0

Want to Subscribe?

Learn more about subscription options

Basic View  |  Expanded View
Gail L. Daumit, MD; Judith A. Hermann, MLA; Josef Coresh, MD, PhD; and Neil R. Powe, MD, MPH, MBA

Differences between ethnic groups in use of cardiovascular procedures narrowed markedly once a serious illness developed and adequate insurance coverage was ensured. The disparity was eliminated in patients with previous Medicare insurance or a stronger indication for a procedure.

Topics: kidney diseases, kidney failure, chronic, cardiovascular surgical procedures, heart, hemodialysis
  
Lucian L. Leape, MD; Lee H. Hilborne, MD; Robert Bell, PhD; Caren Kamberg, MPH; and Robert H. Brook, MD, ScD

Although revascularization procedures are substantially underused, the rate of use did not vary by sex, ethnic group, or payer status among patients treated in hospitals that provide coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty. However, underuse was significantly greater in hospitals that do not provide these procedures, particularly among uninsured persons.

Topics: revascularization, hospitals, women, heart, coronary artery bypass surgery
  
André Tichelli, MD; Gérard Socié, MD; Michel Henry-Amar, MD; Judith Marsh, MD; Jakob Passweg, MD; Hubert Schrezenmeier, MD; Shaun McCann, MD; Jill Hows, MD; Per Ljungman, MD; Pedro Marin, MD; Aruna Raghavachar, MD; Anna Locasciulli, MD; Alois Gratwohl, MD; Andrea Bacigalupo, MD, for the European Group for Blood and Marrow Transplantation Severe Aplastic Anaemia Working Party

Response to immunosuppression in patients with aplastic anemia is independent of age, but treatment is associated with increased mortality in older patients.

Topics: aplastic anemia, therapeutic immunosuppression, elderly
  
Sara H. Cody, MD; M. Kathleen Glynn, DVM, MPVM; Jeff A. Farrar, DVM, MPH, PhD; K. Lisa Cairns, MD, MPH; Patricia M. Griffin, MD; John Kobayashi, MD; Murray Fyfe, MD, MSc, FRCPC; Richard Hoffman, MD, MPH; Arlene S. King, MD, FRCPC; Jay H. Lewis, BS; Balasubr Swaminathan, PhD; Raymond G. Bryant, BA; and Duc J. Vugia, MD, MPH

In fall 1996, a small cluster of Escherichia coli O157:H7 infections was linked to unpasteurized apple juice. This study found that standard procedures at a plant that produces unpasteurized juices were inadequate to eliminate contamination with E. coli O157:H7. This outbreak showed that unpasteurized juices must be considered a potentially hazardous food.

Topics: disease outbreaks, escherichia coli o157, malus, infection, plants
  
Barbara L. Herwaldt, MD, MPH; Michael J. Beach, PhD, the Cyclospora Working Group*

In spring 1996, an outbreak of cyclosporiasis associated with fresh Guatemalan raspberries occurred in the United States and Canada. In spring 1997, another outbreak took place. These outbreaks highlight the need for better understanding of the biology and epidemiology of Cyclospora cayetanensis and for stronger prevention and control measures to ensure the safety of produce that is eaten raw.

Topics: cyclosporiasis, cyclospora, disease outbreaks
  
M. Hong Nguyen, MD; Carol A. Kauffman, MD; Richard P. Goodman, MD; Cheryl Squier, RN; Robert D. Arbeit, MD; Nina Singh, MD; Marilyn M. Wagener, MPH; and Victor L. Yu, MD

Nasal carriage was found to be an important risk factor for Staphylococcus aureus infection in HIV-infected patients.

Topics: hiv, staphylococcus aureus, disease transmission, infection, nose
  
Antonios N. Dimitrakopoulos, MD; Theodore Kordossis, MD; Angelos Hatzakis, MD; and Haralampos M. Moutsopoulos, MD

In this study, mixed cryoglobulinemia was common among patients with HIV-1 infection.

Topics: hiv-1, cryoglobulins, mixed cryoglobulinemia, hiv-1 infection, hepatitis c virus, hiv
  

The articles by Daumit and Leape and their colleagues in this issue indicate that health care access, quality, and equity are related. As we continue to strive to reduce ethnicity-based disparities in access to health care, we should not neglect the equally important issue of assuring that those services are delivered in an appropriate, timely, and effective manner.

Topics: cardiovascular surgical procedures
  

In this issue, Herwaldt and colleagues conclude that the 1997 outbreak of raspberry-associated cyclosporiasis highlights the need for improved surveillance for foodborne illnesses. Although this conclusion may seem obvious, it is only a small piece of the public health effort needed to reduce the incidence of foodborne illness.

Topics: cyclosporiasis
  
Daniel S. Klein, MD

Matthew Shepard was found tied to a fence on the prairie east of Laramie, Wyoming, unconscious after a brutal beating. He died several days later. A physician from Laramie reflects on how Matt's murder affected this small community.

Topics: #
  
Topics: #
  
Topics: #
  
Paul H. Sugarbaker, MD
Topics: #
  
Charles M. Bagley Jr., MD
Topics: #
  
Richard M. Goldberg, MD; Thomas R. Fleming, PhD; and Catherine M. Tangen, PhD
Topics: #
  
Topics: #
  
Topics: #
  
Jean Yves Reginster, MD, PhD
Topics: #
  
Robert I. Misbin, MD
Topics: #
  
David G. Maggs, MD; Gerald I. Shulman, MD, PhD; and Thomas A. Buchanan, MD
Topics: #
  
Raphael B. Stricker, MD; and Billi Goldberg, MPA
Topics: #
  
John T. Schindler, MD; Katherine M. Spooner, MD; and Catherine F. Decker, MD
Topics: #
  
Stewart F. Babbott, MD; and Vincent E. Pearson, PharmD
Topics: #
  
Victor S. Sloan, MD
Topics: #
  
Lawrence Smith, MD
Topics: #
  
Topics: #
  
Barron H. Lerner, MD, PhD
Topics: #
  
Bruce E. Dunn, MD; Ralph M. Schapira, MD; and John Frahm, DO
Topics: #
  
S. Barry Issenberg, MD; William C. McGaghie, PhD; and Robert A. Waugh, MD
Topics: #
  
Eric S. Holmboe, MD; and Richard E. Hawkins, MD
Topics: #
  
Topics: #
  
Topics: #
  
Lloyd W. Kitchens Jr., MD
Topics: #
  
Topics: #
  
Topics: #
  
Topics: #
  
Lorna A. Lynn, MD; and Lisa M. Bellini, MD

What do physicians carry in their white coat pockets?

Topics: #
  
Robert E. Rakel, MD
Topics: #
  
Topics: #
  
Topics: #
  
Topics: #
  
Judy Neri
Topics: #
  
Topics: #
  
Advertisement

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)