Table of Contents

December 4, 2001; 135 (11)

Articles

  • Overall, the average rate of progression of subclinical atherosclerosis was slower in healthy postmenopausal women taking unopposed estrogen replacement therapy with 17β-estradiol than in women taking placebo. Progression of subclinical atherosclerosis decreased in women who did not take lipid-lowering medication but not in those who took these medications.

  • The HIV-1 RNA level and CD4 cell count achieved at 8 weeks of indinavir, zidovudine, and lamivudine therapy are important predictors of subsequent virologic and clinical outcomes.

  • By improving muscle mass, nutritional status, and function, resistance training seems to be effective against the catabolism of a low-protein diet and uremia in patients with renal failure.

Brief Communications

  • In premenopausal women with variant angina, the authors documented a cyclic variation in endothelial function and the frequency of myocardial ischemia that was associated with the variation in estrogen levels.

Academia and Clinic

  • Inadequate generation of the allocation sequence, allocation concealment, and double blinding lead to exaggerated estimates of intervention benefit and may contribute to discrepancies between the results of large randomized trials and small randomized trials in meta-analyses.

Review

  • The authors provide general information on the technology and operation of automated external defibrillators, summarize the experience of trials of these devices (in emergency medical systems and in special environments), and discuss legislative and legal concerns.

Editorials

  • Castaneda and colleagues' results, reported in this issue, suggest that resistance training is a safe and effective countermeasure to the negative effects of protein restriction on muscle mass accretion, protein utilization, nutritional status, and muscle function in patients with chronic kidney disease. Their study provides a method for improving safety when protein-restricted diets are used, as well as a means for enhancing the overall health of patients with chronic kidney disease.

  • In this issue, Kawano and colleagues elegantly explore the relationship of endogenous hormone levels to arterial function and coronary ischemic symptoms. Consideration of the interaction of the menstrual cycle and coronary artery disease may affect clinical practice in the not-distant future.

Letters

Medical Writings

  • By being attuned to character, not just through appearance but particularly through dialogue, we will remember the voice of the patient, even though it is the voice of medicine that we record in the chart. To hear the voice of the patient preserves our capacity to imagine the suffering of the patient.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients