From the publishers of The New England Journal of Medicine

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SUMMARY AND COMMENT

Gout and Diuretics in Hypertensive PatientsFree

Diuretic use raised risk for gout by several percentage points.

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SUMMARY AND COMMENT

No Decline in Pulmonary Function with Marijuana Use

But the effects of heavy use still are unclear.

SUMMARY AND COMMENT

Firming up the Benefits of Cervical HPV DetectionFree

Compared with cytology alone, performing human papillomavirus DNA testing plus cytology led to fewer high-grade cervical lesions 5 years later.

SUMMARY AND COMMENT

Optimizing Delivery Times in Uncomplicated Twin Pregnancies

Risk for fetal demise among monochorionic twins was 1.5% after 34 weeks' gestation; among dichorionic twins, no perinatal deaths occurred after 33 weeks.

SUMMARY AND COMMENT

Is Analysis of the Fetal Electrocardiogram Effective in Intrapartum Monitoring?

Adding ST-waveform analysis to standard fetal monitoring significantly lowered incidence of operative vaginal deliveries but not neonatal metabolic acidosis.

SUMMARY AND COMMENT

Can Exercise Prevent Gestational Diabetes?

Trial results do not provide a clear answer.

SUMMARY AND COMMENT

Association of Lipid Subfractions and Cardiovascular Events in Women

An analysis confirms the inverse relation between HDL cholesterol levels and adverse coronary events in women.

SUMMARY AND COMMENT

When Should Bone-Density Tests Be Repeated?Free

A 15-year interval is reasonable in older women if baseline BMD is normal or only mildly osteopenic.

SUMMARY AND COMMENT

New and Established Troponin Assays Are Highly Sensitive and Specific for AMIFree

Use of either type of assay can safely exclude or confirm AMI within 3 hours of emergency department admission.

SUMMARY AND COMMENT

Tinnitus Is Common in Children With and Without Hearing ImpairmentFree

Forty percent of children with normal hearing reported some form of tinnitus.

SUMMARY AND COMMENT

Pure-Tone Threshold Testing Detects Hearing Loss More Often Than School-Based "Rapid" Screens

School-based hearing screening often does not detect noise-induced hearing loss.

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