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September 13, 2001  Vol. 345 No. 11

Original Articles
779-783
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This study estimated the risk of severe pulmonary embolism as a function of the distance flown.

784-789

In this prospective study from Japan, gastric cancer developed in 2.9 percent of persons with H. pylori infection, but not in uninfected persons.

790-797

Although multiple factors contribute to the risk, these data show that body weight is the most important factor.

798-802

The growing popularity of eating wild mushrooms has led to an increase in the incidence of mushroom poisoning. Most fatalities are due to amatoxin-containing species, which cause fulminant hepatocytolysis, and to cortinarius species, which lead to acute ...

Images in Clinical Medicine
803
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Figure 1. An 18-year-old woman who had flown from England to the United States presented to the emergency room with shortness of breath and numbness of the right arm. She had been taking oral contraceptives until two months before presentation. A computed ...

Review Articles
804-809

    Cephalosporin antibiotics are widely prescribed for common infections such as bronchitis, otitis media, pneumonia, and cellulitis. They are also administered as first-line prophylaxis for many types of surgical procedures. A relative contraindication to ...

    810-816

    In the United States, consumers legally have access to drugs by two mechanisms: access with a prescription provided by a licensed health care professional or access without a prescription, by over-the-counter purchase. Many other countries have a similar ...

    Case Records of the Massachusetts General Hospital
    817-823

    Presentation of Case

    A 44-year-old woman was admitted to this hospital because of abdominal pain, chills, fever, and jaundice.

    The patient, a native of southern China, had been treated for intrahepatic stones by lithotripsy five years before admission to ...

    Editorials
    825-827

    As editors of general medical journals, we recognize that the publication of clinical-research findings in respected peer-reviewed journals is the ultimate basis for most treatment decisions. Public discourse about this published evidence of efficacy and ...

    828-829

    Long Flights Can Cause Blood Clots, Group Warns

    Boston Globe, August 30, 1997

    Airlines Sued over Blood Clots

    The Times, London, January 8, 2001

    International Carriers Address New Threat: Coach-Class Syndrome

    — Wall Street Journal, June 27, 2001

    These ...

    829-832

    Worldwide, gastric cancer is the second most frequent cancer and the second leading cause of death from cancer. Since the discovery of Helicobacter pylori in 1982 by Marshall and Warren, an association between the bacterium and gastric cancer has been ...

    832
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    More than 20 physicians and scientists are involved in making editorial decisions about accepting or rejecting manuscripts for publication in the Journal. We recently summarized this process and the contributions made by each member of the editorial ...

    Clinical Implications of Basic Research
    833-835

    Metastasis is the chief cause of morbidity and mortality in most cancers. Appropriately, the words “cancer” (from the Latin for “crab”) and “metastasis” (from the Greek for “change in position”) both refer to cell movement: the crab-like invasion of ...

    Correspondence
    837-839

    To the Editor: The findings of Klein et al. (May 10 issue)1 compel reexamination of fast-track cardioversion with the use of transesophageal echocardiography. Is it safe? The mortality rate was 2.5 times as high in the transesophageal-echocardiography ...

    839-840

    To the Editor: I am concerned that in their study of rates of cardiac catheterization among black patients and white patients, Chen et al. (May 10 issue)1 may have used an invalid assumption. If so, their conclusions and those of Epstein and Ayanian2 in ...

    840-841

    To the Editor: Prusiner1 and Roos2 (May 17 issue) do not mention the spread of prions by contaminated surgical instruments. Since prions are not inactivated by the usual methods of sterilization, surgical procedures may account for some cases of sporadic ...

    841

    To the Editor: The Waterhouse–Friderichsen syndrome was described by the British physician R.A. Waterhouse in 1911 as “a case of suprarenal apoplexy”1 and by C. Friderichsen, a Danish pediatrician, in 1918 as “Nebennierenapoplexie bei kleinen Kindern.”2 ...

    841-842

    To the Editor: In his review of our book, Breast Cancer: Society Shapes an Epidemic (April 26 issue),1 Spiegel's chief criticism is that we define breast cancer as either a medical disease or a social problem. No such false dichotomy was ever intended. ...

    842-843

    To the Editor: A 79-year-old woman presented with induration of the right leg three months after undergoing acupuncture for osteoarthritis of the knees. The induration was centered around the acupuncture point that lies along the gallbladder meridian (...

    Book Reviews
    844

    Medical privacy is a core ethical principle of the health professions, and it is considered to be essential by much of the public. Yet medical privacy has proved to be an elusive concept that has engendered disagreement over its definition, dispute over ...

    844-845

    Since the demonstration in the 1940s that hemodialysis can sustain life and relieve the symptoms of uremia, the widespread access to dialysis that began in the 1970s has been lifesaving for patients with kidney failure or end-stage renal disease. Today, ...

    845-846
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    Before the availability of renal-replacement therapies, people with end-stage renal disease faced certain death, and their care generated few ethical questions. This hopeless situation changed dramatically after the introduction of transplantation and ...

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