Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date

Table of contents for

December 13, 2001  Vol. 345 No. 24

Original Articles
1719-1726

In this randomized trial, the addition of a form of group therapy called supportive–expressive group therapy to standard medical care did not prolong the survival of women with metastatic breast cancer. The therapy did, however, alleviate psychological symptoms.

1727-1733
  • Free Full Text

In this prospective study, 235 adults with suspected meningitis underwent computed tomography (CT) of the head before undergoing lumbar puncture. The results were abnormal in 24 percent of patients. The presence of any of 13 clinical and neurologic features at base line was associated with a significant risk of abnormal findings on CT. The scans were normal in 97 percent of the patients who had none of these characteristics at base line.

1734-1739
  • Free Full Text

Alcoholism is a devastating illness that is difficult to treat. Naltrexone, an opioid-receptor antagonist, has been approved by the Food and Drug Administration for the treatment of alcohol dependence, but its effectiveness is uncertain. This study of veterans (mostly men) found no evidence that naltrexone, combined with attendance at Alcoholics Anonymous meetings and other psychosocial treatment, was more effective than placebo for chronic and severe alcohol dependence.

1740-1746

Patent foramen ovale and atrial septal aneurysm have been identified as possible risk factors for stroke. This study examined whether these structural abnormalities, alone or in combination, increased the risk of recurrent stroke. Patients with both patent foramen ovale and atrial septal aneurysm, but not either lesion alone, were found to be at substantial risk for recurrent stroke.

Images in Clinical Medicine
1747
  • Free Full Text

Figure 1. A 26-year-old man had sudden fever and chills with severe muscle pain and weakness in his legs and pectoral muscles while mountaineering in the Andes. He was brought to a local hospital, where he received hemodialysis three times because of ...

Review Article
1748-1757

    Fever of undetermined origin may be familial and have a periodic course. This article discusses three syndromes of hereditary periodic fever: familial Mediterranean fever, the hyper-IgD syndrome, and the tumor necrosis factor receptor–associated periodic syndrome. Each is caused by mutations in different genes and affects different ethnic groups. Important recent advances in our understanding of the pathophysiology of these disorders are presented in this review article.

    Case Records of the Massachusetts General Hospital
    1758-1765

    Presentation of Case

    A 51-year-old woman was admitted to the hospital because of paresthesias, ataxic gait, and hallucinations.

    The patient had been well until 9 or 10 months earlier, when tingling and numbness developed in all her fingers, with weakness ...

    Editorials
    1767-1768

    How much does mind matter in the outcome of cancer? The extent to which treatment of the emotional aspects of cancer affects disease progression is ultimately an empirical question. There are those who believe that controlling cancer requires a simple ...

    1768-1770

    Meningitis remains a formidable foe because it often progresses rapidly and causes substantial morbidity and mortality.13 The rational management of meningitis has generally included a lumbar puncture to substantiate the diagnosis and help identify the ...

    1770-1771

    Treatment for alcohol dependence has been limited almost entirely to various types of counseling. An exception has been the use of the medication disulfiram, which acts indirectly by making a person feel ill if he or she drinks alcohol. The efficacy of ...

    Clinical Implications of Basic Research
    1772-1774

    The mitochondrion of the insulin-secreting pancreatic islet cell is a biochemical beehive in which the products of glucose oxidation influence the secretion of insulin. Work with cultured islets has shown that a mitochondrial ion carrier termed uncoupling protein 2 (UCP2 ) affects glucose-stimulated insulin levels. A recent report demonstrated that in mice with a disabled UCP-2 gene, insulin secretion was enhanced and blood levels of glucose were reduced. When the gene was knocked out in ob/ob mice, which are obese, insulin-resistant, and diabetic, insulin secretion increased and the hyperglycemia was ameliorated.

    Correspondence
    1776-1777

    To the Editor: In the August 9 issue, Faust et al.1 reported that the level of endothelial expression of thrombomodulin and the endothelial protein C receptor was lower in patients with meningococcal sepsis than in control subjects. This finding has ...

    1777-1778

    To the Editor: The study by deVeber and colleagues (Aug. 9 issue),1 which reported 12 deaths among 160 children with cerebral sinovenous thrombosis, raises important issues about the future treatment of such patients, since only 1 of the children ...

    1778-1780

    To the Editor: Although the article by Hyman and Pavlik (Aug. 16 issue)1 provides important insights into the control of hypertension, the results of some of the analyses may be misleading. In the analysis of predictors of lack of awareness, people ...

    1780-1781
    • Free Full Text

    To the Editor: Vladeck1 and Wilensky2 (Aug. 9 issue) present alternative views regarding restructuring the Medicare program. Although the issues they discuss are critical, more attention should be paid to the fact that Medicare has become a program for ...

    1781

    To the Editor: A small but growing number of patients with human immunodeficiency virus (HIV) infection undergo orthotopic liver transplantation for complications of intercurrent infection with hepatitis B virus (HBV), hepatitis C virus (HCV), or both. ...

    Book Reviews
    1782

    According to the latest World Health Organization figures, 24 million people have schizophrenia, a disorder that is often serious, disabling, and relapsing. Perplexing yet intriguing, it beckons experts of an authorial bent to provide enlightenment and ...

    1782-1783
    • Free Full Text

    Age-related loss of memory and other cognitive abilities has been recognized since antiquity. However, the need to understand the causes and consequences of dementia has become urgent over the past quarter-century because of the large and increasing ...

    1783-1784

    During the past few years, a number of books have been published examining the psychiatric issues related to epilepsy. These issues appear to be a respectable subject again in neurologic circles, in part because a new generation of neurologists and ...

    Corrections
    1784

    Human Infection Due to Recombinant Vaccinia–Rabies Glycoprotein Virus Original Article, N Engl J Med 2001:345;582-586.. On page 583, in the legend to Figure 2, the magnification should have read, “×42,600,” not “×600,” as printed. We regret the error.

    1784

    Case Records of the Massachusetts General Hospital (Case 29-2001) Case Records of the Massachusetts General Hospital, N Engl J Med 2001:345;903-908.. On page 907, Figure 3 and Figure 4 are reversed. In addition, the legend to Figure 3 should not refer to ...

    Trends: Most Viewed (Last Week)

    More Trends