JAMA. The Journal of the American Medical Association. Vol. 298. Núm. 20

Originales

Mackey DC, Lui LY, Cawthon PM, Bauer DC, Nevitt MC, Cauley JA, for the Study of Osteoporotic Fractures (SOF) and Osteoporotic Fractures in Men Study (MrOS) Research Groups. High-Trauma Fractures and Low Bone Mineral Density in Older Women and Men. Págs. 2381-2388 R TC (s) PDF (s) 

Robbins J, Aragaki AK, Kooperberg C, Watts N, Wactawski-Wende J, Jackson RD et al. Factors Associated With 5-Year Risk of Hip Fracture in Postmenopausal Women. Págs. 2389-2398 R TC (s) PDF (s) 

Editoriales

Khosla S. High-Trauma Fractures and Bone Mineral Density. Págs. 2418-2419 TC (s) PDF (s) 

Comentario

Brayne C, Fox C, Boustan M. Dementia Screening in Primary Care: Is It Time?. Págs. 2409-2411 TC (s) PDF (s) 

Jaffe HW, Valdiserri RO, De Cock KM. The Reemerging HIV/AIDS Epidemic in Men Who Have Sex With Men. Págs. 2412-2414 TC (s) PDF (s) 

Páginas para los pacientes

Zeller JL, Lynm C, Glass RS. Hip Fractures. Págs. 2442 TC PDF 

Journal Watch: Infectious Diseases for November 21, 2007

The Effects of HIV Infection on TB

Summary and Comment | Free

Genotypic clusters of TB including 1 HIV-infected person were larger, lasted longer, and had shorter periods between cases than did those involving only HIV-uninfected persons.

By Neil M. Ampel, MD

November 21, 2007

Covering: DeRiemer K et al. Am J Respir Crit Care Med 2007 Nov 1; 176:936

The Quantiferon TB Test in Immunocompromised Patients

Summary and Comment | Subscription Required

The Quantiferon TB-2G was more accurate than the standard tuberculin skin test for diagnosing active TB in immunocompromised patients.

By Thomas Glück, MD

November 21, 2007

Covering: Kobashi Y et al. Eur Respir J 2007 Nov 30:945

Short-Course Nitrofurantoin for Uncomplicated Cystitis in Women

Summary and Comment | Subscription Required

A 5-day course of nitrofurantoin is equivalent to 3 days of TMP-SMX for uncomplicated cystitis in women, providing another alternative to fluoroquinolone use.

By Daniel J. Diekema, MD, MS

November 21, 2007

Covering: Gupta K et al. Arch Intern Med 2007 Nov 12; 167:2207

Fungal Infections in Hematopoietic Stem Cell Transplant Recipients

Summary and Comment | Subscription Required

Invasive fungal infections occurred in 3.7% of transplant recipients; incidence and mortality were significantly higher with allogeneic than with autologous transplants.

By Neil M. Ampel, MD

November 21, 2007

Covering: Pagano L et al. Clin Infect Dis 2007 Nov 1; 45:1161

Polio-Like Outbreaks Caused by Enterovirus Type 71

Summary and Comment | Subscription Required

Incidence of neurologic EV71 disease, which clinically resembles poliomyelitis but is caused by a different enterovirus, seems to be increasing.

By Stephen G. Baum, MD

November 21, 2007

Covering: Pérez-Vélez CM et al. Clin Infect Dis 2007 Oct 15; 45:950

Multiple Sclerosis: An EBV Connection?

Summary and Comment | Subscription Required

Persistence and reactivation of Epstein-Barr virus in the central nervous system may play a role in MS immunopathogenesis.

By Larry M. Baddour, MD

November 21, 2007

Covering: Serafini B et al. J Exp Med 2007 Nov 5;

Editor’s Picks

AP al dia: resumenes comentados

Un sistema de monitorización de la glucemia a través de internet mejora el grado de control de la diabetes tipo 2 HTML PPT

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Las restricciones a la prescripción de las benzodiacepinas no se traducen en una reducción de las fracturas de cadera HTML PPT

La polución atmosférica por partículas finas a largo plazo se asocia a un mayor riesgo de enfermedades cardiovasculares HTML PPT

En pacientes con cardiopatía isquémica, el citalopram es seguro y más eficaz que la psicoterapia en el tratamiento de la depresión a corto plazo HTML PPT

El tratamiento de los miomas uterinos mediante embolización requiere un ingreso más corto y conlleva una recuperación más rápida HTML PPT

¿La disfunción renal moderada se asocia a un mayor riesgo de fractura de cadera? HTML PPT

Los tubos de drenaje ótico no mejoran los resultados de desarrollo de los niños con otitis persistente HTML PPT

Los suplementos de ácido fólico pueden prevenir el deterioro cognitivo HTML PPT

Las mujeres con mamas muy densas radiológicamente tienen un mayor riesgo de cáncer de mama y de que éste pase desapercibido HTML PPT

HIV y Tuberculosis

HIV Status Unknown for One-Third of TB Patients

About one-third of U.S. tuberculosis patients have not been tested for HIV, according to a report in MMWR.

The latest testing data — from the U.S. National TB Surveillance System — show that HIV status was known for 69% of TB patients in 2005, up from 35% in 1993. Of those who had been tested in 2005, 13% were HIV positive. TB patients at greatest risk of HIV include drug users, the homeless, non-Hispanic blacks, prison inmates, and alcoholics.

The CDC recommends regular HIV testing for all patients with tuberculosis. The report notes, “Knowing the HIV status of TB patients is essential for optimal management of patient care, including selection of appropriate TB-treatment regimens and referral to and coordination of care for HIV infection.”

MMWR article (Free)