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Articles 
Constance G. Bacon, Murray A. Mittleman, Ichiro Kawachi, Edward Giovannucci, Dale B. Glasser, and Eric B. Rimm After age 50, many aspects of male sexual function decline sharply with each additional decade of age. In this study, several modifiable health behaviors were associated with erectile function. Physical activity and leanness were associated with good erectile function, while smoking, alcohol consumption, and television viewing time were associated with poor erectile function.
Richard B. Devereux, Björn Dahlöf, Sverre E. Kjeldsen, Stevo Julius, Peter Aurup, Gareth Beevers, Jonathan M. Edelman, Ulf de Faire, Frej Fyhrquist, Sigrid Helle Berg, Hans Ibsen, Krister Kristianson, Ole Lederballe-Pedersen, Lars H. Lindholm, Markku S. Nieminen, Per Omvik, Suzanne Oparil, Steven Snapinn, Hans Wedel for the LIFE Study Group* In hypertensive patients without clinically evident vascular disease, losartan and atenolol were equally effective in reducing blood pressure, but losartan was more effective in preventing cardiovascular death and morbidity (predominantly from stroke).
Sheryl B. Lyss, Mary L. Kamb, Thomas A. Peterman, John S. Moran, Daniel R. Newman, Gail Bolan, John M. Douglas, Jr., Michael Iatesta, C Kevin Malotte, Jonathan M. Zenilman, Josephine Ehret, Charlotte Gaydos, Wilbert J. Newhall for the Project RESPECT Study Group* Past treatment guidelines for sexually transmitted diseases (STDs) have recommended empirical co-treatment for chlamydia when patients are treated for gonorrhea. Co-infection with chlamydia is still frequent in STD clinic patients who receive treatment for gonorrhea. This finding supports continuing routine co-treatment for chlamydia.
Brindhesha Rasaratnam, David Kaye, Garry Jennings, Francis Dudley, and Jaye Chin-Dusting Selective intestinal decontamination with norfloxacin partially reverses the hyperdynamic circulatory state in cirrhotic patients without harming splanchnic or renal blood flow.
Academia and Clinic
Richard I. Dorin, Clifford R. Qualls, and Lawrence M. Crapo The cosyntropin stimulation test has been part of the standard evaluation of suspected primary or secondary adrenal insufficiency. The cosyntropin test performs well in patients with primary adrenal insufficiency, but its lower sensitivity in patients with secondary adrenal insufficiency necessitates use of tests involving stimulation of the hypothalamus if the pretest probability is sufficiently high.
Reviews
J. Enrique Silva This review examines the thermogenic effect of thyroid hormone and how it affects some thyroid diseases, energy balance, and body weight.
NIH Conferences
Paul L. Kimmel, Laura Barisoni, and Jeffrey B. Kopp This conference discusses renal syndromes in HIV-infected patients, including HIV-associated thrombotic microangiopathy, immune-mediated glomerulonephritides, and nephropathy. Other topics include management of HIV-infected patients with chronic kidney disease, pathologic features of HIV-associated nephropathy, and mechanisms of HIV-associated renal injury.
Editorials
Harold C. Sox Fewer medical students are choosing office practice–oriented careers in medicine. Medical information technology will greatly improve the efficiency of office practice and make it a more attractive career alternative. However, developing excellent office information systems and distributing them nationally will require very strong, sustained leadership from a diverse group of stakeholders. Improving the infrastructure of medical practice is one of the supreme challenges facing medicine.
On Being a Doctor
H. James Merchant Somewhere along the line, we learn that a patient's chart should not be tampered with and to do so is a breach of medical ethics. But I once did, and I think it was the right thing to do.
John D. Rowlett I'm not really sure when I first noticed him, proudly sitting on his porch with a broad smile on his weathered face. It was a comforting, peaceful sight—he in his twisted metal chair next to a tattered recliner, greeting the passing world. Most mornings as I hurried down a forgotten hospital access road lined with resident and physician housing, I was blessed with his presence. Countless times I told myself to stop, but I never did.
Letters Airborne Dispersal of Staphylococcus aureus Associated with Symptomatic Rhinitis Allergica
Osteoporotic Fractures of the Distal Humerus in Elderly Women
Angioedema as a Complication of Upper Endoscopy
Severe Neutropenia and Thrombocytopenia Associated with Infliximab
bcl-2 Rearrangement in Mixed Cryoglobulinemia
Health Care–Associated Bloodstream Infections
Hospital-Onset Infections: A Patient Safety Issue
The Relative Safety of Ephedra Compared with Other Herbal Products
Anti–Cyclic Citrullinated Peptide Antibodies in Advanced Rheumatoid Arthritis
Geraldo Castelar Pinheiro, Morton A. Scheinberg, Miriam Aparecida da Silva, and Suely Maciel Correction: Serum Ferritin Level Predicts Advanced Hepatic Fibrosis among U.S. Patients with Phenotypic Hemochromatosis
Correction: The Relative Safety of Ephedra Compared with Other Herbal Products
Arthur C. Fox
Helen Hoenig
George N. Braman
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