Table of Contents

January 1, 2002; 136 (1)

Articles

  • Prednisone, 10 mg/d, provides clinical benefit, particularly in the first 6 months, and substantially inhibits progression of radiologic joint damage in patients with early active rheumatoid arthritis and no previous treatment with disease-modifying antirheumatic drugs. Because of their limited disease-modifying effects, glucocorticoids should be combined with disease-modifying antirheumatic drugs in patients with rheumatoid arthritis.

  • Clinicians should consider risk factors for antimicrobial resistance when deciding which patients should have susceptibility testing and when choosing appropriate Helicobacter pylori treatments in the empirical setting.

  • Although the survival rate among mechanically ventilated patients 70 years of age or older in this study was high, these patients were twice as likely to die of acute lung injury compared with their younger counterparts, even after adjustment for covariates. Older survivors recovered from respiratory failure and achieved spontaneous breathing at the same rate as younger patients but had greater difficulty being liberated from the ventilator and being discharged from the intensive care unit.

Brief Communications

  • An anomaly of the inferior vena cava should be suspected if thrombosis involving the iliac veins occurs in patients 30 years of age or younger. Patients with an anomaly and thrombosis may be at higher risk for thrombotic recurrence.

Academia and Clinic

  • The author outlines risk–benefit profiles for the most commonly used herbal medicines. These profiles are based on systematic reviews where possible.

Review

  • This review discusses the biology of angiogenesis that forms the basis for clinical studies of patients with coronary artery disease, and it summarizes information from clinical trials of therapeutic angiogenesis for myocardial ischemia.

Perspectives

  • The author describes interactions with families of dying patients, discusses logistic issues around dying, examines do-not-resuscitate orders, and highlights experiences with home visits.

Position Papers

  • This paper explores the increased scope of practice of U.S. pharmacists, presents background information on the pharmacy profession, and outlines how the medical profession can work with pharmacists to enhance patient safety and quality of care.

Editorial

  • The elegantly designed and well-executed study by van Everdingen and colleagues in this issue presents a unique opportunity to evaluate benefits and risks of corticosteroid therapy for rheumatoid arthritis independent of other therapies; this clinical setting is unlikely to recur. It is commendable that these authors chose to reanalyze a therapy that has been available for more than 50 years.

Letters

Book Listings

Medical Notices

Summaries for Patients