Table Of Content

SERRE EM TS SS Le SANT North Carolina Medical Journal Volume 53, January 1992 - December 1992 Author Index Adams, Robert S, Writing to express: four technology and the unit at the Wake Forest DeAtkine, David Jr, Adrenal insuffiency after students speak their minds (“Dad”) 174 University Medical Center 395 removal of an apparently non-functional Aldrich, Tim, Prostate cancer in North Caro- Breeden, James O, Confederate general adrenal mass: Cushing’s diathesis without lina 447 hospitals: the front line of the south’s Civil Cushing’s syndrome 559 Alexander, Eben, Function of the Board of War health care system 110 Demark-Wahnefried, Wendy, Prostate Medical Examiners of the state of North Brewer, Robert D, The prevention of child- cancer in North Carolina 447 Carolina 11 hood lead poisoning in North Carolina DeVellis, Brenda M, Prescription medicine: A pleasant memory of a board appointment 149 did you know...? 589 19 Burch, Warner M Jr, Response to: a woman DiFranza, Joseph R, Responses to: Youth Arena, Jay M, WilburtComell Davison, M.D. with too much facial hair 521 and tobacco: RJR’s medical director and one hundredth anniversary: 1892-1992 Byerly, W Grimes, M&Ms: membership and two family physicians discuss the issue of 604 medicine 431 smoking among youth 522 Arthur, John, Successful laparoscopic man- Campbell, Cherri Hobgood, Blood alcohol Dillard, Robert G, Outcome at one year in agement of perforated gallbladder associ- concentration in motor vehicle crash vic- infants with chronic lung disease receiving ated with Salmonella javiana infection tims: a survey of North Carolina emer- comprehensive follow-up care: a regional 594 gency physician attitudes and utilization experience in North Carolina, 1984-1990 Atkinson, Vickie, Geriatric peer-counseling: patterns 461 548 pilot project provides support for the Campbell, Paul T, Not so good to the last Diosegy, Arlene J, OSHA’s bloodborne homebound elderly 296 drop: ethylene glycol poisoning in acoffee- pathogen regulations: a review of the re- Baker, Christopher C, Pott’s disease revis- consuming camper 134 quirements 273 ited: paravertebral abscess extending into Chandler, E Ted, To be an internist 420 Earp, Jo Anne, Diagnosis and reporting of the right lower extremity 217 Chitwood, Walter R Jr, Commentary—The sexually transmitted disease in Durham Beale, Robert W, Pott’s disease revisited: physician’s oath and its apology 623 County, North Carolina 427 paravertebral abscess extending into the Cole, Thomas B, Why does the injured drunk Eksktrand, K, Stereotactic radiosurgery: a right lower extremity 217 driver escape arrest and conviction?: a case review of “gamma knife” and linac knife” Beaty, Orren III, Prodrome of disseminated presentation and discussion by health care technology and the unit at the Wake Forest varicella zoster in an immunocompromised and law enforcement professionals 453 University Medical Center 395 adult 71 Corey, G Ralph, Not so good to the last drop: Engel, Jeffrey, Prodrome of disseminated Beech, Joyce W, Detection of sexually trans- ethylene glycol poisoning in a coffee-con- varicella zoster in an immunocompromised mitted disease at premarital examination in suming camper 134 adult 71 a community health clinic 421 Chronic fatigue syndrome: a practical ap- Fletcher, Robert G, Responses to: Youth and Black, Kevin J, Writing to express: four stu- proach 267 tobacco: RJR’s medical director and two dents speak their minds (“Helicopters and Successful laparoscopic management of per- family physicians discuss the issue of Aunt Minnie”) 174 forated gallbladder associated with Sal- smoking among youth 522 Blythe, William B, Commentary—The monella javiana infection 594 Frazier, Linda, Food safety: lead, pesticides, physician’s oath and its apology 623 Coric, D, Stereotactic radiosurgery: a review antibiotics, hormones, and irradiation Bogdonoff, Morton D, Notes From abroad: of “gamma knife” and “linac knife” tech- 372 former NC physician recalls his NY and nology and the unit at the Wake Forest Freeman, John I, The prevention of child- NC experiences 165 University Medical Center 395 hood lead poisoning in North Carolina Bondurant, Stuart, Commentary—Elegy for Daniels, Kate, They wrote us a poem 645 149 a way of life: a physician laments the Darcey, Dennis J, Food safety: lead, pesti- Garrison, Herbert G, III, Fingerstick de- changes in American medicine; with com- cides, antibiotics, hormones, and irradia- tection of hypoglycemia can prevent dan- ment from deans at the state’s four medical tion 372 gerous doses of dextrose 466 schools 300 Daughtrey, Pat, Microsurgical reversal of Gillis, Deborah C, Outcome at one year in Boyd, J Wesley, The physician’s oath and its female sterilization: a community hospital infants with chronic lung disease receiving apology 623 experience 572 comprehensive follow-up care: a regional Branch, CL, Stereotactic radiosurgery: a re- Davis, Trenton G, Hazardous waste: a North experience in North Carolina, 1984-1990 view of “gamma knife” and linac knife” Carolina dilemma 338 548 670 NCM]J / December 1992, Volume 53 Number 12 SERRE EM TS SS Le SANT North Carolina Medical Journal Volume 53, January 1992 - December 1992 Author Index Adams, Robert S, Writing to express: four technology and the unit at the Wake Forest DeAtkine, David Jr, Adrenal insuffiency after students speak their minds (“Dad”) 174 University Medical Center 395 removal of an apparently non-functional Aldrich, Tim, Prostate cancer in North Caro- Breeden, James O, Confederate general adrenal mass: Cushing’s diathesis without lina 447 hospitals: the front line of the south’s Civil Cushing’s syndrome 559 Alexander, Eben, Function of the Board of War health care system 110 Demark-Wahnefried, Wendy, Prostate Medical Examiners of the state of North Brewer, Robert D, The prevention of child- cancer in North Carolina 447 Carolina 11 hood lead poisoning in North Carolina DeVellis, Brenda M, Prescription medicine: A pleasant memory of a board appointment 149 did you know...? 589 19 Burch, Warner M Jr, Response to: a woman DiFranza, Joseph R, Responses to: Youth Arena, Jay M, WilburtComell Davison, M.D. with too much facial hair 521 and tobacco: RJR’s medical director and one hundredth anniversary: 1892-1992 Byerly, W Grimes, M&Ms: membership and two family physicians discuss the issue of 604 medicine 431 smoking among youth 522 Arthur, John, Successful laparoscopic man- Campbell, Cherri Hobgood, Blood alcohol Dillard, Robert G, Outcome at one year in agement of perforated gallbladder associ- concentration in motor vehicle crash vic- infants with chronic lung disease receiving ated with Salmonella javiana infection tims: a survey of North Carolina emer- comprehensive follow-up care: a regional 594 gency physician attitudes and utilization experience in North Carolina, 1984-1990 Atkinson, Vickie, Geriatric peer-counseling: patterns 461 548 pilot project provides support for the Campbell, Paul T, Not so good to the last Diosegy, Arlene J, OSHA’s bloodborne homebound elderly 296 drop: ethylene glycol poisoning in acoffee- pathogen regulations: a review of the re- Baker, Christopher C, Pott’s disease revis- consuming camper 134 quirements 273 ited: paravertebral abscess extending into Chandler, E Ted, To be an internist 420 Earp, Jo Anne, Diagnosis and reporting of the right lower extremity 217 Chitwood, Walter R Jr, Commentary—The sexually transmitted disease in Durham Beale, Robert W, Pott’s disease revisited: physician’s oath and its apology 623 County, North Carolina 427 paravertebral abscess extending into the Cole, Thomas B, Why does the injured drunk Eksktrand, K, Stereotactic radiosurgery: a right lower extremity 217 driver escape arrest and conviction?: a case review of “gamma knife” and linac knife” Beaty, Orren III, Prodrome of disseminated presentation and discussion by health care technology and the unit at the Wake Forest varicella zoster in an immunocompromised and law enforcement professionals 453 University Medical Center 395 adult 71 Corey, G Ralph, Not so good to the last drop: Engel, Jeffrey, Prodrome of disseminated Beech, Joyce W, Detection of sexually trans- ethylene glycol poisoning in a coffee-con- varicella zoster in an immunocompromised mitted disease at premarital examination in suming camper 134 adult 71 a community health clinic 421 Chronic fatigue syndrome: a practical ap- Fletcher, Robert G, Responses to: Youth and Black, Kevin J, Writing to express: four stu- proach 267 tobacco: RJR’s medical director and two dents speak their minds (“Helicopters and Successful laparoscopic management of per- family physicians discuss the issue of Aunt Minnie”) 174 forated gallbladder associated with Sal- smoking among youth 522 Blythe, William B, Commentary—The monella javiana infection 594 Frazier, Linda, Food safety: lead, pesticides, physician’s oath and its apology 623 Coric, D, Stereotactic radiosurgery: a review antibiotics, hormones, and irradiation Bogdonoff, Morton D, Notes From abroad: of “gamma knife” and “linac knife” tech- 372 former NC physician recalls his NY and nology and the unit at the Wake Forest Freeman, John I, The prevention of child- NC experiences 165 University Medical Center 395 hood lead poisoning in North Carolina Bondurant, Stuart, Commentary—Elegy for Daniels, Kate, They wrote us a poem 645 149 a way of life: a physician laments the Darcey, Dennis J, Food safety: lead, pesti- Garrison, Herbert G, III, Fingerstick de- changes in American medicine; with com- cides, antibiotics, hormones, and irradia- tection of hypoglycemia can prevent dan- ment from deans at the state’s four medical tion 372 gerous doses of dextrose 466 schools 300 Daughtrey, Pat, Microsurgical reversal of Gillis, Deborah C, Outcome at one year in Boyd, J Wesley, The physician’s oath and its female sterilization: a community hospital infants with chronic lung disease receiving apology 623 experience 572 comprehensive follow-up care: a regional Branch, CL, Stereotactic radiosurgery: a re- Davis, Trenton G, Hazardous waste: a North experience in North Carolina, 1984-1990 view of “gamma knife” and linac knife” Carolina dilemma 338 548 670 NCM]J / December 1992, Volume 53 Number 12 Goldner, Richard D, Snakebite in the tarheel Blood alcohol concentration in motor vehicle tribute to the medical literature? 608 state: guidelines for first aid, stabilization, crash victims: a survey of North Carolina Kanof, Elizabeth P, Commentary—The and evacuation 141 emergency physician attitudes and utiliza- physician's oath and its apology 623 Goldstein, Adam O, Youth and tobacco: ad- tion patterns 461 Keku, John K, Human immunodeficiency diction and death 411 Harkness, Gale L, Detection of sexually virus infection at New Hanover Regional Responses to: Youth and tobacco: RJR’s transmitted disease at premarital examina- Medical Center 416 medical director and two family physicians tion in acommunity health clinic 421 Kincaid, Edward H,T he Medicare program: discuss the issue of smoking among youth Hathaway, Harvey R, Elegy for a way of exploring federal health care policy 596 522 life: a physician laments the changes in King, Valerie J, Writing to express: four Gough, John E, Fingerstick detection of hy- American medicine; with comment from students speak their minds (“Passion and poglycemia can prevent dangerous doses deans at xe state’s four medical schools Compassion”) 174 of dextrose 466 300 Kirkman, M Sue, Shock and prolonged Graham, Doyle G, Commentary—Elegy for Hathaway, Sharon C, Cushing’s disease muscle cramps after intravenous insulin a way of life: a physician laments the 558 therapy 484 changes in American medicine; with com- Hedgpeth, Edward McG Jr, Two days inthe Klinepeter, Kurt L, Outcome at one year in ment from deans at the state’s four medical life of a mini-internship 663 infants with chronic lung disease receiving schools 300 Hodgson, Patricia K, Two days in the life of comprehensive follow-up care: a regional Graham, John Borden, Alien corn in the a mini-internship 663 experience in North Carolina, 1984-1990 “big apple,” part II: the good years (1942 to Holloman, Joyce, Microsurgical reversal of 548 1944) 33 female sterilization: a community hospital Kolasa, Kathryn, Changing nutritional con- Grossman, Eunice H, Geriatric peer-coun- experience 572 cerns in North Carolina: the state of our seling: pilot project provides support for Holtkamp, John H, Seizure disorders: epi- health 160 the homebound elderly 296 lepsy—diagnosis and treatment 221 Koruda, Mark J, Appendicitis: laparoscopic Gutman, Robert A, Still learning 85 HornbaEk Roedn,ey , Where are we and how strategy in diagnosis and treatment 196 Hallock, James A, Commentary—Elegy for did we get here?: federal regulation of the Kraybill, Ernest N, Commentary—Out- a way of life: a physician laments the office laboratory 477 come at one year in infants with chronic changes in American medicine; with com- Hover, Margot, The ministry of caring lung disease receiving comprehensive fol- ment from deans at the state’s four medical 653 low-up care: a regional experience in North schools 300 Howell, William H, The content of one Carolina, 1984-1990 549 Halperin, Edward C, Book reviews: Spinal doctor’s practice: relevance of the LaBelle, Virginia S, Hair artifacts that may tumors in children and adolescents, Raven biopsychosocial model 404 simulate disease 170 Press; Corneal angiogenesis: a compre- Hulkower, Stephen D, Enhancing adherence Landis, Suzanne, E, Enhancing adherence hensive critical review, Springer Verlag; with mammography through patient letters with mammography through patient letters Naming the silences: God, medicine, and and physician prompts: a pilot study and physician prompts: a pilot study the problem of suffering, Eerdmans Pub- 575 575 lishing 182 Iarovici, Doris, A woman with too much Langley, Ricky, Environmental health: should Book reviews: Essential immunology, facial hair: evaluating the possibility of we be concerned? 326 Blackwell Scientific Publications; Funda- attenuated 21-hydroxylase deficiency in Food safety: lead, pesticides, antibiotics, mental immunology, Raven Press; Essen- hirsutism 401 hormones, and irradiation 372 tial medical physiology 468 Ives, Timothy J, Prescription medicine: did Lansky, Amy, Diagnosis and reporting of Book reviews: Kaizen: the key to Japan’s you know...? 589 sexually transmitted disease in Durham competitive success, McGraw-Hill Pub- Jackson, Barbara, Outcome at one year in County, North Carolina 427 lishing; Real people, real work: parables on infants with chronic lung disease receiving Lee, John G, Successful laparoscopic man- leadership in the "90s, SPC Press; A history comprehensive follow-up care: a regional agement of perforated gallbladder associ- of the North Carolina Orthopedic Hospital: experience in North Carolina, 1984-1990 ated with Salmonella javiana infection a dream come true, Washburn Press; A 548 594 handbook for: the traveling freelance phy- Janeway, Richard, Elegy for a way of life: a Levine, Ronald H, Conjoint report: to the sicisa, Magellan Publishing Co. 655 physician laments the changes in American North Carolina Medical Society and the The Journal goes after a big scoop: the deputy medicine; with comment from deans at the North Carolina Commission for Health editor tries on a new hat 305 state’s four medical schools 300 Services 75 Politics and medicine: The Journal interviews Jones, Billy, Prodrome of disseminated Lichstein, Peter R, Responses to: The con- the candidates for governor of North Caro- varicella zoster in an immunocompromised tent of one doctor’s practice—resident lina 538 adult 71 training and the biopsychosocial model Commentary—The physician’s oath and its Jones, Jonathan L, Fingerstick detection of 517 apology 623 hypoglypcreveenmt idanagercousa dnos es Linfors, Eugene W, Physicians’ forum: to Hanley, Rochelle, Diabetes education: an idea of dextrose 466 speak or not to speak (edit.) 492 whose time has come 238 Jordan, Lyndon K III, and Laurie O, Pru- Livengood, Charles H, Commentary—De- Hansen, Alfred R, Code green, Dr. Blue: dent prescribing: prescribing suggestions tection of sexually transmitted disease at emergency paging euphemisms and the for physicians 585 premarital examination in a community potential for confusion 21 Joshi, Divyang, Why do practitioners con- health clinic 425 NCMJ / December 1992, Volume 53 Number 12 671 Lord, Michael C, OSHA’s bloodborne ing the possibility of attenuated 21-hy- day, Duke University Press 468 pathogen regulations: a review of the re- droxylase deficiency in hirsutism 401 Commentary—The physician’s oath and its quirements 273 A niche for the Journal 426 apology 623 Mack, Ronald B, Living mortals run mad: Two fewer stars ino ur firmament: Mebane H. Raab, Mary, Prodrome of disseminated mandrake (podophyllum) poisoning 98 Burgwyn and Charles W. Styron, M.D. varicella zoster in ani mmunocompromised The bite of the spider woman: loxosceles (obits) 531 adult 71 reclusa (the brown recluse) 200 Neish, Donald D, It’s all in our minds—or is Ranney, Jane E, Human immunodeficiency Was Hercules a stable person?: astemizole it?: Dorothea’s fables from the psychiatric/ virus infection at New Hanover Regional overdose 527 medical interface 488 Medical Center 416 Maness, Rubin F, Managing pediatric Norman, Edward H, The prevention of Rierson, Leslie, Writing to express: four asthma in North Carolina 633 childhood lead poisoning in North Caro- students speak their minds (“The Genetic Matthews, Karen R, Detection of sexually lina 149 Screening of Multifactorial Disorders”) transmitted disease at premarital examina- North Carolina Medical Society, 174 tion in a community health clinic 421 Health issues of the young: youth and alcohol Ritter, Michelle R, Take two spider webs and McDermott, June H, Dentures and denture 349 call me in the morning: southern folk care 93 Healthy youths 471 medicine 2A4 McDonnell, C F Jr, Microsurgical reversal Prescription drugs: Prescription medication: Rizzolo, Peter J, Does a demented patient of female sterilization: acommunity hospi- what you need to know 533 lose the right to refuse surgical interven- tal experience 572 Prescription medicine: did you know...? tion? 213 McLeod, Michael E, Successful laparo- 589 Geriatric peer-counseling: pilot project pro- scopic management of perforated gall- Seizure disorders: epilepsy 155, 221 vides support for the homebound elderly bladder associated with Salmonella javiana Social and psychological components 296 infection 594 285 Robertson, Cary, Prostate cancer in North Meares, Connie Hall, Book review: Our Traffic safety: young drivers 29 Carolina 447 doubts are traitors, Vantage Press 656 Young women and alcohol 89 Rogers, C Stewart, Health care of the Meggs, William J, Health effects of indoor Olds, W, Stereotactic radiosurgery: a review homeless in the British national health air pollution 354 of “gamma knife” and “linac knife” tech- service 228 Meyer, Andrew H, Shock and prolonged nology and the unit at the Wake Forest Rose, Lynn A, Prescription medicine: did you muscle cramps after intravenous insulin University Medical Center 395 know...? 589 therapy 484 O’Shea, T Michael D, Outcome at one year Sexton, Daniel J, Risks, reactions, regula- Meyers, William C, Successful laparoscopic in infants with chronic lung disease re- tions, and reality: health care workers with management of perforated gallbladder as- ceiving comprehensive follow-up care: a HIV infection 650 sociated with Salmonella javiana infection regional experience in North Carolina, Sheline, Barbara, Teach a student to fish: 594 1984-1990 548 problem-based teaching in medical educa- Meymandi, Assad, U.S. health care dilemma: Paris, Bryant D Jr, Function of the board of tion 80 some suggestions for solution 153 medical examiners of the state of North Smith, Eugenia Brit, Code green, Dr. Blue: Commentary—The physician’s oath and its Carolina 11 emergency paging euphemisms and the apology 623 Complaint review process of the board of potential for confusion 21 Michener, Lloyd, Responses to: The content medical examiners 15 Spock, Alexander, Hair artifacts that may of one doctor’s practice—the patient as the Patetta, Michael J, Why does the injured simulate disease 170 focus of the practice of medicine 515 drunk driver escape arrest and conviction?: Steel, J Griffith, Status epilepticus: latest Miller, Colleen P, The prevention of child- acase presentanad dtisicuossinon by health approaches in management 280 hood lead poisoning in North Carolina care and law enforcement professionals Steffee, Craig H, Alexander Fleming and 149 453 penicillin: the chance of a lifetime? 308 Miller, David, Microsurgical reversal of fe- Pegram, P Samuel, Detection of sexually Stoner, Bradley P, Chronic fatigue syn- male sterilization: a community hospital transmitted disease at premarital examina- drome: a practical approach 267 experience 572 tion in a community health clinic 421 Stratas, Nicholas E, Function of the board of Montgomery, Louis M, Can Canadian-style Phillips, Robert A, Mediation of medical medical examiners of the state of North health care help us get Canadian-style mal- malpractice claims 582 Carolina 11 practice? 100 Pierson, Scott, Enhancing adherence with Complaint review process of the board of Moorman, Claude T III, Lynne S, Snake- mammography through patient letters and medical examiners 15 bite in the tarheel state: guidelines for first physician prompts: a pilot study 575 Sullivan, Robert J Jr, Providing services in aid, stabilization, and evacuation 141 Porter, William G, Responses to: The con- nursing homes: a physician’s legal obliga- Moreau, David H, What is the quality of tent of one doctor’s practice—preserving tions 289 water in North Carolina? 368 the biopsychosocial model 514 Tenney, James B, Environmental hazards and Nashold, James RB, Doctors who write: spies Powell, Gwendolyn S, Environmental risk health risks: a public health viewpoint331 in the heart of love 205 assessment: estimating risks contaminants Thomann, Wayne R, Medical waste man- Neelon, Francis A, Changing the guard 5 pose to our health 377 agement: federal perspective and North Reading, ‘riting, peer reviewing 264 PricRobherta W,r Boodkre,vie w: Herbal and Carolina program 345 A woman with too much facial hair: evaluat- magical medicine—traditional healing to- Thomas, Colin G Jr, Warner Lee Wells, Jr.: 672 NCM3J / December 1992, Volume 53 Number 12 one of the talented men who helped create Watson, James E, Radon in North Carolina: Wong, Jeffrey G, Responses to: The content a great university at Chapel Hill 51 does exposure create a significant health of one doctor’s practice—the importance Thomas, J Conley, Diagnosis and reporting risk? 361 of being an artist 516 of sexually transmitted disease in Durham Weber, David Jay, Book review: Fever: ba- Woody, Jonathan D, The hookworm cam- County, North Carolina 427 sic mechanisms and management, Raven paign in North Carolina 106 Tinsley, Ellis A Jr, Pott’s disease revisited: Press 183 Woodyear, Wynne E, Not so good to the last paravertebral abscess extending into the Wester, Thad, The prevention of childhood drop: ethylene glycol poisoning in acoffee- right lower extremity 217 lead poisoning in North Carolina 149 consuming camper 134 Tulis, Jerry, Medical waste management: Wilkerson, I O Jr, History of the North Yellig, Edward B, Responses to: The content federal perspective and North Carolina Carolina Medical Care Commission 42 of one doctor’s practice—my clinical od- program 345 Wofford, James L, Detection of sexually yssey 518 Ungaro, Peter C, Human immunodeficiency transmitted disease at premarital examina- Yohn, Jeanne C, Diary of a mini-intern virus infection at New Hanover Regional tion in acommunity health clinic 421 667 Medical Center 416 North Carolina Medical Journal Volume 53, January 1992 - December 1992 Subject Index Alcohol, youth and, motor vehicle crash victims, 461 National Health Service, Appendicitis, laparoscopic Durham-Orange County Medical Society, Hookworm, campaign in NC, strategies, mini-internship program, 663 Hypoglycemia, detection, Astemizole, overdose, Ethlyene glycol poisoning, 134 Insulin therapy, shock and muscle Asthma, pediatric in NC, Emergency medicine, cramps after, Biopsychosocial issues paging euphemisms, 21 Internal medicine, essay, Bogdonoff, Morton, M.D. Environmental health, 326, 331 Laparoscopic management, of memoirs, hazardous waste, 338 perforated gallbladder associated Brown recluse spiders, medical waste, 345 with Salmonella javiana, Burgwyn, Mebane H, obit, indoor air pollution, 354 Lead poisoning, in childhood, Campaign contributions, radon, 361 Literature and medicine issues in presidential race, water quality, in NC, 368 William Carlos Williams, et al, Canadian health care system, 100 food safety, 372 why do practitioners contribute, Cancer, prostate, 447 risk assessment, 377 Malpractice, mediation of breast, screening for, 575 Fleming, Alexander, discovery medical claims, Caregiving, ministry of, 653 of penicillin, 308 Mammography, enhancing Chronic fatigue syndrome, 267 Folk medicine, southern, 244 adherence, pilot study, Chronic lung disease, in infants, Food safety, 372 Mandrake poisoning, in NC—1984 to 1990, 548 Geriatrics, providing services Mediation, of medical CLIA 88, federal regulation of in nursing homes, 289 malpractice claims, medical office labs, 477 peer-counseling, 296 Medical education, Confederate general hospitals, 110 Governor’s race, in NC, 538 problem-based teaching, Cramps, muscle after intravenous Graham, John Borden, M.D., Medical ethics, patients’ rights, insulin therapy, 484 memoirs, 33 Medical examiners Cushing’s disease, 558, 559 Hazardous waste, in NC, 338 function of the state board, Davison, Wilburt Cornell, M.D., Health care workers, board complaint review process, 100th anniversary, with HIV infection, 650 memory of a board appointment, Dentures and denture care, Hirsutism, evaluating the possibility Medical laboratories, federal Diabetes, education, of attenuated 21-hydroxylase regulation of, Doctor-patient relationships, deficiency in, 401, 521 Medical waste, management of, Drugs, prescription, HIV infection, at New Hanover Regional Medicare, Drunk driving, Medical Center, 416 Mini-internship program, arrests and convictions, in health care workers, 650 North Carolina Medical Care blood alcohol concentrations in Homeless health care, in British Commission, NCM]J / December 1992, Volume 53 Number 12 North Carolina Medical Journal, Prescribing, suggestions for Sexually transmitted diseases, changes in, physicians, 585 detection of at premarital exam North Carolina Medical Society, Prescription drug use, 533, 589 in a community health clinic, 421 membership recruitment, Psychiatry, “fables” from the diagnosis and reporting of in miri-internship program, psychiatric/medical interface, 488 Durham County, NC, 427 Nursing homes, physicians’ Physician-writers Smoking, among youth, 411, 522 legal obligations for William Carlos Williams, et al, 20 Snakebite, in NC, 141 providing services, why do practitioners contribute, 608 State Health Director, Nutrition, concerns and issues Pollution, indoor air, 354, 361 conjoint report, 75 Obituaries, Warner Lee Wells, Jr., Pott’s disease, 217 Status epilepticus, 280 Mebane H. Burgwyn, Prodrome of disseminated Sterilization, reversal of female, 572 Charles W. Styron, M.D., varicella zoster, 71 Student essay winners, 1991, 174 OSHA, bloodborne pathogen Prostate cancer, 447 Styron, Charles W., M.D., obit, 531 regulations, Radiography, hair artifacts Tobacco, use among youth, 411, 522 Pediatrics, lung disease in infants that may simulate disease, 170 Traffic safety, young drivers, 29 in NC—1984 to 1990, Radiosurgery, “gamma knife” and young women and alcohol, asthma in NC, “linac knife” technology, 21-Hydroxylase deficiency, Penicillin, Alexander Fleming, Radon, evaluating the possibility in discovery of, Reproductive health, reversal of hirsutism, Peer review, Journal manuscripts, 264 female sterilization, U.S. health care, state of, Physician’s oath, Risk assessment, environmental, Warner Lee Wells, Jr., obit, Poetry, contest, Salmonella javiana, laparoscopic Water, quality of in NC, Politics, campaign contributions, management of perforated Youth, alcohol use, in presidential race, gallbladder associated with, 594 tobacco, addiction, interviews with candidates for Seizure disorders, epilepsy, 155, 221 health issues NC governor, social and psychological components 285 Upgrade to Alamos Membership Program. As a member you'll receive special privileges. You can start by FREE UPGRADE using the attached certificate for a free upgrade on your next ¢ Valid for ONE FREE UPGRADE to next car category, subject to rental. Plus, you'll receive discounted daily, weekly and availability at time of rental. weekend rates at every Alamo location in the U.S. and U.K., ¢ (In the U.S.) Valid from a compact car or above, excluding luxury earn Frequent Flyer credits with major airlines and receive and specialty cars. ¢ (In the United Kingdom) Valid on self-drive rentals only from a unlimited free mileage on every rental. For reservations or more group B car category or above, excluding group E cars and above. information call our new Member Reservations Line at ¢ Offer is applicable toward Membership Rates only. One certificate 1-800-354-2322 and start enjoying the many benefits of per rental accepted; must be presented at the Alamo counter on arrival. Once redeemed, certificate is void. A 24-hour advance Alamo’s Membership Program. reservation is required. ¢ This certificate and the car rental pursuant to it are subject to Alamo’s conditions at the time of rental. ¢ Offer valid through May 26, 1993 (except 12/19-12/27/92, 2/11-2/13/93 and 4/8-4/10/93). For reservations call your Professional Travel Agent or call Alamo'’s Membership Reservations Line at 1-800-354-2322 Request Rate Code BY and use your membership ID number when making reservations. Alamo features fine General Motors cars like this Chevy Beretta 674 NCM]J / December 1992, Volume 53 Number 12