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Articles
Timothy F. Jones, Allen S. Craig, Sarah E. Valway, Charles L. Woodley, and William Schaffner Traditional and molecular epidemiologic investigations indicate that tuberculosis was widely transmitted among inmates and guards in an urban jail. Aggressive measures to screen for active tuberculosis upon incarceration are important for preventing spread of disease in jails and to the surrounding community.
Jennifer E. Liu, Mary J. Roman, Riccardo Pini, Joseph E. Schwartz, Thomas G. Pickering, and Richard B. Devereux "White coat normotension"elevated ambulatory blood pressure but normal office blood pressureis associated with left ventricular mass and carotid wall thickness similar to those in patients with sustained hypertension. The association of white coat normotension with prognostically important target organ damage may partly explain the ability of high normal left ventricular mass and high normal clinical blood pressure to predict subsequent hypertension in patients with clinical normotension.
Paul M. Ridker, Charles H. Hennekens, Julie E. Buring, Ruth Kundsin, and Jessie Shih In apparently healthy postmenopausal women, little evidence was found to support the notion that previous infection (as measured by IgG antibody titers to Chlamydia pneumoniae, Helicobacter pylori, herpes simplex virus, and cytomegalovirus) is associated with subsequent risk for cardiovascular disease.
Barbara Gerbert, Nona Caspers, Amy Bronstone, James Moe, and Priscilla Abercrombie Identifying domestic abuse is difficult even for physicians committed to helping victims. The reports from expert physicians in this study illustrate the need to frame questions and develop indirect approaches that foster patient trust. It may be more productive to redefine the goals of universal screening so that compassionate asking in and of itself is the first step in helping battered patients.
Constantine A. Stratakis, Nicholas Sarlis, Lawrence S. Kirschner, J. Aidan Carney, John L. Doppman, Lynnette K. Nieman, George P. Chrousos, and Dimitris A. Papanicolaou Patients with primary pigmented nodular adrenocortical disease responded to dexamethasone with a paradoxical increase in glucocorticoid excretion during the Liddle test. This feature distinguishes such patients from those with the Cushing syndrome and may lead to timely detection of the Carney complex in asymptomatic patients.
Brief Communications
Yo-ichi Takei, Shu-ichi Ikeda, Yasuhiko Hashikura, Toshihiko Ikegami, and Seiji Kawasaki Preoperative clinical severity and duration of illness are associated with the nature of outcomes after liver transplantation for familial amyloid polyneuropathy.
Clinical Reviews
Sally E. McNagny This evidence- and case-based discussion covers the clinical presentation of menopause, pretreatment assessment for hormone replacement therapy, benefits and risks of this treatment, common hormone replacement regimens and their side effects, and patient management.
Editorials
Lee B. Reichman In this issue, Jones and colleagues starkly document that a jail was the major reservoir of tuberculosis in their community. Their study shows that enhanced targeted screening may have a major effect on total tuberculosis morbidity.
Carole Warshaw and Elaine Alpert Gerbert and colleagues' study in this issue found that even expert physicians do not always ask their patients about abuse. What keeps physicians from routinely inquiring about abuse, and what can be done to change this?
Robert B. Belshe Significant new tools to prevent and treat influenza will become available to clinicians this year, and additional advances in vaccine are on the horizon. Currently available vaccine is effective, and the time to use it is now.
On Being a Doctor
Karl Lorenz Master Gunnery Sergeant's medals commemorated duty on every continent. "Yes, Lieutenant," he would answer. He was respectful, but I felt ludicrous. He was Experience, and I was Ingenue.
On Being a Patient
Deborah Young Bradshaw At that visit to my doctor, I learned what it is to be in need and be taken care of, and I was left with a new awareness of the awesome gift I had been given as a physician.
Letters Prediction Equation for Glomerular Filtration Rate
Biliary Sludge
When Doctors Marry Doctors
White Coat Pockets
Subjective Compared with Objective Sleepiness
Ocular Venous Occlusion and Hyperhomocysteinemia
Late Clonal Complications in Older Patients Receiving Immunosuppressive Therapy for Aplastic Anemia
Autoimmune Skin Rashes Associated with Etanercept for Rheumatoid Arthritis
Correction: The Wenckebach Phenomenon
Felix O. Kolb
Margaret R. Rukstalis and Robert Weinrieb
Kenneth Hess and Walter Pagel
Sharon J. Parish and William H. Salazar
Brigid Kane
Linda Gundersen
Susan Rakley
Ashok M. Karnik The articles selected for this Update cover asthma and chronic obstructive pulmonary disease, pulmonary infections, interstitial and occupational lung diseases, pulmonary embolism, solitary pulmonary nodules, and lung carcinoma. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||