Table of Contents

August 17, 1999; 131 (4)

Articles

  • Improving Adherence to Dementia Guidelines through Education and Opinion Leaders: A Randomized, Controlled Trial

    • David R. Gifford,
    • Robert G. Holloway,
    • Martin R. Frankel,
    • Carol L. Albright,
    • Rebecca Meyerson,
    • Robert C. Griggs,
    • and Barbara G. Vickrey
    Ann Intern Med August 17, 1999 131:237-246

    Educational methods that encourage physicians to adopt practice guidelines are needed. This study found that a multifaceted education strategy can improve neurologists' adherence to practice recommendations endorsed by specialty societies.

  • Early Diagnosis and Treatment of Pancreatic Dysplasia in Patients with a Family History of Pancreatic Cancer

    • Teresa A. Brentnall,
    • Mary P. Bronner,
    • David R. Byrd,
    • Rodger C. Haggitt,
    • and Michael B. Kimmey
    Ann Intern Med August 17, 1999 131:247-255

    Thorough screening of patients with a family history of pancreatic cancer is feasible. Clinical data combined with imaging studies can be used to identify high-risk patients who have dysplasia. The role of molecular genetic testing is uncertain at this time.

  • Plasma HIV Viral Load in Patients with Hemophilia and Late-Stage HIV Disease: A Measure of Current Immune Suppression

    • Eric A. Engels,
    • Philip S. Rosenberg,
    • Thomas R. O'Brien,
    • James J. Goedert,
    • and for the Multicenter Hemophilia Cohort Study
    Ann Intern Med August 17, 1999 131:256-264

    In patients with hemophilia and late-stage HIV disease, viral load predicts disease progression independently of CD4 cell counts. Because viral load most strongly predicts progression immediately after it is measured, it seems to reflect the current level of immunosuppression.

Brief Communications

  • Patient-Identified Needs for Hormone Replacement Therapy Counseling: A Qualitative Study

    • Maureen T. Connelly,
    • Nancy Ferrari,
    • Nicole Hagen,
    • and Thomas S. Inui
    Ann Intern Med August 17, 1999 131:265-268

    Many women in a managed care organization who accepted a prescription for hormone replacement therapy identified counseling needs that are not included in widely used hormone replacement therapy guidelines.

  • Infection-Control Measures Reduce Transmission of Vancomycin-Resistant Enterococci in an Endemic Setting

    • Marisa A. Montecalvo,
    • William R. Jarvis,
    • Jane Uman,
    • David K. Shay,
    • Coleen Petrullo,
    • Karen Rodney,
    • Cheryl Gedris,
    • Harold W. Horowitz,
    • and Gary P. Wormser
    Ann Intern Med August 17, 1999 131:269-272

    Enhanced infection-control strategies reduced transmission of vancomycin-resistant enterococci in an oncology unit in which these organisms were endemic.

Review

  • Pharmacologic Therapy for Type 2 Diabetes Mellitus

    • Ralph A. DeFronzo
    Ann Intern Med August 17, 1999 131:281-303

    This review examines the goals of antihyperglycemic therapy and the mechanisms of action, efficacy, nonglycemic benefits, cost, and safety profile of each of the five approved classes of oral agents. A rationale for the use of these agents as monotherapy, in combination with each other, and in combination with insulin is also provided.

Editorial

  • Guidelines Have Their Limits

    • Jeoffrey K. Stross
    Ann Intern Med August 17, 1999 131:304-306

    In this issue, Gifford and colleagues report on an intervention designed to improve adherence to practice guidelines. Despite the study's many strengths, the intervention's effects on physician behavior were not impressive. What factors may explain these findings, and what other methods can be used to change physician behavior?

On Being a Doctor

  • On the Road

    • Nancy L. Greengold
    Ann Intern Med August 17, 1999 131:307-308

    What world would I join—full-time physicianhood or health care administration? Did I go through medical school, residency, and fellowship to be a cop? Or is it better to be a cop than a copee?

Letters

  • Update in Endocrinology

    • Hunter Heath III,
    • Bruce Mitlak,
    • and Pamela Anderson
    Ann Intern Med August 17, 1999 131:309

  • Update in Endocrinology

    • Janet A. Schlechte
    Ann Intern Med August 17, 1999 131:309

  • Compliance with Handwashing

    • Maryanne McGuckin
    Ann Intern Med August 17, 1999 131:309-310

  • Compliance with Handwashing

    • Didier Pittet and
    • Thomas Perneger
    Ann Intern Med August 17, 1999 131:310

  • Epidemiology of Mycobacterium kansasii

    • Fernando Alcaide,
    • Miguel Angel Benítez,
    • and Rogelio Martín
    Ann Intern Med August 17, 1999 131:310

  • Epidemiology of Mycobacterium kansasii

    • Karen C. Bloch,
    • Duc J. Vugia,
    • and Arthur L. Reingold
    Ann Intern Med August 17, 1999 131:311

  • Diagnosis of Hemochromatosis

    • Kamyar Kalantar-Zadeh and
    • Friedrich C. Luft
    Ann Intern Med August 17, 1999 131:311

  • Diagnosis of Hemochromatosis

    • Lawrie W. Powell,
    • D. Keith George,
    • and Sharon McDonnell
    Ann Intern Med August 17, 1999 131:311-312

  • Oral Thymic Extract To Treat Hepatitis C

    • Robert D. Blank
    Ann Intern Med August 17, 1999 131:312

  • Oral Thymic Extract To Treat Hepatitis C

    • J. L. Frossard
    Ann Intern Med August 17, 1999 131:312

  • Oral Thymic Extract To Treat Hepatitis C

    • Gary A. Abrams
    Ann Intern Med August 17, 1999 131:312

  • Fluoroquinolone Resistance in Streptococcus pneumoniae

    • Matthew J. Kuehnert,
    • Frederick S. Nolte,
    • and Carl A. Perlino
    Ann Intern Med August 17, 1999 131:312-313

  • Reversal of Protease Inhibitor–Related Visceral Abdominal Fat Accumulation with Recombinant Human Growth Hormone

    • Stefan Mauss,
    • Eva Wolf,
    • and Hans Jaeger
    Ann Intern Med August 17, 1999 131:313-314

  • Acute Hepatitis A in Patients with Chronic Hepatitis C

    • Beat Helbling,
    • Eberhard L. Renner,
    • and Raoul Kammerlander
    Ann Intern Med August 17, 1999 131:314

  • Polyclonal Hyperglobulinemia and Spurious Hypophosphatemia

    • Amit Malhotra and
    • Prasad R. Koduri
    Ann Intern Med August 17, 1999 131:314

Medical Writings: Book Notes

Currents

  • Nutrition and Policy. 5: Who Should Teach Patients about Nutrition?

    • Aaron Levin
    Ann Intern Med August 17, 1999 131:317-318

  • Neuroscience 2000: A New Era of Discovery

    • Doris Margolis
    Ann Intern Med August 17, 1999 131:318-320

Ad Libitum

  • Cubscout Jubilee at St. Cabrini Nursing Home

    • Harold W. Horowitz
    Ann Intern Med August 17, 1999 131:306

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med August 17, 1999 131:0

Updates from the Annual Session

  • Update in Infectious Diseases

    • John G. Bartlett
    Ann Intern Med August 17, 1999 131:273-280

    Infectious diseases continues to be one of the fastest-changing fields of clinical medicine. The topics covered in this Update include emergence of antibiotic-resistant organisms, the continuing problems with food-borne disease, and the potential role of certain bacterial infections in coronary heart disease and acute myocardial infarction.

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This Issue

August 17, 1999; 131 (4)
  1. Articles
  2. Brief Communications
  3. Review
  4. Editorial
  5. On Being a Doctor
  6. Letters
  7. Medical Writings: Book Notes
  8. Currents
  9. Ad Libitum
  10. Book Listings
  11. Medical Notices
  12. Updates from the Annual Session

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