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September 20, 2001  Vol. 345 No. 12

Original Articles
851-860

Blockade of angiotensin type 1 receptors slows the progression of nephropathy. This effect is independent of the reduction in blood pressure.

861-869

Angiotensin-receptor blockade may delay the onset of end-stage renal disease and ameliorate heart failure in patients with type 2 diabetes.

870-878

Diabetic nephropathy develops in approximately 40 percent of all patients with type 2 diabetes and has become the leading cause of end-stage renal disease in Europe, Japan, and the United States, accounting for 25 to 42 percent of cases. Therefore, the ...

879-885

Neurocysticercosis is caused by the larval form of Taenia solium (cysticerci) and is the most frequent helminthic infection of the central nervous system.1,2 Humans are the definitive hosts for this parasite, and swine are the intermediate hosts. The ...

Images in Clinical Medicine
886
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Figure 1. A 67-year-old man with a history of excessive alcohol consumption was admitted for evaluation of dyspnea on exertion, palpitations, and lightheadedness. He had had a motor vehicle accident 13 years earlier that resulted in multiple compound ...

Clinical Practice
887-891
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Foreword

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's ...

Review Article
892-902

Coronary heart disease is the leading cause of death in the United States among men and women.1 It is also a major cause of physical disability, particularly in the rapidly growing population of elderly persons.2,3 In 1997, acute myocardial infarction was ...

Case Records of the Massachusetts General Hospital
903-908

Presentation of Case

A 14-year-old boy was admitted to the hospital because of bone pain and skeletal abnormalities.

The patient had been vigorously active until one year before admission, when he began to have intermittent pain in his knees, which became ...

Editorials
910-912

The prevalence of end-stage renal disease is increasing at an alarming rate. In 2000, chronic kidney failure developed in over 90,000 people in the United States; the current population of patients on dialysis numbers about 300,000, and 80,000 patients ...

912-914

The use of placebo-controlled trials began just before World War II, and the Declaration of Helsinki, which arose from the Nuremberg Code, was formulated after the war. Placebo-controlled studies soon became the gold standard of evidence, and the ...

Sounding Board
915-919

The first placebo-controlled trial was probably conducted in 1931, when sanocrysin was compared with distilled water for the treatment of tuberculosis.1 Ever since then, placebo-controlled trials have been controversial, especially when patients randomly ...

Correspondence
921-923

To the Editor: Dr. Grohskopf and her colleagues (May 17 issue)1 and the editorialist who commented on their study of Serratia liquefaciens infections at a hemodialysis center2 missed an opportunity to evaluate the errors in the system that contributed to ...

923-924

To the Editor: Cronin et al. (May 24 issue)1 suggest that there has been a lack of oversight in the evolution of liver transplantation involving living donors. They overlook recent reports and conferences that show widespread concern for living organ ...

924-925

To the Editor: Gao et al. (May 31 issue)1 report the identification of specific HLA-B*35-Px subtypes as responsible for the association between HLA-B*35 and rapid progression to AIDS, and they stress the importance of homozygosity for HLA-B*35 as a ...

925-926

To the Editor: Angiotensin-converting–enzyme (ACE) inhibitors have been shown to reduce proteinuria and slow the progression of renal disease.1 Although to date angiotensin II has been the focus of attention as the primary mediator of the renin–...

926

To the Editor: Hereditary hemorrhagic telangiectasia is an autosomal dominant disease characterized by epistaxis, cutaneous telangiectases, and visceral arteriovenous malformations.1 Aminocaproic acid, an antifibrinolytic drug, can reduce epistaxis in ...

Book Reviews
927

This book is an up-to-date, comprehensive review of the latest research on sudden death from cardiac causes and of the optimal management for its prevention. Sudden death from cardiac causes is a serious public health problem, particularly in the ...

927-928

Preventive Cardiology covers the care of persons with risk factors for coronary disease. The editor is a major contributor to the field; all of her 27 coauthors are from the United States, and more than half are from the Cleveland Clinic. Their advice ...

928-929
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Cardiovascular diseases, especially coronary heart disease and ischemic stroke, are the leading cause of morbidity and mortality in the Western world. Although the importance of primary and secondary prevention has been recognized, the decline in rates of ...

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