|
Articles
William M. Vollmer, Frank M. Sacks, Jamy Ard, Lawrence J. Appel, George A. Bray, Denise G. Simons-Morton, Paul R. Conlin, Laura P. Svetkey, Thomas P. Erlinger, Thomas J. Moore, Njeri Karanja for the DASH-Sodium Trial Collaborative Research Group The DASH (Dietary Approaches to Stop Hypertension) diet plus reduced sodium intake is recommended to control blood pressure in diverse subgroups of patients with hypertension.
Jane Wells, Phillip Marshall, Barbara Crawley, and Kay Dickersin Newspapers tended to overrepresent support for screening mammography for women 40 to 49 years of age. Reports would have been improved by identifying all sources for information cited, relying less on relatively few sources, and discussing benefits in absolute as well as relative terms. Medical journalism may benefit from identification of standards similar to those used for reporting medical research.
Suzanne G. Leveille, Shari Ling, Marc C. Hochberg, Helaine E. Resnick, Karen J. Bandeen-Roche, Aida Won, and Jack M. Guralnik Widespread musculoskeletal pain is frequent among community-dwelling older women with disability and appears to predict the progression of disability. Efforts to better understand the cause of this pain and its treatment might reduce the overall burden of disability.
Brief Communications
Kiarash Kojouri, Sara K. Vesely, and James N. George Quinine is a common cause of drug-associated thrombotic thrombocytopenic purpurahemolytic uremic syndrome (TTPHUS) and can cause death and chronic renal failure. When the disorder is described as TTPHUS rather than only as HUS, the severity of neurologic abnormalities and the occasional absence of renal failure are emphasized. To prevent recurrent disease, clinicians must recognize quinine as a possible cause.
Updates
Heidi L. Wald and Mark D. Aronson This Update reviews studies that are important to physicians who care for medical inpatients. The research is grouped into six categories: pulmonary and critical care, infectious diseases, end-of-life care, cardiology, gastroenterology, and health care quality.
Reviews
William H. Maisel, James D. Rawn, and William G. Stevenson Atrial fibrillation frequently complicates cardiac surgery, but many cases can be prevented with appropriate prophylactic therapy. A strategy of rhythm management for symptomatic patients and rate management for all other patients usually results in reversion to sinus rhythm within 6 weeks of discharge.
Perspectives
Curt D. Furberg, Bruce M. Psaty, Marco Pahor, and Michael H. Alderman The authors address three questions: 1) Is blood pressure reduction a reliable marker for health benefits of antihypertensive drugs? 2) Does it matter how elevated blood pressure is decreased? 3) What types of antihypertensive clinical trials are needed in the future?
Norman M. Kaplan Achieving therapy goals in diabetic patients with hypertension usually requires several antihypertensive drugs. On the basis of their apparent superiority in slowing diabetic nephropathy, angiotensin-converting enzyme inhibitors should probably be the first choice. Second and third choices should be a long-acting diuretic and a calcium-channel blocker or a ß-blocker, respectively.
Editorials
Cynthia Mulrow In this issue, two perspectives highlight recent evolutions of thought regarding pharmacologic treatment for people with hypertension. In addition to pharmacologic advice, this issue also features an important report from Vollmer and colleagues on a long-debated lifestyle intervention: dietary salt restriction.
On Being a Doctor
Daniel C.R. Chen Mr. P. appreciated that newspaper more than all of the things that we were doing to preserve his life. The news that he got from the paper was stuff he understoodERA, batting averages, standings, games behind or ahead, not squamous cell carcinoma or surgical debulking.
Letters Sex Differences in Long-Term Mortality after Myocardial Infarction
Hereditary Hemochromatosis
Dying Patients in the Intensive Care Unit
Postmenopausal Hormone Therapy and Cardiovascular Disease
Intercessory Prayer
Impact of Coronary Heart Disease on World Leaders
Some Considerations regarding Geriatric Syndromes
Late Occurrence of Chronic Renal Failure in Familial Mediterranean Fever after 20 Years of Colchicine Treatment
Paul E. Epstein
A. Russell Localio
Brigid Kane
| |||||||||||||||||||||||||||||||||||||||||||||||||