Table of Contents

August 3, 1999; 131 (3)

Articles

  • Social Disengagement and Incident Cognitive Decline in Community-Dwelling Elderly Persons

    • Shari S. Bassuk,
    • Thomas A. Glass,
    • and Lisa F. Berkman
    Ann Intern Med August 3, 1999 131:165-173

    Social engagement, defined as the maintenance of many social connections and a high level of participation in social activities, has been thought to prevent cognitive decline in elderly persons. In a large group of noninstitutionalized elderly patients, social disengagement was found to be a risk factor for cognitive impairment.

  • Interferon Therapy Reduces the Risk for Hepatocellular Carcinoma: National Surveillance Program of Cirrhotic and Noncirrhotic Patients with Chronic Hepatitis C in Japan

    • Haruhiko Yoshida,
    • Yasushi Shiratori,
    • Mitsuhiko Moriyama,
    • Yasuyuki Arakawa,
    • Tatsuya Ide,
    • Michio Sata,
    • Osami Inoue,
    • Michitami Yano,
    • Motohiko Tanaka,
    • Shigetoshi Fujiyama,
    • Shuhei Nishiguchi,
    • Tetsuo Kuroki,
    • Fumio Imazeki,
    • Osamu Yokosuka,
    • Shingo Kinoyama,
    • Gotaro Yamada,
    • Masao Omata,
    • and for the IHIT Study Group
    Ann Intern Med August 3, 1999 131:174-181

    Among patients with chronic hepatitis C, interferon therapy significantly reduced the risk for hepatocellular carcinoma, especially in persons who showed a virologic or biochemical response.

  • Effects of Metformin in Patients with Poorly Controlled, Insulin-Treated Type 2 Diabetes Mellitus: A Randomized, Double-Blind, Placebo-Controlled Trial

    • Larissa Avilés-Santa,
    • Joyce Sinding,
    • and Philip Raskin
    Ann Intern Med August 3, 1999 131:182-188

    The addition of metformin to insulin therapy resulted in hemoglobin A1c concentrations that were lower than those achieved by insulin therapy alone. This improvement in glycemic control occurred with the use of less insulin and without substantial weight gain.

Brief Communications

  • Risk for Colorectal Cancer after Gynecologic Cancer

    • David S. Weinberg,
    • Craig J. Newschaffer,
    • and Allan Topham
    Ann Intern Med August 3, 1999 131:189-193

    Previous endometrial or ovarian cancer, particularly when diagnosed at an early age, increases subsequent risk for colorectal cancer. Greater emphasis on colorectal cancer screening in these populations may be necessary.

  • The Will To Live among HIV-Infected Patients

    • Joel Tsevat,
    • Susan N. Sherman,
    • Judith A. McElwee,
    • Karen L. Mandell,
    • Loretta A. Simbartl,
    • Frank A. Sonnenberg,
    • and Floyd J. Fowler Jr.
    Ann Intern Med August 3, 1999 131:194-198

    Many patients with HIV have a strong will to live, and many feel that life with HIV is better than it was before they became infected.

Review

  • Chronic Myelogenous Leukemia: Biology and Therapy

    • Stefan Faderl,
    • Moshe Talpaz,
    • Zeev Estrov,
    • and Hagop M. Kantarjian
    Ann Intern Med August 3, 1999 131:207-219

    Chronic myelogenous leukemia is one of the best-studied malignant conditions in humans. Progress in the understanding of molecular pathways has led to increasingly targeted and effective treatments, including allogeneic stem-cell transplantation and interferon-α.

Editorial

  • Can Social Engagement Prevent Cognitive Decline in Old Age?

    • Mary N. Haan
    Ann Intern Med August 3, 1999 131:220-221

    In this issue, Bassuk and colleagues report modest associations between social ties and cognitive decline in elderly persons. Decline in elderly persons is complex and multifactorial; at best, medical treatment of complicated cases merely ameliorates the problems. Bassuk and colleagues' findings suggest that in such cases, the simple act of caring may be enough to slow the long slide into dementia.

On Being a Doctor

  • Doctors' Daughter

    • Julia E. McMurray
    Ann Intern Med August 3, 1999 131:222-224

    O.U. School of Medicine, class of 1945. My mother is one of only three women in the sepia-toned photograph. “How come you never worked as a doctor, Mama?” I asked frequently.

On Being a Patient

  • The Medical Student as Patient

    • Alison S. Clay
    Ann Intern Med August 3, 1999 131:225-226

    It is the first day of my surgery clerkship. After a frantic race to a patient in crisis, my shortness of breath blossoms into an exercise-induced asthma attack. Despite my assertions that I am fine, I soon find myself admitted to the hospital.

Letters

  • Prediction Rule for Renal Artery Stenosis

    • Michael Bloch,
    • Samuel Mann,
    • and Thomas Pickering
    Ann Intern Med August 3, 1999 131:227

  • Prediction Rule for Renal Artery Stenosis

    • Eugene J. Fine and
    • M. Donald Blaufox
    Ann Intern Med August 3, 1999 131:227-228

  • Prediction Rule for Renal Artery Stenosis

    • Vijay Rajput and
    • Faddel Nammour
    Ann Intern Med August 3, 1999 131:228

  • Prediction Rule for Renal Artery Stenosis

    • S.J.C.M.M. Neggers and
    • J. van der Meulen
    Ann Intern Med August 3, 1999 131:228

  • Prediction Rule for Renal Artery Stenosis

    • Pieta Krijnen,
    • Ewout W. Steyerberg,
    • and Brigit C. van Jaarsveld
    Ann Intern Med August 3, 1999 131:228

  • Alternative Views on Alternative Medicine

    • Charles M. Bagley, Jr.
    Ann Intern Med August 3, 1999 131:229

  • Alternative Views on Alternative Medicine

    • Allen F. Shaughnessy
    Ann Intern Med August 3, 1999 131:229

  • Alternative Views on Alternative Medicine

    • Arunabha Ganguly
    Ann Intern Med August 3, 1999 131:229-230

  • Alternative Views on Alternative Medicine

    • Edzard Ernst
    Ann Intern Med August 3, 1999 131:230

  • Alternative Views on Alternative Medicine

    • Ted J. Kaptchuk and
    • David M. Eisenberg
    Ann Intern Med August 3, 1999 131:230

Medical Writings

  • Brief Encounters: Speaking with Patients

    • John A. Balint
    Ann Intern Med August 3, 1999 131:231-234

    In the past 12 years, four books have addressed the issues of the changing setting and nature of the patient–physician relationship. They have also tackled the even more difficult problem of defining the relationship and identifying its essential components. These books show the way to start on the road of educating young physicians to become caring physicians, but they do not have the final answers.

Medical Writings: Book Notes

  • Rheumatology Examination and Injection Techniques

    • David H. Neustadt
    Ann Intern Med August 3, 1999 131:235

  • Platelet Glycoprotein IIb/IIIa Inhibitors in Cardiovascular Disease

    • Elliott M. Antman
    Ann Intern Med August 3, 1999 131:235-236

  • Best Practices in Medical Management

    • John E. Billi and
    • Jeanne M. Kin
    Ann Intern Med August 3, 1999 131:236

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med August 3, 1999 131:0

Updates from the Annual Session

  • Update in General Internal Medicine

    • Diane Altkorn,
    • Keith Roach,
    • Scott Stern,
    • and Wendy Levinson
    Ann Intern Med August 3, 1999 131:199-206

    The 1999–2000 Update Series begins with a discussion of important studies relevant to general internal medicine. Among the subject areas covered are cancer, stroke, venous thromboembolism, and osteoporosis.

« Previous | Next Issue »

This Issue

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

Search in this issue:

Current Issue

  1. November 3, 2009, 151 (9)
  1. Alert me to current issues