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August 30, 2001  Vol. 345 No. 9

Original Articles
631-637

Benzodiazepines are safe and effective when administered by paramedics for out-of-hospital status epilepticus in adults.

638-646

More than 1800 patients with rectal cancer underwent total mesorectal excision either alone or after preoperative radiotherapy.

647-655

After an episode of acute esophageal variceal bleeding, patients are at high risk for recurrent bleeding and death.1,2 Thus, therapy to prevent recurrent bleeding is essential.3 Endoscopic sclerotherapy is of proven benefit in such cases.4 However, it is ...

656-661

Vaccination against pertussis was first linked to adverse neurologic events in 1933.1 One study found that vaccination with diphtheria and tetanus toxoids and whole-cell pertussis (DTP) vaccine was associated with an elevated risk of seizures and ...

Images in Clinical Medicine
662
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Figure 1. A 60-year-old woman with a history of metastatic neuroendocrine tumor presented with rapidly progressive swelling of the left side of the face. She was dehydrated and acutely ill, with a temperature of 36.1°C, a pulse of 106 per minute, and a ...

Special Article
663-668

In over 3 million emergency hospitalizations, mortality for three serious diseases was higher among patients admitted on a weekend than among those admitted on a weekday.

Review Article
669-681

Gastroesophageal variceal hemorrhage, a major complication of portal hypertension resulting from cirrhosis, accounts for 10 to 30 percent of all cases of bleeding from the upper gastrointestinal tract.1 Variceal hemorrhage occurs in 25 to 35 percent of ...

Case Records of the Massachusetts General Hospital
682-687

Presentation of Case

A 50-year-old man was admitted to the hospital because of marked splenomegaly and anemia.

The patient had been in good health until three months earlier, when he began to have progressive exertional dyspnea, aching in the legs, and ...

Editorials
689-690

Status epilepticus is a series of successive grand mal seizures lasting minutes or even hours, without the recovery of normal consciousness. The resulting metabolic derangement of cells, depletion of the oxygen and glucose necessary for normal functioning,...

690-692

For a short time, the treatment of rectal cancer seemed clear and definitive. The 1990 National Institutes of Health consensus statement concluded, “Combined postoperative chemotherapy and radiation therapy improves local control and survival in stage II ...

692-694

    Florence Nightingale raised the question in 1863, when she wrote about the number of deaths in hospitals in England.1 Codman asked it in 1914.2 Moses and Mosteller summed up the problem in a commentary on the National Halothane Study more than 30 years ...

    Correspondence
    696-697

    To the Editor: Tuomilehto et al. (May 3 issue)1 reported that counseling subjects at high risk for type 2 diabetes mellitus to reduce weight and the intake of fat and to increase physical exercise and the intake of fiber reduced the risk of diabetes by ...

    697-699
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    To the Editor: Seligsohn and Lubetsky (April 19 issue)1 justify not routinely testing white women for inherited thrombophilia before prescribing oral contraceptives, since “it would deny contraceptives to about 5 to 10 percent of white women . . . while ...

    699-700
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    To the Editor: Rosenstein et al. (May 3 issue)1 mention infectious syndromes associated with meningococcal disease. We would like to draw attention to the importance of considering meningococcal disease in patients who present with septic arthritis and ...

    700

    To the Editor: A 61-year-old man with no symptoms was found to have an enormous mass that occupied the entire right flank and pushed the right kidney down. A preoperative cytologic specimen obtained from a computed tomography–guided fine-needle biopsy ...

    700-701

    To the Editor: We wish to report the development of a severe coagulopathy in a patient who smoked “crack” cocaine mixed with brodifacoum, a rodenticide. The patient, a 37-year-old man, presented to an emergency room with epistaxis of several hours' ...

    Book Review
    702-703

    The Institute of Medicine's Committee on Quality of Health Care in America has issued its second and final report, Crossing the Quality Chasm: A New Health System for the 21st Century. The committee has done an excellent job, but its report is as ...

    Correction
    704

    Replacement of an Avulsed Phalanx with Tissue-Engineered Bone Original Article, N Engl J Med 2001:344;1511-1514.. On page 1511, in the first paragraph of the Methods section, the values for ascorbic acid, L-glutamine, and streptomycin should have read, “...