Table of Contents

June 17, 2003; 138 (12)

Articles

  • Diagnostic Strategies for Excluding Pulmonary Embolism in Clinical Outcome Studies: A Systematic Review

    • Marieke J.H.A. Kruip,
    • Monique G.L. Leclercq,
    • Cees van der Heul,
    • Martin H. Prins,
    • and Harry R. Büller
    Ann Intern Med June 17, 2003 138:941-951

    A normal perfusion lung scan or normal D-dimer levels in a patient with a low clinical probability safely excludes pulmonary embolism. When these tests do not exclude pulmonary embolism, second-level diagnostic strategies include spiral computed tomography, tests for deep venous thrombosis, and pulmonary angiography.

  • Glimepiride Combined with Morning Insulin Glargine, Bedtime Neutral Protamine Hagedorn Insulin, or Bedtime Insulin Glargine in Patients with Type 2 Diabetes: A Randomized, Controlled Trial

    • Andreas Fritsche,
    • Matthias Axel Schweitzer,
    • Hans-Ulrich Häring,
    • and the 4001 Study Group*
    Ann Intern Med June 17, 2003 138:952-959

    In patients taking glimepiride for type 2 diabetes, the risk for nocturnal hypoglycemia was lower with morning or bedtime insulin glargine than with bedtime neutral protamine Hagedorn (NPH) insulin. Morning insulin glargine provided better glycemic control than did bedtime insulin glargine or bedtime NPH insulin.

  • Cost-Effectiveness of Vaccination against Invasive Pneumococcal Disease among People 50 through 64 Years of Age: Role of Comorbid Conditions and Race

    • Jane E. Sisk,
    • William Whang,
    • Jay C. Butler,
    • Vishnu-Priya Sneller,
    • and Cynthia G. Whitney
    Ann Intern Med June 17, 2003 138:960-968

    Cost-effectiveness analysis supports not only the current recommendation to vaccinate high-risk people but also extending that recommendation to everyone age 50 through 64 years.

Brief Communications

  • Long-Term Effects of Inhaled Corticosteroids on FEV1 in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

    • Kristin B. Highland,
    • Charlie Strange,
    • and John E. Heffner
    Ann Intern Med June 17, 2003 138:969-973

    Inhaled steroids probably do not modify the long-term decline in lung function in patients with chronic obstructive pulmonary disease.

Improving Patient Care

  • Error, Blame, and the Law in Health Care—An Antipodean Perspective

    • William B. Runciman,
    • Alan F. Merry,
    • and Fiona Tito
    Ann Intern Med June 17, 2003 138:974-979

    The authors argue that our society's need to blame is often counterproductive in health care because it inhibits changes in the systems that contribute to medical error. We need to assure fair and timely compensation to victims of medical error without necessarily affixing blame.

Review

  • A Physiologic Approach to Diagnosis of the Cushing Syndrome

    • Hershel Raff and
    • James W. Findling
    Ann Intern Med June 17, 2003 138:980-991

    An understanding of the physiologic characteristics of the hypothalamic–pituitary–adrenal axis is essential in formulating strategies to confirm the diagnosis of the Cushing syndrome and establish its cause.

Perspectives

  • Zen and the Art of Physician Autonomy Maintenance

    • James L. Reinertsen
    Ann Intern Med June 17, 2003 138:992-995

    The author calls for physicians to practice the science of medicine as a community of professionals so that society will allow physicians to continue practicing the art of medicine as individual professionals. In a Zen-like paradox, physicians must give up autonomy in order to regain it.

Editorials

  • Improving Patient Care

    • Harold C. Sox
    Ann Intern Med June 17, 2003 138:996

    With the paper by Runciman and colleagues, this issue marks the debut of Improving Patient Care, a new Annals section that will feature articles about quality improvement and patient safety. The new section will be about the organization of practice rather than the clinical content of care.

  • Patient Safety and the Reliability of Health Care Systems

    • Paul Barach and
    • Donald M. Berwick
    Ann Intern Med June 17, 2003 138:997-998

    This issue launches a new series called Patient Safety and the Reliability of Health Care Systems. The articles will describe the scientific basis of new and robust ways to transform our culture of health care into a culture of safety.

  • A Need To Update and Revise the Pneumococcal Vaccine Recommendations for Adults

    • Pierce Gardner
    Ann Intern Med June 17, 2003 138:999-1000

    In this issue, Sisk and colleagues provide strong impetus to reducing the recommended age for universal pneumococcal vaccination to 50 years. What are the concerns and potential problems with such a change?

  • Inhaled Corticosteroids and Chronic Obstructive Pulmonary Disease: Are We Barking Up the Wrong Tracheobronchial Tree?

    • Paul E. Epstein
    Ann Intern Med June 17, 2003 138:1001-1002

    Highland and colleagues' report in this issue convincingly shows that in patients with chronic obstructive pulmonary disease (COPD) (but no asthmatic component), the decline in FEV1 was no slower in those treated with inhaled corticosteroids than in untreated patients and that the initial FEV1 did not affect the results. As important as these results might be, do they sound the death knell for inhaled corticosteroid use in COPD?

On Being a Doctor

  • The Sustenance of Teaching

    • John Chamberlain
    Ann Intern Med June 17, 2003 138:1003

    It was one of those rare lulls practitioners savor. Brief but refreshing. The piles could wait. The mood invited reflection. But then. … “Dr. C., I finished with my last patient. Can I tell you about her? She says your sons are friends. She is real interesting for an old person.”

On Being a Patient

  • A Road Less Traveled

    • Helen W.
    Ann Intern Med June 17, 2003 138:1004-1005

    I kept buttoning and unbuttoning my black leather coat, responding to the alternating waves of heat and chill typical of narcotic withdrawal. It was a familiar sensation, but instead of being at home with the flu, I was sitting in a circle of fellow substance abusers sharing the misery and confusion of early sobriety.

Letters

  • Simvastatin

    • Katarina LeBlanc and
    • Mary T. Brophy
    Ann Intern Med June 17, 2003 138:W-53

  • The Relative Safety of Ephedra Compared with Other Herbal Products

    • Douglas S. Kalman,
    • Jose Antonio,
    • and Richard B. Kreider
    Ann Intern Med June 17, 2003 138:1006

  • The Relative Safety of Ephedra Compared with Other Herbal Products

    • Stephen Bent,
    • Thomas N. Tiedt,
    • Michelle Odden,
    • and Michael G. Shlipak
    Ann Intern Med June 17, 2003 138:1006-1007

  • Statin-Associated Myopathy with Normal Creatine Kinase Levels

    • Mark H. Hyman
    Ann Intern Med June 17, 2003 138:1007

  • Statin-Associated Myopathy with Normal Creatine Kinase Levels

    • Josh Torgovnick and
    • Edward Arsura
    Ann Intern Med June 17, 2003 138:1007

  • Statin-Associated Myopathy with Normal Creatine Kinase Levels

    • Emil Toma and
    • Maude Loignon
    Ann Intern Med June 17, 2003 138:1007-1008

  • Statin-Associated Myopathy with Normal Creatine Kinase Levels

    • Louis Evan Teichholz
    Ann Intern Med June 17, 2003 138:1008

  • Statin-Associated Myopathy with Normal Creatine Kinase Levels

    • Paul S. Phillips and
    • Richard H. Haas
    Ann Intern Med June 17, 2003 138:1008-1009

  • The In-Training Examination in Internal Medicine

    • David P. Steensma
    Ann Intern Med June 17, 2003 138:1009

  • The In-Training Examination in Internal Medicine

    • Joseph J. Nidiry
    Ann Intern Med June 17, 2003 138:1009-1010

  • The In-Training Examination in Internal Medicine

    • Robin Dibner,
    • Julia Andrieni,
    • and Lawrence Smith
    Ann Intern Med June 17, 2003 138:1010

  • The In-Training Examination in Internal Medicine

    • Richard A. Garibaldi and
    • Raja Subhiyah
    Ann Intern Med June 17, 2003 138:1010-1011

  • Fish Oil Therapy in Recurrent IgA Nephropathy

    • Roland Ng
    Ann Intern Med June 17, 2003 138:1011

  • Correction: The Relative Safety of Ephedra Compared with Other Herbal Products

    Ann Intern Med June 17, 2003 138:1012

Current Clinical Issues

  • Physicians Contribute Professional Expertise Worldwide

    • Jennifer Fisher Wilson
    Ann Intern Med June 17, 2003 138:1013-1016

Book Listings

Medical Notices

Summaries for Patients

  • Excluding Pulmonary Embolism Safely

    Ann Intern Med June 17, 2003 138:I-18

  • A Comparison of Three Insulin Regimens (Morning Glargine, Bedtime Glargine, or Bedtime Neutral Protamine Hagedorn) in Addition to a Pill for Treating Type 2 Diabetes

    Ann Intern Med June 17, 2003 138:I-33

  • Cost-Effectiveness of Pneumococcal Vaccine for People 50 through 64 Years of Age

    Ann Intern Med June 17, 2003 138:I-42

  • Inhaled Steroids for Chronic Obstructive Lung Disease

    Ann Intern Med June 17, 2003 138:I-46
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This Issue

June 17, 2003; 138 (12)
  1. Articles
  2. Brief Communications
  3. Improving Patient Care
  4. Review
  5. Perspectives
  6. Editorials
  7. On Being a Doctor
  8. On Being a Patient
  9. Letters
  10. Current Clinical Issues
  11. Book Listings
  12. Medical Notices
  13. Summaries for Patients

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