Table of Contents

February 5, 2002; 136 (3)

Articles

  • In the community, alcohol consumption is not associated with increased risk for congestive heart failure, even among heavy drinkers (≥ 15 drinks/wk in men and ≥ 8 drinks/wk in women). To the contrary, when consumed in moderation, alcohol appears to protect against congestive heart failure.

  • In patients with alcoholic cardiomyopathy, both abstinence and controlled drinking of up to 60 g of ethanol per day (four standard drinks) helped promote improvement in cardiac function.

  • A western dietary pattern (characterized by higher consumption of red and processed meat, high-fat dairy products, and sweets) is associated with a substantially increased risk for type 2 diabetes in men.

Brief Communications

  • Delayed-onset heparin-induced thrombocytopenia is increasingly being recognized. To avoid disastrous outcomes, physicians must consider heparin-induced thrombocytopenia whenever a recently hospitalized patient returns with thromboembolism; therapy with alternative anticoagulants, not heparin, should be initiated.

Academia and Clinic

  • The authors examine the development of chiropractic from humble and contentious beginnings to its current state at the crossroads of alternative and mainstream medicine. The future role of chiropractic will probably be determined by its commitment to interdisciplinary cooperation and science-based practice.

Review

  • This case-based review discusses various aspects of evaluating and treating HIV-infected women, including gynecologic infections at presentation, baseline tests, initiation of antiretroviral therapy, and risk for cervical intraepithelial neoplasia.

Perspectives

  • To maintain the fidelity of medicine's social contract during this turbulent time, we believe that physicians must reaffirm their active dedication to the principles of professionalism, which entails not only their personal commitment to the welfare of their patients but also collective efforts to improve the health care system for the welfare of society. This Charter on Medical Professionalism is intended to encourage such dedication.

Editorial

  • Given the widespread use of alcoholic beverages in the western world, let us hope that the provocative studies by Walsh and Nicolás and their colleagues reported in this issue will stir researchers to gain further understanding of the cardiovascular effects of alcohol.

On Being a Doctor

  • As I cross through the trauma center garage where I park my car, on the ground floor beneath the helipad, a man approaches me, disheveled, emaciated, his eyes a little wild. I try to seem nonchalant, but I'm no longer preoccupied with anything but my immediate surroundings. I'm focused. The man has my attention.

Letters

Medical Writings

  • Beyond the general understanding of blinding in medical research lies confusion. The authors delve into the landscape and lexicon of blinding in randomized trials in the hope of untangling some of the confusing terminology currently in use.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients