Addressing both sides of a difficult controversy
Should a promising technology be widely applied before the data are in?
J.D. CLOUGH

Should all college-bound freshmen receive meningococcal vaccine?
Although freshmen living in dormitories have a higher risk, the CDC advises education rather than routine vaccination.
S.M. GORDON

Should a patient with a brain tumor receive anticoagulation for a thromboembolic event?
Although many physicians are reluctant to use anticoagulation in this situation, brain tumors are not an absolute contraindication to anticoagulation.
A. MORALES and D.J. ADELSTEIN

Radiofrequency ablation of the pulmonary veins: Can it stop atrial fibrillation at its source?
Atrial fibrillation appears to originate in the pulmonary veins; ablation could be a cure.
A. NATALE

An elderly woman with drug-induced coma in winter
What is the cause of this patient's symptoms?  A self-test on a clinical case.
I.B. ORIJA and S.B. COHEN

Diagnosing interstitial lung disease: A practical approach to a difficult problem
An algorithm identifies key diagnostic clues in the patient's history, physical examination, and radiographic findings.
K.R. FLAHERTY and F.J. MARTINEZ

Heart failure disease management: A team approach
To treat heart failure effectively you need a team and you need a plan.  In short, you need a program.
N.M. ALBERT and J. B. YOUNG

What the internist needs to know about infertility
Primary care physicians can handle most inquiries from patients about infertility and begin an office-based assessment.
T. FALCONE

Spiral CT for lung cancer screening: Is it ready for prime time?
Although low-dose spiral CT shows promise for lung cancer screening, many questions remain.
P. JAIN and A. C. ARROLIGA

Preventive medicine and screening
M. GALUS

In reply
T. H. GOLDBERG

Low-dose spiral CT for lung cancer screening
M. MEZIANE and M. DECAMP