Issue IndexA searchable index of tables of contents
Find An Issue
Table of contents for
October 3, 2002 Vol. 347 No. 14
Cognitive sequelae often occur after acute carbon monoxide poisoning. This double-blind, randomized trial assigned subjects either to three sessions in a hyperbaric-oxygen chamber or to one normobaric-oxygen treatment plus two sessions of exposure to normobaric room air, all administered within 24 hours after the end of exposure to carbon monoxide. Cognitive sequelae six weeks later were less frequent among persons who received hyperbaric-oxygen therapy (25.0 percent) than among those who received normobaric-oxygen treatment (46.1 percent, P=0.007). Differences were sustained 12 months after the episode of acute carbon monoxide poisoning.
- Free Full Text
This randomized, controlled trial assessed the efficacy of a home-based program to prevent functional decline among 188 frail, elderly persons. The program, which involved physical therapy and focused on improving underlying impairments in physical abilities, was more effective than an educational program in slowing the progression of disability with respect to activities of daily living.
- Free Full Text
Two patients had salmonella sepsis after receiving platelet transfusions, and the source of the infection was traced to the pet snake of the platelet donor. The donor was asymptomatic, but Salmonella enterica serotype enteritidis was cultured from his pet boa constrictor. The isolate was identical to the isolates from the two patients with sepsis.
- Free Full Text
One of the goals of the legal settlement between the tobacco industry and the states was to promote public health. In this study, the authors examined state spending on tobacco-control programs. In 2001 the average state received $164 million from the tobacco settlement but allocated only 6 percent of these funds to tobacco-control programs. Only six states exceeded the minimal level of funding for tobacco-control programs recommended by the Centers for Disease Control and Prevention. Program funding was not higher in states with more tobacco-related health problems.
- Free Full Text
Telephone counseling for smoking cessation has been effective in clinical trials, and many states have established “quitlines.” This randomized study of 3282 smokers was designed to evaluate the real-world effectiveness of the California Smokers' Helpline. Smokers who were randomly assigned to counseling received up to seven counseling sessions that focused on motivation, self-efficacy, social support, planning for quitting, and relapse prevention. At 12 months of follow-up, smoking-cessation rates were somewhat higher for subjects who received telephone counseling than for those who received only self-help materials (7.5 percent vs. 4.1 percent).
The treatment of pain in infants and children has often been insufficient, owing to lack of information and understanding of how to use analgesic agents in the very young. This review discusses the development of nociception; the differences in metabolism of analgesics among infants, children, and adults; and agents that can be used for pain control in a variety of settings.
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text
- Free Full Text






