The New England journal of medicine
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Letter Case Reports
High-dose intravenous immune globulin and acute renal failure.
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Letter Case Reports
Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma.
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The results of twin and family studies suggest that heredity has a small influence on smoking behavior. ⋯ In this cohort of adult male twins, there were moderate genetic influences on lifetime smoking practices.
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Hypertensive emergency and urgent hypertension are the most severe forms of uncontrolled hypertension and are now seen predominantly in poor, minority populations. We studied the characteristics of the medical care received by patients with these conditions in order to identify risk factors for severe, uncontrolled hypertension. ⋯ Characteristics of both the health care system and patients' behavior are associated with severe, uncontrolled hypertension. Improving access to primary care physicians, through health insurance or other means, may be an effective strategy for improving control of hypertension in disadvantaged minority populations.