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

September 14, 2006  Vol. 355 No. 11

Audio Summary of this Issue

Perspective
1081-1084

The clear message from the XVI International AIDS Conference in Toronto in August was that the growth of the pandemic continues to outpace the broad and expanding efforts to control it. Dr. Robert Steinbrook reports.

1084-1088

In June, the Gates Foundation's likely impact on global health was amplified when Warren Buffett, the world's second-richest man, announced plans to give most of his fortune to the foundation. Dr. Susan Okie discusses the effect of this giving on global ...

1088-1091

Fingolimod was found to exert considerable therapeutic effects in patients with relapsing multiple sclerosis. Drs. Steffen Massberg and Ulrich von Andrian describe how this immunosuppressant works.

Original Articles
1093-1104

In the Trial to Assess the Use of the Cypher Stent in Acute Myocardial Infarction Treated with Balloon Angioplasty (TYPHOON), patients with an acute myocardial infarction with ST-segment elevation underwent percutaneous coronary intervention with either a sirolimus-eluting stent or an uncoated stent. The use of the sirolimus-eluting stent was associated with significant reductions in the rate of target-vessel failure and the severity of in-stent late luminal loss.

1105-1113

The Paclitaxel-Eluting Stent versus Conventional Stent in Myocardial Infarction with ST-Segment Elevation (PASSION) trial compared the use of paclitaxel-eluting stents with uncoated stents for primary percutaneous coronary intervention in patients with acute myocardial infarction with ST-segment elevation. Although the paclitaxel-eluting stent was associated with a trend toward fewer serious adverse cardiac events, the trend was not significant.

1114-1123

Preoperative radiotherapy is standard in the treatment of rectal cancer. This study showed that the addition of fluorouracil-based chemotherapy to preoperative radiotherapy had no significant effect on the survival of patients with resectable rectal cancer. Chemotherapy, however, did improve local control of the cancer.

1124-1140

In this proof-of-concept study, fingolimod, an oral immunomodulating agent, reduced lesions detected on magnetic resonance imaging and the rate of clinical relapse among patients with relapsing multiple sclerosis. Adverse events associated with fingolimod included elevations in liver enzyme levels, a reduction in the heart rate, a decrease in forced expiratory flow, and one case of posterior reversible encephalopathy.

Special Article
1141-1153

This study used data from Côte d'Ivoire to estimate cost-effectiveness of treatment strategies for adults infected with the human immunodeficiency virus. The incremental cost per year of life gained was $1,180 (2002 U.S. dollars) for trimethoprim–sulfamethoxazole prophylaxis and antiretroviral therapy with CD4 testing. The authors conclude that antiretroviral therapy is cost-effective in resource-poor settings.

Clinical Therapeutics
1154-1159

A 62-year-old man has a bloodstream infection with a candida species other than Candida albicans. Caspofungin, an echinocandin antifungal agent, is recommended. The echinocandins are effective in treating candidemia in patients who do not have neutropenia. Their efficacy in the treatment of deep-tissue infections or in the setting of neutropenia has not been established.

Images in Clinical Medicine
1160
  • Free Full Text

An 82-year-old man with hypertension, coronary artery disease, congestive heart failure, chronic constipation, degenerative joint disease of the hips, and a 5-year history of hemodialysis for end-stage renal disease presented with worsening hip pain. The ...

e10
  • Free Full Text

This 43-year-old man presented in respiratory distress. Breath sounds were absent on the right side, and there was complete opacification of the right lung field.

Case Records of the Massachusetts General Hospital
1161-1167

    A 59-year-old man was found to have bilateral renal masses. The right renal mass invaded the inferior vena cava. Fine-needle aspiration of the left renal mass disclosed renal-cell carcinoma. A right radical nephrectomy was performed. The optimal management of the left renal tumor is discussed.

    Editorial
    1169-1170

    Primary percutaneous coronary intervention (PCI), when performed by an experienced team in a timely fashion, is a better reperfusion therapy than in-hospital thrombolysis in patients who have acute myocardial infarction with ST-segment elevation.1,2 ...

    Clinical Implications of Basic Research
    1171-1172

    A new secretion system in Vibrio cholerae, Pseudomonas aeruginosa, and other gram-negative bacteria represents a potential new target for vaccine development.

    Correspondence
    1173-1174

    To the Editor: In their report showing the modest efficacy of oral cyclophosphamide in the management of scleroderma-related interstitial lung disease, Tashkin et al. (June 22 issue)1 do not describe glucocorticoid use among study participants. Patients ...

    1175-1176

    To the Editor: The results of the Fluid and Catheter Treatment Trial (FACTT) conducted by the National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network (June 15 issue)1 support a conservative strategy of ...

    1177

    To the Editor: Centanni et al. (April 27 issue)1 describe conditions influencing the resorption of thyroxine and conclude that gastric acidity has a considerable effect on the bioavailability of iodothyronines. We do not share this opinion. In a recent ...

    1178

    To the Editor: The clinical vignette provided by Lee (June 15 issue)1 raises some issues that require clarification. The vignette does not include data on growth velocity or levels of insulin-like growth factor I and insulin-like growth factor–binding ...

    1178-1179

    To the Editor: A simple procedure can have devastating consequences when performed incorrectly. The Video in Clinical Medicine demonstrating male urethral catheterization (May 25 issue)1 covers many important points well: the routine use of viscous ...

    1179-1181

    To the Editor: We are investigating the safety and efficacy of patient-specific vaccines derived from short-term autologous tumor-cell lines in the treatment of melanoma.1 In our current trial, patients with distant metastatic or recurrent regional ...

    Book Reviews
    1182

    When the Italian explorer Amerigo Vespucci reached the coast of Venezuela in 1499, he saw people obsessively chewing coca leaves and noted their degraded state. The archeological record suggests that the chewing of coca in South America dates back as far ...

    1182-1183

    “A History Up to Now” might have been a more accurate subtitle for this intriguing book by British historian John Iliffe. It would have emphasized that the story of the AIDS epidemic in Africa is still in the making. Iliffe's analysis of the ...

    1183-1184

    Michele Goodwin interweaves two stories throughout Black Markets. One is her account of the discrimination faced by minorities, primarily blacks, in organ transplantation. She finds institutional bias against minorities in organ procurement and allocation ...

    Corrections
    1184
    • Free Full Text

    Biventricular Pacing Clinical Therapeutics, N Engl J Med 2006:355;288-294.. On page 292, the sentence beginning 15 lines from the bottom of the left-hand column should have read, “In these analyses, CRT did not significantly improve functional status or ...

    1184

    Case 23-2006: A 36-Year-Old Man with Numbness in the Right Hand and Hypertension Case Records of the Massachusetts General Hospital, N Engl J Med 2006:355;394-402.. The title of this article should have read “Numbness in the Left Hand,” not “Right Hand,” ...

    1184

    This Week in the Journal (August 3, 2006;355:446). On page 446, the second sentence of the summary titled “Measles Outbreak in Indiana” should have read “At a gathering attended by the student, there were an estimated 50 persons who lacked evidence of ...