Table of Contents

March 2, 1999; 130 (5)

Articles

  • Comparison of Bedtime Insulin Regimens in Patients with Type 2 Diabetes Mellitus: A Randomized, Controlled Trial

    • Hannele Yki-Järvinen,
    • Leena Ryysy,
    • Kati Nikkilä,
    • Timo Tulokas,
    • Raimo Vanamo,
    • and Marjatta Heikkilä
    Ann Intern Med March 2, 1999 130:389-396

    Combination therapy with bedtime insulin plus metformin prevents weight gain in patients with type 2 diabetes. This regimen also seems superior to other bedtime insulin regimens with respect to improvement in hyperglycemia control and frequency of hypoglycemia.

  • Relation between Influenza Vaccination and Outpatient Visits, Hospitalization, and Mortality in Elderly Persons with Chronic Lung Disease

    • Kristin L. Nichol,
    • Leslie Baken,
    • and Andrew Nelson
    Ann Intern Med March 2, 1999 130:397-403

    For elderly persons with chronic lung disease, influenza is associated with significant adverse health effects and influenza vaccine is associated with substantial health benefits. Among these benefits are fewer outpatient visits, fewer hospitalizations, and fewer deaths.

  • Delays in the Suspicion and Treatment of Tuberculosis among Hospitalized Patients

    • Venkatarama K. Rao,
    • Elizabeth P. Iademarco,
    • Victoria J. Fraser,
    • and Marin H. Kollef
    Ann Intern Med March 2, 1999 130:404-411

    In this study, delays in initiation of tuberculosis treatment were more common than delays in the initial suspicion of tuberculosis. Both types of delays were common even in patients with disease confirmed by a positive smear.

  • Prostanoids for Chronic Critical Leg Ischemia: A Randomized, Controlled, Open-Label Trial with Prostaglandin E1

    • The ICAI Study Group*
    Ann Intern Med March 2, 1999 130:412-421

    Short-term treatment with alprostadil-α-cyclodextrine provides patients with critical leg ischemia a clinically worthwhile benefit that is apparent in the short term but decreases over time.

Brief Communications

  • Mycophenolate Mofetil for the Treatment of Takayasu Arteritis: Report of Three Cases

    • Erica Daina,
    • Arrigo Schieppati,
    • and Giuseppe Remuzzi
    Ann Intern Med March 2, 1999 130:422-426

    Mycophenate mofetil may be an alternative to steroids and cytotoxic agents in patients with Takayasu arteritis.

  • Theophylline Therapy for Near-Fatal Cheyne–Stokes Respiration: A Case Report

    • Catherine A. Pesek,
    • Ryan Cooley,
    • Krzysztof Narkiewicz,
    • Mark Dyken,
    • Neal L. Weintraub,
    • and Virend K. Somers
    Ann Intern Med March 2, 1999 130:427-430

    Theophylline may be a rapid and effective therapy for life-threatening Cheyne–Stokes respiration.

Clinical Reviews

  • Clinical Effects of Raloxifene Hydrochloride in Women

    • Weerapan Khovidhunkit and
    • Dolores M. Shoback
    Ann Intern Med March 2, 1999 130:431-439

    Raloxifene has been shown to have beneficial effects in selected organs in postmenopausal women. Although estrogen remains the drug of choice for hormonal therapy in most postmenopausal women, raloxifene may be an alternative in certain groups of women who have contraindications to estrogen and are at risk for osteoporosis.

Editorials

  • Treating Type 2 Diabetes with Respect

    • David M. Nathan
    Ann Intern Med March 2, 1999 130:440-441

    The study by Yki-Järvinen and colleagues in this issue adds to the accumulating data supporting the idea that intensive therapy goals can be achieved in patients with type 2 diabetes, with relatively low risk for hypoglycemia or weight gain. This growing body of evidence shows that laissez-faire therapy for type 2 diabetes is no longer acceptable.

  • Critical Limb Ischemia: Nothing To Give at the Office?

    • Robert M. Schainfeld and
    • Jeffrey M. Isner
    Ann Intern Med March 2, 1999 130:442-444

    Prognosis for patients with critical leg ischemia is often poor, and no pharmacotherapy has been effective. In this issue, the ICAI Study Group reports that prostaglandin E1 used to treat this condition had initial benefits that disappeared with time. Another potential medical approach to critical leg ischemia that has shown early promise is the use of gene transfer to repair the vascular system.

  • Seeking Forgiveness

    • Michael A. LaCombe
    Ann Intern Med March 2, 1999 130:444-445

    What is responsible for the despair and guilt, reflected in Costigan's essay in this issue, felt by young physicians who witness a patient's death after presumably missing a diagnosis?

On Being a Doctor

  • Trying To Let Go

    • David J. Costigan
    Ann Intern Med March 2, 1999 130:446

    Maybe there are some experiences that you just cannot, and maybe should not, bury.

On Being a Patient

  • Star Treatment

    • Irvin S. Bauer
    Ann Intern Med March 2, 1999 130:447-449

    I wet my bed. That's how it all starts.

Letters

  • Hospitalists: Cost and Quality of Care

    • Jonathan Warren
    Ann Intern Med March 2, 1999 130:450

  • Hospitalists: Cost and Quality of Care

    • Eran Bellin
    Ann Intern Med March 2, 1999 130:450

  • Hospitalists: Cost and Quality of Care

    • Herbert S. Diamond and
    • Elliot Goldberg
    Ann Intern Med March 2, 1999 130:450-451

  • Prevalence of Hepatitis C Virus Infection in Patients Hospitalized for Hepatitis A

    • Tarik Asselah,
    • Jacques Bernuau,
    • and Patrick Marcellin
    Ann Intern Med March 2, 1999 130:451

  • Transfusion-Transmitted Virus and Mixed Cryoglobulinemia

    • Patrice Cacoub,
    • Philippe Halfon,
    • and Lucile Musset
    Ann Intern Med March 2, 1999 130:451-452

  • Effects of Hypertriglyceridemia on Platelet Counts in Automated Hematologic Analysis

    • Osamu Kabutomori,
    • Yoshinori Iwatani,
    • and Miwako Kabutomori
    Ann Intern Med March 2, 1999 130:452

  • Access to Health Care, Socioeconomic Status, and Health

    • Marc A. Baltzan
    Ann Intern Med March 2, 1999 130:452-453

  • Access to Health Care, Socioeconomic Status, and Health

    • Leigh F. Callahan and
    • Theodore Pincus
    Ann Intern Med March 2, 1999 130:453

Medical Writings

  • Using Practice Guideline Compendiums To Provide Better Preventive Care

    • Scott Weingarten
    Ann Intern Med March 2, 1999 130:454-458

    This paper describes the rationale for continued attention to preventive care guidelines, the recent effort to organize existing guidelines, currently available compendiums of guidelines, ways to judge the quality of guidelines, and uses of guidelines in daily practice.

Medical Writings: Book Notes

  • The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines

    • Michael Nathan and
    • Robert Scholten
    Ann Intern Med March 2, 1999 130:459

  • Improve, Perfect, and Perpetuate: Dr. Nathan Smith and Early American Education

    • Jock Murray
    Ann Intern Med March 2, 1999 130:459-460

  • Becoming a Clinician: A Primer for Students

    • Valerie P. Weil
    Ann Intern Med March 2, 1999 130:460

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med March 2, 1999 130:0
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This Issue

March 2, 1999; 130 (5)
  1. Articles
  2. Brief Communications
  3. Clinical Reviews
  4. Editorials
  5. On Being a Doctor
  6. On Being a Patient
  7. Letters
  8. Medical Writings
  9. Medical Writings: Book Notes
  10. Ad Libitum
  11. Book Listings
  12. Medical Notices

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