Constance G. Bacon, ScD; Murray A. Mittleman, MD, ScD; Ichiro Kawachi, MD, PhD; Edward Giovannucci, MD, ScD; Dale B. Glasser, PhD; Eric B. Rimm, ScD
After age 50, many aspects of male sexual function decline sharply with each additional decade of age. In this study, several modifiable health behaviors were associated with erectile function. Physical activity and leanness were associated with good erectile function, while smoking, alcohol consumption, and television viewing time were associated with poor erectile function.
Ann Intern Med. 2003;139(3):161-168. doi:10.7326/0003-4819-139-3-200308050-00005
Richard B. Devereux, MD; Bjrn Dahlf, MD; Sverre E. Kjeldsen, MD; Stevo Julius, MD; Peter Aurup, MD; Gareth Beevers, MD; Jonathan M. Edelman, MD; Ulf de Faire, MD; Frej Fyhrquist, MD; Sigrid Helle Berg, BA; Hans Ibsen, MD; Krister Kristianson, MD; Ole Lederballe-Pedersen, MD; Lars H. Lindholm, MD; Markku S. Nieminen, MD; Per Omvik, MD; Suzanne Oparil, MD; Steven Snapinn, PhD; Hans Wedel, MD; for the LIFE Study Group*
In hypertensive patients without clinically evident vascular disease, losartan and atenolol were equally effective in reducing blood pressure, but losartan was more effective in preventing cardiovascular death and morbidity (predominantly from stroke).
Ann Intern Med. 2003;139(3):169-177. doi:10.7326/0003-4819-139-3-200308050-00006
Sheryl B. Lyss, MD; Mary L. Kamb, MD, MPH; Thomas A. Peterman, MD, MSc; John S. Moran, MD, MPH; Daniel R. Newman, MA; Gail Bolan, MD; John M. Douglas, Jr., MD; Michael Iatesta, MA; C Kevin Malotte, DrPH; Jonathan M. Zenilman, MD; Josephine Ehret, BS; Charlotte Gaydos, MS, MPH, DrPH; Wilbert J. Newhall, PhD; for the Project RESPECT Study Group*
Past treatment guidelines for sexually transmitted diseases (STDs) have recommended empirical co-treatment for chlamydia when patients are treated for gonorrhea. Co-infection with chlamydia is still frequent in STD clinic patients who receive treatment for gonorrhea. This finding supports continuing routine co-treatment for chlamydia.
Ann Intern Med. 2003;139(3):178-185. doi:10.7326/0003-4819-139-3-200308050-00007
Brindhesha Rasaratnam, MBBS, FRACP; David Kaye, MBBS, FRACP, PhD; Garry Jennings, MBBS, FRACP, MD; Francis Dudley, MBBS, FRACP, MD; Jaye Chin-Dusting, PhD
Selective intestinal decontamination with norfloxacin partially reverses the hyperdynamic circulatory state in cirrhotic patients without harming splanchnic or renal blood flow.
Ann Intern Med. 2003;139(3):186-193. doi:10.7326/0003-4819-139-3-200308050-00008
J. Enrique Silva, MD
This review examines the thermogenic effect of thyroid hormone and how it affects some thyroid diseases, energy balance, and body weight.
Ann Intern Med. 2003;139(3):205-213. doi:10.7326/0003-4819-139-3-200308050-00010
Paul L. Kimmel, MD; Laura Barisoni, MD; Jeffrey B. Kopp, MD
This conference discusses renal syndromes in HIV-infected patients, including HIV-associated thrombotic microangiopathy, immune-mediated glomerulonephritides, and nephropathy. Other topics include management of HIV-infected patients with chronic kidney disease, pathologic features of HIV-associated nephropathy, and mechanisms of HIV-associated renal injury.
Ann Intern Med. 2003;139(3):214-226. doi:10.7326/0003-4819-139-3-200308050-00011
Richard I. Dorin, MD; Clifford R. Qualls, PhD; Lawrence M. Crapo, MD, PhD
The cosyntropin stimulation test has been part of the standard evaluation of suspected primary or secondary adrenal insufficiency. The cosyntropin test performs well in patients with primary adrenal insufficiency, but its lower sensitivity in patients with secondary adrenal insufficiency necessitates use of tests involving stimulation of the hypothalamus if the pretest probability is sufficiently high.
Ann Intern Med. 2003;139(3):194-204. doi:10.7326/0003-4819-139-3-200308050-00009
Harold C. Sox, MD, Editor
Fewer medical students are choosing office practiceoriented careers in medicine. Medical information technology will greatly improve the efficiency of office practice and make it a more attractive career alternative. However, developing excellent office information systems and distributing them nationally will require very strong, sustained leadership from a diverse group of stakeholders. Improving the infrastructure of medical practice is one of the supreme challenges facing medicine.
Ann Intern Med. 2003;139(3):227-228. doi:10.7326/0003-4819-139-3-200308050-00012
H. James Merchant, MD
Somewhere along the line, we learn that a patient's chart should not be tampered with and to do so is a breach of medical ethics. But I once did, and I think it was the right thing to do.
Ann Intern Med. 2003;139(3):229-230. doi:10.7326/0003-4819-139-3-200308050-00013
John D. Rowlett, MD
I'm not really sure when I first noticed him, proudly sitting on his porch with a broad smile on his weathered face. It was a comforting, peaceful sighthe in his twisted metal chair next to a tattered recliner, greeting the passing world. Most mornings as I hurried down a forgotten hospital access road lined with resident and physician housing, I was blessed with his presence. Countless times I told myself to stop, but I never did.
Ann Intern Med. 2003;139(3):231. doi:10.7326/0003-4819-139-3-200308050-00015
Ann Intern Med. 2003;139(3):232. doi:10.7326/0003-4819-139-3-200308050-00017
Ann Intern Med. 2003;139(3):233. doi:10.7326/0003-4819-139-3-200308050-00018
Ann Intern Med. 2003;139(3):232. doi:10.7326/0003-4819-139-3-200308050-00016
Ann Intern Med. 2003;139(3):233-234. doi:10.7326/0003-4819-139-3-200308050-00019
Ann Intern Med. 2003;139(3):234. doi:10.7326/0003-4819-139-3-200308050-00020
Ann Intern Med. 2003;139(3):234-235. doi:10.7326/0003-4819-139-3-200308050-00021
Ann Intern Med. 2003;139(3):W-60. doi:10.7326/0003-4819-139-3-200308050-00021-w1
Ann Intern Med. 2003;139(3):W-61. doi:10.7326/0003-4819-139-3-200308050-00021-w2
Ann Intern Med. 2003;139(3):W-62. doi:10.7326/0003-4819-139-3-200308050-00021-w3
Ann Intern Med. 2003;139(3):W-63. doi:10.7326/0003-4819-139-3-200308050-00021-w4
Ann Intern Med. 2003;139(3):235. doi:10.7326/0003-4819-139-3-200308050-00022
Ann Intern Med. 2003;139(3):235. doi:10.7326/0003-4819-139-3-200308050-00023
George N. Braman, MD
Ann Intern Med. 2003;139(3):230. doi:10.7326/0003-4819-139-3-200308050-00014
Ann Intern Med. 2003;139(3):I-22. doi:10.7326/0003-4819-139-3-200308050-00001
Ann Intern Med. 2003;139(3):I-28. doi:10.7326/0003-4819-139-3-200308050-00002
Ann Intern Med. 2003;139(3):I-40. doi:10.7326/0003-4819-139-3-200308050-00003
Ann Intern Med. 2003;139(3):I-62. doi:10.7326/0003-4819-139-3-200308050-00004
Arthur C. Fox, MD
Ann Intern Med. 2003;139(3):236. doi:10.7326/0003-4819-139-3-200308050-00028
Helen Hoenig, MD, MPH
Ann Intern Med. 2003;139(3):236. doi:10.7326/0003-4819-139-3-200308050-00029
Ann Intern Med. 2003;139(3):0. doi:10.7326/0003-4819-139-3-200308050-00100
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