Is a pound of prevention better than an ounce of prevention?
With statins, should we "start low and go slow" or adopt a new paradigm?
B.F. MANDELL

Malfunctions in implantable cardiac devices: Putting the risk in perspective
A device recall does not call for panic. Physicians should weigh the risks and benefits for the individual patient.
J.D. BURKHARDT and B.L. WILKOFF

Dose-related statin myopathy: Is it an issue?
Higher doses lead to more cases of myopathy, a potentially serious problem. Fortunately, the incidence is very low.
R.L. WORTMANN

Alopecia areata: What to expect from current treatments
Alopecia areata often resolves on its own, but some treatment is often needed due to the psychosocial impact.
N.C. DOMBROWSKI and W.F. BERGFELD

Restless legs syndrome: Keys to recognition and treatment
Although the condition is common, a high index of suspicion is needed to diagnose it.
J.F. AVECILLAS, J.A. GOLISH, C. GIANNINI and J.C. YATACO

Emerging care for type 2 diabetes: Using insulin to reach lower glycemic goals
Experts are advocating earlier, more aggressive treatment of type 2 diabetes. M.N. FEINGLOS and M.A. BETHEL

Auto-positive end-expiratory pressure: Mechanisms and treatment
This common problem in mechanical ventilation increases the work of breathing, worsens gas exchange, and decreases cardiac output.
M.M. MUGHAL, D.A. CULVER, O.A. MINAI, and A.C. ARROLIGA

Statins: The case for higher, individualized starting doses
We're not getting our patients' low-density lipoprotein cholesterol down to goal levels. We would do better by starting at a higher dose if the patient has a higher baseline level.
P.H. JONES

How soon can a patient undergo noncardiac surgery after receiving a drug-eluting stent?
Lacking direct data, we base our approach on data from patients with bare-metal stents and from patients receiving antiplatelet therapy for acute coronary syndromes.
H.H. WEITZ

Diagnostic imaging approach to pulmonary embolism
A man with cancer presents with new dyspnea and low-grade fever. What is the best diagnostic approach?
J.W. STENGEL, D.M. EINSTEIN, B.R. HERTS, and R.J. GRAHAM

Angiotensin-receptor blockers: Benefits beyond lowering blood pressure
These drugs improve the prognosis more than one would expect from their effect on blood pressure alone.
R.L. SILVERSTEIN and C.V.S. RAM

Managing short bowel syndrome: Making the most of what the patient still has
Eating and drinking are better than parenteral nutrition.
N. PAREKH, D. SEIDNER, and E. STEIGER

Rehabilitation is nearly as effective as spinal fusion for chronic back pain

Rifaximin prevents travelers' diarrhea in students in Mexico

Letter to the Editor
Intravascular ultrasonography in coronary atherosclerosis