Fall 2000 - Volume 4 Number 4
Sex-Based Differences in Causes of Hospitalization for Coronary Heart Disease
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.
Uterine Artery Embolization for Treatment of Uterine Fibroids
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.
Osteoarthritis and Exercise: Does Increased Activity Wear Out Joints?
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.
Kaiser Permanente Medicine 50 Years Ago: Acute Rheumatic Fever in Adults
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.
A Breast Cancer Tracking System
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.
Mobile Mammography: Providing Screening to Women Without Access to Centralized Services
A pilot study assessed the value of providing mobile mammography to members unable to travel to locations with mammogram services.
Improving Breast Care at the Kaiser Permanente Bellflower Medical Center
This article presents the work of an interdisciplinary task force that created a new care pathway for breast masses and abnormal mammograms.
Women's Work and Health: Interactions and Implications.
Sex Differences in Cardiovascular Diseases: Political or Biological?
A Word From the Medical Directors
Commentary: Women in Medicine
HPV, Pap Tests, and Cervical Cancer: How the Media Hear the Message.
Laura Marshall, National Media Relations Consultant, discusses the effect the media and all its exigent influences has on health care.
Abstracts of articles authored or coauthored by Permanente clinicians
Hemochromatosis: Genetics, Pathophysiology, Diagnosis, and Treatment
It's Never Easy: The Terminal Diagnosis
Showdown with Diabetes
Soul of the Healer
"Boats on Lake Titicaca."
In the Shadow of Obesity--Part 2