Table of Contents

March 20, 2001; 134 (6)

Articles

  • Risk Factors for Coronary Heart Disease in Men 18 to 39 Years of Age

    • Elena L. Navas-Nacher,
    • Laura Colangelo,
    • Craig Beam,
    • and Philip Greenland
    Ann Intern Med March 20, 2001 134:433-439

    Major coronary disease risk factors, many of which are modifiable, are strong contributors to prediction of future risk, even in young men. These data may help in formulating appropriate strategies to identify young men at heightened risk for death from coronary heart disease in later adulthood.

  • Use of Genotypic Resistance Testing To Guide HIV Therapy: Clinical Impact and Cost-Effectiveness

    • Milton C. Weinstein,
    • Sue J. Goldie,
    • Elena Losina,
    • Calvin J. Cohen,
    • John D. Baxter,
    • Hong Zhang,
    • April D. Kimmel,
    • and Kenneth A. Freedberg
    Ann Intern Med March 20, 2001 134:440-450

    Genotypic antiretroviral resistance testing following antiretroviral failure is cost-effective. Primary resistance testing also seems to be reasonably cost-effective and will become more so as the prevalence of primary resistance increases.

  • Recovery of Ventricular Function after Myocardial Infarction in the Reperfusion Era: The Healing and Early Afterload Reducing Therapy Study

    • Scott D. Solomon,
    • Robert J. Glynn,
    • Sally Greaves,
    • Umed Ajani,
    • Jean-Lucien Rouleau,
    • Francis Menapace,
    • J. Malcolm O. Arnold,
    • Charles Hennekens,
    • and Marc A. Pfeffer
    Ann Intern Med March 20, 2001 134:451-458

    Significant myocardial stunning with subsequent improvement of ventricular function occurred in most study patients after Q-wave anterior myocardial infarction. A lower peak creatine kinase level, an estimate of the extent of necrosis, is independently predictive of recovery of function. Early functional assessment had limited ability to predict recovery of ventricular function.

Brief Communications

  • Endoscopic Ultrasonography–Guided Fine-Needle Aspiration Biopsy of Suspected Pancreatic Cancer

    • Frank Gress,
    • Klaus Gottlieb,
    • Stuart Sherman,
    • and Glen Lehman
    Ann Intern Med March 20, 2001 134:459-464

    Endoscopic ultrasonography–guided fine-needle aspiration biopsy may be valuable in the evaluation of a pancreatic mass when results on other biopsy methods are negative but pancreatic cancer is suspected.

Review

  • Warfarin Therapy for an Octogenarian Who Has Atrial Fibrillation

    • Brian F. Gage,
    • Stephan D. Fihn,
    • and Richard H. White
    Ann Intern Med March 20, 2001 134:465-474

    This case-based review describes the risk and benefits of prescribing antithrombotic therapy for a hypothetical 80-year-old man who has atrial fibrillation and hypertension, and it offers practical advice on managing warfarin therapy.

Position Papers

  • Principles of Appropriate Antibiotic Use for Treatment of Acute Respiratory Tract Infections in Adults: Background, Specific Aims, and Methods

    • Ralph Gonzales,
    • John G. Bartlett,
    • Richard E. Besser,
    • Richelle J. Cooper,
    • John M. Hickner,
    • Jerome R. Hoffman,
    • and Merle A. Sande
    Ann Intern Med March 20, 2001 134:479-486

    The guidelines in this issue provide evidence-based recommendations for evaluation and treatment of adults with acute respiratory illnesses. This paper describes the background and specific aims of and methods used to develop these principles. The goal of the principles is to provide clinicians with practical strategies for limiting antibiotic use to the patients who are most likely to benefit from it.

  • Principles of Appropriate Antibiotic Use for Treatment of Nonspecific Upper Respiratory Tract Infections in Adults

    • Vincenza Snow,
    • Christel Mottur-Pilson,
    • Ralph Gonzales,
    • and for the American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 20, 2001 134:487-489

    This guideline describes the evidence and makes specific recommendations on how clinicians can differentiate upper respiratory tract infection as bacterial or viral in origin and on when use of antibiotics in upper respiratory tract infection is beneficial.

  • Principles of Appropriate Antibiotic Use for Treatment of Nonspecific Upper Respiratory Tract Infections in Adults: Background

    • Ralph Gonzales,
    • John G. Bartlett,
    • Richard E. Besser,
    • John M. Hickner,
    • Jerome R. Hoffman,
    • and Merle A. Sande
    Ann Intern Med March 20, 2001 134:490-494

    The goals of this paper are to provide evidence-based recommendations for when to apply the diagnosis of upper respiratory tract infection and when to consider antibiotic treatment of adults with an uncomplicated upper respiratory tract infection.

  • Principles of Appropriate Antibiotic Use for Acute Sinusitis in Adults

    • Vincenza Snow,
    • Christel Mottur-Pilson,
    • John M. Hickner,
    • and for the American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 20, 2001 134:495-497

    This guideline presents supporting evidence and makes specific recommendations on how clinicians evaluating acute sinusitis can differentiate bacterial causes from viral and how they can determine when antibiotic use is beneficial.

  • Principles of Appropriate Antibiotic Use for Acute Rhinosinusitis in Adults: Background

    • John M. Hickner,
    • John G. Bartlett,
    • Richard E. Besser,
    • Ralph Gonzales,
    • Jerome R. Hoffman,
    • and Merle A. Sande
    Ann Intern Med March 20, 2001 134:498-505

    This paper argues for a conservative approach to use of antibiotics in patients with sinusitis-like symptoms, consistent with efforts to reduce antibiotic use for respiratory infections in ambulatory patients.

  • Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults

    • Vincenza Snow,
    • Christel Mottur-Pilson,
    • Richelle J. Cooper,
    • Jerome R. Hoffman,
    • and for the American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 20, 2001 134:506-508

    This guideline presents evidence and makes specific recommendations on how clinicians can distinguish and diagnose pharyngitis caused by group A β-hemolytic streptococcus. It also discusses when antibiotic use is beneficial and which antibiotics should be used.

  • Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults: Background

    • Richelle J. Cooper,
    • Jerome R. Hoffman,
    • John G. Bartlett,
    • Richard E. Besser,
    • Ralph Gonzales,
    • John M. Hickner,
    • and Merle A. Sande
    Ann Intern Med March 20, 2001 134:509-517

    Most immunocompetent adults with sore throat have acute infectious pharyngitis. Widespread antibiotic use in such patients has been based on an effort to treat bacterial (particularly streptococcal) pharyngitis. This paper addresses the rational treatment of nongonococcal, nondiphtherial acute pharyngitis in healthy adults.

  • Principles of Appropriate Antibiotic Use for Treatment of Acute Bronchitis in Adults

    • Vincenza Snow,
    • Christel Mottur-Pilson,
    • Ralph Gonzales,
    • and for the American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 20, 2001 134:518-520

    This guideline describes evidence and makes specific recommendations on how clinicians can differentiate between bacterial and viral causes of acute bronchitis and on when the use of antibiotics in acute bronchitis is beneficial.

  • Principles of Appropriate Antibiotic Use for Treatment of Uncomplicated Acute Bronchitis: Background

    • Ralph Gonzales,
    • John G. Bartlett,
    • Richard E. Besser,
    • Richelle J. Cooper,
    • John M. Hickner,
    • Jerome R. Hoffman,
    • and Merle A. Sande
    Ann Intern Med March 20, 2001 134:521-529

    Most cases of acute bronchitis occur in otherwise healthy adults, in whom this acute cough illness can be called “uncomplicated acute bronchitis.” This paper discusses use of antibiotics in these patients.

Editorial

  • HIV Resistance Testing in Clinical Practice: A QALY-fied Success

    • Michael S. Saag
    Ann Intern Med March 20, 2001 134:475-477

    In this issue, Weinstein and colleagues provide evidence demonstrating the cost–benefit of resistance testing in patients with HIV infection. However, further virologic, clinical, and quality-adjusted life-year data should be obtained before therapeutic drug monitoring is implemented in routine practice.

On Being a Doctor

  • My First Fee

    • Paul Teplis
    Ann Intern Med March 20, 2001 134:531

    A physician reflects on his experience as a medical student at a hospital medical clinic in 1946.

Letters

  • Distant Healing

    • Kevin Courcey
    Ann Intern Med March 20, 2001 134:532

  • Distant Healing

    • Ted J. Kaptchuk
    Ann Intern Med March 20, 2001 134:532

  • Distant Healing

    • John Astin,
    • Elaine Harkness,
    • and Edzard Ernst
    Ann Intern Med March 20, 2001 134:533

  • The Alcohol Hangover

    • Jeff Becker
    Ann Intern Med March 20, 2001 134:533-534

  • The Alcohol Hangover

    • Jeffrey Wiese and
    • Michael Shlipak
    Ann Intern Med March 20, 2001 134:534

  • Self-Study from Web-Based and Printed Guideline Material

    • Robert D. Blank
    Ann Intern Med March 20, 2001 134:534

  • Self-Study from Web-Based and Printed Guideline Material

    • Douglas S. Bell,
    • Gregg C. Fonarow,
    • and Carol M. Mangione
    Ann Intern Med March 20, 2001 134:534-535

  • Hypothyroidism in Two Patients after Hepatic Arterial Chemoembolization

    • Nicholas A. Tritos,
    • Keith Stuart,
    • and Pamela I. Hartzband
    Ann Intern Med March 20, 2001 134:535

Medical Writings: Book Notes

  • How to Identify Suicidal People: A Systematic Approach to Risk Assessment

    • Julie Low
    Ann Intern Med March 20, 2001 134:536

  • Death Foretold: Prophecy and Prognosis in Medical Care

    • Matthew K. Wynia
    Ann Intern Med March 20, 2001 134:536

Current Clinical Issues

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Risk Factors for Coronary Heart Disease in Young Men

    Ann Intern Med March 20, 2001 134:S88

  • The Cost-Effectiveness of Testing HIV for Genetic Signs of Drug Resistance as a Guide to the Choice of Therapy

    Ann Intern Med March 20, 2001 134:S89

  • Predicting Recovery of Heart Muscle Strength after a Heart Attack

    Ann Intern Med March 20, 2001 134:S90

  • Fine-Needle Biopsy of Pancreatic Masses

    Ann Intern Med March 20, 2001 134:S92
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This Issue

March 20, 2001; 134 (6)
  1. Articles
  2. Brief Communications
  3. Review
  4. Position Papers
  5. Editorial
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Current Clinical Issues
  10. Ad Libitum
  11. Book Listings
  12. Medical Notices
  13. Summaries for Patients

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