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Effect of Proton-Pump Inhibitor Therapy on Diagnostic Testing for Helicobacter pylori L. Laine, R. Estrada, M, Trujillo, K. Knigge, and M.B. Fenneny. Proton-pump inhibitors were found to cause false-negative results on Helicobacter pylori diagnostic testing. Patients should not receive these drugs for 2 weeks before receiving the urea breath test for H. pylori infection. UPDATE Update in Women's Health P. Charney, J.ME. Walsh, and A.R Nattinger. In 1997, advances in women's health focused on important risk factors for coronary artery disease, the risks and benefits of hormone replacement therapy, and the effectiveness and cost of testing for breast and endometrial cancer. CLINICAL REVIEW Infections in Patients with Chronic Lymphocytic Leukemia Treated with Fludarabine E.J. Anaissie, D.P. Kontoyiannis, S. O'Brien, H. Kantaijian, L. Robertson, S. Lerner, and MJ. Keating. Fludarabine used in previously treated patients with chronic lymphocytic leukemia may be associated with infections involving T-cell dysfunction, such as listeriosis, pneurnocystosis, mycobacterial infections, and opportunistic fungal and viral infections. MEDICINE AND PUBLIC ISSUES A Survey of Provider Experiences and Perceptions of Preferential Access to Cardiovascular Care in Ontario, Canada D.A. Alter, A.S.H. Basinski, and C.D. Naylor. Although equality of access is a cornerstone of Canada's universal health care system, some access to specialized cardiovascular services occurs preferentially on the basis of factors other than clinical need. PERSPECTIVE Rethinking Nonadherence: Historical Perspectives on Triple-Drug Therapy for HIV Disease B.H. Lerner, R.M. Gulick, and N.N. Dubler. The advent of triple-drug therapy for HIV disease has raised the concern that disadvantaged persons with multiple social problems may be nonadherent to treatment. This paper argues that encouraging patients' active participation in their own therapy will help avoid judgmental and inaccurate assessments of patient behavior and may help patients take medications more successfully. EDITORIALS On Being Dr. Mom C. Laine Academic medical centers must develop ways to support their faculty's efforts to combine two of the noblest pursuits- doctoring and parenting. Genetics of Familial Mediterranean Fever and Its Implications and
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