Table of Contents

January 3, 2006; 144 (1)

Articles

  • Changes in Invasive Pneumococcal Disease among HIV-Infected Adults Living in the Era of Childhood Pneumococcal Immunization

    • Brendan Flannery,
    • Richard T. Heffernan,
    • Lee H. Harrison,
    • Susan M. Ray,
    • Arthur L. Reingold,
    • James Hadler,
    • William Schaffner,
    • Ruth Lynfield,
    • Ann R. Thomas,
    • Jianmin Li,
    • Michael Campsmith,
    • Cynthia G. Whitney,
    • and Anne Schuchat
    Ann Intern Med January 3, 2006 144:1-9

    According to a Centers for Disease Control and Prevention surveillance program, introduction of a pediatric conjugate vaccine was associated with an overall decrease in invasive pneumococcal disease among persons with HIV infection. Infection from pneumococcal serotypes contained in the vaccine decreased, and nonvaccine serotypes increased. Vaccinating children against pneumococcal disease protects adults with HIV infection.

  • Physical Performance in Peripheral Arterial Disease: A Slower Rate of Decline in Patients Who Walk More

    • Mary McGrae McDermott,
    • Kiang Liu,
    • Luigi Ferrucci,
    • Michael H. Criqui,
    • Philip Greenland,
    • Jack M. Guralnik,
    • Lu Tian,
    • Joseph R. Schneider,
    • William H. Pearce,
    • Jin Tan,
    • and Gary J. Martin
    Ann Intern Med January 3, 2006 144:10-20

    The natural history of symptomatic peripheral arterial disease (PAD) involves a decline in physical performance. In this observational study, physical performance of patients who were not in a supervised exercise program declined more slowly if they walked for exercise at least 3 times weekly. These findings may be particularly important for the many patients with PAD who do not have access to an organized walking exercise program.

  • Body Mass Index and Risk for End-Stage Renal Disease

    • Chi-yuan Hsu,
    • Charles E. McCulloch,
    • Carlos Iribarren,
    • Jeanne Darbinian,
    • and Alan S. Go
    Ann Intern Med January 3, 2006 144:21-28

    In this study of a cohort of patients in a large integrated health care system, people with higher body mass index (BMI) at baseline had a higher incidence of end-stage renal disease (ESRD) even after adjustment for their different baseline blood pressure level and prevalence of diabetes mellitus. The risk for ESRD rose as BMI increased. High BMI is a common, strong, and potentially modifiable risk factor for end-stage renal disease.

Improving Patient Care

  • Who Is Maintaining Certification in Internal Medicine—and Why? A National Survey 10 Years after Initial Certification

    • Rebecca S. Lipner,
    • Wayne H. Bylsma,
    • Gerald K. Arnold,
    • Gregory S. Fortna,
    • John Tooker,
    • and Christine K. Cassel
    Ann Intern Med January 3, 2006 144:29-36

    Internists who received initial board certification in 1990 to 1992 were the first whose certification required renewal. This survey asked why they did or did not participate in the American Board of Medical Specialties' Maintenance of Certification (MOC) program. Maintaining professional competence was the commonest reason for participating. Satisfying employment-related requirements was less important. Many general internists did not participate because they no longer practiced internal medicine.

Updates

  • Update in Infectious Diseases

    • John G. Bartlett
    Ann Intern Med January 3, 2006 144:49-56

    This Update in Infectious Diseases reviews important literature related to infectious diseases from 2004. The year had significant achievements, including substantial progress in the area of antiviral therapy for hepatitis B and C, and introduced several new challenges, perhaps the greatest of which was the threat of avian influenza. The author summarizes the medical reports that guided research in the field in 2004.

Review

  • Meta-Analysis: Protein and Energy Supplementation in Older People

    • Anne C. Milne,
    • Alison Avenell,
    • and Jan Potter
    Ann Intern Med January 3, 2006 144:37-48

    Randomized trials of oral nutritional supplements show a pattern of greater effect in people older than age 75 years and the undernourished. High-energy supplements given over a long time had more benefit. Current evidence shows little benefit to routine nutritional supplements in people living at home and in well-nourished persons.

Editorials

  • Leaving (Internal) Medicine

    • Harold C. Sox
    Ann Intern Med January 3, 2006 144:57-58

    As the United States slides into a crisis of access to primary care, the results of the American Board of Internal Medicine–American College of Physicians survey, reported by Lipner and colleagues in this issue, provide 3 valuable lessons. First, the number of primary care physicians is falling faster than we had realized. Second, migration between medical specialties is important. Third, we need to pay more attention to tracking career changes of practicing physicians.

  • Feeding Patients after Stroke: Who, When, and How

    • Linda S. Williams
    Ann Intern Med January 3, 2006 144:59-60

    It's Friday at 5:30 p.m. Monday is a holiday. You have just admitted a 75-year-old woman with dysarthria and dysphagia from a lateral medullary stroke. A swallowing study will not be available for more than 72 hours. What should you do about feeding her?

On Being a Doctor

  • Customer Disservice?

    • James L. Glazer
    Ann Intern Med January 3, 2006 144:61-62

    Humming a tune as I rounded the corner, I plucked a chart from the wall outside room 14. Carol Todd, a woman of 48, had come to see me about “cellulitis of the scalp.” My nurse had scrawled a question mark after her history, and then an exclamation point. I shot a quizzical look into the nurses' pod at her. She rolled her eyes at me and mouthed the words, “You'll see.” I knocked on the door and entered the examination room.

  • Twenty Minutes

    • Joseph Cavanaugh
    Ann Intern Med January 3, 2006 144:63-64

    He said, as he always did, “I'm just feeling old, you know, everything hurts when you get old. Don't ever get old.” It was his joke, the one he brought out every time. Every time he did he shook his head slowly and his smile arched into a grimace. Every time I thought he was going to cry.

Letters

  • Implications of the Multicenter Automatic Defibrillator Implantation Trial-II

    • William S. Weintraub
    Ann Intern Med January 3, 2006 144:65

  • Implications of the Multicenter Automatic Defibrillator Implantation Trial-II

    • Fahim H. Jafary
    Ann Intern Med January 3, 2006 144:65

  • Implications of the Multicenter Automatic Defibrillator Implantation Trial-II

    • Sana M. Al-Khatib,
    • Daniel B. Mark,
    • and Robert M. Califf
    Ann Intern Med January 3, 2006 144:65-66

  • Managing People at High Risk for Diabetes

    • William H. Herman,
    • Thomas J. Hoerger,
    • Katherine Hicks,
    • Michael Brandle,
    • Stephen W. Sorensen,
    • Ping Zhang,
    • Michael M. Engelgau,
    • Richard F. Hamman,
    • David G. Marrero,
    • Ronald T. Ackermann,
    • and Robert E. Ratner
    Ann Intern Med January 3, 2006 144:66-67

  • Managing People at High Risk for Diabetes

    • David M. Eddy,
    • Leonard Schlessinger,
    • and Richard Kahn
    Ann Intern Med January 3, 2006 144:67-68

  • Hepatotoxicity Associated with Supplements Containing Chinese Green Tea (Camellia sinensis)

    • Herbert L. Bonkovsky
    Ann Intern Med January 3, 2006 144:68-71

Medical Writings: Book Notes

  • The Clinician's Guide to Gastrointestinal Oncology

    • Joanne K. Tobacman
    Ann Intern Med January 3, 2006 144:72

  • Hypertension: Principles and Practice

    • Raymond R. Townsend
    Ann Intern Med January 3, 2006 144:72

Medical Notices

  • Medical Notices

    Ann Intern Med January 3, 2006 144:0

Summaries for Patients

  • Can a Self-Directed Walking Program Help To Limit the Rate of Decline in Physical Ability among People with Blocked Arteries in the Legs?

    Ann Intern Med January 3, 2006 144:I-20

  • Are Overweight or Obese People at Greater Risk for Kidney Failure?

    Ann Intern Med January 3, 2006 144:I-28

  • Which Board-Certified Doctors Are Renewing Their Certification, and Why?

    Ann Intern Med January 3, 2006 144:I-36

Commentary

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This Issue

January 3, 2006; 144 (1)
  1. Articles
  2. Improving Patient Care
  3. Updates
  4. Review
  5. Editorials
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Medical Notices
  10. Summaries for Patients
  11. Commentary

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