FRAM MED SANNINGEN OM ESTONIA!

MARCH 2013

Dear Reader, A new year brings a new offering from NEJM – a new Global Health review article series. Read on to get acquainted with this new feature and learn about the latest installments of familiar favorites. New Review Article Series on Global Health - Free The Global Health review article series debuted in January with an article by Dr. Donald Hopkins on the characteristics of potentially eradicable diseases and an editorial by series editors Dr. Harvey Fineberg and Dr. David Hunter. "In developing this series," Drs. Fineberg and Hunter wrote in their editorial, "we adopted the concept of global health as 'public health for the world.'" In February, Dr. Gary Nabel wrote on designing tomorrow's vaccines, and earlier this month Dr. Julio Frenk and Dr. Suerie Moon argued for the need for good global governance for health. All articles in the series include rich interactive graphics that provide detailed information at a glance. View an interactive graphic on dracunculiasis, poliomyelitis, lymphatic filariasis, onchocerciasis, and malaria from the article on potentially eradicable diseases. Future articles in the series will cover globalization, climate change, and human health; and the AIDS pandemic. All articles in this series are free full text. Clinical Decisions Articles Explore Current Medical Topics The popular Clinical Decisions series recently considered the medicinal use of marijuana and the feasibility of family presence during CPR. In February's article on the medicinal use of marijuana, the fictional case of a 68-year-old woman with breast cancer metastatic to the lungs and the thoracic and lumbar spine was described. Three physicians were then asked if they believed the overall medicinal benefits of marijuana for this patient outweighed the risks and potential harms. Readers were asked to vote on which treatment option they preferred. Read the article, expert commentaries, and view the results of the poll. The newest Clinical Decisions article, published this week, considered the effect of family presence during CPR on the family members themselves and the medical team. This accompanied an Original Article in the March 14 issue, "Family Presence during Cardiopulmonary Resuscitation," and editorial, "Weighing the Benefits and Burdens of Witnessed Resuscitation." Try the Latest Interactive Medical Case "A Patient with Fevers and Fatigue," a 68-year-old man who lived in New England presented to the emergency department in December with a 4-week history of fevers and chills. One month before presentation, he had traveled to the Netherlands for a 3-day professional conference. What diagnostic and management steps do you choose? Receive feedback on your choices and learn more about his condition and optimal treatment steps when you try this case now at NEJM.org. Also, try your hand at previous Interactive Medical Cases. Watch Newest Videos on NEJM.org Last week's Clinical Problem Solving Article, "The Heart of the Matter," described a 22-year-old woman who presented to the ED with a four-week history of cough, progressive shortness of breath, subjective fevers, and malaise. Included with this case were videos of echocardiograms at the time of presentation and 11 months later. Watch these videos now. Other recent videos include clonus after a stroke, a test of extraocular muscle function in a patient with multiple sclerosis and internuclear ophthalmoplegia, and perioral myokymia in a healthy 13-year-old boy following a rattlesnake bite. Thanks for reading. As always, we welcome your feedback. Sincerely, Christopher R. Lynch Vice President for Publishing Free Special Collection from NEJM For a limited time, sign up for the Clinical Practice Update email and receive a free gift - the 10 Most Read Articles from the NEJM Clinical Practice Center. Subscribe to NEJM.org & Save! Your subscription includes 52 weeks of subscriber-level access to NEJM.org and the NEJM iPad edition, plus: Discounted pricing also available for Residents and Students. Take the Image Challenge A 47-year-old woman was referred for bone pain and abnormal findings on radiography. The patient reported that for the past 17 years, she has habitually consumed a pitcher of tea made from 100 to 150 tea bags daily (estimated fluoride intake, >20 mg per day). What's the diagnosis? Browse our library of Images in Clinical Medicine. Use the filter function to view images by a specialty of your choice. Visit the NEJM Booth American Medical Student Association (AMSA)March 15-16 Washington, DC Booth #206 ACP/Internal Medicine April 11-13 San Francisco, CA Booth #1114 The Association of Program Directors in Internal Medicine (APDIM) April 29-30 Orlando, FL Booth #208 Society of Hospital Medicine (SHM) May 17-18 Baltimore, MD Booth #501