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- INTERNAL MEDICINE: -The path to personalized medicine
Major investments in basic science have created an opportunity for significant progress in clinical medicine. Researchers have discovered hundreds of genes that harbor variations contributing to ...
- HIGHLIGHT: -HEALTH REFORM: -Medicine’s ethical responsibility for health care reform — the top five list
Posted by NEJM • December 23rd, 2009 • Printer-friendly Howard Brody, M.D., Ph.D. Early in 2009, members of major health care–related industries such as insurance companies, pharmaceutical ...
- FULLTEXT: -INTERNAL MEDICINE: -Case 34-2009 — a 20-year-old man with sore throat, fever, and rash
Dr. Robert W. McGarrah (Medicine): A 20-year-old man was admitted to this hospital because of sore throat, fever, and a diffuse rash. The patient had been well until approximately 4 weeks ...
- FULLTEXT: -INTERNAL MEDICINE: Case 33-2009 — A 35-year-old woman with fever, abdominal pain, and hypotension after cesarean section
Dr. Claudius H.O. Conrad (Surgery): A 35-year-old woman was transferred to this hospital because of abdominal pain, fever, and hypotension. Three days earlier, an elective cesarean section was ...
- IMAGES: -Thoracic kdney
View larger version (44K):[in this window][in a new window]A 74-year-old man with diabetes and hypertension was referred to our hospital for evaluation of a mass in the right side of the chest, ...
- FULLTEXT: -RILEY DAY SYNDROME:- PEDIATRY AND INTERNAL MEDICINE: -The success of genetic-screening programs raises an intriguing possibility: some dread diseases of the 20th century may soon become history
A representative example is familial dysautonomia, a severe neurologic condition, the incidence of which has decreased precipitously since population screening began in 2001 (see graph). View larger ...
- FULLTEXT: PUBLIC HEALTH & COOPERATIVE GROUPS: -Group health cooperative — one coverage-and-delivery model for accountable care
Posted by NEJM • October 21st, 2009 • Eric B. Larson, M.D., M.P.H. “On January 1, 1947, Group Health Cooperative of Puget Sound began delivering a new kind of healthcare. Consumers paid flat ...
- INTERNAL MEDICINE: -Case 32-2009 of MGH — a 27-year-old man with progressive dyspnea
A 27-year-old man was seen in the outpatient pulmonary division of this hospital because of progressive dyspnea and decreased exercise tolerance. Approximately 2 years earlier, the patient noted a ...
- INTERNAL MEDICINE: -CLINIC-PATHOLOGICAL CONFERENCE OF MGH: - Case 31-2009 — A 26-year-old man with abdominal distention and shock
Dr. Jeffrey S. Ustin (Trauma, Emergency Surgery, and Surgical Critical Care): A 26-year-old man was admitted to this hospital because of abdominal distention and shock. The patient had been well ...
- HEPATOLOGY & ONCOLOGY: -MicroRNA expression, survival, and response to interferon in liver cancer
Background Hepatocellular carcinoma is a common and aggressive cancer that occurs mainly in men. We examined microRNA expression patterns, survival, and response to interferon alfa in both men and ...
- FULLTEXT: -INTERNAL MEDICINE: -The writing on the wall
In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader ...
- SERUM URIC ACID: AN INDEPENDENT RISK IN TYPE 2 DIABETES: -Elevated serum uric acid concentrations independently predict cardiovascular mortality in type 2 diabetic patients
OBJECTIVE There is limited information on whether increased serum uric acid levels are independently associated with cardiovascular mortality in type 2 diabetes. We assessed the predictive role ...
