 |
 |
|
Home |
Current Issue |
Past Issues |
Audio/Video |
CME |
Collections |
In the Clinic |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
|
Articles 
Margaret C. Fang, Yuchiao Chang, Elaine M. Hylek, Jonathan Rosand, Steven M. Greenberg, Alan S. Go, and Daniel E. Singer The risk for intracranial hemorrhage increases at age 85 years. In this study, international normalized ratios (INRs) less than 2.0 and INRs of 2.0 to 3.0 were associated with the same risk for intracranial hemorrhage. The risk increases with INRs of 3.5 or greater. Therefore, in elderly patients with atrial fibrillation, clinicians should maintain INRs in the 2.0 to 3.0 range.
John DeWitt, Benedict Devereaux, Melissa Chriswell, Kathleen McGreevy, Thomas Howard, Thomas F. Imperiale, Donato Ciaccia, Kathleen A. Lane, Dean Maglinte, Kenyon Kopecky, Julia LeBlanc, Lee McHenry, James Madura, Alex Aisen, Harvey Cramer, Oscar Cummings, and Stuart Sherman Accurate preoperative detection and precise staging of pancreatic cancer may identify patients with surgically curable locoregional disease. Endoscopic ultrasonography is superior to multidetector computed tomography for detecting and staging tumors. The tests have equivalent accuracy for nodal staging and detecting nonmetastatic pancreatic cancer that is resectable.
Li Wei, Thomas M. MacDonald, and Brian R. Walker In this population-based study, patients receiving dosages of glucocorticoids greater than the equivalent of 7.5 mg of prednisolone per day had substantially higher 1- to 5-year rates of all cardiovascular diseases, including myocardial infarction, heart failure, and cerebrovascular disease.
Improving Patient Care
John W. Peabody, Jeff Luck, Peter Glassman, Sharad Jain, Joyce Hansen, Maureen Spell, and Martin Lee This study shows that vignettes are a valid tool for measuring the quality of clinical practice. They are particularly useful for evaluating quality when practice-based assessment is difficult because of differences in case mix between physicians.
John P.A. Ioannidis, Stephen J.W. Evans, Peter C. Gøtzsche, Robert T. O'Neill, Douglas G. Altman, Kenneth Schulz, David Moher for the CONSORT Group* The CONSORT (Consolidated Standards of Reporting Trials) statement is a guideline for writing reports of randomized, controlled trials. Starting with the standard CONSORT checklist, the authors add 10 new recommendations for how to report harms observed during clinical trials.
Updates
David B. Hellmann This Update incorporates articles on vasculitis, rheumatoid arthritis, the antiphospholipid antibody syndrome, systemic lupus erythematosus, and osteoarthritis.
Judith A. Long, Virginia W. Chang, Said A. Ibrahim, and David A. Asch Underrepresented minorities in the United States are likely to have worse health and receive less health care than the racial and ethnic majority. This Update focuses on studies that document disparities, explain disparities, and test strategies to reduce disparities.
Reviews
John B. West This review discusses the relationship of altitude to barometric pressure, effects of the hypoxia of high altitude, acclimatization to high altitude, improving working efficiency at high altitude, physiologic changes at extreme altitudes, and high-altitude diseases.
Editorials
John Norcini The study by Peabody and colleagues builds on a large body of research on clinical vignettes and moves the field forward by showing that performance on clinical vignettes is similar to actual practice caring for matched cases. The value of this method depends on whether physicians will make the same management decisions for the problem posed in the vignette as they do in their daily practice.
Talmadge E. King, Jr and Margaret B. Wheeler The U.S. health care system remains largely separate and unequal. Mounting evidence shows that unequal health care based on race and ethnicity is pervasive and clinically significant. In this issue, Long and colleagues review the recent health and health care disparities literature and summarize selected articles that can help to direct our search for answers.
On Being a Doctor
Fitzhugh Mullan Dad never complained in the least that I didn't go into psychiatry. Delighted as he was that I made it into medicine at all, he was supportive and endlessly interested in everything that I did. To him, the specialty didn't matter—public health, psychiatry, pediatrics—it was medicine that bonded us.
Letters Helicobacter pylori and Idiopathic Thrombocytopenic Purpura
Improving Improvement
Translating "Tight Control"?
Michael M. Engelgau, Linda S. Geiss, Dara Murphy, K M. Venkat Narayan, and Frank Vinicor—RESPONSE Acute Hepatotoxicity Caused by Repaglinide
Ellen Schur and Joann Elmore
Ellen Schur and Joann Elmore
Jennifer Fisher Wilson
Jack Coulehan
| |||||||||||||||||||||||||||||||||||||||||||||||||
In this Issue
Articles
Previous Issue