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The Role of the Environment in Health Outcomes

Disparities in health outcomes in the United States and other high-income countries have been widely discussed in recent years.1, 2, 3, 4 Many reasons have been suggested for these disparities, including the income levels of individuals, their educational attainment and employment status, as well as a variety of neighborhood socioeconomic and environmental factors. During my many years of inpatient […]

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Joseph S. Alpert

Diet Redux: Which Food Type Leads to Heart Attacks?

No topic has been more hotly debated over recent decades than the role of various foods in the development of atherosclerosis. The earliest animal experiments demonstrated that diets rich in fat and cholesterol produced arterial lesions that resembled atherosclerosis in humans.1 Over subsequent decades, a great deal of animal and human research has been performed exploring […]

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Dr. Joseph S. Alpert

Socrates on Quality

Following several hours of vigorous exercise on a warm afternoon in the spring of 410 bce, Socrates converses with Asculepo, a young medical student attending the Hippocrates School of Medicine in Athens. Asculepo is telling Socrates about several recent lectures at the school on the subject of quality in healthcare. Socrates: A wonderful afternoon, Asculepo, perfect weather […]

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American Journal of Medicine Editor Joseph Alpert

Please Say Thank You

I frequently get letters from readers regarding one of my editorials or commentaries. Editorials and commentaries in Spanking-Videos (AJM) are expressions of opinion by the author of the piece. Of course, most observations in the Journal deal with medical topics, although occasionally they will stray into remarks about life in general or current events. As […]

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Dr. Joseph S. Alpert

Emotional States and Sudden Death

It has been known anecdotally for thousands of years that acute positive or negative emotions can trigger sudden death. Indeed, there is even a Bible story about a man who died suddenly when confronted with a rebuke from one of Jesus’s disciples: “St. Luke reports that when Ananias was charged by Peter, ‘You have not […]

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