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Articles
Craig R. Walsh, Martin G. Larson, Jane C. Evans, Luc Djousse, R. Curtis Ellison, Ramachandran S. Vasan, and Daniel Levy In the community, alcohol consumption is not associated with increased risk for congestive heart failure, even among heavy drinkers (
Josep María Nicolás, Joaquim Fernández-Solà, Ramon Estruch, Joan Carles Paré, Emilio Sacanella, Alvaro Urbano-Márquez, and Emanuel Rubin 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.
Rob M. van Dam, Eric B. Rimm, Walter C. Willett, Meir J. Stampfer, and Frank B. Hu 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
Lawrence Rice, Walid K. Attisha, Alane Drexler, and John L. Francis 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
William C. Meeker and Scott Haldeman 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.
Reviews
Alexandra M. Levine 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
Project of the ABIM Foundation, ACPASIM Foundation, and European Federation of Internal Medicine* 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.
Editorials
Joshua Wynne 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
Ronald A. Carson 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 Sponsorship, Authorship, and Accountability
Covance Inc., ICON Clinical Research, Inveresk Research Group, Kendle International Inc., PAREXEL International Corp., PPD Development, and Quintiles Transnational Corp. Low-Dose Thiazide and Bone Density
Correction: Adherence to Protease Inhibitor Therapy and Outcomes in Patients with HIV Infection
Correction: Blood Flow to the Heart during the Menstrual Cycle
Kenneth F. Schulz, Iain Chalmers, and Douglas G. Altman 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.
Louis Lemberg
Harrison G. Weed
George N. Braman
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