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Treatment of Gestational Diabetes Does Not Affect Childhood BMI

While treatment of gestational diabetes markedly reduces macrosomia at birth, it does not reduce the infant's risk of a high body mass index (BMI) in early childhood.
Reuters Health Information

Source: Medscape Medical News Headlines | 10 Mar 2010 | 9:07 am

Home Abortion Drug Use Effective, Safe for Most

Medication-induced home abortions are safe for women who are 50 to 63 days pregnant, a new study from Sweden shows.
Reuters Health Information

Source: Medscape Medical News Headlines | 10 Mar 2010 | 9:07 am

Guideline Pharmacotherapy Curbs Cardiovascular Deaths

When pharmacotherapy for cardiovascular disease meets national guidelines, patients have significantly lower mortality, researchers report.
Reuters Health Information

Source: Medscape Medical News Headlines | 10 Mar 2010 | 9:07 am

Circumcision May Not Cut HIV Spread Among Gay Men in the West

Although studies in Africa have shown that circumcision can lower the spread of HIV among heterosexuals, it may not do much to prevent infections among gay and bisexual men in Western countries, a new study suggests.
Reuters Health Information

Source: Medscape Medical News Headlines | 10 Mar 2010 | 9:07 am

Tuberculosis Reinfection Rates Are Higher in HIV-Infected Patients

Tuberculosis (TB) reinfection rates are increased in patients with HIV, according to research from South Africa published online February 1st in The Journal of Infectious Diseases.
Reuters Health Information

Source: Medscape Medical News Headlines | 10 Mar 2010 | 9:00 am

Doctors on the dole

Source: Latest headlines from BMJ | 10 Mar 2010 | 7:42 am

Stop wasting money on commercialising the NHS

Source: Latest headlines from BMJ | 10 Mar 2010 | 7:42 am

Will a market deliver quality and efficiency in health care better than central planning ever could? No

Source: Latest headlines from BMJ | 10 Mar 2010 | 7:42 am

Will a market deliver quality and efficiency in health care better than central planning ever could? Yes

Source: Latest headlines from BMJ | 10 Mar 2010 | 7:42 am

Will a market deliver quality and efficiency in health care better than central planning ever could? No

Source: Latest headlines from BMJ | 10 Mar 2010 | 7:42 am

Management of Varices and Variceal Hemorrhage in Cirrhosis

Variceal hemorrhage is a lethal complication of cirrhosis, particularly in patients in whom clinical decompensation (i.e., ascites, encephalopathy, a previous episode of hemorrhage, or jaundice) has already developed. Practice guidelines...

Source: NEJM Most Viewed Articles | 3 Mar 2010 | 4:00 pm

A Trial of a 7-Valent Pneumococcal Conjugate Vaccine in HIV-Infected Adults

Background: Streptococcus pneumoniae is a leading and serious coinfection in adults with human immunodeficiency virus (HIV) infection, particularly in Africa. Prevention of this disease by vaccination with the current 23-valent...

Source: NEJM Most Viewed Articles | 3 Mar 2010 | 4:00 pm

Congenital Cytomegalovirus Infection

A baby girl was delivered prematurely, at 30 weeks' gestation, by emergency cesarean section owing to deceleration and no acceleration on fetal heart-rate monitoring. In addition, she had severe intrauterine...

Source: NEJM Most Viewed Articles | 3 Mar 2010 | 4:00 pm

Comparison of Dopamine and Norepinephrine in the Treatment of Shock

Background: Both dopamine and norepinephrine are recommended as first-line vasopressor agents in the treatment of shock. There is a continuing controversy about whether one agent is superior to the other....

Source: NEJM Most Viewed Articles | 3 Mar 2010 | 4:00 pm

Glycated Hemoglobin, Diabetes, and Cardiovascular Risk in Nondiabetic Adults

Background: Fasting glucose is the standard measure used to diagnose diabetes in the United States. Recently, glycated hemoglobin was also recommended for this purpose. We compared the prognostic value...

Source: NEJM Most Viewed Articles | 3 Mar 2010 | 4:00 pm

Neuropathic Ulceration

A 61-year-old man with a 15-year history of diabetes and resulting foot neuropathy presented with an ulcer of 3 months' duration overlying the first metatarsal head (Panel A). He was unaware of any recent foot . . .

Source: NEJM - Image of the Week | 3 Mar 2010 | 2:00 pm

Abdominal-Wall Abscess

An 83-year-old man with hypertension presented with a 3-month history of a painful, progressively enlarging mass in the right subcostal region. He reported no associated constitutional symptoms and no history of abdominal surgery. Local . . .

Source: NEJM - Image of the Week | 24 Feb 2010 | 2:00 pm

Prosthetic-Valve Dehiscence

A 33-year-old man with rheumatic heart disease presented with an acute onset of chest pain. Five years earlier, the patient had undergone replacement of the mitral and aortic valves (Medtronic Hall and ATS Medical, respectively). . . .

Source: NEJM - Image of the Week | 17 Feb 2010 | 2:00 pm

Cutaneous Leishmaniasis

A 25-year-old man presented to our clinic with a 1-year history of skin lesions on his nose and arm. Physical examination was notable for painless erythematous papules and nodules with overlying scale and crust, some . . .

Source: NEJM - Image of the Week | 10 Feb 2010 | 2:00 pm

Bleeding Esophageal Varices

A 52-year-old man with cirrhosis associated with alcohol abuse presented to the emergency department with hematemesis and lightheadedness, which had developed 3 hours earlier, after binge drinking. He had no history of decompensated liver disease . . .

Source: NEJM - Image of the Week | 3 Feb 2010 | 2:00 pm

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