Table of Contents

November 16, 1999; 131 (10)

Articles

  • Older Age, Aggressiveness of Care, and Survival for Seriously Ill, Hospitalized Adults

    • Mary Beth Hamel,
    • Roger B. Davis,
    • Joan M. Teno,
    • William A. Knaus,
    • Joanne Lynn,
    • Frank Harrell, Jr.,
    • Anthony N. Galanos,
    • Albert W. Wu,
    • Russell S. Phillips,
    • and for the SUPPORT Investigators
    Ann Intern Med November 16, 1999 131:721-728

    This study found a modest association between patient age and short-term survival of serious illness. This age effect was not explained by the current practice of providing less aggressive care to elderly patients.

  • Prophylactic Fluconazole in Liver Transplant Recipients: A Randomized, Double-Blind, Placebo-Controlled Trial

    • Drew J. Winston,
    • Anita Pakrasi,
    • and Ronald W. Busuttil
    Ann Intern Med November 16, 1999 131:729-737

    Prophylactic fluconazole after liver transplantation decreases fungal colonization, prevents superficial and invasive fungal infections, and is not associated with appreciable hepatotoxicity. Although this therapy is related to fewer deaths from fungal infection compared with placebo, it does not improve overall survival.

  • Malignant Neoplasms in Long-Term Survivors of Bone Marrow Transplantation

    • H. J. Kolb,
    • Gérard Socié,
    • Thomas Duell,
    • Maria Theresa Van Lint,
    • André Tichelli,
    • Jane F. Apperley,
    • Elke Nekolla,
    • Per Ljungman,
    • Niels Jacobsen,
    • M. van Weel,
    • Roland Wick,
    • Melanie Weiss,
    • H. Grant Prentice,
    • and for the Late Effects Working Party of the European Cooperative Group for Blood and Marrow Transplantation and the European Late Effect Project Group
    Ann Intern Med November 16, 1999 131:738-744

    The spectrum of neoplasms and immunosuppressive treatment with cyclosporine for chronic graft-versus-host disease as dominant risk factors indicate that immunosuppression is the major cause of malignant neoplasms in patients receiving bone marrow transplants.

  • Influence of Patient Education on Profiles of Physician Practices

    • Kevin Fiscella and
    • Peter Franks
    Ann Intern Med November 16, 1999 131:745-751

    Profiles of physician practices that base ratings of physician performance on patients' physical and mental health status are substantially affected by patients' level of education. However, these results do not suggest that physicians who care for less educated patients provide worse care. Physician profiling should account for differences in patients' level of education.

Brief Communications

  • Influence of the Vitamin D Receptor Gene Polymorphism on Bone Loss in Men after Liver Transplantation

    • Jordi Guardiola,
    • Xavier Xiol,
    • Richard Sallie,
    • Joan M. Nolla,
    • Daniel Roig-Escofet,
    • Eduardo Jaurrieta,
    • and Luis Casais
    Ann Intern Med November 16, 1999 131:752-755

    Vitamin D receptor gene polymorphism influences bone loss after liver transplantation. Patients with the bb genotype are, to some extent, protected against post-transplantation bone loss.

  • Synovial Fluid Analysis for Diagnosis of Intercritical Gout

    • Eliseo Pascual,
    • Enrique Batlle-Gualda,
    • Agustín Martínez,
    • José Rosas,
    • and Paloma Vela
    Ann Intern Med November 16, 1999 131:756-759

    Arthrocentesis of asymptomatic knees and first metatarsophalangeal joints and synovial fluid analysis are simple procedures that facilitate the diagnosis of gout during intercritical periods.

Updates

  • Combination Therapy with Multiple Disease-Modifying Antirheumatic Drugs in Rheumatoid Arthritis: A Preventive Strategy

    • Theodore Pincus,
    • James R. O'Dell,
    • and Joel M. Kremer
    Ann Intern Med November 16, 1999 131:768-774

    This paper discusses the rationale for a rheumatoid arthritis treatment strategy that aims to control inflammation as completely as possible; summarizes evidence from randomized, controlled clinical trials of combination disease-modifying antirheumatic drugs to control inflammation; and describes a contemporary approach to rheumatoid arthritis.

Medicine and Public Issues

  • Name-Based Surveillance and Public Health Interventions for Persons with HIV Infection

    • Dennis H. Osmond,
    • Andrew B. Bindman,
    • Karen Vranizan,
    • J. Stan Lehman,
    • Frederick M. Hecht,
    • Dennis Keane,
    • Arthur Reingold,
    • and for the Multistate Evaluation of Surveillance for HIV Study Group*
    Ann Intern Med November 16, 1999 131:775-779

    Name-based surveillance of HIV infection is the law in 31 U.S. states, but it remains controversial. The Multistate Evaluation of Surveillance for HIV Study Group surveyed a cross-sectional probability sample of persons with AIDS in 5 states that use name-based surveillance. The results suggest that the potential for negative or positive effects of this surveillance on partner notification and access to health care has been exaggerated.

Editorial

  • The Legacy of SUPPORT

    • Steven A. Schroeder
    Ann Intern Med November 16, 1999 131:780-782

    Few clinical research projects have generated as much public interest or as many published articles as SUPPORT (the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment). The latest of these articles appears in this issue. What accounts for SUPPORT's impact?

On Being a Doctor

  • Roxanne

    • Dennis H. Novack
    Ann Intern Med November 16, 1999 131:784-785

    She walked to the door. I followed her. I had an eerie sense of predestination: If I had come to the lobby five seconds later, I would have missed her. I was meant to find her, to stop her.

On Being a Patient

  • An Entirely Benign Disorder

    • Sebastian Fetscher
    Ann Intern Med November 16, 1999 131:786-788

    A doctor's failing mitral valve launches a years-long search for some kind of consensus among a series of disagreeing specialists.

Letters

  • Risk Factors for Thromboembolism

    • Eliot Williams
    Ann Intern Med November 16, 1999 131:790

  • Risk Factors for Thromboembolism

    • Stephen J. Jay
    Ann Intern Med November 16, 1999 131:790

  • Risk Factors for Thromboembolism

    • Francesco Rodeghiero and
    • Alberto Tosetto
    Ann Intern Med November 16, 1999 131:790-791

  • Hormone Replacement Therapy in Postmenopausal U.S. Women

    • Pramil N. Singh
    Ann Intern Med November 16, 1999 131:791

  • Hormone Replacement Therapy in Postmenopausal U.S. Women

    • Nancy L. Keating,
    • John Z. Ayanian,
    • and Alan M. Zaslavsky
    Ann Intern Med November 16, 1999 131:791

  • Thrombolytic Predictive Instrument

    • Harry P. Selker,
    • Christopher H. Schmid,
    • and John L. Griffith
    Ann Intern Med November 16, 1999 131:791-792

  • The Park Nicollet Experience

    • Michael J. Dawson
    Ann Intern Med November 16, 1999 131:792

  • The Park Nicollet Experience

    • Richard B. Freese
    Ann Intern Med November 16, 1999 131:792

  • Sigmoidoscopy Reimbursement

    • Evan Ashkin
    Ann Intern Med November 16, 1999 131:792-793

  • Splenectomy-Induced Portal Hypertension and Pulmonary Hypertension

    • Shinji Teramoto,
    • Takeshi Matsuse,
    • and Yasuyoshi Ouchi
    Ann Intern Med November 16, 1999 131:793

  • Splenectomy-Induced Portal Hypertension and Pulmonary Hypertension

    • Marius M. Hoeper and
    • Jost Niedermeyer
    Ann Intern Med November 16, 1999 131:793

  • False-Positive HIV Diagnosis by HIV-1 Plasma Viral Load Testing

    • Daniel H. Havlichek, Jr. and
    • Elie Hage-Korban
    Ann Intern Med November 16, 1999 131:794

  • Nosocomial Transmission of Hepatitis C Virus

    • S. Le Pogam,
    • Alain Gondeau,
    • and Y. Bacq
    Ann Intern Med November 16, 1999 131:794

  • Renin-Secreting Adenocarcinoma of the Colon

    • Tim R. Ringrose,
    • Paddy A. Phillips,
    • and George B.M. Lindop
    Ann Intern Med November 16, 1999 131:794-795

  • Famotidine-Induced Erythema Multiforme: Cross-Sensitivity with Cimetidine

    • Yasuhiro Horiuchi and
    • Kazuto Ikezawa
    Ann Intern Med November 16, 1999 131:795

  • Tropheryma whippelii in Synovial Tissue and Fluid

    • Xavier Puéchal,
    • Radwan Saad,
    • and Jean-Dominique Poveda
    Ann Intern Med November 16, 1999 131:795-796

  • Sudden Jaundice with Isolated Atypical Perinuclear Antineutrophil Cytoplasmic Antibodies

    • Edward L. Krawitt
    Ann Intern Med November 16, 1999 131:796

  • Retroperitoneal Hematoma and Enoxaparin

    • Jean-Paul Montoya,
    • Nagaprasadrao Pokala,
    • and Stephen L. Melde
    Ann Intern Med November 16, 1999 131:796-797

  • Long QT Syndrome and Torsade de Pointes in a Patient Receiving Fluconazole

    • Sven Wassmann,
    • Georg Nickenig,
    • and Michael Böhm
    Ann Intern Med November 16, 1999 131:797

  • Treatment of Parathyroid Cysts with Fine-Needle Aspiration

    • Bingyin Shi,
    • Hui Guo,
    • and Nan Tang
    Ann Intern Med November 16, 1999 131:797-798

  • “Catastrophic” Diagnosis of the Antiphospholipid Syndrome

    • Jean-Charles Piette,
    • Zahir Amoura,
    • and Anne Foucher-Lavergne
    Ann Intern Med November 16, 1999 131:798-799

  • Posterior Pituitary Sigma Receptors and Drug-Induced Syndrome of Inappropriate Antidiuretic Hormone Release

    • Russell A. Wilke
    Ann Intern Med November 16, 1999 131:799

Medical Writings: Book Notes

Currents

  • Computational Genomics: The Medicine of the Future?

    • Gail Dutton
    Ann Intern Med November 16, 1999 131:801-804

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med November 16, 1999 131:0

Summaries for Patients

Updates from the Annual Session

  • Update in Oncology

    • John C. Ruckdeschel
    Ann Intern Med November 16, 1999 131:760-767

    Among the many important topics that currently come under the heading of oncology, this Update focuses on the most common diseases: prostate cancer, breast cancer, and lung cancer.

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This Issue

November 16, 1999; 131 (10)
  1. Articles
  2. Brief Communications
  3. Updates
  4. Medicine and Public Issues
  5. Editorial
  6. On Being a Doctor
  7. On Being a Patient
  8. Letters
  9. Medical Writings: Book Notes
  10. Currents
  11. Ad Libitum
  12. Book Listings
  13. Medical Notices
  14. Summaries for Patients
  15. Updates from the Annual Session

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