso includes 'Letters to the Editor', book reviews and aninternational postgraduate diary. Many issues containpapers or abstracts of symposia devoted to a singlesubject, and the full proceedings ofmeetings arepublished as supplements to the Journal. The Journal, asthe organ of the Fellowship ofPostgraduate Medicine, isdedicated to advancing the understanding and practiceof postgraduate medical education and training.

The Fellowship ofPostgraduate Medicine was foundedafter the First World War and was a pioneer in theUnited Kingdom in the development ofprogrammes ofpostgraduate study in all branches ofmedicine (seePostgradMedJ61, 1). It always has been, and remains,independent of University, Health Service andGovernment. Currently the Fellowship works closelywith the National Association of Clinical Tutors infurthering mutual aims. Amongst other activities, theFellowship provides research grants and support foryoung investigators especially those working temporarilyin the UK.

Further details of the Fellowship of PostgraduateMedicine can be obtained from The Executive Secretary,The Fellowship of Postgraduate Medicine, 12 ChandosStreet, London WIM 9DE.

The Journal is covered by Current Contents, BiologicalAbstracts, ASCA, ISI/BIOMED, Index Medicus,Excerpta Medica and Science Citation Index.

Editorial Manuscripts and all editorial correspondenceshould be sent to: The Editor, Postgraduate MedicalJournal, 12 Chandos Street, London WIM 9DE, UK.Tel: + 44 71 636 6334 Fax: + 44 71 436 2535

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Postgraduate Medical Journal (ISSN 0032-5473) ispublished monthly by Macmillan Press Ltd, c/o MercuryAirfreight International Ltd, 2323 Randolph Avenue,Avenel, NJ 07001, USA. Subscription price forinstitutions is $260 per annum. 2nd class postage is paidat Rahway NJ. Postmaster: send address corrections toMacmillan Press Ltd, c/o Mercury AirfreightInternational Ltd, 2323 Randolph Avenue, Avenel,NJ 07001

Copyright i) 1994 The Fellowship of Postgraduate MedicineISSN 0032- 5473

All rights ofreproduction are reserved in respect of allpapers, articles, illustrations, etc., published in thisjournal in all countries of the world.

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Apart from any fair dealing for the purposes of researchor private study, or criticism or review, as permittedunder the Copyright, Designs and Patent Act 1988, thispublication may be reproduced, stored or transmitted, inany form by any means, only with the prior permission inwriting of the publishers, or in the case of reprographicreproduction, in accordance with the terms of licencesissued by the Copyright Licensing Agency.

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Whilst every effort is made by the publishers and editorial board to see that no inaccurate or misleading data, opinion or statementappears in this Journal, they wish to make it clear that the data and opinions appearing in the articles and advertisements herein arethe responsibility of the contributor or advertiser concerned. Accordingly, the publishers and The Fellowship, the editorialcommittee and their respective employees, officers and agents accept no liability whatsoever for the consequences of any suchinaccurate or misleading data, opinion or statement. Whilst every effort is made to ensure that drug doses and other quantities arepresented accurately, readers are advised that new methods and techniques involving drug usage, and described within thisJournal, should only be followed in conjunction with the drug manufacturer's own published literature.

Postgrad Med J (1994) 70, 950 I) The Fellowship of Postgraduate Medicine, 1994

Acknowledgements

The Editor wishes to thank the following, who have refereed manuscripts during 1994, to the date when this issue wentto press:Ahlquist, J.A.O.Al Kutoubi, M.A.Baillod, R.A.Bamford, J.Barnes, P.J.Barnett, A.H.Bateson, M.C.Beck, E.R.Bennett, J.R.Berry, H.Betteridge, D.J.Blau, J.N.Bleehen, S.S.Bottazzo, G.F.Brown, M.J.Bruckner, F.E.Bulpitt, C.J.Burge, P.S.Burns-Cox, C.J.Cadge, B.A.Cairns, H.S.Camm, A.J.Campbell, P.G.Carty, H.Casson, I.Chamberlain, D.A.Chapman, C.Chu, P.Cochrane, J.P.S.Cockram, C.S.Coleridge-Smith, P.D.Coles, C.Coltart, D.J.Compston, J.Conway, G.S.Cook, G.C.Coupe, M.O.Cowie, A.Crisp, A.Crisp, A.H.Croker, J.R.Daggett, P.R.Davies, I.J.T.Davies, M.J.Davis, J.C.Dick, R.Dillon, M.J.Dodson, P.Durrington, P.N.Edwards, J.D.Edwards, O.M.Ellis, H.Epstein, 0.Evans, R.C.Fairclough, P.Farrington, K.Fenech, F.F.Ferguson, I.R.Fewins, H.Fisher, C.Forbes, A.Fraser, B.Fry, L.Gallagher, C.J.Garrey, C.Gawler, J.

Ghodse, A.H.Gibbs, D.D.Gilkes, J.J.Gingell, J.C.Goldstraw, P.Goulding, R.Griffiths, R.Gross, E.Hamilton-Miller, J.M.T.Handler, C.E.Hanson, G.C.Hardman, S.Harris, D.Harris, M.Hawkins, P.Hay, C.Hayward, R.D.Healy, T.E.J.Heath, D.A.Hegde, B.M.Hetzel, M.R.Hill, F.G.H.Hill, O.W.Hilson, A.J.W.Hind, C.R.K.Hopkins, A.P.Hopkins, D.Hughes, G.R.V.Iliffe, S.R.Isaacson, P.G.James, D.G.James, I.M.Jaswon, M.S.Jewell, D.J.Johnson, C.D.Johnson, N.Jones, A.Karet, F.Keatinge, W.Keighley, M.R.B.Kellett, J.M.Kelsey, M.C.Kendall, B.Khaleeli, A.Khamashta, M.Khaw, K.T.King, C.King, D.Kingsley, D.P.E.Kirby, J.D.Knill-Jones, R.P.Kumar, P.Lee, C.A.Leinster, S.Lester, E.Levi, J.A.Lewith, G.T.Lock, M.R.Lockwood, C.M.Lynn, J.A.Malcolm, A.D.Mathias, C.J.McConnell, R.Mehta, A.B.Millard, P.H.Mitchell, D.

Morgan, D.J.R.Morrison, C.J.Moult, P.J.A.Murray-Lyon, I.Myskow, M.Nicholls, M.W.N.O'Connor, N.Oldershaw, P.J.O'Neill, D.Osborne, R.J.Over, K.Paice, E.W.Pardy, B.J.Parker, N.E.Patterson, D.L.H.Peters, T.J.Phillips, D.Powell, R.J.Pozniak, A.Prentice, H.G.Priestley, B.Prosser, D.Rahman, M.Rees, J.Rees, J.Renton, P.Rhys-Evans, R.Richards, M.A.Russell, G.Rustin, M.H.A.Sarner, M.Savage, C.O.S.Scadding, J.W.Schapira, A.H.V.Scoble, J.E.Scurr, J.Singer, D.R.J.Singer, M.Smith, D.Stern, G.M.Sullivan, F.Sutton, R.Tandon, R.K.Thomas, J.M.Thomas, P.K.Tugwell, P.Turner, P.Vale, J.A.Walshaw, M.Ward, J.D.Wardlaw, A.J.Watson, A.Webster, D.Wedzicha, J.A.Welsby, P.D.Whimster, W.F.Wilkinson, P.R.Wilkinson, R.Williams, G.Williams, R.Wing, A.J.Woolf, A.Worrall, J.G.Wraith, J.E.Wyllie, J.Yudkin, J.S.

P d 0 The Fellowship of Postgraduate Medicine, 1994

Postgraduate Diary

Royal College of Physicians of EdinburghTeach-in on Acute Poisoning - Edinburgh - 10 January

1995Teach-in on Renal Medicine - Newcastle - 7 February

1995Details: Royal College of Physicians of Edinburgh, 9

Queen Street, Edinburgh EH2 1JQ.

Institute of PsychiatryCourses: Tumours of the Brain: Pathology, biology and

therapeutic management - 30 January to 2 February 1995The cellular and molecular pathology of neurodegen-

erative disease - 6-9 February 1995Information and registration: Mrs L. Wilding, Short

Courses Office, Institute of Psychiatry, De CrespignyPark, London SE5 8AF. Tel: 071 919 3170 Fax: 071703 5796.

Royal Free Hospital School of MedicineMRCP Part II course for clinical examinationMonday 13 February to Friday 17 February 1995Monday 5 June to Friday 9 June 1995.

Details: Dr D. Geraint James, Royal Free Hospital, PondStreet, Hampstead, London NW3 2QG. Tel: 071 7940500 ext 3931.

Wolfson Conference Centre, Royal Postgraduate MedicalSchool

Histochemistry - 16-20 January 1995Histopathology - 6 10 February 1995.Details of these and other courses from: Wolfson Con-ference Centre, RPMS, Hammersmith Hospital, DuCane Road, London W12 ONN. Tel: 081 740 3245.

Loughborough University of Technology Centre forHazard & Risk Management

Laboratory Health and Safety - April 1995Details: J. Motyka, Loughborough University of Techno-

logy, Loughborough, Leics LEJJ 3TU. Tel. 0509 222158.

European Helicobacter Pylori Study GroupVITIth International Workshop on Gastroduodenal

Pathology. Edinburgh 7-9 July 1995Scientific Secretary cdo Scientific Office: 3 St Andrews

Place, London NW] 4LB.Conference Organisation: VIIIth EHPSG, Confrex, 145

Islingword Road, Brighton, BN2 2SH, UK. Tel: (44)273 623 123.

Royal Society of MedicineHealth in Later Life: Advances, access and equity 7 and 8

September 1995.Details: Miss Claire Cheeseman, Sections Officer, Royal

Society of Medicine, I Wimpole Street, London WIM8AE. Tel: 071 290 2982.

Roehampton InstituteMSc/Graduate Diploma in Clinical Neuroscience. Com-mencing February 1995

Details: Dr A. Bonner, Roehampton Institute, WhitelandsCollege, West Hill, London SW15 3SN.

First International Conference on Lifestyle and HealthHormones

All India Institute ofMedical Sciencies, New Dehli, 20, 21January 1995

Details: Dr B.M. Chhajer, Dept. of Physiology, All IndiaInstitute ofMedical Sciences, New Delhi 110029, India.

XIIth International Conference on Calcium RegulatingHormones

Melbourne, Australia, 14-19 February 1995.Details: Secretary, XIIth ICCRH, cdo St Vincent's Ins-

titute ofMedical Research, 41 Victoria Parade, Fitzroy,Victoria 3065, Australia. Tel: 61-3-288 2485.

4th International Conference on Systemic LupusErythematosus

Jerusalem, Israel, 26-31 March 1995.Deatils: VIP International Conference Services, 42 North

Audley Street, London WIA 4PY. Tel: 071 499 4221.

European Association for Cancer Education8th Annual Scientific Meeting - 26-29 April 1995.

Groningen, Netherlands.Details: Meeting Secretariat, Intermed Congresserice, POBox 4145, 9701 EC Groningen, Netherlands. Tel: 31 50421924.

NATIONAL ASSOCIATION OF CLINICAL TUTORSThe Association assists clinical tutors in their role as

leaders in district medical education. Membership isopen to University-appointed clinical and GP tutors.

The association arranges courses for the training andcontinuing professional development of clinical tutorsand holds Winter and Summer Meetings for allmembers.How to be an effective clinical tutor- 2/3 February1995, Barnsley, Lancs11 -12 May 1995: Spring Meeting: Stirling.

Information about the NACT and its activities can beobtainedfrom The Secretariat, National Association ofClinical Tutors, 12 Chandos Street, London WIM9DE.Tel: 071 636 6334.

Postgrad Med J (1994) 70, 951-952

952 POSTGRADUATE DIARY

Continuing Medical Education in Europe:the way forward through European collaboration

30/31st March 1995at the

Royal College of Physicians11 St Andrews Place, London NW1 4LE UK

(by kind permission of the Treasurer)A major international conference bringing together the leaders of medical

education in EuropeThe programme is designed to be comprehensive and cover all specialties. It will explore areas ofconcernincluding finance, implementation, assessment and recertification.

Speakers will be from all European Union countries and from the USA, Canada and Australia. Theprogramme will include free discussion and small group work. The conference language will be English.

If you wish to receive further information or register for the meeting, please write/fax to:Dr M.W.N. Nicholls, Chairman - Organising CommitteeFellowship of Postgraduate Medicine12 Chandos Street, London WIM 9DETel (44) (0)71 636 6334 Fax (44) (0)71 436 2535

Postgrad Med J (1994) 70, 953-975 i) The Fellowship of Postgraduate Medicine, 1994

POSTGRADUATEMEDICAL JOURNAL

VOLUME 70

January to December 1994Index

Published forThe Fellowship of Postgraduate Medicine

by The Macmillan Press Ltd

Subject Index

Ite = letter to the editorSuppl. = supplement (1, 2 or 3)

Abdominal aortic aneurysm, ruptured, haemodynamicmanagement: review article. April, 252

Abdominal emergencies, factitious: review. February, 71Abdominal pain, chronic: diagnostic images. August, 576Aberrant right subclavian artery, unusual cause of dys-

phagia. October, 768 (lte)Accelerated coronary atherosclerosis in the allograft

heart. Suppl. 1, 93Acinetobacter pneumonia, community-acquired.

October, 766 (lte)Acoustic quantification, new diastolic indices of left

ventricular function in hypertension correlationwith Doppler echocardiography. Suppl. 1, 57

Activated partial thromboplastin time, nitrates andheparin resistance. February, 100

Acute abdomenlocalized eosinophilic gastroenteritis with necrotizing

granulomas presenting as. July, 510splenic epidermoid cysts presenting as. May, 376

Acute renal failure in type 1 diabetes mellitus. March, 192Addison's disease, and hyponatraemic rhabdomyolysis.

November, 830Adenocarcinoma, duodenal, with duodenocolic fistula

after childhood Wilms' cancer. December, 933

Adenoma, androgen-producing, masked by obesity.August, 595 (Ite)

Adenomatous polyp at the ureterocaecal anastomosis.July, 518

Africa, autonomic neuropathy in diabetic patients.March, 188

Ageing, and anterior pituitary function, TRH test andbasal gonadotrophin levels. February, 86

AIDS: reviews in medicine. February, 77AIDS, opportunistic infections in: reviews in medicine.

February, 80Air pollution and asthma: review article. May, 319Alpha-l-antitrypsin deficiency: reviews in medicine.

March, 168Amenorrhoea, primary, and recurrent chylothorax.

September, 655Amiodarone therapy, side effects. July, 492Amyloidosis, systemic, and ovarian carcinoma. July, 505Anatomy, tragic or comic muse? December, 939 (Ite)Androgenproducing adenoma masked by obesity.

August, 595 (lte)Aneurysm

abdominal aortic, ruptured, haemodynamic manage-ment: review article. April, 252

of inferior thyroid artery. June, 452Angina

nocturnal, sleep-related. April, 275unstable

determinants of prognosis. Suppl. 1, 46and exposure to carbon monoxide. October, 699

954 SUBJECT INDEX

Angiographic comparison of coronary artery diseasebetween Asians and Caucasians. September, 625

Angio-oedema, localized, life-threatening, associatedwith streptokinase. August, 592

Angiotensin converting enzyme inhibitorinduced acuterenal failure in aortic coarctation. December, 927

Anorexia for iron-containing nutrients is a poor markerfor malignant disease. August, 594

Anorexia nervosaand necrotizing colitis: case report and review of

literature. May, 369with severe hypophosphataemia. November, 825

Anterior pituitary function and ageing, TRH test andbasal gonadoltrophin levels. February, 86

Anti-arrhythmic agents, proarrhythmic effects. Suppl. 1,84

Anti-cardiolipin antibody, and autoimmune chronicactive hepatitis, with acquired-pseudo BernardSoulier syndrome. April, 305

Anticoagulation, oral, with warfarin, and mechanicalprosthetic heart valves. Suppl. 1, 72

Antihypertensive treatment for orthostatic hypotensionin the elderly. December, 878

Anti-mitochondrial antibodies in Graves' disease maynot signify primary biliary cirrhosis. January, 17

Anti-neutrophil cytoplasmic antibody-associatedparaneoplastic vasculitis. May, 373

Antioxidant therapy: reviews in medicine. May, 329:October, 767 (Ite)

Aorta, multiple malformations, with 45,X Turner syn-drome and normal ovarial function. November,838

Aortic aneurysm and ventricular thrombus causing mic-roembolism, complication of intravenous strep-tokinase. October, 756

Aortic calcification: diagnostic images. March, 213Aortic coarctation and acute renal failure induced by

ACE inhibition. December, 927Aortic dissection complicated by a mediastinal

haematoma and haemoptysis. November, 821Aortocaval fistula, rare cause of paradoxical pulmonary

embolism. February, 122Apomorphine, subcutaneous infusion, in Parkinson's

disease, does it have a role? May, 344Appendicitis, acute: reviews in medicine. September, 621Arrhythmias: reviews in medicine. April, 264Arrhythmias

drugs used in: reviews in medicine. May, 329: October,767 (Ite)

nocturnal, sleep-related. April, 275Arterial thrombosis, in the nephrotic syndrome.

December, 905Aspirin

100-325 mg daily, and gastroduodenal injury. June,463 (Ite)

in acute cerebrovascular disease, consultant question-naire. March, 185

Asthmaand air pollution: review article. May, 319educating patients: leading article. September, 599factitious: review. February, 71mortality rates, and hospital admission. February, 92with nocturnal symptoms and gastro-oesophageal

reflux, omeprazole, placebocontrolled cross-over

study. May, 350Astrocytoma, malignant, of cervico-medullary junction,

masquerading as Guillain-Barr6 syndrome. July,499

Atherosclerosis, accelerated coronary, in the allograftheart. Suppl. 1, 93

Atherosclerotic plaque rupture, factors determining, andprevention. Suppl. 1, 43

Atrial septal defectrepair. July, 522 (Ite)survival without repair. July, 523 (Ite)

Autografting, role in lymphoma: review article. July, 475Autoimmune thyroiditis, association with lymphocytic

hypophysitis causing hypopituitarism and diabetesinsipidus, in nonpregnant woman. March, 220

Autonomic neuropathy in African diabetic patients.March, 188

Autopsy, requesting permission, attitudes of juniormedical staff. April, 292

Autoreactive myocarditis, immunosuppressive treat-ment, results from controlled trial. Suppl. 1, 29

Back to basics in health care: special article. October, 715Barium carbonate, hypokalaemic paralysis and trismus.

December, 938 (Ite)Basal ganglia involvement in hypoparathyroidism with

extensive intracranial calcification. December, 913Bee stings causing rhabdomyolysis. December, 937 (Ite)Bernard Soulier syndrome, acquiredpseudo, occurring

with autoimmune chronic active hepatitis andanticardiolipin antibody. April, 305

Beta adrenoceptor-blocking drugs, potential role, andsudden cardiac death. July, 521 (Ite)

Birth weight, effect on coronary artery disease: reviews inmedicine. April, 262

Biventricular endomyocardial biopsy findings in essentialhypertension of graded severity. Suppl. 1, 67

Blood transfusion in heart surgery, prevalence ofantibodies to hepatitis C virus after. August, 572

Bone, malakoplakia, presenting as pathological fracture.June, 461

Bone densitymeasurement in osteogenesis imperfecta, importance.

June, 463 (lte)in osteogenesis imperfecta, may well be normal. Feb-

ruary, 104Bone marrow transplantation: review article. July, 475Bovine spongiform encephalopathy: reviews in medicine.

February, 74Bradycardia, associated with fluoxetine in sick sinus

syndrome. January, 56 (Ite)Brain metastasis, calcified, in non-Hodgkin's lymphoma.

May, 384 (lte)Breast cancer (carcinoma)

recent advances in treatment: leading article. April, 243surgery, timing within menstrual cycle. April, 281and xeroderma pigmentosum. March, 240 (Ite)

Brittle diabetes mellitus: review. February, 70Bronchogenic carcinoma

endobronchial lipoma simulating. September, 668 (lte)and rectal villous adenoma: diagnostic images.

September, 646Bulimia nervosa, bilateral parotid enlargement as presen-

ting feature in post-adolescent male: delayed dia-gnosis. January, 27

Bundle branch block, subarachnoid haemorrhage ascause? August, 578

SUBJECT INDEX 955

Butterfat absorption, valuable screening test in malab-sorption. January, 23

Calcification, intracranial, extensive, in hypopara-thyroidism. December, 913

Cancer-related pain, ketorolac, continuous subcutaneousinfusion. May, 359

Capsaicin cream for erythromelalgia. November, 841Carbamazepine toxicity

dextropropoxyphene-induced, cerebellar dysfunctionfollowing. October, 764 (lte)

dystonia a rare manifestation. January, 54 (lte)Carbon monoxide exposure and unstable angina.

October, 699Cardiac emergencies, factitious: review. February, 70Cardiac tamponade

after thrombolysis. June, 455as initial presentation of malignancy, rarity or not.

October, 703Cardiology, recent advances: reviews in medicine. April,

257Cardiomyopathy(ies)

doxorubicin-induced, aggressive management assoc-iated with 'low' doses ofdoxorubicin. October, 759

and heart diseases, proceedings of 2nd InternationalCongress of Cardiology, Thessaloniki,Macedonia, Greece, June 9-12,1993. Suppl. 1, 1-98

reversible, selenium deficiency, and short-term in-travenous feeding. March, 235: October, 764 (Ite)

Cardioprotective therapeutics: reviews in medicine. May,329: October, 767 (Ite)

Cardiopulmonary resuscitation and living wills.November, 818

Cardiovascular response to injury: conference report.November, 844

Cardiovascular risk factors, and serum uric acid, associa-tion between, Chinese population. July, 486

Cardiovascular system damaged by corticosteroids:review article. December, 863

Carotid bruits in prediction of disease of the internalcarotid arteries. June, 433

Cat-scratch disease and reactive arthritis. February, 147(lte)

Catheter-related sepsis, Pseudomonas paucimobilis,haemodialysis, successful treatment withoutcatheter removal. January, 47

Central venous catheter total parenteral nutrition, comp-licated by right atrial septic thrombus. July, 520(lte)

Cerebellar dysfunction following dextropropoxyphene-induced carbamazepine toxicity. October, 764 (Ite)

Cerebral infarction after cisplatin-based chemotherapy.July, 525 (lte)

Cerebrovascular disease, acute, use of aspirin, consultantquestionnaire. March, 185

Cervico-medullary junction, malignant astrocytoma,masquerading as Guillain-Barre syndrome. July,499

Chlamydia, an extended role? reviews in medicine. Feb-ruary, 75

Chylothorax, recurrent, with primary amenorrhoea.September, 655

Cisplatin-based chemotherapy, cerebral infarction after.July, 525 (Ite)

Clonidine, successfully treating narcotic bowel syndrome.February, 138

Clozapineand methimazole, concomitant treatment, and acute

granulocytopenia. April, 312 (lte)reaction resembling systemic lupus erythematosus.

December, 940 (Ite)Clubbing, digital, reversible, in acute myeloid leukaemia.

June, 457Coeliac disease, occult, and persistent monoarthritis.

January, 51Colonic carcinoma: reviews in medicine. September, 622Colonic carcinoma, distant metastasis, unusual case.

March, 239 (Ite)Colorectal cancer, screening: review article. July, 469Coma in Wernicke's encephalopathy. August, 597 (Ite)Community-acquired Acinetobacter pneumonia.

October, 766 (lte)Congenital heart disease: reviews in medicine. April, 268Constipation, chronic: diagnostic images. July, 503Continuing medical educationbeyond postgraduate training: leading article. Feb-

ruary, 63Britain leads, whither America? September, 643Joint Conference on Postgraduate Medical Education,

8-10 September 1993, University of Warwick,conference report. February, 141

for the trained physician, recommendations for in-troduction and implementation of a CME system,report by Royal Colleges of Physicians of Edin-burgh, Glasgow and London, June 1994. October,732

Coronary artery diseaseangiographic comparison between Asians and

Caucasians. September, 625effect of low-energy, fruit- and vegetable-enriched

prudent diet. December, 895reviews in medicine. April, 257susceptibility of Indo-origin people: leading article.

May, 315Corrigendum. November, 855Corticosteroids, do they damage the cardiovascular

system? review article. December, 863Cranial diabetes insipidus, idiopathic, associated with

idiopathic hypoparathyroidism. July, 523 (lte)Craniofacial fibrous dysplasia, unusual manifestations,

clinical, endocrinological and computed tomog-raphic features. January, 10

Creatine kinase isoform electrophoresis for earlyconfirmation of myocardial infarction. November,805

CREST syndrome, gastric telangiectasis as rare cause ofsevere blood loss. April, 302: October, 766 (lte)

Crohn's diseaseancient and modern: review article. March, 149bilateral foot drop, weight loss and rectal bleeding as an

acute presentation. October, 762progressive encephalopathy in, patient on long-term

total perenteral nutrition, possible relationship toselenium deficiency. March, 215

Cushing's disease, benign intracranial hypertension afterpituitary surgery. February, 115

Cutaneous leukocytoclastic vasculitis preceding renalcancer. April, 311 (lte)

Cyclosporin, intravenous, acute serum lipid changes inrenal transplant patient, on administration of

956 SUBJECT INDEX

intravenous lipid solution. November, 849 (Ite)Cyclosporin A in refractory idiopathic nephrotic syn-

drome. December, 891Cystic fibrosis, recent advances: review article. April, 247Cytomegalovirus infection, acute, effect on drug-induced

SLE. October, 738Cytomegalovirus myocarditis following liver transplan-

tation. September, 658

Dapsone in Henoch-Schanlein purpura. June, 464 (Ite)Defibrillation, followed by rhabdomyolysis and renal

failure. November, 850 (lte)Defrosting insulin, case report. September, 653Deoxypyridoxine combined with anti-proliferative or

immunosuppressive agents, effect on lymphocyteserine hydroxymethyltransferase. Suppl. 1, 89

Dexamethasone-suppressible feminizing adrenaladenoma. August, 584

Dextropropoxyphene-induced carbamazepine toxicity,cerebellar dysfunction following. October, 764 (Ite)

Diabetes insipiduscranial, idiopathic, associated with idiopathic

hypoparathyroidism. July, 523 (Ite)and hypopituitarism, lymphocytic hypophysitis caus-

ing, and associated with autoimmune thyroiditis,nonpregnant woman. March, 220

Diabetes mellitusachieving optimal control in insulindependent

diabetes: leading article. October, 675and autonomic neuropathy, African patients., March,

188coma, hyperosmolar nonketotic, and rhabdomyolysis.

January, 44and impaired glucose tolerance, suburban Sri Lankan

community. May, 347Indian herbal remedies as cause of lead poisoning.

February, 113: October, 764 (lte)new concepts

complications: reviews in medicine. July, 479;September, 665 (lte)

treatment, pregnancy and aetiology: reviews inmedicine. June, 418; September, 665 (Ite)

non-insulin-dependent, primary, secondary and ter-tiary prevention: leading article. August, 529

pregnancy, management: review article. September,610

type 1, and acute renal failure. March, 192Diet, fruit- and vegetable-enriched, effect on central

obesity. December, 895Dietary restrictions in migraine, children and adults

compared. December, 937 (lte)Digital clubbing

in patient with McCune Albright syndrome.September, 667 (lte)

reversible, in acute myeloid leukaemia. June, 457Dilated cardiomyopathy

molecular genetics: reviews in medicine. April, 269new insights into pathogenesis. Suppl. 1, 2

Discitis, post lumbar puncture, followed by vertebralcollapse. December, 882

Dobutamine, long-term, in heart failure. July, 524 (lte)Doctorates, UK and Europe. April, 295: November, 847

(lte)Dog bite, purpura fulminans following. August, 596 (Ite)Dopaminergic agents and hyponatraemia. April, 310 (Ite)Doxorubicin-induced cardiomyopathy, aggressive man-

agement associated with 'low' doses of dox-orubicin. October, 759

Drop attacks in the elderly, effect of pyridostigmine.November, 848 (lte)

Drug-induced systemic lupus erythematosus, effect ofacute cytomegalovirus infection. October, 738

Dudoenal plasmacytoma, rare extramedullary localiza-tion simulating carcinoma of the head of thepancreas. May, 378

Duodenal adenocarcinoma with duodeno-colic fistulaafter childhood Wilms' cancer. December, 933

Duodeno-colic fistula secondary to duodenal adenocar-cinoma after childhood Wilms' cancer. December,933

Dyspepsia, prevalence, epidemiology of overlappingsymptoms: review article. March, 154

Dysphagiagagging, glossopharyngeal schwannoma presenting as:

delayed diagnosis. March, 207severe, associated with major tranquillizer treatment.

August, 581vascular ring an unusual cause. September, 648:

October, 768 (Ite)Dystonia, rare manifestation of carbamazepine toxicity.

January, 54 (Ite)

Eclampsia, recurrent, in five pregnancies. October, 769(Ite)

Eikenella corrodens, causing splenic abscess. November,848 (Ite)

Elderly, significance oflow serum ferritin levels. May, 383(Ite)

Emphysematous pyelonephritis: diagnostic images.October, 736

Encephalopathy in Crohn's disease patient on long-termtotal parenteral nutrition, possible relationship toselenium deficiency. March, 215

Endobronchial lipoma simulating bronchogenic car-cinoma. September, 668 (lte)

Endocarditis, right-sided, in non-drug addict. January, 54(lte)

Endomyocardial biopsy, metaanalysis of diagnosticvalue. Suppl. 1, 21

Endoscopy workload, reducing, role of Helicobacterpylori serology. November, 809

Endothelins: reviews in medicine. April, 270Endotoxins in septic shock, role: reviews in medicine.

February, 75Enzymes and myocardial infarction diagnosis. February,

145 (lte)Eosinophilia and myositis in sarcoidosis. November, 833Eosinophilic gastroenteritis, localized, with necrotizing

granulomas, presenting as acute abdomen. July,510

Eosinophils, in the 1 990s, new perspectives on their role inhealth and disease: review article. August, 536

Erythromelalgia, capsaicin cream treatment. November,841

Exchange transfusion for severe falciparum malaria,haemodynamic and oxygen transport response.November, 801

Factitious disorders presenting as acute emergencies:review article. February, 68

Family practice, continuing medical education.September, 643

SUBJECT INDEX 957

Feminizing adrenal adenoma, dexamethasone-suppressible. August, 584

Ferritin, low serum levels, significance in elderly. May,383 (lte)

Fever and rigors, prolonged, in disseminated tuber-culosis. May, 383 (Ite)

Fish-related infections: reviews in medicine. February, 75Fludarabine for chronic lymphocytic leukaemia, tumour

lysis syndrome after treatment. September, 651Fluoxetine

bradycardia associated with, in sick sinus syndrome.January, 56 (Ite)

in narcolepsy coexisting with morbid jealousy,favourable response. January, 34

status epilepticus secondary to. May, 383 (Ite)Foot drop

bilateral, weight loss and rectal bleeding as an acutepresentation of Crohn's disease. October, 762

unilateral, leprosy presenting as, immigrant boy:delayed diagnosis. February, 111

Fournier's gangrene, features and aetiology. August, 568Fracture, pathological, malakoplakia of bone presenting

as. June, 461Free radicals, role in patients with injury: conference

report. November, 844Fulminant hepatic failure: reviews in medicine. March,

172

Gagging dysphagia, glossopharyngeal schwannoma pres-enting as: delayed diagnosis. March, 207

Gallstone disease: reviews in medicine. September, 622Gammaglobulin

high-dose intravenous therapy for acquired vonWillebrand disease. December, 916

see also ImmunoglobulinGangrene, Fournier's, features and aetiology. August,

568Gastric leiomyoma, perforation. July, 507Gastro-duodenal injury, associated with intake of

100-325 mg aspirin daily. June, 463 (lte)Gastroduodenal disease and Helicobacter pylori: reviews

in medicine. August, 561Gastroenteritis, eosinophilic, localized, with necrotizing

granulomas, presenting as acute abdomen. July,510

Gastroenterology, gastroduodenal disease andHelicobacter pylori: reviews in medicine. August,561

Gastroenterology - II: small and large bowel, pancreasand biliary system: reviews in medicine. September,620

General practitioner, continuing medical education.September, 643

Genetic analysis in female manifesting haemophilia B.November, 828

Genetic influence in osteoporosis. November, 798Giant cell arteritis multiple strokes after initiation of

steroid therapy. March, 228presenting as oculomotor nerve palsy with pupillary

dilatation. April, 298Giardiasis of the stomach. March, 237Glossitis, severe, polycythaemia rubra vera presenting

with. October, 768 (lte)Glossopharyngeal schwannoma presenting as gagging

dysphagia: delayed diagnosis. March, 207

Glucoseimpaired tolerance, and diabetes mellitus, suburban Sri

Lankan community. May, 347tolerance, and beta-cell function, improvement, in

vitamin D deficiency. June, 440Glucose-6-phosphate dehydrogenase deficiency: review

article. December, 871Gluteal compartment syndrome, atraumatic: delayed

diagnosis. March, 210Gonadotrophin basal levels, anterior pituitary function

and ageing. February, 86Granulocytopenia, acute, in concomitant treatment of

clozapine and methimazole. April, 312 (Ite)Graves' disease

anti-mitochondrial antibodies may not signify primarybiliary cirrhosis. January, 17

mimicking beta-thalassaemia trait. April, 300Guillain-Barre syndrome, malignant astrocytoma of

cervico-medullary junction masquerading as. July,499

Haematoma, mediastinal, and haemoptysis, comp-licating aortic dissection. November, 821

Haemochromatosis: reviews in medicine. March, 167Haemodialysis, for treatment of methyl bromide poison-

ing. October, 733Haemodynamic management in ruptured abdominal

aortic aneurysm: review article. April, 252Haemodynamic and oxygen transport response during

exchange transfusion for severe falciparummalaria. November, 801

Haemophilia B in female, genetic analysis. November, 828Haemoptysis and mediastinal haematoma complicating

aortic dissection. November, 821Hashimoto's thyroiditis, Sjogren's syndrome and orbital

lymphoma. June, 448Headache, acute severe, factitious: review. February, 70Health care, back to basics: special article. October, 715Health care workers, health: reviews in medicine. Feb-

ruary, 75Health service, changing. January, 31Health services, research, what is being done, why do it at

all? special article. October, 718Heart failure

long-term dobutamine. July, 524 (lte)reviews in medicine. April, 263

Heart, interval-force relationship, clinical implications:review article. August, 553

Heart surgery, prevalence of antibodies to hepatitis Cvirus after blood transfusion. August, 572

Heart, transplanted, accelerated coronary atherosclerosisin. Suppl. 1, 93

Heat stroke, preceding accidental hypothermia.September, 666 (Ite)

Heavy metal intoxication from homeopathic and herbalremedies. October, 764 (lte)

Helicobacter pyloriand gastroduodenal disease: reviews in medicine.

August, 561serology, in reducing endoscopy workload. November,

809Hemihypertrophy, congenital, in a virilized patient.

October, 752Henoch-Schonlein purpura, dapsone. June, 464 (lte)Heparin resistance and nitrates, and APPT. February, 100

958 SUBJECT INDEX

Hepatic dysfunction, and pharmacokinetics ofnaftopidil.May, 363

Hepatitisautoimmune chronic active, and anti-cardiolipin

antibody, with acquired-pseudo Bernard Souliersyndrome. April, 305

chronic activeretroperitoneal lymphadenopathy an extrahepaticfeature. May, 380

in type I polyglandular autoimmune syndrome.February, 128

Hepatitis C virus, prevalence of antibodies to after bloodtransfusion in heart surgery. August, 572

Hepatitis viruses: reviews in medicine. February, 76:March, 162

Hepatocellular carcinoma: reviews in medicine. March,175

Herbal remedies, Indian, for diabetes, as cause of leadpoisoning. February, 113: October, 764 (lte)

Herpes zoster encephalitis in the elderly. December, 940(Ite)

Hickman catheter, non-fatal massive right atrial throm-bus in adult receiving chemotherapy for acuteleukaemia. July, 520 (Ite)

Higher medical degrees, European, unified. April, 295:November, 847 (lte)

HIV: reviews in medicine. February, 77, 82HIV and health care workers: reviews in medicine.

February, 75HIV infection, neurology, recent advances: review article.

June, 393Hodgkin's disease, role of autografting: review article.

July, 475Hodgkin's lymphoma, tracheoesophageal fistula as pres-

enting manifestation. January, 49Homeopathic and herbal remedies causing heavy metal

intoxication. October, 764 (Ite)Hormone replacement therapy, coronary artery disease,

and postmenopausal state: reviews in medicine.May, 329: October, 767 (lte)

Human herpesvirus type 6: reviews in medicine. February,77

Human papillomavirus and skin cancer: leading article.October, 682

Hydatid cyst, pelvic, presenting with obstructiveuropathy and renal failure. December, 930

Hydration, intravenous and subcutaneous compared,elderly acute stroke patients. March, 195

Hypercalcaemiadue to parathyroid carcinoma, prolonged remission

with pamidronate. March, 231isolated malignant, oesophageal carcinoma presenting

as. October, 765 (Ite)Hyperlipidaemia, drugs used in: reviews in medicine.

May, 329: October, 767 (Ite)Hyperoxaluria and renal calculi: review article. October,

695Hyperparathyroidism, tertiary, in nutritional

osteomalacia. August, 595 (Ite)Hypertension

benign intracranial, after pituitary surgery for Cush-ing's disease. February, 115

drugs used in: reviews in medicine. May, 329: October,767 (lte)

of graded severity, biventricular endomyocardialbiopsy findings. Suppl. 1, 67

management, views of hospital staff. May, 355management in pregnancy: review article. November,

790pulmonary, associated with non-cirrhotic portal

hypertension in systemic lupus erythematosus.January, 41

salt, and renal disease, comparative medicine, modelsand real diseases: review article. October, 686

Hypertrophic cardiomyopathy, molecular genetics:reviews in medicine. April, 269

Hypoglycaemia, factitious: review. February, 70Hypokalaemic paralysis, trismus, and barium carbonate.

December, 938 (lte)Hypokalaemic periodic paralysis in thyrotoxic

Polynesian. January, 39Hyponatraemia and dopaminergic agents. April, 310 (Ite)Hyponatraemic rhabdomyolysis, in Addison's disease.

November, 830Hypoparathyroidism

with extensive intracranial calcification. December, 913idiopathic, associated with idiopathic cranial diabetes

insipidus. July, 523 (lte)Hypophosphataemia

severe, in anorexia nervosa. November, 825tumoral, and inappropriate antidiuresis, association with

small cell bronchogenic carcinoma. October, 746Hypopituitarism and diabetes insipidus, lymphocytic

hypophysitis causing, and associated with auto-immune thyroiditis, non-pregnant woman. March,220

Hypotensionorthostatic, in the elderly, clinical presentation.

September, 638orthostatic, in the elderly, anti-hypertensive therapy.

December, 878Hypothermia, accidental, possibly caused by antecedent

heat stroke. September, 666 (Ite)

Idiopathic thrombocytopaenic purpura and spontaneousrupture of the spleen. March, 239 (lte)

Ileocaecal tuberculosis, causing massive rectal bleeding(conservative approach). January, 55 (lte)

Imaging in cardiology: reviews in medicine. April, 268Imaging patients with TIAs: review article. September,

604Immunocompromised patient, bacterial oesophagitis.

March, 233Immunoglobulin, intravenous therapy, see also Gamma-

globulinImmunoglobulin G3 deficiency successfully treated with

intravenous immunoglobulin therapy. December,924

Immunosuppressive treatment in autoreactive myo-carditis, results from controlled trial. Suppl. 1, 29

Impotence, endocrine assessment, pitfalls of measuringtestosterone without sex-hormone-bindingglobulin. November, 836

Inappropriate diuresis and tumoral hypophosphataemia,association with small cell bronchogenic car-cinoma. October, 746

Indo-origin people, susceptibility to coronary arterydisease: leading article. May, 315

Infection, prevention: reviews in medicine. February, 81Infectious diseases: reviews in medicine. February, 74Infectious diseases, notification: reviews in medicine.

February, 80

SUBJECT INDEX 959

Infective endocarditis and osteomyelitis. December, 885Inferior thyroid artery, aneurysm. June, 452Infertility, isolated TSH deficiency presenting as. March,

225Inflammatory bowel disease: reviews in medicine.

September, 620Injury, cardiovascular response, monitoring, resuscita-

tion, and free radicals: conference report.November, 844

Insulin, defrosting, case report. September, 653Insulin-dependent diabetes, achieving optimal diabetic

control: leading article. October, 675Internal carotid arteries, disease, carotid bruits in predic-

tion. June, 433Interval-force relationship of the heart, clinical implica-

tions: review article. August, 553Intestinal pseudo-obstruction, primary chronic, update:

leading article. February, 65Intestinal spirochaetosis. February, 134Intracranial calcification, extensive, in hypoparathy-

roidism. December, 913Intravascular imaging: reviews in medicine. April, 262Iron-containing nutrients, anorexia for, poor marker for

malignant disease. August, 594Ischaemic lower limb, critical, treatment: review article.

January, 5Ischaemic preconditioning: reviews in medicine. April,

270

Jarisch-Herxheimer reaction in leptospirosis. February,118

Jaundice, streptokinase-induced. January, 55 (Ite)Jealousy, morbid, coexisting with narcolepsy, favourable

response to fluoxetine. January, 34Jerusalem, changing clinical spectrum of liver abscess.

June, 436Junior medical staff, attitudes to requesting permission

for autopsy. April, 292

Keratin gene mutations in human skin disease: leadingarticle. November, 775

Ketorolac, continuous subcutaneous infusion, forcancer-related pain. May, 359

Knee, painful: diagnostic images. June, 446

Lead poisoning, Indian herbal remedies for diabetes ascause. February, 113: October, 764 (Ite)

Left ventricular aneurysm, idiopathic, clinical andpathological study of new entity in spectrum ofcardiomyopathies. Suppl. 1, 13

Left ventricular function, diastolic indices in hyperten-sion by acoustic quantification. Suppl. 1, 57

Legionnaires' disease: reviews in medicine. February, 77Leiomyoma of stomach, perforation. July, 507Leiomyosarcoma in leiomyomatosis of the small intes-

tine. September, 661Leprosy presenting as unilateral foot drop, immigrant

boy: delayed diagnosis. February, 111Leptospirosis, Jarisch-Herxheimer reaction. February,

118Leukaemia

acutenon-fatal massive right atrial thrombus associatedwith Hickman catheter in adult receivingchemotherapy. July, 520 (Ite)

typhlitis complicating, adult. March, 240 (lte)

acute myeloidchemotherapy complicated by toxic megacolon.December, 921

and reversible digital clubbing. June, 457chronic lymphocytic, treated with fludarabine,tumour lysis syndrome after. September, 651

Lipid lowering and atheroma regression: reviews inmedicine. April, 262

Lipids, acute serum changes in renal transplant patientson intravenous cyclosporin on intravenous lipidsolution administration. November, 849 (Ite)

Lipoma, endobronchial, simulating bronchogenic car-cinoma. September, 668 (Ite)

Liverabscess, changing clinical spectrum, Jerusalem

experience. June, 436disease: reviews in medicine. March, 162malaria, involvement and sequelae: leading article.

November, 780transplantation: reviews in medicine. March, 173transplantation, cytomegalovirus myocarditis follow-

ing. September, 658Living wills, would sick people change their minds, and

administration of CPR. November, 818Lumbar puncture followed by discitis and vertebral

collapse. December, 882Lyme disease and thrombocytopaenia, association. April,

285Lymphocoeles, renal, bilateral, and secondary

polycythaemia. July, 515Lymphocytic hypophysitis causing hypopituitarism and

diabetes insipidus, and associated with auto-immune thyroiditis, non-pregnant woman. March,220

Lymphoma, role of autografting: review article. July, 475

McCune Albright syndrome and digital clubbing.September, 667 (Ite)

Magnesium deficiency in critically ill patients. August,594

Malabsorption, butterfat absorption a valuable screeningtest. January, 23

Malakoplakia of bone presenting as pathological frac-ture. June, 461

Malariain the liver: leading article. November, 780

reviews in medicine. February, 78severe falciparum, haemodynamic and oxygen transport

response during exchange transfusion. November,801

Malignancy, cardiac tamponade as initial presentation,rarity or not. October, 703

M.D., characteristics, UK and Europe. April, 295:November, 847 (lte)

Megacolon, toxic, complicating chemotherapy for acutemyeloid leukaemia. December, 921

Meningitis: reviews in medicine. February, 78Menstrual cycle, and timing of breast cancer surgery.

April, 281Metabolic emergencies, factitious: review. February, 70Methimazole and clozapine, concomitant treatment, and

acute granulocytopenia. April, 312 (Ite)Methyl bromide poisoning, treatment with haemo-

dialysis. October, 733Methylprednisolone in chronic myocarditis. Suppl. 1, 35

960 SUBJECT INDEX

Microembolism from aortic aneurysm and ventricularthrombus, complication of intravenous strep-tokinase. October, 756

Migraineresult of dietary restrictions, children and adults com-

pared. December, 937 (lte)and warfarin treatment. January, 37

Molecular genetics in clinical cardiology: reviews inmedicine. April, 269

Monitoring patients with injuries: conference report.November, 844

Monoarthritis, persistent, and occult coeliac disease.January, 51

Monoclonal antibodies: reviews in medicine. February, 79Mortality rates and asthma and hospital admission.

February, 92Multiple myeloma, current treatment: review article.

June, 404Munchausen's syndrome: review. February, 68Myasthenia gravis, association with systemic lupus

erythematosus. October, 741Myocardial infarction

biochemical diagnosis, cardiac enzymes or caveat emp-tor. February, 145 (lte)

creatine kinase isoform electrophoresis for earlyconfirmation. November, 805

Myocarditisautoreactive, immunosuppressive treatment, results

from controlled trial. Suppl. 1, 29chronic, methylprednisolone. Suppl. 1, 35cytomegalovirus, following liver transplantation.

September, 658Myositis and eosinophilia in sarcoidosis. November, 833

Naftopidil, pharmacokinetics, novel anti-hypertensivedrug, and hepatic dysfunction. May, 363

Narcolepsy, coexisting with morbid jealousy, favourableresponse to fluoxetine. January, 34

Narcotic bowel syndrome successfully treated withclonidine. February, 138

National Association of Clinical Tutors' session, JointConference on Postgraduate Medical Education,8-10 September 1993, University of Warwick,conference report. February, 141

Neck trauma: diagnostic images. May, 367Necrotizing colitis and anorexia nervosa: case report and

review of literature. May, 369Necrotizing granulomas, and localized eosinophilic gast-

roenteritis, presenting as acute abdomen. July, 510Nephrotic syndrome

complicated by arterial thrombosis. December, 905refractory idiopathic, treated with cyclosporin A.

December, 891Neurogenic thoracic outlet syndromes: review article.

November, 785Neuropathy, autonomic, in African diabetic patients.

March, 188Nitrates and heparin resistance, and APPT. February, 100Nitric oxide: reviews in medicine. April, 270Non-epileptic attack disorder: leading article. January, 1:

August, 595 (Ite)Non-Hodgkin's lymphoma

calcified brain metastasis. May, 384 (Ite)presented by invasive pulmonary aspergillosis. June,

459role of autografting: review article. July, 475

T cell, presenting in first trimester of pregnancy. May,371

Non-insulin-dependent diabetes, primary, secondary andtertiary prevention: leading article. August, 529

North East Thames Region, postgraduate medical educa-tion, comparative study. October, 722

Obesitycentral, effect of low-energy, fruit- and vegetable-

enriched prudent diet in North Indians. December,895

masking androgen-producing adenoma. August, 595(Ite)

Occupational diseases: reviews in medicine. February, 80Oculomotor nerve palsy with pupillary dilatation, giant

cell arteritis presenting as. April, 298Oesophageal carcinoma presenting as isolated malignant

hypercalcaemia. October, 765 (Ite)Oesophagitis, bacterial, in an immunocompromised

patient. March, 233Omeprazole in asthma with nocturnal symptoms and

gastro-oesophageal reflux, placebo-controlledcross-over study. May, 350

Orbital complications of sinusitis: avoid delays in diag-nosis. February, 108

Orbital lymphoma, Hashimoto's thyroiditis andSjogren's syndrome. June, 448

Orthopnoea, caused by primary tracheal tumour mimick-ing left ventricular failure. December, 910

Orthostatic hypotension in the elderly and anti-hypertensive therapy. December, 878

clinical presentation. September, 638Osteogenesis imperfectabone density may well be normal. February, 104importance of bone density measurement. June, 463

(Ite)Osteomalacia, nutritional, and tertiary hyperpara-

thyroidism. August, 505 (lte)Osteomyelitis and infective endocarditis. December, 885Osteoporosis and genetic influence. November, 798Ovarian carcinoma, and systemic amyloidosis. July, 505Oxygen transport and haemodynamic response during

exchange transfusion for severe falciparummalaria. November, 801

Pain, cancer-related, ketorolac, continuous subcutaneousinfusion. May, 359

Pamidronate, prolonged remission of hypercalcaemiadue to parathyroid carcinoma. March, 231

Pancreatic disease: reviews in medicine. September, 622Paranasal sinus infection, serious, discovered by CT

scanning for presumed neurological disease:delayed diagnosis. March, 203

Paraneoplastic vasculitis, anti-neutrophil cytoplasmicantibody-associated. May, 373

Parathyroid carcinoma, prolonged remission ofassociated hypercalcaemia with pamidronate.March, 231

Parkinson's disease, does subcutaneous apomorphineinfusion have a role? May, 344

Parotid enlargement, bilateral, as presenting feature ofbulimia nervosa in post-adolescent male: delayeddiagnosis. January, 27

Pelvic hydatid cyst presenting with obstructive uropathyand renal failure. December, 930

Perforated typhoid enteritis in children. January, 19

SUBJECT INDEX %1

Pericardial effusion concomitant with specific heart mus-cle disease in systemic sarcoidosis. Suppl. 1, 8

Peripheral arterial occlusive disease, critically ischaemicleg, treatment. January, 5

Peritoneal encapsulation and abnormal artery causingsmall bowel obstruction. February, 132

Phaeochromocytomadiagnosis and management: review article. May, 326predominantly adrenaline secreting, 24-hour ambula-

tory blood pressure and heart rate. August, 589Phytosterolaemia in three unrelated South African

families. September, 631Pituitary apoplexy after stimulation tests. June, 444Pituitary surgery for Cushing's disease, benign intra-

cranial hypertension after. February, 115Plagues: reviews in medicine. February, 77Plaque rupture, factors determining, and prevention.

Suppl. 1, 43Plasmacytoma, duodenal, rare extramedullary localiza-

tion simulating carcinoma of the head of thepancreas. May, 378

Pneumonia, Acinetobacter, community-acquired.October, 766 (Ite)

Poisoning, methyl bromide, treatment with haemo-dialysis. October, 733

Polio: reviews in medicine. February, 81Polycythaemia, secondary, associated with bilateral renal

lymphocoeles. July, 515Polycythaemia rubra vera presenting with severe glossitis.

October, 768 (Ite)Polyglandular autoimmune syndrome, type I, and

chronic active hepatitis. February, 128Polynesian, thyrotoxic, and hypokalaemic periodic

paralysis. January, 39Portal hypertension: reviews in medicine. March, 169Postgraduate medical education

beyond: leading article. February, 63comparative study, North East Thames Region.

October, 722history. October, 728Joint Conference, 8-10 September 1993, University of

Warwick, conference report. February, 141Postgraduate Medical Journal in 1995: editorial.

December, 859Postmenopausal state, coronary disease, and drugs:

reviews in medicine. May, 329: October, 767 (lte)Pregnancy

diabetic, management: review article. September, 610in hypertensive patients: review article. November, 790T cell non-Hodgkin's lymphoma presenting in first

trimester. May, 371Primary biliary cirrhosis, anti-mitochondrial antibodies

in Graves' disease may not signify. January, 17Prions: reviews in medicine. February, 81Proarrhythmic effects ofanti-arrhythmic agents. Suppl. 1,

84Prosthetic heart valves, mechanical, and oral anti-

coagulation with warfarin. Suppl. 1, 72Pseudo-phaeochromocytoma: review. February, 70Pseudobulbar palsy associated with trismus. November,

823Pseudocoma: review. February, 69Pseudohyperkalaemia associated with hereditary

spherocytosis in four members of a family.October, 749

Pseudoseizures: review. February, 69

Psychozeizures and schizophrenia, and non-epilepticattack disorder. August, 595 (Ite)

Pulmonary aspergillosis, invasive, as rare presentation ofnon-Hodgkin's lymphoma. June, 459

Pulmonary embolism, paradoxical, aortocaval fistula arare cause. February, 122

Purpura fulminans following a dog bite. August, 596 (lte)Pyelonephritis, emphysematous: diagnostic images.

October, 736Pyomyositisand toxic shock syndrome. April, 309 (lte)tropical, and staphylococcal pneumonia. April, 309

(lte)Pyridostigmine, in prevention of drop attacks in the

elderly. November, 848 (lte)Pythiosis, human, in Thailand: review article. August, 558

QT syndromes, inherited prolonged, molecular genetics:reviews in medicine. April, 269

Raynaud's disease and subclavian vein thrombosis. April,312 (lte)

Reactive arthritis and cat-scratch disease. February, 147(lte)

Receptors, how they work, mechanisms of signal trans-duction. November, 813

Rectal bleedingmassive, due to ileocaecal tuberculosis (conservative

approach). January, 55 (Ite)weight loss and bilateral foot drop as an acute presenta-

tion of Crohn's disease. October, 762Reiter's syndrome and thrombophlebitis. February, 145

(Ite)Renal calculi and hyperoxaluria: review article. October,

695Renal cancer, cutaneous leukocytoclastic vasculitis

preceding. April, 311 (lte)Renal disease, salt, and hypertension, comparative

medicine, models and real diseases: review article.October, 686

Renal failureacute, with ACE inhibition in aortic coarctation.

December, 927and rhabdomyolysis, following defibrillation.

November, 850 (Ite)Renal lymphocoeles, bilateral, and secondary poly-

cythaemia. July, 515Research, health services, what is being done, why do it at

all? special article. October, 718Respiratory emergencies, factitious: review. February, 71Resuscitation, role in patients with injury: conference

report. November, 844Retroperitoneal lymphadenopathy, extrahepatic feature

of chronic active hepatitis. May, 380Rhabdomyolysisdue to multiple honey bee stings. December, 937 (Ite)and hyperosmolar non-ketotic diabetic coma. January,

44hyponatraemic, in Addison's disease. November, 830and renal failure, following defibrillation. November,

850 (Ite)Right atrial septic thrombus complicating total

parenteral nutrition by central venous catheter.July, 520 (Ite)

Right atrial thrombus, massive, non-fatal, associatedwith Hickman catheter in adult receiving

962 SUBJECT INDEX

chemotherapy for acute leukaemia. July, 520 (Ite)Rigors and fever, prolonged, in disseminated tuber-

culosis. May, 383 (Ite)Royal Colleges of Physicians of Edinburgh, Glasgow and

London report, June 1994. Continuing medicaleducation for the trained physician. Recommenda-tions for the introduction and implementation of aCME system. October, 732

Rubella vaccination: reviews in medicine. February, 82

Salicylic acid, topical, poisoning from. February, 146 (lte)Salt, hypertension and renal disease, comparative

medicine, models and real diseases: review article.October, 686

Sarcoidosisand myositis and eosinophilia. November, 833reviews in medicine. February, 82systemic, pericardial effusion concomitant with specific

heart muscle disease. Suppl. 1, 8Schizophrenia and psychozeizures, and non-epileptic

attack disorder. August, 595 (lte)Schwannoma, glossopharyngeal, presenting as gagging

dysphagia: delayed diagnosis. March, 207Screening for colorectal cancer: review article. July, 469Secundum atrial septal defect

repair. July, 522 (Ite)survival without repair. July, 523 (Ite)

Selenium deficiencypossible relationship to progressive encephalopathy in

Crohn's disease patient on long-term totalparenteral nutrition. March, 215

reversible cardiomyopathy and short-term intravenousfeeding. March, 235: October, 764 (Ite)

Senior house officer posts, educational component,differences in perceptions ofconsultants andjuniordoctors. March, 198

Serine hydroxymethyltransferase, lymphocyte, effect ofdeoxypyridoxine combined with anti-proliferativeor immunosuppressive agents. Suppl. 1, 89

Sick sinus syndrome, bradycardia associated with fluox-etine. January, 56 (Ite)

Signal transduction, mechanisms, how receptors work.November, 813

Sinus infection, serious unexpected, discovered by CTscanning for presumed neurological disease:delayed diagnosis. March, 203

Sinusitis, orbital complications: avoid delays in diagnosis.February, 108

beta-Sitosterolaemia in three unrelated South Africanfamilies. September, 631

Sjogren's syndrome, Hashimoto's thyroiditis and orbitallymphoma. June, 448

Skin cancer, and human papillomavirus: leading article.October, 682

Skin disease, keratin gene mutations: leading article.November, 775

Sleep-related nocturnal angina and arrhythmias. April,275

Small bowel obstruction due to encapsulation and abnor-mal artery. February, 132

Small cell bronchogenic carcinoma associated withtumoral hypophosphataemia and inappropriateantidiuresis. October, 746

Small intestine, leiomyomatosis, and leiomyosarcoma.September, 661

Spherocytosis, hereditary, association with pseudohyper-kalaemia, four members of family. October, 749

Spirochaetosis, intestinal. February, 134Spleen, spontaneous rupture, in association with

idiopathic thrombocytopaenic purpura. March,239 (lte)

Splenectomy, in patients with undiagnosed sple-nomegaly. April, 288

Splenic abscess due to Eikenella corrodens. November, 848(Ite)

Splenic epidermoid cysts presenting as an acute abdomen.May, 376

Splenic rupture, spontaneous, in typhoid fever. July, 513Splenomegaly, undiagnosed, and splenectomy. April, 288Sri Lankan community, impaired glucose tolerance and

diabetes mellitus. May, 347Staphylococcal pneumonia and tropical pyomyositis.

April, 309 (Ite)Staphylococcus aureus, resistant: reviews in medicine.

February, 81Status epilepticus secondary to fluoxetine. May, 383 (lte)Stercoral perforation with verapamil. July, 525 (Ite)Steroid therapy, in giant cell arteritis, multiple strokes

after. March, 228Stimulation tests, pituitary apoplexy after. June, 444Streptokinase

-induced jaundice. January, 55 (Ite)intravenous, complicating aortic embolism and vent-

ricular thrombus, causing microembolism.October, 756

and life-threatening, localized angio-oedema. August,592

Stridor, presenting symptom of thyroid abscess.November, 847 (lte)

Stroke(s)intravenous and subcutaneous hydration compared,

elderly patients. March, 195multiple, after initiation of steroid therapy in giant cell

arteritis. March, 228Subarachnoid haemorrhage, cause of left bundle branch

block? August, 578Subclavian vein thrombosis in Raynaud's disease. April,

312 (lte)Sudden cardiac death and potential role of beta

adrenoceptor-blocking drugs. July, 521 (lte)Suicide, clinical contact preceding. June, 428Systemic lupus erythematosus

association with myasthenia gravis. October, 741clozapine reaction resembling. December, 940 (lte)drug-induced, effect of acute cytomegalovirus infec-

tion. October, 738pulmonary hypertension associated with noncirrhotic

portal hypertension. January, 41

T cell non-Hodgkin's lymphoma presenting in firsttrimester of pregnancy. May, 371

Tampon-induced toxic shock syndrome. September, 669(Ite)

Telangiectasis, gastric, rare cause of severe blood loss inCREST syndrome. April, 302: October, 766 (Ite)

Testosterone, measuring for impotence assessment, pit-falls without sex-hormone-binding globulin.November, 836

Thailand, human pythiosis: review article. August, 558Thalassaemia, beta, trait, Graves' disease mimicking.

April, 300

SUBJECT INDEX 963

Thalidomideguidelines for clinical use and dispensing. December,

901the way forward: leading article. December, 860

Thrombocytopaenia and Lyme disease, association.April, 285

Thromboembolism, drugs used in: reviews in medicine.May, 329: October, 767 (lte)

Thrombolysis, cardiac tamnponade after. June, 455Thrombolytic therapy, clinician's view of the first 100

minutes. Suppl. 1, 50Thrombophilia, how far should a dlotter be investigated?

review article. June, 411Thrombophlebitis and Reiter's syndrome. February, 145

(lte)Thrombosis, arterial, in the nephrotic syndrome.

December, 905Thrombus

right atrialmassive, non-fatal, associated with Hickmancatheter in adult receiving chemotherapy for acuteleukaemia. July, 520 (lte)

septic, complicating total parenteral nutrition bycentral venous catheter. July, 520 (lte)

Thyroid abscess, stridor as presenting symptom.November, 847 (lte)

Thyroid artery, inferior, aneurysm. June, 452Thyroid stimulating hormone deficiency, isolated, pres-

enting as infertility. March, 225Thyrotoxicosis, and hypokalaemnic periodic paralysis,

Polynesian. January, 39Thyrotrophin releasing hormone test, anterior pituitary

function and ageing. February, 86Total parenteral nutrition

by central venous catheter, complicated by right atrialseptic thrombus. July, 520 (Ite)

long-term, progressive encephalopathy in Crohn'sdisease, possible relationship to seleniumdeficiency. March, 215

Toxic shock syndromeand pyomyositis. April, 309 (Ite)tampon-induced. September, 669 (lte)

Tracheal tumour mimicking left ventricular failure, caus-ing orthopnoea. December, 910

Tracheoesophageal fistula as presenting manifestation ofHodgkin's lymphoma. January, 49

Training, beyond postgraduate, continuing medicaleducation: leading article. February, 63

Tranquillizers, major, severe dysphagia associated withtreatment. August, 581

Transcutaneous intrahepatic portosystemic shunt:reviews in medicine. March, 171

Transient ischaemnic attacks, imaging patients.September, 604

Triple pathology: diagnostic images. September, 646Trismus

associated with pseudobulbar palsy. November, 823hypokalaemic paralysis, and barium carbonate.

December, 938 (Ite)Tuberculosis

disseminated, prolonged fever and rigors. May, 383(Ite)

ileocaecal, causing massive rectal bleeding (conser-vative approach). January, 55 (Ite)

reviews in medicine. February, 82Tuberous sclerosis, cardiac involvement (Wolff-

Parkinson-White syndrome). February, 124Tumoral hypophosphataemia and inappropriate

antidiuresis, association with small cell bron-chogenic carcinoma. October, 746

Tumour lysis syndrome after treatment of chronic lym-phocytic leukaemia with fiudarabine. September,651

Turner syndrome with normal ovarial function andmultiple malformations of aorta. November, 838

Typhlitis complicating acute leukaemia in an adult.March, 240 (Ite)

Typhoid enteritis, perforated, in children. January, 19Typhoid fever, spontaneous splenic rupture. July, 513

Unstable anginadeterminants of prognosis. Suppl. 1, 46and exposure to carbon monoxide. October, 699

Ureterocaecal anastomosis, adenomatous polyp. July,518

Uric acid, serum, and some cardiovascular risk factors,association between, Chinese population. July, 486

Uropathy, obstructive, and renal failure, presentingsymptoms in pelvic hydatid cyst. December, 930

Vaccination: reviews in medicine. February, 83Valvular heart disease aortic valloon valvoplasty:

reviews in medicine. April, 264Vascular ring causing dysphagia. September, 648:

October, 768 (lte)Vasculitis, paraneoplastic, anti-neutrophil cytoplasmic

antibody-associated. May, 373Ventricular thrombus and aortic aneurysm causing mi-

croembolism, complication of intravenous strep-tokinase. October, 756

Verapamil, and stercoral perforation. July, 525 (lte)Vertebral collapse and post lumbar puncture discitis.

December, 882Virilized patient with congenital hemihypertrophy.

October, 752Vitamin A: reviews in medicine. February, 83Vitamin D deficiency

clinically severe, continuing in Asians in the UK(Leicester). October, 708

improvement in glucose tolerance and beta-cell func-tion. June, 440

von Willebrand disease, high-dose intravenous gamma-globulin therapy. December, 916

Warfarin treatment and migraine. January, 37Watermelon stomach in the CREST syndrome. October,

766 (lte)Weight loss, bilateral foot drop and rectal bleeding as an

acute presentation ofCrohn's disease. October, 762Wernicke's encephalopathy, and coma. August, 597 (Ite)Whooping cough: reviews in medicine. February, 83Wills, living, would sick people change their minds, and

administration of CPR. November, 818Wilms tumour, childhood, adult duodeno-colic fistula

secondary to duodenal adenocarcinoma.December, 933

Wolff-Parkinson-White syndrome in tuberous sclerosis.r February, 124

Xeroderma pigmentosur with recurrent infiltrating duc-tal carcinoma of breast. March, 240 (ite)

964 AUTHOR INDEX

Author Index

Ite = letter to the editorSuppl. = Supplement (1, 2 or 3)

Abbas M., see Tyagi, N.Abernethy, D.: Britain leads continuing medical educa-

tion - whither America? September, 643Abraham, J.S., Wilson, M., Scripcariu, V., Barnes, P.C.

and Marcuson, R.W.: Microembolism from aorticaneurysm and ventricular thrombus: a complica-tion of intravenous streptokinase. October, 756

Abrams, S.M.L., see Farthing, M.J.G.Adams, M.G., see Cariem, A.K.Adedeji, O.A.: Injury: cardiovascular response, monitor-

ing, resuscitation and the role of free radicals:conference report. November, 844

and McAdam, W.A.F.: Small bowel obstruction due toencapsulation and abnormal artery. February, 132

Aessopos, A., see Vaiopoulos, G.Aguilera, A., see Montalban, C.Akasheh, M.S.: Graves' disease mimicking beta-

thalassaemia trait. April, 300Akhter, J., see Jabbar, A.Al Ahmad, Y.M., see Al Attia, H.M.Al Attia, H.M., Shanaa, Z.A. and Al Ahmad, Y.M.:

Prolonged fever and rigors in disseminated tuber-culosis. May, 383 (Ite)

Al-Jubouri, M.A., see Challiner, Y.C.Al-Kutoubi, M.A. and Kreel, L.: Aortic calcification:

diagnostic images. March, 213Chronic abdominal pain: diagnostic images. August,

576Neck trauma: diagnostic images. May, 367see also Kreel, L.

Al-Saffar, Z.S., Kelsey, C.R., Kennet, R.P. and Webley,M.: Myositis and eosinophilia in a patient withsarcoidosis. November, 833

Alani, F.S.S., Dyer, T., Hindle, E., Newsome, D.A.,Ormerod, L.P. and Mahoney, M.P.: Pseudohyper-kalaemia associated with hereditary spherocytosis

in four members of a family. October, 749Alba, D., Lobato, S.D., Alvarez-Sala, R., Villasante, C.

and Echevarria, C.: Tracheoesophageal fistula asthe presenting manifestation of Hodgkin's lym-phoma. January, 49

Ali, G., Kamili, M.A., Rashid, S., Mansoor, A., Lone,B.A. and Allaqaband, G.Q.: Spontaneous splenicrupture in typhoid fever. July, 513

Allaqaband, G.Q., see Ali, G.Allen, S.: Cerebellar dysfunction following

dextropropoxypheneinduced carbamazepine tox-icity. October, 764 (Ite)

see also Vassallo, M.Alsoub, H.: Toxic shock syndrome associated with

pyomyositis. April, 309 (Ite)Alstead, E.M., see Farthing, M.J.G.Alvarez-Sala, R., see Alba, D.Amanuma, S., Sekiguchi, M., Ogasawara, S., Honda, M.

and Hosoda, S.: Biventricular endomyocardialbiopsy findings in essential hypertension of gradedseverity. Suppl. 1, 67

Angomachalelis, N., Hourzamanis, A., Salem, N.,Vakalis, D., Serasli, E., Efthimiadis, T. and Trian-taphyllou, I.: Pericardial effusion concomitantwith specific heart muscle disease in systemicsarcoidosis. Suppl. 1, 8

Hourzamanis, A., Vakalis, D., Vamvalis, C., Serasli, E.and Siourthas, D.: Acoustic quantification: newdiastolic indices of left ventricular function inhypertension correlation with Doppler echocar-diography. Suppl. 1, 57

Kelly, D. and Richardson, P.: Introduction to car-diomyopathies and heart diseases. Suppl 1, 1

Anstey, N., see Currie, B.Antoniadis, A., see Trakatellis, A.Antonios, T.F.T., Singer, D.R.J., Millard, F.J.C., Wil-

son, A.G. and MacGregor, G.A.: Unusual cause oforthopnoea: primary tracheal tumour mimickingleft ventricular failure. December, 910

Aoyagi, K., see Kawakubo, K.Apostolopoulos, T.D., Kyriakidis, M.K., Kitsiou, S.A.,

GallaVoumvouraki, A.D., Tsezou, A.N. andToutouzas, P.K.: 45,X Turner syndrome withnormal ovarial function and multiple malforma-tions of the aorta. November, 838

Archard, L.C., see Why, H.J.F.Arnold, A., Tovey, J., Mangat, P., Penny, W. and Jacobs,

S.: Magnesium deficiency in critically ill patients.August, 594

Arnold, M.M. and McKenna, F.: Reactive arthritis in apatient with cat-scratch disease. February, 147 (Ite)

Arribas, R., see Garcia-Gonzalez, M.Awang, Y., see Liam, C.K.

Baker, M. and Sprackling, P.D.: The educational compo-nent of senior house officer posts: differences in theperceptions of consultants and junior doctors.March, 198

Balen, A.H. and Manning, P.J.: A case of isolated TSHdeficiency presenting as infertility. March, 225

Baliga, S., see Seenu, V.Balkar, F., see Kelestimur, F.Ballard, H.S., Bottino, G. and Bottino, J.: The associa-

tion of thrombocytopaenia and Lyme disease.April, 285

Ballestin, C., see Fernandez-Miranda, C.Balzan, M.V., Cacciottolo, J.M. and Mifsud, S.: Unstable

angina and exposure to carbon monoxide.October, 699

Bamford, J., see Kent, J.Banerjee, A.: Factitious disorders presenting as acute

emergencies: review article. February, 68Banerjee, A.K., see El-Omar, M.M.Banham, S., see Sridhar, M.Barcena, R., Gonzalez, A., Martin-de-Argila, C., Ulibar-

rena, C., Graus, J. and Grande, L.A.G.: Prevalenceof antibodies to hepatitis C virus after blood

transfusion in heart surgery. August, 572

AUTHOR INDEX 965

Barker, A., Scotland, A.D., Challah, S., Gainey, B. andBayley, I.: A comparative study of postgraduatemedical education in North East Thames Region.October, 722

Barnes, P.C., see Abraham, J.S.Barnes, P.J.: Air pollution and asthma: review article.

May, 319Barrachina, F., Guardiola, J.J. and Benito, P.: Rhab-

domyolysis and renal failure followingdefibrillation. November, 850 (Ite)

Bateson, M.C.: Gastroenterology- I: gastroduodenaldisease and Helicobacter pylori. August, 561

Gastroenterology II: small and large bowel, pancreasand biliary system: reviews in medicine. September,620

Bayes de Luna, A., Guindo, J., Elosua, R., Vifiolas, X.,Bayes-Genis, A., Sobral, J., Sztajzel, J. andBoveda, S.: Proarrhythmic effects of anti-arrhythmic agents. Suppl. 1, 84

Bayes-Genis, A., see Bayes de Luna, A.Bayley, I., see Barker, A.Beale, D.J., see Cooper, J.P.Beales, I.L.P.: An acquired-pseudo Bernard Soulier syn-

drome occurring with autoimmune chronic activehepatitis and anti-cardiolipin antibody. April, 305

and Scott, H.J.: Adenocarcinoma of the duodenumwith a duodeno-colic fistula occurring after child-hood Wilms' cancer. December, 933

Watermelon stomach in the CREST syndrome.October, 766 (Ite)

Beards, S.C., Joynt, G.M. and Lipman, J.:Hameodynamic and oxygen tranport responseduring exchange transfusion for severe falciparummalaria. November, 801

Robertson, L.J., Jackson, A. and Lipman, J.: Malig-nant astrocytoma of the cervico-medullary junc-tion masquerading as Guillain-Barre syndrome.July, 499

Bell, G.M., see Fahal, I.H.Ben-Arie, Y., see Hayek, T.Beni-Nrez, R., see Fraile, G.Benito, P., see Barrachina, F.Bennett, D.H. and Hardcastle, J.D.: Screening for col-

orectal cancer: review article. July, 469Berg, M.M. and Braham, J.: Response to dietary restric-

tions in migraine: a comparison of results inchildren and adults. December, 937 (Ite)

Berger, G.M.B., Deppe, W.M., Marais, A.D. and Biggs,M.: Phytosterolaemia in three unrelated SouthAfrican families. September, 631

Berney, D.M., Rampton, D. and van der Walt, J.D.:Giardiasis of the stomach. March, 237

Berry, A., see Brimacombe, J.Bethge, C., see Maisch, B.Bettencourt Fernando, P.M., see Ferreira, A.Bhandari, S., Wodzinski, M.A. and Reilly, J.T.: Reversi-

ble digital clubbing in acute myeloid leukaemia.June, 457

Bhatnagar, M.K., see Goel, A.Bhatoe, H.S. and Gill, H.S.: Calcified brain metastasis in

non-Hodgkin's lymphoma. May, 384 (Ite)Kumar, N. and Biswas, S.: Post lumbar puncture

discitis and vertebral collapse. December, 882Biggs, J.S.G.: Conference report, plenary session. Joint

Conference on Postgraduate Medical Education,8-10 September 1993, University of Warwick.

February, 141Biggs, M., see Berger, G.M.B.Binnie, C.D.: Non-epileptic attack disorder: leading

article. January, 1Birtchnell, S.: Conference report, National Association of

Clinical Tutors' session. Joint Conference on Post-graduate Medical Education, 8-10 September1993, University of Warwick. February, 141

Biswas, S., see Bhatoe, H.S.Bittinger, A., see Maisch, B.Black, D.: Back to basics in health care: special article.

October, 715Boki, K., see Vaiopoulos, G.Bolodeoku, J. and Mellotte, G.J.: Acute serum lipid

changes in a renal transplant recipient on in-travenous cyclosporin upon administration of anintravenous lipid solution. November, 849 (Ite)

Bonilla, F., see Provencio, M.Borg, A.A., Dawes, P.T., Swan, C.H.J. and Hothersall,

T.E.: Persistent monoarthritis and occult coeliacdisease. January, 51

Bottino, G., see Ballard, H.S.Bottino, J., see Ballard, H.S.Boudoulas, H.: Factors determining and prevention of

atherosclerotic plaque rupture. Suppl., 1, 43Boulton, A.J.M., see Kumar, S.Boveda, S., see Bayes de Luna, A.Boyle, I., see Sridhar, M.Braatvedt, G.D., see Newrick, P.G.Brack, M.J., More, R.S., Hubner, P.J.B. and Gershlick,

A.H.: The effect of different nitrate preparationson plasma heparin concentrations and theactivated partial thromboplastin time. February,100

Brady, M.P., see Cronin, C.C.Braham, J.: Drop attacks in the elderly: effect of pyridos-

tigmine. November, 848 (Ite)see also Berg, M.M.

Bray, C.L., see Dhawan, J.Breimer, L.H. and Mikhailidis, D.P.: Unified European

higher medical degrees. April, 295Bridger, J.E.: Aortocaval fistula: a rare cause ofparadox-

ical pulmonary embolism. February, 122Brimacombe, J. and Berry, A.: Haemodynamic manage-

ment in ruptured abdominal aortic aneurysm:review article. April, 252

Brook, G.J., see Hayek, T.Brooks, A.P., see Dubrey, S.Brown, M.J., see Karet, F.E.Brownjohn, A.M., see Woodrow, G.Buchanan, J.A.G. and Fortune, F.: Bilateral parotid

enlargement as a presenting feature of bulimianervosa in a post-adolescent male: delayed diag-nosis. January, 27

Burton, I.E., Sambrook, P. and McWilliam, L.J.: Secon-dary polycythaemia associated with bilateral renallymphocoeles. July, 515

Busuttil, A., see Obafunwa, J.O.Butland, R.J.A., see Ford, G.A.

Cacciottolo, J.M., see Balzan, M.V.Camerini, F., see Mestroni, L.Cameron, E., see Phillips, E.Campbell, F., see Gillanders, I.Campbell, N.R.C., see Wickert, W.A.Capucho, R., see Ferreira, A.

966 AUTHOR INDEX

Cariem, A.K., Lemmer, E.R., Adams, M.G., Winter,T.A. and O'Keefe, S.J.D.: Severe hypophos-phataemia in anorexia nervosa. November, 825

Carr, J.V.L., see Lees, C.C. Carroll, D.G.: Hypokalaemicperiodic paralysis in a thyrotoxic Polynesian.January, 39

Challah, S., see Barker, A.Challiner, Y.C., Jarrett, D., Hayward, M.J., Al-Jubouri,

M.A. and Julious, S.A.: A comparison of in-travenous and subcutaneous hydration in elderlyacute stroke patients. March, 195

Chan, A., see Woo, J.Chan, H., see Ko, G.T.C.Chandrashekhar, C., see Seenu, V.Chapman, C.S., see Murphy, P.T.Chappell, A.G., see Cooper, J.P.Chattington, P., Clarke, D. and Neithercut, W.D.:

Creatine kinase isoform electrophoresis for theearly confirmation of myocardial infarctiondetected by timed sequential CK slope analysis.November, 805

Diver, M.J. and Neithercut, W.D.: Androgen-producing adenoma masked by obesity. August,595 (Ite)

Chen, C-N., see Wing, Y-K.Cheng, T.O.: Survival without atrial septal defect repair.

July, 523 (Ite)Chicharro, A.E., Pacho, E., Molina, M.J., Soto, C. and

Hernindez, G.: Typhlitis complicating acuteleukaemia in an adult. March, 240 (Ite)

Chilvers, E.R. and Sethi, T.: How receptors work:mechanisms of signal transduction. November, 813

Chiu, H.F.K., see Wing, Y-K.Choe, W.: Leprosy presenting as unilateral foot drop in

an immigrant boy: delayed diagnosis. February,111

Chow, C.C., see Daly, B.D., Ko, G.T.C.Christodoulou, D., see Trakatellis, A.Clark, O.H., see Mark, S.Clarke, D., see Chattington, P.Cockram, C., see Woo, J.Cockram, C.S., see Daly, B.D.Cockram, C.S., see Ko, G.T.C.Coen, L.D. and Raftery, A.T.: Adenomatous polyp at the

ureterocaecal anastomosis. July, 518Collazos, J., Garcia-Monc6, C., Martin, A., Rodriguez, J.,

and Gomez, M.A.: Multiple strokes after initiationof steroid therapy in giant cell arteritis. March, 228

see also Rodriguez, J.Collins, P., see Sriskandan, S.Coltart, D.J., see Lawson, C.S.Cook, G.C.: Malaria in the liver: leading article.

November, 780Cooke, T.G., see Doughty, J.C.Cooper, J.P., Quarry, D.P., Beale, D.J. and Chappell,

A.G.: Life-threatening, localized angio-oedemaassociated with streptokinase. August, 592

Corder, A.P., Cross, M., Julious, S.A., Mullee, M.A. andTaylor, I.: The timing of breast cancer surgerywithin the menstrual cycle. April, 281

Corrall, R.J.M., see Newrick, P.G.Coupe, M.O., see Suresh, C.G.Cox, M.L., see Kahn, S.A.Cox, S.A.L., see Kahn, S.A.Craig, G.M.: Clinical presentation of orthostatic

hypotension in the elderly. September, 638

Cronin, C.C., Brady, M.P., Murphy, C., Kenny, E.,Whelton, M.J. and Hardiman, C.: Splenectomy inpatients with undiagnosed splenomegaly. April,288

see also Vaughan, C.Crosbie, J.J., see Tham, T.C.K.Cross, M., see Corder, A.P.Cuenca, M., see Ramos, J.M.Cuesta, C., see Garcia-Gonzalez, M.Culling, W., see Heymann, T.D.Currie, B., Fisher, D., Anstey, N. and Withnall, K.:

Community-acquired Acinetobacter pneumonia.October, 766 (lte)

Daly, B.D., Chow, C.C. and Cockram, C.S.: Unusualmanifestations of craniofacial fibrous dysplasia:clinical, endocrinological and computed tomo-graphic features. January, 10

Dangubic, V., see Seferovic, P.M.Davies, A.J., see Egan, J.J.Davies, G.E. and Shakir, R.A.: Giant cell arteritis

presenting as oculomotor nerve palsy with pupil-lary dilatation. April, 298

Davies, J., see El-Omar, M.Davies, K.N. and Humphrey, P.R.D.: Do carotid bruits

predict disease of the internal carotid arteries?June, 433

Davies, M., see Kumar, S.Davies, M.J. and Watson, J.D.: An unusual case of

distant colonic carcinoma metastasis. March, 239(Ite)

Davis, J.P. and Stearns, M.P.: Orbital complications ofsinusitis: avoid delays in diagnosis. February, 108

Dawes, P.T., see Borg, A.A.Day, A.P. and Stansbie, D.: Biochemical diagnosis of

myocardial infarction? Cardiac enzymes or caveatemptor. February, 145 (Ite)

de Bono, D.P., see Shaukat, N.de Silva, D., see Fernando, D.J.S.Deacon, A.C., see Keen, R.W.Dearlove, J.C., see Parfitt, V.J.Deegan, P.C., see Liston, R.Delaney, M.P., Dukes, D.C. and Edmunds, M.E.: Cyc-

losporin A in refractory idiopathic nephrotic syn-drome: 5 years clinical experience. December, 891

Delves, H.T., see Keen, R.W.Deodhar, A.A. and Woolf, A.D.: Bone density measure-

ment in osteogenesis imperfecta may well beimportant. June, 463 (Ite)

Deppe, W.M., see Berger, G.M.B.Desmukh, H.G., Verma, A., Siegel, L.B., Jacob, S. and

Jankowski, C.R.: Stridor, the presenting symptomof a thyroid abscess. November, 847 (lte)

Deutsch, A.A., see Milo, Y.Dhawan, J. and Bray, C.L.: Angiographic comparison of

coronary artery disease between Asians andCaucasians. September, 625

Diaz, F., see Rodriguez, J.Diez, S., see Paja, M.Dimitriadou, A., see Trakatellis, A.Diver, M.J., see Chattington, P.Donald, A.K., see Doughty, J.C.Dornhorst, A. and Merrin, P.K.: Primary, secondary and

tertiary prevention of non-insulin-dependentdiabetes: leading article. August, 529

Doughty, J.C., Donald, A.K., Keogh, G. and Cooke,

AUTHOR INDEX 967

T.G.: Stercoral perforation with verapamil. July,525 (Ite)

Dubrey, S., Huehns, T.Y. and Brooks, A.P.: Subarach-noid haemorrhage: a cause of left bundle branchblock? August, 578

Huehns, T.Y. and Simpson, R.: Defrosting insulin: a casereport. September, 653

Dukes, D.C., see Delaney, M.P.Duncan, G., see Potter, J.M.Dwyer, C.M., McCloskey, R.H. and Kerr, R.E.I.:

Poisoning from topical saollicylic acid. February,146 (lte)

Dyer, T., see Alani, F.S.S.

Eastwood, M.A., see Ghosh, S.Echevarra, C., see Alba, D.Edmunds, M.E., see Delaney, M.P.Efem, S.E.E.: The features and aetiology of Fournier's

gangrene. August, 568Efthimiadis, T., see Angomachalelis, N.Egan, J.J., Davies, A.J. and Jones, M.K.: Hyponatraemic

rhabdomyolysis in Addison's disease. November,830

El-Japour, J.N., see Schoretsanitis, G.El-Omar, M., Davies, J., Gupta, S., Ross, H. and

Thompson, R.: Leiomyosarcoma inleiomyomatosis of the small intestine. September,661

El-Omar, M.M., Jenkins, A.P., Hollowood, K., Banerjee,A.K. and Thompson, R.P.H.: Gastric telangiec-tasis: a rare cause of severe blood loss in CREST

syndrome. April, 302Elewaut, D. and Rubens, R.: An unusual case of dys-

phagia. October, 768 (lte)Elosua, R., see Bay-s de Luna, A.Epstein, Y., see Livneh, A.Espafia., P., see Provencio, M.Estrada, J., see Paja, M.Exindari, M., see Trakatellis, A.

Fahal, I.H., McClelland, P., Hay, C.R.M. and Bell,G.M.: Arterial thrombosis in the nephrotic syn-drome. December, 905

Farthing, M.J.G., Alstead, E.M., Abrams, S.M.L., Haug,G., Johnston, A., Hermann, R., Niebch, G., Ruus,P., Molz, K.H. and Turner, P. Pharmacokinetics ofnaftopidil, a novel anti-hypertensive drug, inpatients with hepatic dysfunction. May, 363

Fasel, J.H.D.: Anatomy - tragic or comic muse?December, 939 (Ite)

Fenelon, L., see Stack, W.A.Fennell, J., see Madi, L.Ferguson, M., see Tham, T.C.K.Fernandez-Miranda, C., Mateo, S., Gonzalez-Gomez, C.

and Ballestin, C.: Systemic amyloidosis andovarian carcinoma. July, 505

Fernindez-Real, J.M., Villabona, C. and Soler, J.:Oesophageal carcinoma presenting as isolatedmalignant hypercalcaemia. October, 765 (Ite)

Fernando, D.J.S., Siribaddana, S. and de Silva, D.:Impaired glucose tolerance and diabetes mellitus ina suburban Sri Lankan community. May, 347

Ferreira, A., Bettencourt Fernando, P.M., Capucho, R.and Macedo, F.: Total parenteral nutrition bycentral venous catheter complicated by right atrialseptic thrombus. July, 520 (Ite)

Festus-Abibo, L.C., see Ijaola, 0.Fields, P.A., see Olujohungbe, A.Fisher, D., see Currie, B.Fleckenstein, J., see Michele, T.M.Ford, G.A., Oliver, P.S., Prior, J.S., Butland, R.J.A. and

Wilkinson, S.P.: Omeprazole in the treatment ofasthmatics with nocturnal symptoms and

gastro-oesophageal reflux: a placebo-controlled cross-over study. May, 350

Forsythe, S., see Gupta, S.Fortune, F., see Buchanan, J.A.G.Fotherby, M.D. and Potter, J.F.: Orthostatic hypoten-

sion and anti-hypertensive therapy in the elderly.December, 878

Fraile, G., Rodriguez-Garcia, J.L., Beni-Perez, R. andRedondo, C.: Locallized eosinophilic gastroenter-itis with nectrotizing granulomas presenting asacute abdomen. July, 510

Franco, A., see Ramos, J.M.Fraser, W., see Robin, N.Frost, P.G., see Keen, R.W.Fujishima, M., see Kawakubo, K.

Gainey, B., see Barker, A.Galla-Voumvouraki, A.D., see Apostolopoulos, T.D.Gallen, I.W., Taylor, R.S., Salzmann, M.B. and Tooke,

J.E.: Twenty-four hour ambulatory blood pressureand heart rate in a patient with a predominantlyadrenaline secreting phaeochromocytoma. August,589

see also Muhiddin, K.A.Garcia-Gonzalez, M., Sanroman, A.L., Arribas, R.,

Torres, G., Cuesta, C. and Moreira, V.F.: Invasivepulmonary aspergillosis: a rare presentation ofnon-Hodgkin's lymphoma. June, 459

Garcia-Monc6, C., see Collazos, J.Garcia-Uria, J., see Paja, M.Garcia-Valle, B., see Ramos, J.M.Gardner-Medwin, J.M. and Powell, R.J.: Thalidomide -

the way forward: leading article. December, 860Gardner-Medwin, J.M.M., see Powell, R.J. Gariballa,

S.E. and Gunasekera, N.P.R.: Bilateral foot drop,weight loss and rectal bleeding as an acute presen-tation of Crohn's disease. October, 762

Gartell, P.C., see Merrett, N.D.Gau, D.W., see Kahn, S.A.Geddes, D., see Santis, G.Geltner, D., see Schattner, A.Gershlick, A.H., see Brack, M.J.Ghosh, K., see Murphy, P.T.Ghosh, S. and Eastwood, M.A.: Primary chronic intes-

tinal pseudo-obstruction - an update: leadingarticle. February, 65

see also Singh, R.B.Gill, G.V., see Swift, A.C.Gill, G.V., see Tuch, P.S.Gill, H.S., see Bhatoe, H.S.Gillanders, I., MacKay, J., Campbell, F. and MacLen-

nan, W.J.: Herpes zoster encephalitis in the elderly.December, 940 (Ite)

Gilmour, H.M., see Lo, T.C.N.Godfrey, H.W., see Hinchliffe, S.A.Goel, A., Bhatnagar, M.K., Vashishta, A. and Verma,

N.P.S.: Hypoparathyroidism with extensive in-tracranial calcification: a case report. December,913

968 AUTHOR INDEX

Goldfeld, M., see Hayek, T.G6mez, M.A., see Collazos, J.Gonzalez, A., see Barcena, R.Gonzalez-Gomez, C., see Fernandez-Miranda, C.Gordon, A.C., see Levy, J.B.Gordon, C., see Kumar, S.Gore, M.E., see Sriskandan, S.Gorrie, M. and Nicholls, A.: Long-term dobutamine in

heart failure. July, 524 (lte)Grainger, S.L., Klass, H.J., Rake, M.O. and Williams,

J.G.: Prevalence of dyspepsia: the epidemiology ofoverlapping symptoms: review article. March, 154

Grande, L.A.G., see Barcena, R.Grandison, D., see Stein, P.D.Graus, J., see Barcena, R.Gravanis, M.B.: Accelerated coronary atherosclerosis in

the allograft heart. Suppl. 1, 93Grewal, R.P., see Urschel, J.D.Griffith, H.B., see Parfitt, V.J.Guardiola, J.J., see Barrachina, F.Guindo, J., see Bayes de Luna, A.Gunasekera, N.P.R., see Gariballa, S.E.Gupta, R., see Hiran, S.Gupta, S.: Barium carbonate, hypokalaemic paralysis

and trismus. December, 938 (lte)Sahdev, A., Forsythe, S., Wright, P. and Wray, R.:

Tampon-induced toxic shock syndrome.September, 669 (Ite)

Singh, B. and Minocha, S.K.: Staphylococcal pneumoniaassociated with 'tropical pyomyositis'. April, 309(Ite)

see also El-Omar, M.; Gupta, V.Gupta, S.K., see Gupta, V.Gupta, V., Gupta, S.K., Shukla, V.K. and Gupta S.:

Perforated typhoid enteritis in children. January,19

Hadas-Halpern, I., see Yinnon, A.M.Haitoglou, K., see Trakatellis, A.Hall, R.J. and Treasure, T.: An unusual cause of dys-

phagia: a vascular ring. September, 648Hameed, S.M., see Urschel, J.D.Hardcastle, J.D., see Bennett, D.H.Hardiman, C., see Cronin, C.C.Hardman, S.M.C.: Clinical implications of the interval-

force relationship of the heart: review article.August, 553

Hardy, K.J. and Seckl, J.R.: Endocrine assessment ofimpotence - pitfalls of measuring serum tes-tosterone without sex-hormone-binding globulin.November, 836

Harper, G.D., Wheeler, D.C. and Wicks, A.C.B.: Butter-fat absorption - a valuable screening test inmalabsorption. January, 23

Harries, S., see Muhiddin, K.A.Hartog, M., see Parfitt, V.J.Haug, G., see Farthing, M.J.G.Hay, C.R.M., see Fahal, I.H.Hayek, T., Markel, A., Goldfeld, M., Ben-Arie, Y. and

Brook, G.J.: Retroperitoneal lymphadenopathy:an extrahepatic feature of chronic active hepatitis.May, 380

Hayward, M.J., see Challiner, Y.C.Hayward, P., see Littlejohns, P.Heading, R.C., see Lo, T.C.N.Hegarty, J.E., see Stack, W.A.

Hengstenberg, C., see Maisch, B.Henry, J.W., see Stein, P.D.Herath, C.A., see Siribaddana, S.H.Hermann, R., see Farthing, M.J.G.Hernindez, G., see Chicharro, A.E.Hershko, C., see Yinnon, A.M.Herzum, M., see Maisch, B.Heymann, T.D. and Culling, W.: Cardiac tamponade

after thrombolysis. June, 455Hinchliffe, S.A., Godfrey, H.W. and Hind, C.R.K.:

Attitudes of junior medical staff to requestingpermission for autopsy. April, 292

Hind, C.R.K., see Hinchliffe, S.A.Hindle, E., see Alani, F.S.S.Hiran, S., Pande, T.K., Kumar, S., Rao, V.V.B., Shah,

H., Pani, S. and Vishwanathan, K.A.: Massiverectal bleeding due to ileocaecal tuberculosis (con-servative approach). January, 55 (Ite)

Pande, T.K., Pani, S., Gupta, R. and Vishwanathan,K.A.: Rhabdomyolysis due to multiple honey beestings. December, 937 (Ite)

Ho, C.K.W., see Wing, Y-K.Hodkinson, H.M., see Kahn, S.A.Hofibrand, A.V., see Olujohungbe, A.Hoffbrand, B.I.: The Postgraduate Medical Journal in

1995. December, 859Hollowell, J., see Littlejohns, P.Hollowood, K., see El-Omar, M.M.Honda, M., see Amanuma, S.Hosoda, S., see Amanuma, S.Hothersall, T.E., see Borg, A.A.Hourzamanis, A., see Angomachalelis, N.Howard, R.S., see Lai, M.M.Hua, T.A., see Stein, P.D.Hubner, P.J.B., see Brack, M.J.Huddle, K.R.L., see Tuch, P.S.Huehns, T.Y., see Dubrey, S.Hufnagel, G., see Maisch, B.Hugenholtz, P.G.: How late is too late and how early is

early: the clinician's view of the first 100 minutes.Suppl. 1, 50

Hughes, D.F., see Tham, T.C.K.Hughes, T.A.T., Shone, G., Lindsay, G. and Wiles, C.M.:

Severe dysphagia associated with major tranquil-lizer treatment. August, 581

Huikeshoven, F.J.M., see Van Genderen, P.J.J.Humphrey, P.R.D., see Davies, K.N.Hurst, P., see Sakka, S.Hussein, S. and Kaufman, B.M.: Bradycardia associated

with fluoxetine in an elderly patient with sick sinussyndrome. January, 56 (Ite)

Hutchinson, P.J.A., Trill, A.S., Turner, P. and Jackson,S.H.D.: Views of hospital staffon the managementof hypertension. May, 355

Hynes, J.E. and Jackson, A.: Atraumatic gluteal com-partment syndrome: delayed diagnosis. March,210

lida, M., see Kawakubo, K.Ijaola, O., Festus-Abibo, L.C., Lawani, 0. and Kuku,

S.F.: Cardiac involvement (Wolff-Parkinson-White syndrome) in tuberous sclerosis. February,124

Impallomeni, M., Kaufman, B.M. and Palmer, A.: Doacute diseases transiently impair anterior pituitaryfunction in patients over the age of 75? A lon-

AUTHOR INDEX 969

gitudinal study oftheTRH test and basal gonadot-rophin levels. February, 86

Imwidthaya, P.: Human pythiosis in Thailand: reviewarticle. August, 558

Ingber, A., see Milo, Y.Iqbal, S.J., Kaddam, I., Wassif, W., Nichol, F. and Walls,

J. Continuing clinically severe vitamin D deficiencyin Asians in the UK (Leicester). October, 708

Jabbar, A. and Akhter, J.: Idiopathic cranial diabetesinsipidus associated with idiopathic hypopara-thyroidism. July, 523 (Ite)

Jackson, A., see Beards, S.C.Jackson, A., see Hynes, J.E.Jackson, P.R., see Woodmansey, P.A.Jackson, S.H.D., see Hutchinson, P.J.A.Jacob, S., see Desmukh, H.G.Jacobs, S., see Arnold, A.Jain, R., see Seenu, V.Jain, S., see Soman, P.Jankowski, C.R., see Desmukh, H.G.Jansen, J., see Moosa, M.R.Jarrett, D., see Challiner, Y.C.Jaskiewicz, K., see Woolf, D.Jayalakshmi, P., see Liam, C.K.Jenkins, A.P., see El-Omar, M.M.Jessop, E.G.: Health services research: what is being

done, why do it at all? October, 718Jindal, R.M.: Pancreatic islet transplantation for

diabetes. September, 665 (lte)Johnston, A., see Farthing, M.J.G.Jolobe, O.M.P.: Cardioprotective therapeutics - drugs

used in hypertension, hyperlipidaemia, thrombo-embolization, arrhythmias, postmenopausal stateand as anti-oxidants. October, 767 (lte)

Right-sided endocarditis in the non-drug addict.January, 54 (lte)

Significance of low serum ferritin levels in the elderly.May, 383 (lte)

Sudden cardiac death and the potential role of betaadrenoceptor-blocking drugs. July, 521 (lte)

and Price, N.S.: Gastro-duodenal injury associatedwith intake of 100-325 mg aspirin daily. June, 463(lte)

Jones, H.W., see Levy, J.B.Jones, M.K., see Egan, J.J.Jowett, N.I., see Shukla, R.Joynt, G.M., see Beards, S.C.Julious, S.A., see Challiner, Y.C.Jubious, S.A., see Corder, A.P.

Kaddam, I., see Iqbal, S.J.Kahn, S.A., Pace, J.E., Cox, M.L., Gau, D.W., Cox,

S.A.L. and Hodkinson, H.M.: Osteoporosis andgenetic influence: a three-generation study.November, 798

Kaklamanis, P., see Vaiopoulos, G.Kalla, A.A., see Woolf, D.Kamili, M.A., see Ali, G.Kanjuh, V., see Seferovic, P.M.Kaplan, R.A., see Mark, S.Kapsimali, V., see Vaiopoulos, G.Karakas, E.S., see Kelestimur, F.Karet, F.E. and Brown, M.J.: Phaeochromocytoma:

diagnosis and management: review article. May,326

Kaufman, B.M., see Impallomeni, M.Kawakubo, K., lida, M., Matsumoto, T., Mochizuki, Y.,

Doi, K., Aoyagi, K. and Fujishima, M.: Progres-sive encephalopathy in a Crohn's disease patienton long-term total parenteral nutrition: possiblerelationship to selenium deficiency. March, 215

Keen, R.W., Deacon, A.C., Delves, H.T., Moreton, J.A.and Frost, P.G.: Indian herbal remedies fordiabetes as a cause oflead poisoning. February, 113

Kelestimur, F., Utas, C., Ozcan, N., Balkar, F. andKarakas, E.S.: Digital clubbing in a patient withMcCune Albright syndrome. September, 667 (lte)

Kelly, D., see Angomachalelis, N.Kelly, D.T. and Wilcox, I.: Determinants of prognosis in

unstable angina. Suppl. 1, 46Kelsey, C.R., see Al-Saffar, Z.S.Kendall, M.J., Rajman, I. and Maxwell, S.R.J.: Cardiop-

rotective therapeutics - drugs used in hyperten-sion, hyperlipidaemia, thromboembolism, ar-rhythmias, the postmenopausal state and as anti-oxidants. May, 329

see also Maxwell, S.R.J.Kendall-Taylor, P., see Perros, P.Kennet, R.P., see Al-Saffar, Z.S.Kenny, E., see Cronin, C.C.Kent, J. and Bamford, J.: Consultant views on the use of

aspirin in acute cerebrovascular disease: implica-tions for clinical trials. March, 185.

Keogh, G., see Doughty, J.C.Kerr, R.E.I., see Dwyer, C.M.Kerwin, R., see Stein, P.D.Khalid, M.I.: Secundum atrial septal defect repair. July,

522 (Ite)Khawaja, H., see Sakka, S.Kitsiou, S.A., see Apostolopoulos, T.D.Klass, H.J., see Grainger, S.L.Ko, G.T.C., Chow, C.C., Yeung, V.T.F., Chan, H. and

Cockram, C.S.: Hashimoto's thyroiditis, Sjogren'ssyndrome and orbital lymphoma. June, 448

Koi, K., see Kawakubo, K.Kreel, L. and Al-Kutoubi, M.A.: Chronic constipation:

diagnostic images. July, 503Painful knee: diagnostic images. June, 446and Scullion, D.: Triple pathology. September, 646

Kreel, L., see also Al-Kutoubi, M.A.Kroker, P. and Rudra, T.: Anorexia for iron-containing

nutrients is a poor marker for malignant disease.August, 594

Kuhl, U., Strauer, B.E. and Schultheiss, H-P.: Methyl-prednisolone in chronic myocarditis. Suppl., 1, 35

Kuku, S.F., see Ijaola, 0.Kumar, G., see Liam, C.K.Kumar, N., see Bhatoe, H.S.Kumar, S., Davies, M., Zakaria, Y., Mawer, E.B.,

Gordon, C., Olukoga, A.O. and Boulton, A.J.M.:Improvement in glucose tolerance and beta-cellfunction in a patient with vitamin D deficiencyduring treatment with vitamin D. June, 440

see also Hiran, S.Kyriakidis, M.K., see Apostolopoulos, T.D.

Lacasta, A., see Provencio, M.Laguna, P., Sanchez, M-A. and Moya, M.: Subclavian

vein thrombosis in a patient with Raynaud'sdisease. April, 312 (lte)

Lai, M.M. and Howard, R.S.: Pseudobulbar palsy

970 AUTHOR INDEX

associated with trismus. November, 823Larner, A.J.: Hyponatraemia and dopaminergic agents.

April, 310 (Ite)Selenium deficiency, reversible cardiomyopathy and

short-term intravenous feeding. October, 764 (Ite)Lau, E., see Woo, J.Lawani, O., see Ijaola, 0.Lawson, C.S. and Coltart, D.J.: Recent advances in

cardiology: reviews in medicine. April, 257Lee, S., see Wing, Y-K.Lees, C.C., Tsirigotis, M., Carr, J.V.L. and Richards,

M.A.: T cell non-Hodgkin's lymphoma presentingin the first trimester of pregnancy. May, 371

Lemmer, E.R., see Cariem, A.K.Levy, J.: Spontaneous rupture of the spleen in association

with idiopathic thrombocytopaenic purpura.March, 239 (lte)

Levy, J.B., Jones, H.W. and Gordon, A.C.: Seleniumdeficiency, reversible cardiomyopathy and short-term intravenous feeding. March, 235

Lewin, P.K.: Non-epileptic attack disorder,psychoseizures and schizophrenia. August, 595(lte)

Liam, C.K., Jayalakshmi, P., Kumar, G. and Awang Y.:Endobronchial lipoma simulating bronchogeniccarcinoma. September, 668 (lte)

Liafio, F., see Montalban, C.Lindsay, G., see Hughes, T.A.T.Lipman, J., see Beards, S.C.Lister, J. The history ofpostgraduate medicine education.

October, 728Liston, R., Deegan, P.C., McCreery, C. and McNicholas,

W.T.: Role of respiratory sleep disorders in thepathogenesis ofnocturnal angina and arrhythmias.April, 275

Littlejohns, P., Hollowell, J., Hayward, P. and Prance, S.:Comparison of asthmatic patients admitted tohospital from health districts experiencing highand low asthma mortality rates. February, 92

Littley, M.D.: Management of diabetic pregnancy:review article. September, 610

Livingstone, J.I., see Schoretsanitis, G.Livneh, A., Zaphrir, 0. and Epstein, Y.: Accidental

hypothermia possibly caused by antecedent heatstroke. September, 666 (Ite)

Lo, T.C.N., Heading, R.C. and Gilmour, H.M.: Intes-tinal spirochaetosis. February, 134

Lobato, S.D., see Alba, D.Lone, B.A., see Ali, G.Long, S.G., see Milligan, D.W.Losowsky, M., see Wong, V.Lucas, T., see Paja, M.Lumley, J.S.P., see Tay, H.L.

McAdam, W.A.F., see Adedeji, O.A.McClelland, P., see Fahal, I.H.McCloskey, R.H., see Dwyer, C.M.McCreery, C., see Liston, R.Macedo, F., see Ferreira, A.Macfarland, D.J., see Saltissi, D.MacGregor, G.A., see Antonios, T.F.T.McGregor, J.M. and Rustin, M.H.A.: Human papil-

lomavirus and skin cancer: leading article. October,682

MacKay, J., see Gillanders, I.

McLaughlin, N., see Tham, T.C.K.MacLennan, W.J., see Gillanders, I.McNicholas, W.T., see Liston, R.McWilliam, L.J., see Burton, I.E.Madden, M., see Tham, T.C.K.Madi, L., O'Brien, A.A.J. and Fennell, J.: Status epilep-

ticus secondary to fluoxetine. May, 383 (Ite)Maheshwari, V., see Tyagi, N.Mahoney, M.P., see Alani, F.S.S.Maisch, B., Schonian, U., Hengstenberg, C., Herzum,

M., Hufnagel, G., Bethge, C., Bittinger, A. andNeumann, K.: Immunosuppressive treament inautoreactive myocarditis- results from a con-trolled trial. Suppl., 1, 29

Maksimovic, R., see Seferovic, P.M.Malissiovas, N., see Trakatellis, A.Mangat, P., see Arnold, A.Manning, P.J., see Balen, A.H.Mansell, M.A., see Woolfson, R.G.Mansoor, A., see Ali, G.Marais, A.D., see Berger, G.M.B.Marcuson, R.W., see Abraham, J.S.Marinkovic, J., see Seferovic, P.M.Mark, S., Clark, O.H. and Kaplan, R.A.: A virilized

patient with congenital hemihypertrophy. October,752

Markel, A., see Hayek, T.Martn, A., see Collazos, J.Martin, L., see Wickert, W.A.Martin-de-Argila, C., see Barcena, R.Mateo, S., see Fernandez-Miranda, C.Matsumoto, T., see Kawakubo, K.Mawer, E.B., see Kumar, S.Maxwell, S.R.J., Moots, R.J. and Kendall, M.J.: Cor-

ticosteroids: do they damage the cardiovascularsystem? review article. December, 863

see also Kendall, M.J.Mehta, A.B.: Glucose-6-phosphate dehydrogenase

deficiency: review article. December, 871Mellotte, G.J., see Bolodeoku, J.Merrett, N.D. and Gartell, P.C.: Perforation of

leiomyoma of stomach. July, 507Merrin, P.K., see Dornhorst, A.Mestroni, L., Morgera, T., Miani, D., Pinamonti, B.,

Sinagra, G., Tanganelli, P., Silvestri, F. andCamerini, F.: Idiopathic left ventricular aneurysm:a clinical and pathological study of a new entity inthe spectrum of cardiomyopathies. Suppl., 1, 13

Miani, D., see Mestroni, L.Michele, T.M., Fleckenstein, J., Sgrignoli, A.R. and

Thuluvath, P.J.: Chronic active hepatitis in thetype I polyglandular autoimmune syndrome. Feb-ruary, 128

Michell, A.R.: Salt, hypertension and renal disease:comparative medicine, models and real diseases.October, 686

Michiels, J.J., see Van Genderen, P.J.J.Mifsud, S., see Balzan, M.V.Mikhailidis, D.P., see Breimer, L.H.Milford-Ward, A., see Snowden, J.A.Millard, F.J.C., see Antonios, T.F.T.Milligan, D.W. and Long, S.G.: The role of autografting

in lymphoma: review article. July, 475Milo, Y., Deutsch, A.A., Zahavi, S., Ingber, A. and Reiss,

R.: Xeroderma pigmentosum with recurrent infil-trating ductal carcinoma of breast. March, 240 (lte)

AUTHOR INDEX 971

Minocha, S.K., see Gupta, S.Mishra, S., see Misra, M.Misra, M. and Mishra, S.: A case of recurrent eclampsia.

October, 769 (Ite)Misra, M.C., see Seenu, V.Mochizuki, Y., see Kawakubo, K.Mole, P.A., see Paterson, C.R.Molina, M.J., see Chicharro, A.E.Molz, K.H., see Farthing, M.J.G.Montalban, C., Liafio, F. and Aguilera A.: Tumour lysis

syndrome after treatment of chronic lymphocyticleukaemia with fludarabine. September, 651

Moosa, M.R., Jansen, J. and Edelstein, C.L.: Treatmentof methyl bromide poisoning with haemodialysis.October, 733

Moots, R.J., see Maxwell, S.R.J.More, R.S., see Brack, M.J.Moreira, V.F., see Garcia-Gonzalez, M.Moreton, J.A., see Keen, R.W.Morgan, M.S.: Purpura fulminans following a dog bite.

August, 596 (Ite)Morgera, T., see Mestroni, L.Moya, M., see Laguna, P.Muhiddin, K.A., Gallen, I.W., Harries, S. and Pearce,

V.R.: The use of capsaicin cream in a case oferythromelalgia. November, 841

Roche, M.T. and Pearce, V.R.: Subcutaneous apo-morphine infusion in Parkinson's disease: does ithave a role? May, 344

Muir, K.W. and Rodger, J.C.: Cardiac tamponade as theinitial presentation of malignancy: is it as rare aspreviously supposed? October, 703

Mulcahy, H.E., see Stack, W.A.Mullee, M.A., see Corder, A.P.Murphy, C., see Cronin, C.C.Murphy, P.T., Sivakumaran, M., Ghosh, K., Chapman,

C.S. and Wood, J.K.: Non-fatal massive rightatrial thrombus associated with Hickman catheterin an adult receiving chemotherapy for acuteleukaemia. July, 520 (lte)

Myers, K.G. and Trotman, I.F.: Use of ketorolac bycontinuous subcutaneous infusion for the controlof cancer-related pain. May, 359

Namnyak, S., see Tham, T.C.K.Navarro, F.J., see Navarro, J.F.Navarro, J.F., Quereda, C., Rivera, M., Navarro, F.J.

and Ortunio, J.: Anti-neutrophil cytoplasmicantibody-associated paraneoplastic vasculitis.May, 373

Neal, D., see Suresh, C.G.Neithercut, W.D., see Chattington, P.Neumann, K., see Maisch, B.Newrick, P.G., Braatvedt, G.D., Webb, A.J., Sheffield,

E. and Corrall, R.J.M.: Prolonged remission ofhypercalcaemia due to parathyroid carcinomawith pamidronate. March, 231

Newsome, D.A., see Alani, F.S.S.Niaz, M.A., see Singh, R.B.Nichol, F., see Iqbal, S.J.Nicholls, A., see Gorrie, M.Niebch, G., see Farthing, M.J.G.

Oakhill, A., see Palmer, S.Obafunwa, J.O. and Busuttil, A.: Clinical contact

preceding suicide. June, 428

O'Brien, A.A.J., see Madi, L.O'Brien, M.E.R., see Sriskandan, S.O'Connor, F.A., see Tham, T.C.K.Ogasawara, S., see Amanuma, S.O'Hanlon, S., see Trump, D.Ojeda, A., see Paja, M.O'Keefe, S.J.D., see Cariem, A.K.Oliver, P.S., see Ford, G.A.Olujohungbe, A., Fields, P.A., Sandford, A.F., and

Hoffbrand, A.V.: Heavy metal intoxication fromhomeopathic and herbal remedies. October, 764(Ite)

Olukoga, A.O., see Kumar, S.Ormerod, L.P., see Alani, F.S.S.Ortunio, J., see Navarro, J.F.Ostojic, M., see Seferovic, P.M.Ozcan, N., see Kelestimur, F.

Pace, J.E., see Kahn, S.A.Pacho, E., see Chicharro, A.E.Pacho, E., see Ramos, J.M.Page, S.R. and Tattersall, R.B.: How to achieve optimal

diabetic control in patients with insulin-dependentdiabetes: leading article, October, 675

Paja, M., Diez, S., Lucas, T., Ojeda, A., Salto, L. andEstrada, J.: Dexamethasone-suppressible feminiz-ing adrenal adenoma. August, 584

Estrada, J., Ojeda, A., Ram6n y Cajal, S., GarciaUria, J.and Lucas, T.: Lymphocytic hypophysitis causinghypopituitarism and diabetes insipidus, andassociated with autoimmune thyroiditis, in a non-pregnant woman. March, 220

Palmer, A.J., see Impallomeni, M.Palmer, J.M., see Perros, P.Palmer, S., Standen, G.R., Yates, P. and Oakhill, A.:

Genetic analysis in a female manifestinghaemophilia B. November, 828

Panayiotidis, P., see Vaiopoulos, G.Panayiotou, B., see Prasad, M.V.R.Pande, T.K., see Hiran, S.Pani, S., see Hiran, S.Papatsonis, D.N.M., see Van Genderen, P.J.J.Parfitt, V.J., Dearlove, J.C., Savage, D., Griffith, H.B.

and Hartog, M.: Benign intracranial hypertensionafter pituitary surgery for Cushing's disease. Feb-ruary, 115

Partridge, M.R.: Educating patients with asthma: leadingarticle. September, 599

Paterson, C.R. and Mole, P.A.: Bone density inosteogenesis imperfecta may well be normal. Feb-ruary, 104

Pearce, S.H.S. and Rees, C.J.: Coma in Wernicke'sencephalopathy. August, 597 (Ite)

Pearce, V.R., see Muhiddin, K.A.Penny, W., see Arnold, A.Perros, P., Palmer, J.M., Yeaman, S.J. and Kendall

Taylor, P.: Anti-mitochondrial antibodies inpatients with Graves' disease may not signifyprimary biliary cirrhosis. January, 17

Petty, R.K.H.: Recent advances in the neurology of HIVinfection: review article. June, 393

Phillips, E., Woolfrey, S., Cameron, E.: Streptokinase-induced jaundice. January, 55 (Ite)

Pinamonti, B., see Mestroni, L.Pohl, J.E.F., see Shukla, R.Pontes, M.C., see Ramos, J.M.

972 AUTHOR INDEX

Potter, J.F., see Fotherby, M.D.Potter, J.M., Stewart, D. and Duncan, G.: Living wills:

would sick people change their minds? November,818

Powell, R.J. and Gardner-Medwin, J.M.M.: Guidelinesfor the clinical use and dispensing of thalidomide:special article. December, 901

see also Gardner-Medwin, J.M.Prance, S., see Littlejohns, P.Prasad, A. and Shotliff, K.: Aortic dissection complicated

by a mediastinal haematoma and haemoptysis:diagnostic images. November, 821

Prasad, M.V.R., Panayiotou, B., Siddiqui, R. andZaman, M.N.: Polycythaemia rubra vera presen-ting with severe glossitis. October, 768 (lte)

Price, N.S., see Jolobe, O.M.P.Prior, J.S., see Ford, G.A.Provencio, M., Bonilla, F., Lacasta, A. and Espafia, P.:

Cerebral infarction after cisplatin-basedchemotherapy. July, 525 (Ite)

Quarry, D.P., see Cooper, J.P.Quereda, C., see Navarro, J.F.Qurttom, M.A.F., see Seshadri, M.S.

Radhi, J.M. and Schweiger, F.: Bacterial oesophagitis inan immunocompromised patient. March, 233

Raftery, A.T., see Coen, L.D.Rajman, I., see Kendall, M.J.Rajsekhar, V., see Soman, P.Rake, M.O., see Grainger, S.L.Ram6n y Cajal, S., see Paja, M.Ramos, J.M., Pacho, E., Garcia-Valle, B., Cuenca, M.,

Franco, A. and Pontes, M.C.: Splenic abscess dueto Eikenella corrodens. November, 848 (Ite)

Rampton, D., see Berney, D.M.Ramsay, L.E., see Woodmansey, P.A.Rana, Z., see Vassallo, M.Rao, V.V.B., see Hiran, S.Rashid, S., see Ali, G.Redondo, C., see Fraile, G.Rees, C.J., see Pearce, S.H.S.Reilly, J.T., see Bhandari, S.Reilly, J.T., see Snowden, J.A.Reilly, J.T., see Wodzinski, M.A.Reiss, R., see Milo, Y.Richards, M.A., see Lees, C.C.Richardson, P., see Angomachalelis, N.Richardson, P.J., see Why, H.J.F.Rinsler, M., see Trump, D.Ristic, A., see Seferovic, P.M.Rivera, M., see Navarro, J.F.Robertson, L.J., see Beards, S.C.Robin, N., Gill, G., van Heyningen, C. and Frazer, W.: A

small cell bronchogenic carcinoma associated withtumoral hypophosphataemia and inappropriateantidiuresis. October, 746

Rocco, P.L.: Acute granulocytopenia in concomitanttreatment of clozapine and methimazole. April,312 (lte)

Roche, M.T., see Muhiddin, K.A.Rodger, J.C., see Muir, K.W.Rodriguez-Garcia, J.L., see Fraile, G.Rodriguez, J., Diaz, F. and Collazos, J.: Thrombo-

phlebitis and Reiter's syndrome. February, 145(Ite)

see also Collazos, J.Ross, H., see El-Omar, M.Rubens, R., see Elewaut, D.Rudra, T., see Kroker, P.Rustin, M.H.A., see McGregor, J.M.Rustin, M.H.A., see Stevens, H.P.Ruus, P., see Farthing, M.J.G.Ryder, S.D. and Williams, R.: Liver disease: reviews in

medicine. March, 162

Sacks, N.P.M., see Smellie, W.J.B.Sadiq, S.A., see Tyagi, N.Sahdev, A., see Gupta, S.Sakka, S., Hurst, P. and Khawaja, H.: Anorexia nervosa

and necrotizing colitis: case report and review ofthe literature. May, 369

Salem, N., see Angomachalelis, N.Saltissi, D. and Macfarlane, D.J.: Successful treatment of

Pseudomonaspaucimobilis haemodialysis catheter-related sepsis without catheter removal. January,47

Salto, L., see Paja, M.Salzmann, M.B., see Gallen, I.W.Sambrook, P., see Burton, I.E.Samiaman, S-A-M., see Seshadri, M.S.Samson, D.: Multiple myeloma: current treatment:

review article. June, 404Sanchez, M-A., see Laguna, P.Sandford, A.F., see Olujohungbe, A.Sanroman, A.L., see Garcia-Gonzalez, M.Santis, G. and Geddes, D.: Recent advances in cystic

fibrosis: review article. April, 247Sarma, P.S.A.: Cutaneous leukocytoclastic vasculitis

preceding renal cancer. April, 311 (Ite)Dapsone in Henoch-Sch6nlein purpura. June, 464 (Ite)

Savage, D., see Parfitt, V.J. Schattner, A., Sthoeger, Z.and Geltner, D.: Effect of acute cytomegalovirusinfection on drug-induced SLE. October, 738

Sch6nian, U., see Maisch, B.Schoretsanitis, G., Livingstone, J.I., El-Japour, J.N.,

Watkins, N. and Wastell, C.: Duodenal plas-macytoma: a rare extramedullary localizationsimulating carcinoma of the head of the pancreas.May, 378

Schultheiss, H-P., see Kuhl, U.Schweiger, F., see Radhi, J.M.Scotland, A.D., see Barker, A.Scott, H.J., see Beales, I.L.P.Scripcariu, V., see Abraham, J.S.Scullion, D., see Kreel, L.Scurr, J.H., see Shields, D.A.Seckl, J.R., see Hardy, K.J.Seddon, D.: Re: Unified European higher medical

degress. November, 847 (lte)Seenu, V., Baliga, S. and Misra, M.C.: Aneurysm of the

inferior thyroid artery. June, 452Misra, M.C., Tiwari, S.C., Jain, R. and Chandrashek-

har, C.: Primary pelvic hydatid cyst presentingwith obstructive uropathy and renal failure.December, 930

Seferovic, D., see Seferovic, P.M.Seferovic, P.M., Maksimovic, R., Vasiljevic, J.D., Marin-

kovic, J., Ostojic, M., Kanjuh, V., Seferovic, D.,Simeunovic, S., Ristic, A., Sinnreich, V., Dan-gubic, V. and Simic, D.: Endomyocardial biopsy: ameta-analysis of diagnostic value. Suppl., 1, 21

AUTHOR INDEX 973

Sekiiguchi, M., see Amanuma, S.Serasli, E., see Angomachalelis, N.Seshadri, M.S., Qurttom, M.A.F., Sivanandan, R.,

Samiaman S-A-M.: Tertiary hyperparathyroidismin nutritional osteomalacia. August, 595 (Ite)

Sethi, T., see Chilvers, E.R.Sfikakis, P.P., see Vaiopoulos, G.Sgrignoli, A.R., see Michele, T.M.Shah, H., see Hiran, S.Shakir, R.A., see Davies, G.E.Shanaa, Z.A., see Al Attia, H.M.Shapiro, M., see Yinnon, A.M.Sharma, B.K., see Soman, P.Sharp, P., see Trump, D.Shaukat, N. and de Bono, D.P.: Are Indo-origin people

especially susceptible to coronary artery disease?leading article. May, 315

Sheffield, E., see Newrick, P.G.Sherwani, R., see Tyagi, N.Shields, D.A. and Scurr, J.H.: Treatment of the critically

ischaemic lower limb: review article. January, 5Shone, G., see Hughes, T.A.T.Shotliff, K., see Prasad, A. Shukla, R., Jowett, N.I.,

Thompson, D.R. and Pohl, J.E.F.: Side effectswith amiodarone therapy. July, 492

Shukla, V.K., see Gupta, V.Siddiqui, R., see Prasad, M.V.R.Siegel, L.B., see Desmukh, H.G.Silvestri, F., see Mestroni, L.Simeunovic, S., see Seferovic, P.M.Simic, D., see Seferovic, P.M.Simpson, R., see Dubrey, S.Sinagra, G., see Mestroni, L.Singer, D.R.J., see Antonios, T.F.T.Singh, B., see Gupta, S.Singh, R.B., Niaz, M.A. and Ghosh S.: Effect on central

obesity and associated disturbances of low-energy,fruit- and vegetable-enriched prudent diet in NorthIndians. December, 895

Sinnreich, V., see Seferovic, P.M.Siourthas, D., see Angomachalelis, N.Siribaddana, S., see Fernando, D.J.S.Siribaddana, S.H., Herath, C.A. and Wickramaratne,

D.J. Emphysematous pyelonephritis: diagnosticimages. October, 736

Sivakumaran, M., see Murphy, P.T.Sivanandan, R., see Seshadri, M.S.Slettehaugh, P.M., see Stein, P.D.Smellie, W.J.B. and Sacks, N.P.M.: Recent advances in

the treatment of breast cancer: leading article.April, 243

Smith, I.E., see Sriskandan, S.Smith, M.S.H. and Wakefield, A.J.: Crohn's disease:

ancient and modern: review article. March, 149Snowden, J.A., Milford-Ward, A. and Reilly, J.T.: Symp-

tomatic IgG3 deficiency successfully treated withintravenous immunoglobulin therapy. December,924

see also Wodzinski, M.A.Sobala, G., see Wong, V.Sobral, J., see Bayes de Luna, A.Soler, J., see Fernandez-Real, J.M.Soman, P., Jain, S., Rajsekhar, V., Vineeta, S. and

Sharma, B.K.: Dystonia - a rare manifestation ofcarbamazepine toxicity. January, 54 (Ite)

Soto, C., see Chicharro, A.E.

Speechly-Dick, M.E. and Swanton, R.H.: Osteomyelitisand infective endocarditis. December, 885

Sprackling, P.D., see Baker, M.Sridhar, M., Boyle, I. and Banham, S.: Recurrent

chylothorax in a woman with primary amenor-rhoea. September, 655

Sriskandan, S., O'Brien, M.E.R., Smith, I.E., Collins, P.and Gore, M.E.: Aggressive management ofdoxorubicin-induced cardiomyopathy associatedwith 'low' doses of doxorubicin. October, 759

Stack, W.A., Mulcahy, H.E., Fenelon, L. and Hegarty,J.E.: Cytomegalovirus myocarditis following livertransplantation. September, 658

Standen, G.R., see Palmer, S.Stansbie, D., see Day, A.P.Stearns, M.P., see Davis, J.P.Steart, D., see Potter, J.M.Stein, P.D., Grandison, D., Hua, T.A., Slettehaugh,

P.M., Henry, J.W., Turlapaty, P. and Kerwin, R.:Therapeutic level of oral anticoagulation withwarfarin in patients with mechanical prostheticheart valves: review of literature and recommen-dations based on international normalized ratio.Supp 1, 72

Stevens, H.P. and Rustin, M.H.A.: Keratin gene muta-tions in human skin disease: leading article.November, 775

Stevens, J.M.: Imaging patients with TIAs: review article.September, 604

Sthoeger, Z., see Schattner, A.Stibbe, J., see Van Genderen, P.J.J.Strauer, B.E., see Kuhl, U.Suresh, C.G., Neal, D. and Coupe, M.O.: Warfarin

treatment and migraine. January, 37Swaminathan, R., see Woo, J.Swan, C.H.J., see Borg, A.A.Swanston, A.R., see Tay, H.L.Swanton, R.H., see Speechly-Dick, M.E.Swift, A.C. and Gill, G.V.: Serious unexpected sinus

infection discovered by CT scanning for presumedneurological disease: delayed diagnosis. March,203

Sztajzel, J., see Bayes de Luna, A.

Taiwo, B., see Thomas, M.Tanganelli, P., see Mestroni, L.Tattersall, R.B., see Page, S.R. and Tattersall, R.B. Tay,

H.L., Swanston, A.R. and Lumley, J.S.P.: Glos-sopharyngeal schwannoma presenting as gaggingdysphagia: delayed diagnosis. March, 207

Taylor, I., see Corder, A.P.Taylor, R. and Vanderpump, M.: New concepts in

diabetes mellitus I: treatment, pregnancy andaetiology: reviews in medicine. June, 418

see also Vanderpump, M.Taylor, R.S., see Gallen, I.W. Tham, T.C.K., McLaugh-

lin, N., Hughes, D.F., Ferguson, M., Crosbie, J.J.,Madden, M., Namnyak, S. and O'Connor, F.A.:Possible role of Helicobacter pylori serology inreducing endoscopy workload. November, 809

Thomas, M. and Taiwo, B.: Splenic epidermoid cystspresenting as an acute abdomen. May, 376

Thompson, D.R., see Shukla, R.Thompson, R., see El-Omar, M.Thompson, R.P.H., see El-Omar, M.M.Thuluvath, P.J., see Michele, T.M.

974 AUTHOR INDEX

Tiwari, S.C., see Seenu, V.Toghill, P.J.: Beyond postgraduate training: leading

article. February, 63Tooke, J.E., see Gallen, I.W.Torres, G., see Garcia-Gonzalez, M.Toutouzas, P.K., see Apostolopoulos, T.D.Tovey, J., see Arnold, A.Trakatellis, A., Dimitriadou, A., Exindari, M., Chris-

todoulou, D., Malissiovas, N., Antoniadis, A. andHaitoglou, K.: Effect of combination of de-oxypyridoxine with known anti-proliferative orimmunosuppressive agents on lymphocyte serinehydroxymethyltransferase. Suppl. 1, 89

Treasure, T., see Hall, R.J.Triantaphyllou, I., see Angomachalelis, N.Trill, A.S., see Hutchinson, P.J.A.Trotman, I.F., see Myers, K.G.Trump, D., O'Hanlon, S., Rinsler, M. and Sharp, P.:

Hyperosmolar non-ketotic diabetic coma andrhabdomyolysis. January, 44

Tsezou, A.N., see Apostolopoulos, T.D.Tsirigotis, M., see Lees, C.C.Tsokos, G.C., see Vaiopoulos, G.Tuch, P.S., Gill, G.V. and Huddle, K.R.L.: Autonomic

neuropathy in African diabetic patients. March,188

Tunbridge, R.D.G.: The management of pregnancy inhypertensive patients. November, 790

Turlapaty, P., see Stein, P.D.Turner, P., see Farthing, M.J.G.Turner, P., see Hutchinson, P.J.A.Turney, J.H., see Woodrow, G.Tyagi, N., Sherwani, R., Sadiq, S.A., Maheshwari, V.,

Abbas, M. and Tyagi, S.P.: Malakoplakia of bonepresenting as a pathological fracture. June, 461

Tyagi, S.P., see Tyagi, N.

Ulibarrena, C., see Barcena, R.Urschel, J.D., Hameed, S.M. and Grewal, R.P.:

Neurogenic thoracic outlet syndromes: review arti-cle. November, 785

Utas, C., see Kelestimur, F.

Vaiopoulos, G., Sfikakis, P.P., Kapsimali, V., Boki, K.,Panayiotidis, P., Aessopos, A., Tsokos, G.C. andKaklamanis, P.: The association of systemic lupuserythematosus and myasthenia gravis. October,741

Vakalis, D., see Angomachalelis, N.Vamvalis, C., see Angomachalelis, N.van der Walt, J.D., see Berney, D.M.Van Genderen, P.J.J., Papatsonis, D.M.N., Michiels, J.J.,

Wielenga, J.J., Stibbe, J. and Huikeshoven,F.J.M.: High-dose intravenous gammaglobulintherapy for acquired von Willebrand disease.December, 916

van Heyningen, C., see Robin, N.Vanderpump, M. and Taylor, R.: New concepts in

diabetes mellitus II: complications: reviews inmedicine. July, 479

see also Taylor, R.Vashishta, A., see Goel, A.Vasiljevic, J.D., see Seferovic, P.M.Vassallo, M., Rana, Z. and Allen, S.: Pituitary apoplexy

after stimulation tests. June, 444Vaughan, C., Cronin, C.C., Walsh, E.K. and Whelton

M.: The Jarisch-Herxheimer reaction in leptos-pirosis. February, 118

Verma, A., see Desmukh, H.G.Verma, N.P.S., see Goel, A.Villabona, C., see Fernandez-Real, J.M.Villasante, C., see Alba, D.Vineeta, S., see Soman, P.Viniolas, X., see Bayes de Luna, A.Vishwanathan, K.A., see Hiran, S.Voigt, M.D., see Woolf, D.

Wakefield, A.J., see Smith, M.S.H.Walker, I.D.: Thrombophilia: how far should a clotter be

investigated? review article. June, 411Walls, J., see Iqbal, S.J.Walsh, E.K., see Vaughan, C.Wardlaw, A.J.: Eosinophils in the 1990s: New perspec-

tives on their role in health and disease: reviewarticle. August, 536

Wassif, W., see Iqbal, S.J.Wastell, C., see Schoretsanitis, G.Watkins, N., see Schoretsanitis, G.Watson, J.D., see Davies, M.J.Webb, A.J., see Newrick, P.G.Webley, M., see Al-Saffar, Z.S.Welsby, A., see Welsby, P.D.Welsby, P.D.: Infectious diseases: reviews in medicine.

February, 74and Welsby, A.: The changing health service. January,

31Wheeler, D.C., see Harper, G.D.Whelton, M., see Vaughan, C.Whelton, M.J., see Cronin, C.C.Why, H.J.F., Archard, L.C. and Richardson, P.J.:

Dilated cardiomyopathy - new insignts into thepathogenesis. Suppl., 1, 2

Wickert, W.A., Campbell, N.R.C. and Martin, L.: Acutesevere adverse clozapine reaction resemblingsystemic lupus erythematosus. December, 940 (lte)

Wickramaratne, D.J., see Siribaddana, S.H.Wicks, A.C.B., see Harper, G.D.Wielenga, J.J., see Van Genderen, P.J.J.Wilcox, I., see Kelly, D.T.Wiles, C.M., see Hughes, T.A.T.Wilkinson, P.: Continuing medical education for the

trained physician. Recommendations for the in-troduction and implementation of a CME system.Report by the Royal College of Physicians ofEdinburgh, Glasgow and London, June 1994.October, 732

Wilkinson, S.P., see Ford, G.A.Williams, J.G., see Grainger, S.L.Williams, R., see Ryder, S.D.Wilson, A.G., see Antonios, T.F.T.Wilson, M., see Abraham, J.S.Wing, Y-K, Lee, S., Chiu, H.F.K., Ho, C.K.W. and

Chen, C-N.: A patient with coexisting narcolepsyand morbid jealousy showing favourable responseto fluoxetine. January, 34

Winter, T.A., see Cariem, A.K.Withnall, K., see Currie, B.Wodzinski, M.A., Snowden, J.A. and Reilly, J.T.: Toxic

megacolon complicating chemotherapy for acutemyeloid leukaemia. December, 921

see also Bhandari, S.Wong, V., Sobala, G. and Losowsky, M.: A case of

AUTHOR INDEX 975

narcotic bowel syndrome successfully treated withclonidine. February, 138

Woo, J., Swaminathan, R., Cockram, C., Lau, E. andChan, A.: Association between serum uric acid andsome cardiovascular risk factors in a Chinesepopulation. July, 486

Wood, J.K., see Murphy, P.T.Woodmansey, P.A., Yeo, W.W., Jackson, P.R. and

Ramsay, L.E.: Acute renal failure with ACEinhibition in aortic coarctation. December, 927

Woodrow, G., Brownjohn, A.M. and Turney, J.H.:Acute renal failure in patients with type I diabetesmellitus. March, 192

Woolf, A.D., see Deodhar, A.A.Woolf, D., Voigt, M.D., Jaskiewicz, K. and Kalla, A.A.:

Pulmonary hypertension associated with non-cirrhotic portal hypertension in systemic lupuserythematosus, January, 41

Woolfrey, S., see Phillips, E.Woolfson, R.G. and Mansell, M.A.: Hyperoxaluria and

renal calculi: review article. October, 695Wray, R., see Gupta, S.Wright, P., see Gupta, S.

Yates, P., see Palmer, S.Yeaman, S.J., see Perros, P.Yeo, W.W., see Woodmansey, P.A.Yeung, V.T.F., see Ko, G.T.C.Yinnon, A.M., Hadas-Halpern, I., Shapiro, M. and

Hershko, C.: The changing clinical spectrum ofliver abscess: the Jerusalem experience. June, 436

Zahavi, S., see Milo, Y.Zakaria, Y., see Kumar, S.Zaman, M.N., see Prasad, M.V.R.Zaphrir, O., see Livneh, A.

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appearances of hydatid disease in Wales. PostgradMed J 1986, 62: 167-173.

2. Greenberger, J.S. Long-term hematopoietic cul-tures. In: Golde, W. (ed) Hematopoiesis. Churchill-Livingstone, New York, 1984, pp 203-242.

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