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August 16, 2001  Vol. 345 No. 7

Original Articles
479-486

Of those with hypertension, only 23 percent are taking medication. Uncontrolled hypertension is not limited to the poor, the uninsured, or minorities.

487-493

Infection with Trichomonas vaginalis has been associated with an increase in adverse outcomes of pregnancy. In the Vaginal Infections and Prematurity Study, pregnant women colonized with T. vaginalis had a 30 percent higher risk of delivering an infant ...

494-502
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Clopidogrel plus aspirin had clinical benefit beyond that of aspirin alone, but there was an increased risk of bleeding.

Images in Clinical Medicine
503
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Figure 1. A 29-year-old woman with no previous pregnancies presented with a nine-week history of amenorrhea. The serum levels of the beta subunit of chorionic gonadotropin (peak, 117,000 U per liter) and ultrasonographic findings were indicative of a ...

Special Article
504-511

The Master Settlement Agreement appears to have had little effect on the exposure of young people to these advertisements.

Clinical Practice
512-516

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
517-525
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Idiopathic pulmonary fibrosis is characterized by radiographically evident interstitial infiltrates predominantly affecting the lung bases and by progressive dyspnea and worsening of pulmonary function. No therapy has been clearly shown to prolong ...

Case Records of the Massachusetts General Hospital
526-532

Presentation of Case

First Admission

A 71-year-old man was admitted to the hospital because of diarrhea and abdominal pain.

The patient had a history of polycystic renal disease with hypertension and end-stage renal failure, for which cadaveric renal ...

Editorials
534-535

Despite very effective antihypertensive therapies and data from clinical trials demonstrating that lowering blood pressure reduces cardiovascular and renal complications, more than one fourth of the estimated 42 million people with hypertension in the ...

535-537

    Under the Master Settlement Agreement signed with the tobacco industry in November 1998, 46 states settled lawsuits in which they sought to recover tobacco-related health care costs and to hold the tobacco companies accountable for decades of wrongdoing. ...

    Sounding Board
    538-541

      The first report of a health care worker infected with the human immunodeficiency virus (HIV) by a needle stick, published in the medical literature in 1984,1 launched a new era of concern about the occupational transmission of blood-borne pathogens. In ...

      Correspondence
      543-545

      To the Editor: Coronary-artery surgery remains the most scrutinized treatment used today. Associated neurocognitive dysfunction is of intense interest to medical professionals and the lay public. We feel compelled to address the shortcomings of the study ...

      545-546

      To the Editor: In their article on the polysaccharide conjugate typhoid vaccine Vi-rEPA, Lin et al. (April 26 issue)1 report an efficacy of 91.5 percent in the prevention of typhoid fever due to the development of IgG Vi antibodies, and they presume that ...

      546-547
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      To the Editor: The review of cardiac resuscitation by Eisenberg and Mengert (April 26 issue)1 summarizes the 2000 guidelines of the American Heart Association and encouraging survival results from Seattle, but it fails to focus on the brain. Since ...

      547-548

      To the Editor: The Case Record in the April 26 issue1 describes a thoracic pheochromocytoma (paraganglioma) in a 19-year-old man and notes that his father received a diagnosis of hypertension in his 50s and that his mother had migraines. Although a ...

      548

      To the Editor: Whipple's disease is an infection that affects primarily the intestine, but some cases involve the heart valve, the peripheral lymph nodes, the joints, and the central nervous system.1 Recently, the establishment of Tropheryma whipplei (...

      549

      To the Editor: We describe a patient in whom a surgical-site infection probably developed from contact with his pet dogs. A 59-year-old man underwent posterior C1–C2 transarticular screw fixation and fusion for cervical instability. Five days after ...

      Book Reviews
      550

      The title of this book implies that it is a history of food, yet its 163 “essays” (as the editors term the chapters) cover much more. Virtually every chapter mentions contemporary issues, and in several instances the focus is almost entirely on current ...

      550-551

      Physiology has been characterized as a science that infers the operation of a system by poking it and observing its response. The author of Calcium Hunger, a physiologist in this classic mode, is concerned with the role of behavior in maintaining the ...

      551-552

      The antiphospholipid-antibody syndrome is being diagnosed with increasing frequency in patients with thromboembolic disorders, pregnancy loss, or thrombocytopenia. Because it has only recently been well described, the diagnostic criteria for this syndrome ...

      Corrections
      552

      Maternal and Fetal Outcomes of Subsequent Pregnancies in Women with Peripartum Cardiomyopathy Original Article, N Engl J Med 2001:344;1567-1571.. On page 1569, the y axis of Figure 1 should have read, “Left Ventricular Ejection Fraction (%),” not “...

      552

      Identification of a Gene Responsible for Familial Wolff–Parkinson–White Syndrome Original Article, N Engl J Med 2001:344;1823-1831.. On page 1823, in the list of authors, “Al-Sayegh Hassan” should have read, “Ali Hassan Al Sayegh.”