Fall 2000 - Volume 4 Number 4

Original Research

Sex-Based Differences in Causes of Hospitalization for Coronary Heart Disease
Arthur L Klatsky, MD; Mary Anne Armstrong, MA
Men are more likely to be hospitalized for an acute myocardial infarction, while women are more likely to be hospitalized for stable or unstable angina, as documented in this prospective Kaiser Permanente study. The article discusses possible reasons and implications of this major sex difference with respect to CHD presentation.

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Clinical Contributions

Uterine Artery Embolization for Treatment of Uterine Fibroids
Arnold J Klein, MD; Martin L Schwartz, MD, PhD
This article describes a new method of treating this common problem, which has the important virtue of avoiding major abdominal surgery. Results in a series of Kaiser Permanente patients are presented. Indications and the current status of the procedure are discussed.

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Osteoarthritis and Exercise: Does Increased Activity Wear Out Joints?
Robert H Sandmeier, MD
Tackling a query, which is difficult, possibly impossible, to answer definitively, the author reviews the available animal and human data. He concludes that the proven benefits of exercise make it desirable for persons to remain as active as their willingness and ability allow.

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Kaiser Permanente Medicine 50 Years Ago: Acute Rheumatic Fever in Adults
Alvin L Sellers, MD; Eugene B Levine, MD
Commentary by W Jeffrey Fessel, MD, FACP, FRCP
The reprinted 55-year-old article describes clinical manifestations and treatment in a series of 20 adults seen within a 22-month period. The accompanying Commentary is both scholarly and personal. Although the condition is now rare in developed countries, these descriptions should be of considerable interest to currently practicing clinicians.

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A Breast Cancer Tracking System
Mary Callahan, RN, MPH; Judith Sanderson, RN, MPA
With an experience involving more than 40,000 women, this program has demonstrated improvement in the quality of care for women with breast cancer or at high risk of developing the condition. This program could save lives, reduce morbidity, and serve as a model for other health care systems.

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Health Systems

Mobile Mammography: Providing Screening to Women Without Access to Centralized Services
Adrienne D Mims, MD, MPH; Kecia Leatherwood, MS
A pilot study assessed the value of providing mobile mammography to members unable to travel to locations with mammogram services.

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Improving Breast Care at the Kaiser Permanente Bellflower Medical Center
Richard Boersma, BS; Andrew Mollen, MPA
This article presents the work of an interdisciplinary task force that created a new care pathway for breast masses and abnormal mammograms.

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Women's Work and Health: Interactions and Implications.
Linda Hawes Clever, MD, MACP
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Editors' Comments

Sex Differences in Cardiovascular Diseases: Political or Biological?
Arthur L Klatsky, MD
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A Word From the Medical Directors

Commentary: Women in Medicine
Louise Liang, MD
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External Affairs

HPV, Pap Tests, and Cervical Cancer: How the Media Hear the Message.
Laura Marshall

Laura Marshall, National Media Relations Consultant, discusses the effect the media and all its exigent influences has on health care.
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Abstracts of articles authored or coauthored by Permanente clinicians
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Book Reviews

Hemochromatosis: Genetics, Pathophysiology, Diagnosis, and Treatment
James C Barton, Corwin Q Edwards
Review by Vincent J Felitti, MD
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It's Never Easy: The Terminal Diagnosis
Review by Vincent J Felitti, MD
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Showdown with Diabetes
Deb Butterfield
Review by Alberto Hayek, MD
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Soul of the Healer

"Boats on Lake Titicaca."
Udo Wahn, MD

Mohamed Osman, MD

"Generous Woman."
Terry Laskiewicz, MD

In the Shadow of Obesity--Part 2
Vincent J Felitti, MD
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House Calls
Renate G Justin, MD
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Journal entry, June 14, 2000
Kitty Evers, MD
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"Mood Disorder."
Mohamed Osman, MD


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