The following are free links to NEJM articles through the Next Generation. Perspective
by R Kuttner, February 7 2008, Vol 358 (6), 549-51
Solutions to American healthcare problems will be one of the most important issues in the upcoming Presidential election. Understanding the reasons for America’s especially high healthcare costs is consequently a high priority for those interested in the medical field. Dr. Kuttner asserts that the failure of the U.S. system lies in its obsession with profit maximization. He advocates universal health care to increase cost-effectiveness and standard of care.
Original Article
by JL Baker, LW Olsen, and TIA Sørensen, NEJM, December 6 2007, Vol 357 (23), 2329-37
The worldwide epidemic of childhood obesity is progressing at an alarming rate,
but the severity of the long-term effects of excess childhood weight on coronary
heart disease is unknown. In a study with a cohort of over 275,000
schoolchildren and over 5 million person-years of followup, the authors find a
definitive link between obesity and coronary heart disease.
Special Report
by EE Moore et al, NEJM, December 27 2007, Vol 357 (26), 2723-27
Integrating civilian and military medical capabilities has been shown to be
vital throughout the nation's history. The Joint Trauma Training Center was
established in Houston in 1999 to train military trauma teams at a civilian
hospital. This article peers into the unique cases facing military medicine
and describe a system of bringing military doctors up to date.
Perspective
by G Berland, NEJM, December 20 2007, Vol 357 (25), 2533-36
Not everything about a patient's life can be gathered from a brief consultation
in a clinic. Dr. Berland has devised a fascinating method of looking into the
personal lives and troubles of her disabled patients - encouraging them to
carry a video camera with them. Read about the unique insight that she gained
through this novel, simple idea.
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The following
interviews and articles are exclusive to the Next Generation.
Free Standing Perspective
by Karen Maule
Medical training is infamous for its grueling demands on the young doctor's personal life, but recent changes in residencies and professional requirements have eased the burden. Karen Maule discusses the growing trend to provide doctors with more forgiving work schedules. She also profiles two doctors who sought leaves of absence after childbirth and continue to work part-time.
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Free Standing Perspective
by Tara Tai
Using a viral vector, gene therapy incorporates healthy human DNA into a cell with a genetic disorder. However, its application is complex and unperfected. In this article Tara Tai interviews Robert Mulligan, a pioneer of gene therapy at Harvard Medical School. She also discusses the application of the technique and patient opinions on gene therapy in the clinic.
» More "Free Standing Perspective" Articles
Free Standing Perspective
by Emory Hsu
Misdiagnosis is, unfortunately, a more common occurrence than is desired. But as with other efforts in curbing medical malpractice, an increasing focus has been placed on misdiagnosis. Emory Hsu investigates the reasons for the prevalence of misdiagnosis, describes methods of reducing mistakes, and suggests how doctors should react when they happen to err.
» More "Free Standing Perspective" Articles
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