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September 27, 2001  Vol. 345 No. 13

Original Articles
935-940

ADL 8-2698 is an investigational opioid antagonist that seems not to reverse the analgesic effects of opiates.

941-947

Inhaled glucocorticoid therapy was associated with a decline in the bone density of the total hip and trochanter.

948-955

A second-generation bisphosphonate appears to prevent this bone loss due to androgen-deprivation therapy.

956-963

In this double-blind, prospective study, bilateral stimulation was associated with significant improvement.

Images in Clinical Medicine
964
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Figure 1. A 32-year-old man with no clinically significant medical history presented to the emergency room with fever and a 12-hour history of pain in the right upper quadrant. Before the onset of discomfort he had run 5 miles (8 km) and performed 200 sit-...

Special Article
965-970

Although they are cost effective, preventive care measures are underutilized. Pneumococcal vaccination is associated with decreased rates of hospitalization, decreased rates of bacteremia, and cost savings among patients who are at least 65 years old,13 ...

Review Article
971-980

Maturity-onset diabetes of the young (MODY) is a clinically heterogeneous group of disorders characterized by nonketotic diabetes mellitus, an autosomal dominant mode of inheritance, an onset usually before the age of 25 years and frequently in childhood ...

Case Records of the Massachusetts General Hospital
981-986

Presentation of Case

A 22-year-old man was admitted to the hospital because of fever, abdominal pain, diarrhea, and polyarthralgia.

The patient had been well until two years before admission, when a tremor developed and a diagnosis of Graves' disease was ...

Editorials
988-989

Postoperative ileus, a temporary impairment of gastrointestinal motility, occurs universally after major abdominal surgery. This condition exacerbates nausea and vomiting, delays oral feeding, increases postoperative pain, and prolongs hospitalization. ...

989-991

In this issue of the Journal, two groups of investigators report that the treatment of a primary medical condition resulted in accelerated bone loss.1,2 In one study, by Smith et al.,1 men with prostate cancer who were treated with leuprolide had rapid ...

991-993

At the turn of the last century, William Osler, Harvey Cushing, and other clinical leaders restructured hospital organization, established scientific research as the foundation for clinical practice, formalized clinical education, and set and enforced ...

Correspondence
995-998

To the Editor: Slamon et al. (March 15 issue)1 show that the addition of trastuzumab, a monoclonal antibody against the human epidermal growth factor receptor HER2 (also known as HER2/neu), to chemotherapy in women with metastatic breast cancer that ...

998-999

To the Editor: Packer et al. (May 31 issue)1 report that the Carvedilol Prospective Randomized Cumulative Survival Study was stopped early on the recommendation of the data and safety monitoring board because of a significant beneficial effect of ...

999-1000

To the Editor: In their report of bone marrow transplantation in a case of the immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX), Baud et al. (June 7 issue)1 incorrectly stated that our patient (described in our 1995 report2)...

1000

To the Editor: Rituximab is a chimeric monoclonal antibody directed against the CD20 antigen expressed on most B cells and is used to treat B-cell non-Hodgkin's lymphoma.1 Recently, rituximab has been used to treat post-transplantation ...

1000-1001

To the Editor: In July, a six-year-old child undergoing magnetic resonance imaging (MRI) in New York suffered a skull fracture and intracranial hemorrhage after an oxygen tank that had been brought into the room was pulled into the machine at high speed. ...

Book Reviews
1002

This is the third volume of a series of interviews with psychopharmacologists conducted by David Healy. Some of those interviewed are basic scientists, and some are primarily clinicians, but all have had important roles in the development of today's ...

1003

Borderline personality disorder may be one of the most pleomorphic disorders in medicine. Patients with this diagnosis are a complex mixture of strengths and weaknesses that confuse the diagnostician and frustrate the psychotherapist. Such patients may ...

1004

Knowledge about attention-deficit–hyperactivity disorder (ADHD) expands by the day, thanks to the efforts of many academic investigators and research centers. However, there is a plethora of books by “experts” with dubious credentials and experience. ...

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