CME reduction redux: While less isn’t more, it’s better than none
Like it or not, we have to follow ACCME rules. Other news: Your next certificate of CME credit will be a postcard-watch your mailbox.
J.D. CLOUGH and P.G. STUDER

  Which medications should be held before a pharmacologic or exercise stress test?
This depends on the reason for the test, whether the patient can safely do without the medication, and the type of test.
D.A. UNDERWOOD

A young man with hyperthermia and new-onset seizures
What is the cause of this patient’s symptoms? A self-test.
J.R. QUEEN and J. GLAUSER

Drug smuggling raises medical and legal issues
Smugglers are swallowing massive amounts of cocaine packaged in balloons or condoms. The treatment is controversial. And then there are ethical and legal questions.
J. RELLA

Educating travelers about malaria: Dealing with resistance and patient noncompliance
Plasmodium has developed resistance to antimalarial drugs in vast areas of the world, making malaria more difficult to prevent.
K. DARDICK

Idiopathic dilated cardiomyopathy: A common but mystifying cause of heart failure
In most cases, dilated cardiomyopathy has no known cause. That shouldn’t stop you from looking for one.
S.B. MOHAN, M. PARKER, M. WEHBI, and P. DOUGLASS

Women and headache: A treatment approach based on life stages
The preventive, abortive, and nonpharmacologic approaches to headache treatment vary during the stages of a woman’s life.
L.K. MANNIX, M. DIAMOND, and E. LODER

Update on kidney transplantation: Increasing clinical success, expanding waiting lists
Success rates are improving, but the need for organs continues to far exceed the supply.
W.E. BRAUN

Intensive care update: Seven studies that should change your practice
Some of these studies lay to rest widely used but ineffective therapies; others challenge us to establish new standards of care.
A.C. ARROLIGA

Letters to the Editor
Remembering some pioneers in heart-valve replacement.