Table of Contents

January 20, 2004; 140 (2)

Articles

  • Graded Activity for Low Back Pain in Occupational Health Care: A Randomized, Controlled Trial

    • J. Bart Staal,
    • Hynek Hlobil,
    • Jos W.R. Twisk,
    • Tjabe Smid,
    • Albère J.A. Köke,
    • and Willem van Mechelen
    Ann Intern Med January 20, 2004 140:77-84

    Although low back pain is frequently associated with disability and absence from work, few studies have evaluated strategies targeted to an early return to work. The authors found that graded exercises were more effective than usual care in reducing the number of days of absence from work because of low back pain.

  • High-Dose Melphalan and Autologous Stem-Cell Transplantation in Patients with AL Amyloidosis: An 8-Year Study

    • Martha Skinner,
    • Vaishali Sanchorawala,
    • David C. Seldin,
    • Laura M. Dember,
    • Rodney H. Falk,
    • John L. Berk,
    • Jennifer J. Anderson,
    • Carl O'Hara,
    • Kathleen T. Finn,
    • Caryn A. Libbey,
    • Janice Wiesman,
    • Karen Quillen,
    • Niall Swan,
    • and Daniel G. Wright
    Ann Intern Med January 20, 2004 140:85-93

    In this large case series of patients with AL amyloidosis, hematologic remission, improved 5-year survival, and reversal of amyloid-related disease occurred in a substantial proportion of selected patients after treatment with high-dose melphalan and stem-cell transplantation.

  • Elevated Plasma Homocysteine Level Is an Independent Predictor of Coronary Heart Disease Events in Patients with Type 2 Diabetes Mellitus

    • Minna Soinio,
    • Jukka Marniemi,
    • Markku Laakso,
    • Seppo Lehto,
    • and Tapani Rönnemaa
    Ann Intern Med January 20, 2004 140:94-100

    High plasma homocysteine level has been associated with increased risk for coronary heart disease (CHD) events in nondiabetic individuals, especially in those with previously diagnosed CHD. In this large cohort of patients with type 2 diabetes, plasma homocysteine level was a strong and independent risk factor for CHD events.

Brief Communications

  • Resolution of Left Atrial Thrombus after 6 Months of Anticoagulation in Candidates for Percutaneous Transvenous Mitral Commissurotomy

    • Songkwan Silaruks,
    • Bandit Thinkhamrop,
    • Songsak Kiatchoosakun,
    • Chaiyasith Wongvipaporn,
    • and Pyatat Tatsanavivat
    Ann Intern Med January 20, 2004 140:101-105

    Left atrial thrombus is a contraindication to percutaneous transvenous mitral commissurotomy (PTMC). The authors found that after 6 months of oral anticoagulation, left atrial thrombus disappeared in about a quarter of candidates for PTMC, allowing them to undergo the procedure safely.

Reviews

  • Management of Adult Patients with Persistent Idiopathic Thrombocytopenic Purpura Following Splenectomy: A Systematic Review

    • Sara K. Vesely,
    • Jedidiah J. Perdue,
    • Mujahid A. Rizvi,
    • Deirdra R. Terrell,
    • and James N. George
    Ann Intern Med January 20, 2004 140:112-120

    This review found little good-quality evidence about treatments for patients with idiopathic thrombocytopenic purpura who have persistent severe thrombocytopenia after splenectomy.

  • The Accuracy of the Ottawa Knee Rule To Rule Out Knee Fractures: A Systematic Review

    • Lucas M. Bachmann,
    • Sophie Haberzeth,
    • Johann Steurer,
    • and Gerben ter Riet
    Ann Intern Med January 20, 2004 140:121-124

    A negative result on an Ottawa knee rule test accurately excludes knee fractures after acute knee injury, in part because the rule is calibrated toward 100% sensitivity and in part because fracture prevalence is low.

Clinical Guidelines

  • Screening for Thyroid Disease: Recommendation Statement

    • U.S. Preventive Services Task Force*
    Ann Intern Med January 20, 2004 140:125-127

    The U.S. Preventive Services Task Force concludes that the evidence is insufficient to recommend for or against routine screening for thyroid disease in adults.

  • Screening for Subclinical Thyroid Dysfunction in Nonpregnant Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force

    • Mark Helfand
    Ann Intern Med January 20, 2004 140:128-141

    This systematic review provides the evidence to support the U.S. Preventive Services Task Force's position on screening adults for thyroid disease.

Editorial

  • Absent from Work: Nature versus Nurture

    • James Weinstein
    Ann Intern Med January 20, 2004 140:142-143

    In this issue, Staal and colleagues report on an intervention aimed at changing the way disabled workers perceive and cope with back pain. Patient-centered efforts that promote return to work and address known psychosocial factors through graded activities hold promise for improving disability outcomes. As the authors state, pain relief is not a prerequisite for return to work.

On Being a Doctor

  • A Time To Listen

    • Donald A. Barr
    Ann Intern Med January 20, 2004 140:144

    When teaching my students about what goes into a good doctor–patient interaction, I tell them about the studies that show how quickly doctors interrupt their patients. How long do I wait, I wondered? I decided to try an experiment. I would let my next patient talk as long as he or she needed to explain his or her reason for seeing me. I would watch the clock and see how long a patient might naturally take to explain the presenting complaint. I would hold my tongue.

Letters

  • Evidence for Use of Coronary Stents

    • David Massel
    Ann Intern Med January 20, 2004 140:W-4

  • Implications of Regional Differences in Spending

    • Rudolph J. Mueller
    Ann Intern Med January 20, 2004 140:145

  • Implications of Regional Differences in Spending

    • Barry Kisloff
    Ann Intern Med January 20, 2004 140:145-146

  • Implications of Regional Differences in Spending

    • Howard A. Levin
    Ann Intern Med January 20, 2004 140:146

  • Implications of Regional Differences in Spending

    • Rudy Fernandes
    Ann Intern Med January 20, 2004 140:146-147

  • Implications of Regional Differences in Spending

    • George L. Weber
    Ann Intern Med January 20, 2004 140:147

  • Implications of Regional Differences in Spending

    • Hyman Gaylis
    Ann Intern Med January 20, 2004 140:147

  • Implications of Regional Differences in Spending

    • Franklin Gaylis
    Ann Intern Med January 20, 2004 140:147-148

  • Implications of Regional Differences in Spending

    • Elliott S. Fisher,
    • Dan Gottlieb,
    • and David Wennberg
    Ann Intern Med January 20, 2004 140:148-149

  • Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees

    • James Judge
    Ann Intern Med January 20, 2004 140:149

  • Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees

    • Mary E. Moore
    Ann Intern Med January 20, 2004 140:149

  • Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees

    • David Riley
    Ann Intern Med January 20, 2004 140:149

  • Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees

    • Leena Sharma,
    • Dorothy D. Dunlop,
    • and Karen W. Hayes
    Ann Intern Med January 20, 2004 140:150

  • Is a Strong Quadriceps Muscle Bad for a Patient with Knee Osteoarthritis?

    • Leena Sharma,
    • Dorothy D. Dunlop,
    • and Karen W. Hayes
    Ann Intern Med January 20, 2004 140:150

  • Treatment of Chronic Hepatitis C in a State Correctional Facility

    • David Bernstein
    Ann Intern Med January 20, 2004 140:150-151

  • Treatment of Chronic Hepatitis C in a State Correctional Facility

    • Scott Allen,
    • Anne Spaulding,
    • and Josiah D. Rich
    Ann Intern Med January 20, 2004 140:151

  • Correction: The Continuing Increase in the Incidence of Hepatocellular Carcinoma in the United States

    Ann Intern Med January 20, 2004 140:151

Medical Writings: Book Notes

  • Targeted Therapies in Rheumatology

    • Barry Bresnihan
    Ann Intern Med January 20, 2004 140:152

  • Chekhov's Doctors: A Collection of Chekhov's Medical Tales

    • Michael A. LaCombe
    Ann Intern Med January 20, 2004 140:152

Current Clinical Issues

  • New Treatments for Growing Scourge of Brittle Bones

    • Jennifer Fisher Wilson
    Ann Intern Med January 20, 2004 140:153-156

Book Listings

  • Book Listings

    Ann Intern Med January 20, 2004 140:0

Medical Notices

  • Medical Notices

    Ann Intern Med January 20, 2004 140:0

Summaries for Patients

  • A Graded Activity Program for Workers with Disabling Low Back Pain

    Ann Intern Med January 20, 2004 140:I-24

  • Improved Treatment of AL Amyloidosis

    Ann Intern Med January 20, 2004 140:I-27

  • High Homocysteine Levels Increase Risk for Heart Attacks in People with Type 2 Diabetes Mellitus

    Ann Intern Med January 20, 2004 140:I-31

  • Dissolving Left Atrial Clots in Patients with Mitral Stenosis

    Ann Intern Med January 20, 2004 140:I-36

  • Treatment Options for Idiopathic Thrombocytopenic Purpura When Splenectomy Is Ineffective

    Ann Intern Med January 20, 2004 140:I-38

  • Screening for Thyroid Disease: A Recommendation from the U.S. Preventive Services Task Force

    Ann Intern Med January 20, 2004 140:I-58

Updates from the Annual Session

  • Update in Nephrology

    • Janis M. Orlowski
    Ann Intern Med January 20, 2004 140:106-111

    This Update focuses on 3 topics of interest: hypertension, proteinuria, and renal replacement therapy. The author also reviews a study of nephrolithiasis and a study of glomerulonephritis associated with lupus-related nephropathy.

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This Issue

January 20, 2004; 140 (2)
  1. Articles
  2. Brief Communications
  3. Reviews
  4. Clinical Guidelines
  5. Editorial
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Current Clinical Issues
  10. Book Listings
  11. Medical Notices
  12. Summaries for Patients
  13. Updates from the Annual Session

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