Table of Contents

November 19, 2002; 137 (10)

Articles

  • Regular Mammography Use Is Associated with Elimination of Age-Related Disparities in Size and Stage of Breast Cancer at Diagnosis

    • Whitney M. Randolph,
    • James S. Goodwin,
    • Jonathan D. Mahnken,
    • and Jean L. Freeman
    Ann Intern Med November 19, 2002 137:783-790

    There is little evidence or consensus about mammography for women age 75 years and older. Compared with women 69 to 74 years of age, they have mammography less frequently and have larger tumors and more advanced stage at diagnosis. This study found that breast cancers in older women who had mammography were similar in size and stage to breast cancers in women 69 to 74 years of age.

  • Health Care–Associated Bloodstream Infections in Adults: A Reason To Change the Accepted Definition of Community-Acquired Infections

    • N. Deborah Friedman,
    • Keith S. Kaye,
    • Jason E. Stout,
    • Sarah A. McGarry,
    • Sharon L. Trivette,
    • Jane P. Briggs,
    • Wanda Lamm,
    • Connie Clark,
    • Jennifer MacFarquhar,
    • Aaron L. Walton,
    • L. Barth Reller,
    • and Daniel J. Sexton
    Ann Intern Med November 19, 2002 137:791-797

    The authors define health care–associated bloodstream infections as those that are associated with intensive, out-of-hospital care of serious illness. These bloodstream infections are similar to nosocomial infections, but different from community-acquired infections, in the frequency of comorbid conditions, source of infection, pathogens and their susceptibility patterns, and mortality rate. This new category has important implications for the choice of empirical therapy and infection control surveillance.

  • Use of Postmenopausal Hormones, Alcohol, and Risk for Invasive Breast Cancer

    • Wendy Y. Chen,
    • Graham A. Colditz,
    • Bernard Rosner,
    • Susan E. Hankinson,
    • David J. Hunter,
    • JoAnn E. Manson,
    • Meir J. Stampfer,
    • Walter C. Willett,
    • and Frank E. Speizer
    Ann Intern Med November 19, 2002 137:798-804

    Both alcohol consumption and postmenopausal hormone use were associated with an increased incidence of breast cancer. Physicians should counsel women who are currently taking postmenopausal hormone therapy to consider the added risks of regular alcohol consumption.

Academia and Clinic

  • Complementary and Alternative Medicine for Menopausal Symptoms: A Review of Randomized, Controlled Trials

    • Fredi Kronenberg and
    • Adriane Fugh-Berman
    Ann Intern Med November 19, 2002 137:805-813

    Black cohosh and foods that contain phytoestrogens show promise for the treatment of menopausal symptoms. Clinical trials do not support the use of other herbs or complementary and alternative medical therapies. Long-term safety data on individual isoflavones or isoflavone concentrates are not available.

Perspectives

  • Prevention of Plaque Rupture: A New Paradigm of Therapy

    • James S. Forrester
    Ann Intern Med November 19, 2002 137:823-833

    The author describes the steps in plaque destabilization and links them to a set of clinical strategies that may substantially decrease the incidence of acute coronary syndromes.

Clinical Guidelines

  • Postmenopausal Hormone Replacement Therapy for Primary Prevention of Chronic Conditions: Recommendations and Rationale

    • U.S. Preventive Services Task Force*
    Ann Intern Med November 19, 2002 137:834-839

    The U.S. Preventive Services Task Force recommends against the routine use of estrogen and progestin for the prevention of chronic conditions in postmenopausal women. It concludes that the evidence is insufficient to recommend for or against the use of unopposed estrogen for the prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

  • Pharmacologic Management of Acute Attacks of Migraine and Prevention of Migraine Headache

    • Vincenza Snow,
    • Kevin Weiss,
    • Eric M. Wall,
    • Christel Mottur-Pilson,
    • and for the American Academy of Family Physicians and the American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med November 19, 2002 137:840-849

    This guideline, developed by the American Academy of Family Physicians and the American College of Physicians–American Society of Internal Medicine, with assistance from the American Headache Society, applies to patients with acute migraine attacks, with or without aura, and patients with migraine who are candidates for preventive drug therapy.

Editorial

  • Health Care–Associated Bloodstream Infections: A Change in Thinking

    • Robert Gaynes
    Ann Intern Med November 19, 2002 137:850-851

    The study by Friedman and colleagues in this issue presents an important clinical message—that clinicians should reconsider therapy for patients with community-acquired bloodstream infections if they have recently received intensive, out-of-hospital care for serious illness.

On Being a Patient

  • Ş anti*

    • Jaya K. Rao and
    • Venkatarama R. Koppaka
    Ann Intern Med November 19, 2002 137:852-854

    “You should just be his children and not doctors,” we were advised early on. The patients were managed according to protocols while the surgeons operated. “Surgical attendings just don't have time to talk to families,” the nurses explained, apologetically. This was a system that worked, usually.

Letters

  • Cocaine and Body Temperature Regulation

    • Joshua G. Schier,
    • Robert S. Hoffman,
    • and Lewis S. Nelson
    Ann Intern Med November 19, 2002 137:855

  • Cocaine and Body Temperature Regulation

    • Craig G. Crandall,
    • Wanpen Vongpatanasin,
    • and Ronald G. Victor
    Ann Intern Med November 19, 2002 137:855-856

  • Optimal Prediction of Diabetes

    • Greg Bombassei
    Ann Intern Med November 19, 2002 137:856

  • Optimal Prediction of Diabetes

    • Michael P. Stern,
    • Ken Williams,
    • and Steven M. Haffner
    Ann Intern Med November 19, 2002 137:856

  • Prevention of Falls and Injuries in Residential Care

    • Javier Damián
    Ann Intern Med November 19, 2002 137:856-857

  • Prevention of Falls and Injuries in Residential Care

    • Jane Jensen,
    • RPT Lillemor Lundin-Olsson,
    • and RPT Yngve Gustafson
    Ann Intern Med November 19, 2002 137:857

  • Severe but Reversible Cholestatic Liver Injury after Pioglitazone Therapy

    • Amar G. Pinto,
    • Oscar W. Cummings,
    • and Naga Chalasani
    Ann Intern Med November 19, 2002 137:857

Medical Writings: Book Notes

  • Using Information and Communication Technology in Healthcare

    • Nancy M. Lorenzi and
    • Lisa Miller
    Ann Intern Med November 19, 2002 137:858

  • The Heavenly Ladder

    • Howard Spiro
    Ann Intern Med November 19, 2002 137:858

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Relationship of Mammography Use to Size and Stage of Breast Cancer at Diagnosis in Older Women

    Ann Intern Med November 19, 2002 137:I-33

  • Classifying Types of Bacterial Infections

    Ann Intern Med November 19, 2002 137:I-36

  • Alcohol, Postmenopausal Hormone Therapy, and Breast Cancer

    Ann Intern Med November 19, 2002 137:I-43

  • Postmenopausal Hormone Replacement Therapy To Prevent Chronic Conditions: Recommendations from the U.S. Preventive Services Task Force

    Ann Intern Med November 19, 2002 137:I-48

  • Guidelines for the Treatment and Prevention of Migraine Headaches

    Ann Intern Med November 19, 2002 137:I-50

Updates from the Annual Session

  • Update in Hospital Medicine

    • Bradley E. Flansbaum and
    • Jeanne M. Huddleston
    Ann Intern Med November 19, 2002 137:814-822

    This Update summarizes articles that are important to primary inpatient physicians. The selected articles cover quality improvement, invasive procedures, pulmonary diseases, infectious diseases, cardiology, endocrinology, and critical care.

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This Issue

November 19, 2002; 137 (10)
  1. Articles
  2. Academia and Clinic
  3. Perspectives
  4. Clinical Guidelines
  5. Editorial
  6. On Being a Patient
  7. Letters
  8. Medical Writings: Book Notes
  9. Ad Libitum
  10. Book Listings
  11. Medical Notices
  12. Summaries for Patients
  13. Updates from the Annual Session

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