Issue IndexA searchable index of tables of contents
Find An Issue
- Free Full Text
Patients with large abdominal aortic aneurysms were assigned to undergo endovascular repair or open surgical repair. Operative mortality was lower with endovascular repair, but at a median of 6 years, there was no significant difference between groups in total mortality or aneurysm-related mortality. There were more graft-related complications and reinterventions with endovascular repair.
- Free Full Text
Patients with large abdominal aortic aneurysms who were physically ineligible for open surgical repair were assigned to undergo endovascular repair or to receive no intervention. At a median of 3 years, aneurysm-related mortality was significantly lower with endovascular repair, but there was no difference in total mortality.
- Free Full Text
- Free Full Text
Patients were assigned to monitoring for rejection after cardiac transplantation either according to the standard practice of endomyocardial biopsies or with gene-expression profiling. At 19 months, the rates of rejection with hemodynamic compromise, graft dysfunction, death, or retransplantation were similar in the two groups, although the power of the trial was limited.
- Free Full Text
Fanconi's anemia is a rare disorder that arises from defective repair of damaged DNA. Of the 13 Fanconi's anemia genes, 3 are breast-cancer–susceptibility genes. One is identical to BRCA2. Cells from patients with the D1 subtype of Fanconi's anemia and their family members carry biallelic mutations in BRCA2, and heterozygote members of kindreds with the D1 subtype have an increased risk of breast and ovarian cancer. Studies of a rare disorder can thus illuminate a common disorder.
Middle-ear inflammation may be classified clinically as either acute otitis media or otitis media with effusion. Mastery of otoscopic examination techniques is necessary for accurately diagnosing otitis media and differentiating its forms. This video demonstrates how to perform an otoscopic examination and how to remove cerumen from the external auditory canal.
An 85-year-old woman had poorly differentiated invasive ductal cancer (positive for estrogen and progesterone receptors and HER2) with no clinical evidence of lymph-node or distant metastases. She had hypercholesterolemia, hypertension, chronic obstructive pulmonary disease, hypothyroidism, arthritis, and a history of pleural and pericardial effusions of unknown cause. She lived with a daughter and performed all activities of daily living. A management decision was made.
- Free Full Text
- Free Full Text
- Free Full Text






