The paraphilia section of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) is being misinterpreted in the forensic evaluations of sexually violent offenders. The resulting misuse of the term paraphilia not otherwise specified, hebephilia, has justified the inappropriate involuntary commitment of individuals who do not in fact qualify for a DSM-IV-...

BACKGROUND Nearly half of all medical visits are to specialist physicians, yet little is known about patients' outpatient experiences with specialists or how patients' characteristics and experiences are related to trust in specialist physicians. METHODS We surveyed patients who had a new patient visit with a cardiologist, neurologist, nephrologist, gastroenterologist, or rheumatologist pract...

Worse Heterogeneity Affecting Outcome From Acute Stroke Therapy : Making Reperfusion Print ISSN: 0039-2499. Online ISSN: 1524-4628 Copyright © 2001 American Heart Association, Inc. All rights reserved. is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Stroke doi: 10.1161/hs1001.096588 2001;32:2318-2327 Stroke. http://stroke.ahajournals.org/content/32/10/23...

A 61-year-old man with a history of seizures presents for a routine visit. His last seizure was several months ago and occurred the day after falling from a ladder. He does not recall hitting his head during this fall. Otherwise, his seizures have been well controlled. His only complaint is a persistent runny nose. Computed tomography scans reveal opacity with a fluid level in the left sphenoid...