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box In this Issue
  arrow Articles
  arrow Academia and Clinic
  arrow Reviews
  arrow NIH Conferences
  arrow Editorials
  arrow On Being a Doctor
  arrow Letters
  arrow Medical Writings: Book Notes
  arrow Ad Libitum
  arrow Ancillary Content
  arrow Summaries for Patients
  arrow PDF of Contents
box Services
  arrow Subscribe
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TABLE OF CONTENTS

5 August 2003 Volume 139 Issue 3
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Articles Back

Constance G. Bacon, Murray A. Mittleman, Ichiro Kawachi, Edward Giovannucci, Dale B. Glasser, and Eric B. Rimm

After age 50, many aspects of male sexual function decline sharply with each additional decade of age. In this study, several modifiable health behaviors were associated with erectile function. Physical activity and leanness were associated with good erectile function, while smoking, alcohol consumption, and television viewing time were associated with poor erectile function.

Abstract | Full Text | PDF | Summary for Patients

Richard B. Devereux, Björn Dahlöf, Sverre E. Kjeldsen, Stevo Julius, Peter Aurup, Gareth Beevers, Jonathan M. Edelman, Ulf de Faire, Frej Fyhrquist, Sigrid Helle Berg, Hans Ibsen, Krister Kristianson, Ole Lederballe-Pedersen, Lars H. Lindholm, Markku S. Nieminen, Per Omvik, Suzanne Oparil, Steven Snapinn, Hans Wedel for the LIFE Study Group*

In hypertensive patients without clinically evident vascular disease, losartan and atenolol were equally effective in reducing blood pressure, but losartan was more effective in preventing cardiovascular death and morbidity (predominantly from stroke).

Abstract | Full Text | PDF | Summary for Patients

Sheryl B. Lyss, Mary L. Kamb, Thomas A. Peterman, John S. Moran, Daniel R. Newman, Gail Bolan, John M. Douglas, Jr., Michael Iatesta, C Kevin Malotte, Jonathan M. Zenilman, Josephine Ehret, Charlotte Gaydos, Wilbert J. Newhall for the Project RESPECT Study Group*

Past treatment guidelines for sexually transmitted diseases (STDs) have recommended empirical co-treatment for chlamydia when patients are treated for gonorrhea. Co-infection with chlamydia is still frequent in STD clinic patients who receive treatment for gonorrhea. This finding supports continuing routine co-treatment for chlamydia.

Abstract | Full Text | PDF | Summary for Patients

Brindhesha Rasaratnam, David Kaye, Garry Jennings, Francis Dudley, and Jaye Chin-Dusting

Selective intestinal decontamination with norfloxacin partially reverses the hyperdynamic circulatory state in cirrhotic patients without harming splanchnic or renal blood flow.

Abstract | Full Text | PDF | Summary for Patients


Academia and Clinic Back

Richard I. Dorin, Clifford R. Qualls, and Lawrence M. Crapo

The cosyntropin stimulation test has been part of the standard evaluation of suspected primary or secondary adrenal insufficiency. The cosyntropin test performs well in patients with primary adrenal insufficiency, but its lower sensitivity in patients with secondary adrenal insufficiency necessitates use of tests involving stimulation of the hypothalamus if the pretest probability is sufficiently high.

Abstract | Full Text | PDF


Reviews Back

J. Enrique Silva

This review examines the thermogenic effect of thyroid hormone and how it affects some thyroid diseases, energy balance, and body weight.

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NIH Conferences Back

Paul L. Kimmel, Laura Barisoni, and Jeffrey B. Kopp

This conference discusses renal syndromes in HIV-infected patients, including HIV-associated thrombotic microangiopathy, immune-mediated glomerulonephritides, and nephropathy. Other topics include management of HIV-infected patients with chronic kidney disease, pathologic features of HIV-associated nephropathy, and mechanisms of HIV-associated renal injury.

Abstract | Full Text | PDF


Editorials Back

Harold C. Sox

Fewer medical students are choosing office practice–oriented careers in medicine. Medical information technology will greatly improve the efficiency of office practice and make it a more attractive career alternative. However, developing excellent office information systems and distributing them nationally will require very strong, sustained leadership from a diverse group of stakeholders. Improving the infrastructure of medical practice is one of the supreme challenges facing medicine.

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On Being a Doctor Back

H. James Merchant

Somewhere along the line, we learn that a patient's chart should not be tampered with and to do so is a breach of medical ethics. But I once did, and I think it was the right thing to do.

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John D. Rowlett

I'm not really sure when I first noticed him, proudly sitting on his porch with a broad smile on his weathered face. It was a comforting, peaceful sight—he in his twisted metal chair next to a tattered recliner, greeting the passing world. Most mornings as I hurried down a forgotten hospital access road lined with resident and physician housing, I was blessed with his presence. Countless times I told myself to stop, but I never did.

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Letters Back

Airborne Dispersal of Staphylococcus aureus Associated with Symptomatic Rhinitis Allergica

    Stefano Bassetti, Robert J. Sherertz, and Michael A. PfallerWeb-only lightning bold

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Osteoporotic Fractures of the Distal Humerus in Elderly Women

    Mika Palvanen, Seppo Niemi, Jari Parkkari, and Pekka KannusWeb-only lightning bold

    Full Text | PDF

Angioedema as a Complication of Upper Endoscopy

    Christopher Lawrence and M Khalouck AbdrabboWeb-only lightning bold

    Full Text | PDF

Severe Neutropenia and Thrombocytopenia Associated with Infliximab

    Francesc Vidal, Ramón Fontova, and Cristóbal RichartWeb-only lightning bold

    Full Text | PDF

bcl-2 Rearrangement in Mixed Cryoglobulinemia

Health Care–Associated Bloodstream Infections

    Keith S. Kaye, N. Deborah Friedman, and Daniel J. Sexton—RESPONSE

    Full Text | PDF

Hospital-Onset Infections: A Patient Safety Issue

The Relative Safety of Ephedra Compared with Other Herbal Products

Anti–Cyclic Citrullinated Peptide Antibodies in Advanced Rheumatoid Arthritis

    Geraldo Castelar Pinheiro, Morton A. Scheinberg, Miriam Aparecida da Silva, and Suely Maciel

    Full Text | PDF

Correction: Serum Ferritin Level Predicts Advanced Hepatic Fibrosis among U.S. Patients with Phenotypic Hemochromatosis

Correction: The Relative Safety of Ephedra Compared with Other Herbal Products



Medical Writings: Book Notes Back

Arthur C. Fox

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Helen Hoenig

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Ad Libitum Back

George N. Braman

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Ancillary Content Back

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Summaries for Patients Back

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