Table of Contents

July 20, 1999; 131 (2)

Articles

  • Highly Active Antiretroviral Therapy in a Large Urban Clinic: Risk Factors for Virologic Failure and Adverse Drug Reactions

    • Gregory M. Lucas,
    • Richard E. Chaisson,
    • and Richard D. Moore
    Ann Intern Med July 20, 1999 131:81-87

    Unselected patients in whom highly active antiretroviral therapy is started in a clinic setting achieve viral suppression substantially less frequently than do patients in controlled clinical trials. Missed clinic visits were the most important risk factor for failure to suppress HIV-1 RNA levels.

  • Antibiotic Treatment of Gastric Lymphoma of Mucosa-Associated Lymphoid Tissue: An Uncontrolled Trial

    • Gideon Steinbach,
    • Richard Ford,
    • Gary Glober,
    • Dory Sample,
    • Frederick B. Hagemeister,
    • Patrick M. Lynch,
    • Peter W. McLaughlin,
    • Maria A. Rodriguez,
    • Jorge E. Romaguera,
    • Andreas H. Sarris,
    • Anas Younes,
    • Rajyalakshmi Luthra,
    • John T. Manning,
    • Constance M. Johnson,
    • Sandeep Lahoti,
    • Yu Shen,
    • Jeffrey E. Lee,
    • Rodger J. Winn,
    • Robert M. Genta,
    • David Y. Graham,
    • and Fernando F. Cabanillas
    Ann Intern Med July 20, 1999 131:88-95

    A subset of Helicobacter pylori–positive gastric mucosa-associated lymphoid tissue lymphomas, including infiltrative tumors, may respond to antibiotic treatment. The likelihood of early complete remission seems to be greatest for superficial and distal tumors.

  • Mechanical Ventilation in a Cohort of Elderly Patients Admitted to an Intensive Care Unit

    • E. Wesley Ely,
    • Gregory W. Evans,
    • and Edward F. Haponik
    Ann Intern Med July 20, 1999 131:96-104

    It has been argued that life support for the elderly should be limited to conserve resources. In this study, after adjustment for severity of illness, elderly patients spent similar lengths of time on mechanical ventilation and in the intensive care unit and hospital but had a lower cost of care than younger patients. These differences are not explained by differences in mortality rates.

  • Medical Management of Aldosterone-Producing Adenomas

    • Ranjan P. Ghose,
    • Phillip M. Hall,
    • and Emmanuel L. Bravo
    Ann Intern Med July 20, 1999 131:105-108

    Medical management of aldosterone-producing adenomas is a viable option for controlling blood pressure and serum potassium levels.

Brief Communications

  • Older Persons' Preferences for Site of Terminal Care

    • Terri R. Fried,
    • Carol van Doorn,
    • John R. O'Leary,
    • Mary E. Tinetti,
    • and Margaret A. Drickamer
    Ann Intern Med July 20, 1999 131:109-112

    Preference for home as the site of care for terminal illness exceeds existing practice. However, the current debate about home versus hospital as the ideal site for end-of-life care may ignore an issue important to older persons—namely, the care of disabilities that precede death.

  • Whipple Endocarditis without Overt Gastrointestinal Disease: Report of Four Cases

    • Jacques G.H. Gubler,
    • Marcel Kuster,
    • Fabrizio Dutly,
    • Fridolin Bannwart,
    • Martin Krause,
    • Hans Peter Vögelin,
    • Gianni Garzoli,
    • and Martin Altwegg
    Ann Intern Med July 20, 1999 131:112-116

    Cardiac manifestations of Whipple disease are rarely diagnosed before autopsy. In four patients with culture-negative endocarditis, the absence of clinical, microscopic, or microbiological evidence of gastrointestinal disease did not rule out Tropheryma whippelii.

Academia and Clinic

  • Empirical Derivation of an Electronic Clinically Useful Problem Statement System

    • Steven H. Brown,
    • Randolph A. Miller,
    • Henry N. Camp,
    • Dario A. Guise,
    • and H. Kenneth Walker
    Ann Intern Med July 20, 1999 131:117-126

    The authors describe a novel, empirical approach to deriving an electronic, clinically useful, canonical problem list vocabulary. The resulting Canonical Clinical Problem Statement System was compared with existing vocabularies used by the National Library of Medicine.

Review

  • Surveillance for Endometrial Cancer in Women Receiving Tamoxifen

    • Elizabeth J. Suh-Burgmann and
    • Annekathryn Goodman
    Ann Intern Med July 20, 1999 131:127-135

    This paper reviews the literature on the occurrence of endometrial cancer in women taking tamoxifen and the usefulness of various screening methods in this setting. Risk factors and screening criteria for endometrial cancer in the general population are discussed, and a strategy for surveillance of women taking tamoxifen is proposed.

Perspectives

  • Optimizing Care for Persons with HIV Infection

    • Frederick M. Hecht,
    • Ira B. Wilson,
    • Albert W. Wu,
    • Robert L. Cook,
    • Barbara J. Turner,
    • and for the Society of General Internal Medicine AIDS Task Force
    Ann Intern Med July 20, 1999 131:136-143

    Treatment advances and outcomes data have raised new concerns about how to optimize care for patients with HIV infection. What is the role of experience and expertise in optimizing outcomes for these patients? What is the role of primary care skills in high-quality HIV care? How good is primary care physicians' basic HIV knowledge in screening and prevention?

Editorials

  • Afebrile Blood Culture–Negative Endocarditis

    • Didier Raoult
    Ann Intern Med July 20, 1999 131:144-146

    In this issue, Gubler and colleagues report that chronic afebrile endocarditis could be caused by Whipple disease bacterium in patients whose clinical picture does not suggest classic infective endocarditis. Our knowledge of Whipple disease is growing rapidly, but culture of the bacterium is necessary to develop a serologic test and to determine whether the bacterium is a unique pathotype.

  • Reduction of Medical Verbiage: Fewer Words, More Meaning

    • Anthony E. Voytovich
    Ann Intern Med July 20, 1999 131:146-147

    Brown and colleagues, in this issue, describe their elegant and ambitious efforts to distill a workable canonical vocabulary from the large number of raw problem statements used in one institution. What are the benefits of a more critical use of words and diagnostic concepts?

On Being a Doctor

  • If the Fates Allow

    • Tim Wolter
    Ann Intern Med July 20, 1999 131:148-149

    The three Fates stood in judgment of human fortunes, from which there could be no appeal. Despite our ever-increasing medical knowledge, the Fates still seem to be at work.

On Being a Patient

  • Arthritis and I

    • Ruth Bendor
    Ann Intern Med July 20, 1999 131:150-152

    Pain is the leitmotif of my life, but despite all the restrictions I'm still able to lead a self-reliant, happy existence.

Letters

  • Risk Factors for Infective Endocarditis

    • Michael Jacobson
    Ann Intern Med July 20, 1999 131:154

  • Risk Factors for Infective Endocarditis

    • R. Paul Adams
    Ann Intern Med July 20, 1999 131:154

  • Risk Factors for Infective Endocarditis

    • Peter Collignon
    Ann Intern Med July 20, 1999 131:154-155

  • Risk Factors for Infective Endocarditis

    • Brian L. Strom,
    • Judith L. Kinman,
    • and Elias Abrutyn
    Ann Intern Med July 20, 1999 131:155

  • Cholesterol Lowering in Older Patients

    • Kenneth S. Bannerman
    Ann Intern Med July 20, 1999 131:155

  • Cholesterol Lowering in Older Patients

    • Sandra J. Lewis,
    • Frank Sacks,
    • and Eugene Braunwald
    Ann Intern Med July 20, 1999 131:155-156

  • Vitamin C Increases Nitric Oxide Availability in Coronary Atherosclerosis

    • Dimitris Tousoulis,
    • Graham Davies,
    • and Pavlos Toutouzas
    Ann Intern Med July 20, 1999 131:156-157

  • Graves Disease after Bone Marrow Transplantation

    • Akihiro Takeshita,
    • Kaori Shinjo,
    • and Rynzo Ohno
    Ann Intern Med July 20, 1999 131:157

  • Celiac Disease during Interferon Treatment

    • Maria Teresa Bardella,
    • Roberta Marino,
    • and Pier Luigi Meroni
    Ann Intern Med July 20, 1999 131:157-158

  • Life, Death, and AIDS

    • Robert L. Cohen
    Ann Intern Med July 20, 1999 131:158

  • Iron in Multivitamin Supplements

    • David E. Langdon
    Ann Intern Med July 20, 1999 131:158

Medical Writings: Book Notes

  • Kochar's Concise Textbook of Medicine

    • Aradhana Venkatesan and
    • Mark Aronson
    Ann Intern Med July 20, 1999 131:159

  • Viral Hepatitis

    • Albert B. Knapp
    Ann Intern Med July 20, 1999 131:159-160

  • Advance Directives and Surrogate Decision Making in Health Care: United States, Germany, and Japan

    • Michael D. Fetters
    Ann Intern Med July 20, 1999 131:160

Currents

  • Nutrition and Policy. 4: Dietary Supplements

    • Aaron Levin
    Ann Intern Med July 20, 1999 131:161-164

Ad Libitum

Medical Notices

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This Issue

July 20, 1999; 131 (2)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Review
  5. Perspectives
  6. Editorials
  7. On Being a Doctor
  8. On Being a Patient
  9. Letters
  10. Medical Writings: Book Notes
  11. Currents
  12. Ad Libitum
  13. Medical Notices

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