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Old drug, new use, continued vigilance
Colchicine, an old and familiar drug for gout, has found another use in preventing and treating pericarditis. But familiarity should not dampen vigilance.
B.F. MANDELL
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Parkinson disease: Managing a complex, progressive disease at all stages
Parkinson disease is complex to manage. Its presentation can vary, as can its response to treatment. Physicians tend to focus on its motor symptoms, but many patients find nonmotor symptoms equally troublesome.
M.L. GIROUX
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In vitro fertilization update
The science of in vitro fertilization has improved
considerably in the last 25 years. We provide an overview
of the current and experimental techniques
of assisted reproductive technology.
J.M. GOLDBERG, T. FALCONE, and M. ATTARAN
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Anabolic steroid abuse:
Psychiatric and physical costs
Anabolic-androgenic steroid abuse is no longer confined
to professional athletes. Physicians should be aware of its
signs and symptoms so that they can address
its adverse effects and treat it.
F. TALIH, O. FATTAL, and D. MALONE JR
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Viral infections and the kidney:
HIV, hepatitis B, and hepatitis C
Ten years ago, viral glomerulonephritis was usually regarded
as untreatable. Now treatments are available for the top three causes:
HIV, hepatitis B, and hepatitis C.
G. APPEL
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Intravenous iodinated contrast agents:
Risks and problematic situations
Many diagnostic imaging studies use intravenous contrast
media. Although these agents are generally safe, they do
pose some risk of adverse reactions.
K.L. BUI, J.D. HORNER, B.R. HERTS, and D.M. EINSTEIN |
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Newer hormonal therapies:
Lower doses; oral, transdermal,
and vaginal formulations
We review some of the hormonal regimens
that have been approved in the past 5 years.
M.S. SIVANANDY, N. MASIMASI, and H.L. THACKER
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Neurologic effects
of hyponatremia and its treatment
Twenty-one days after surviving a hemorrhagic stroke,
the patient develops new neurologic symptoms.
A computed tomographic scan shows new cerebral edema.
Her serum sodium concentration is 121 mmol/L.
P. WIDDESS-WALSH, V. SABHARWAL, S. DEMIRJIAN, and M. DeGEORGIA
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Should all patients with acute pericarditis
be treated with colchicine?
Colchicine should be considered a first-line treatment
for acute pericarditis and for preventing recurrent episodes.
H. SALTZMAN and H.H. WEITZ
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Antioxidants may increase mortality
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Diet, exercise, drugs may prevent diabetes
in high-risk patients
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Optimal dosing for thromboprophylaxis
in medical inpatients
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Glitazones may be beneficial
after percutaneous coronary intervention
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