Table of Contents

March 4, 2003; 138 (5)

Articles

  • Effect of a Multivitamin and Mineral Supplement on Infection and Quality of Life: A Randomized, Double-Blind, Placebo-Controlled Trial

    • Thomas A. Barringer,
    • Julienne K. Kirk,
    • Amy C. Santaniello,
    • Kristie Long Foley,
    • and Robert Michielutte
    Ann Intern Med March 4, 2003 138:365-371

    A multivitamin and mineral supplement reduced the incidence of participant-reported infection and related absenteeism in persons with type 2 diabetes mellitus and a high prevalence of subclinical micronutrient deficiency. A larger clinical trial should be done to determine whether these findings can be replicated in other populations.

  • Addressing Alcohol Problems in Primary Care: A Cluster Randomized, Controlled Trial of a Systems Intervention: The Screening and Intervention in Primary Care (SIP) Study

    • Richard Saitz,
    • Nicholas J. Horton,
    • Lisa M. Sullivan,
    • Mark A. Moskowitz,
    • and Jeffrey H. Samet
    Ann Intern Med March 4, 2003 138:372-382

    Although effects seem to differ by physician level of training, prompting physicians with alcohol screening results and recommendations for action can modestly increase discussions about alcohol use and advice to patients, and may decrease alcohol consumption.

  • Intentional Weight Loss and Death in Overweight and Obese U.S. Adults 35 Years of Age and Older

    • Edward W. Gregg,
    • Robert B. Gerzoff,
    • Theodore J. Thompson,
    • and David F. Williamson
    Ann Intern Med March 4, 2003 138:383-389

    Attempted weight loss is associated with lower all-cause mortality, independent of weight change. Self-reported intentional weight loss is associated with lower mortality rates, and weight loss is associated with higher mortality rates only if it is unintentional.

Brief Communications

  • Minimal Prevalence of Authorship Misrepresentation among Internal Medicine Residency Applicants: Do Previous Estimates of “Misrepresentation” Represent Insufficient Case Finding?

    • Randy S. Hebert,
    • Cheri G. Smith,
    • and Scott M. Wright
    Ann Intern Med March 4, 2003 138:390-392

    Among applicants to medical residency programs, the authors found substantially less misrepresentation of authorship than had been reported. Previous studies probably overestimated the magnitude of the problem because their search strategies were not comprehensive.

Academia and Clinic

  • A Critical Overview of Homeopathy

    • Wayne B. Jonas,
    • Ted J. Kaptchuk,
    • and Klaus Linde
    Ann Intern Med March 4, 2003 138:393-399

    Homeopathy is being increasingly used throughout the world. This article describes the history and principles of homeopathy, its practice patterns, and current research.

Updates

  • Alzheimer Disease: Current Concepts and Emerging Diagnostic and Therapeutic Strategies

    • Christopher M. Clark and
    • Jason H.T. Karlawish
    Ann Intern Med March 4, 2003 138:400-410

    The authors discuss neuropathologic changes associated with Alzheimer disease, their implications for diagnosis and treatment, detection of symptoms and clinical diagnosis, and potential new diagnostic tests.

Review

  • Diagnostic Evaluation of Elderly Patients with Mild Memory Problems

    • Jason H.T. Karlawish and
    • Christopher M. Clark
    Ann Intern Med March 4, 2003 138:411-419

    This case-based discussion focuses on the clinical presentation and diagnostic assessment of elderly patients with symptoms of mild memory problems. Such patients present a diagnostic challenge because one or more of the following may be present: normal, age-related cognitive changes, cognitive changes due to neurodegenerative illnesses, and depression-related cognitive impairment.

Perspectives

  • Importance of Identifying the Overweight Patient Who Will Benefit the Most by Losing Weight

    • Gerald M. Reaven
    Ann Intern Med March 4, 2003 138:420-423

    It is important to identify which overweight persons are most likely to be insulin resistant because they are at increased risk for developing coronary heart disease. Family history; blood pressure; and plasma glucose, triglyceride, and high-density lipoprotein cholesterol levels all help to identify the subset of persons who will benefit the most from intense therapeutic efforts to lose weight.

NIH Conferences

  • Management of the Clinically Inapparent Adrenal Mass (“Incidentaloma”)

    • Melvin M. Grumbach,
    • Beverly M.K. Biller,
    • Glenn D. Braunstein,
    • Karen K. Campbell,
    • J. Aidan Carney,
    • Paul A. Godley,
    • Emily L. Harris,
    • Joseph K.T. Lee,
    • Yolanda C. Oertel,
    • Mitchell C. Posner,
    • Janet A. Schlechte,
    • and H. Samuel Wieand
    Ann Intern Med March 4, 2003 138:424-429

    This National Institutes of Health conference discussed the following aspects of clinically inapparent adrenal masses: causes, prevalence, and natural history; appropriate evaluation; criteria for guiding the choice between surgical and nonsurgical management; the appropriate surgical procedure, if indicated; appropriate follow-up; and additional research needed to guide practice.

Editorial

  • A Role for Multivitamins in Infection?

    • Wafaie Fawzi and
    • Meir J. Stampfer
    Ann Intern Med March 4, 2003 138:430-431

    Vitamin supplements are inexpensive and might improve health status in settings where infections are major public health problems. In developed countries, infections pose important economic burdens. As suggested by Barringer and colleagues' study in this issue, the potential impact of supplements merits further rigorous study, especially among diabetic persons and other vulnerable populations.

On Being a Doctor

  • Finding Ping

    • Alexander C. McLeod
    Ann Intern Med March 4, 2003 138:432-433

    The first book I can remember was about Ping, a little yellow duck that lived on the Yangtze River. I am certain that Ping had drawn me to China, in particular to the Yangtze River, perhaps to find Ping. On an evening flight from Guilin to Chongqing, I most unexpectedly found my Ping.

On Being a Patient

  • The Greenhouse Effect

    • John L. McClenahan
    Ann Intern Med March 4, 2003 138:434

    Alternative medicine is in the news these days, welcomed as an elective for people who are uninsured, uninsurable, or discontented with the current bureaucracy of healing. I've joined the nonconformists and would like to suggest one more string to their bow—one more option that has received very little notice of late. Its cost is nominal, it offers broad coverage, and it imposes few unpleasant side effects. Flowers.

Letters

  • Annual Physical Examination: Necessary or Needless?

    • Daniel Reinharth
    Ann Intern Med March 4, 2003 138:W-48

  • Ciprofloxacin versus Tobramycin for Neutropenic Fevers

    • Gerald P. Bodey,
    • Kenneth V.I. Rolston,
    • and Issam I. Raad
    Ann Intern Med March 4, 2003 138:435

  • Ciprofloxacin versus Tobramycin for Neutropenic Fevers

    • Darren R. Linkin and
    • Neil Fishman
    Ann Intern Med March 4, 2003 138:435-436

  • Ciprofloxacin versus Tobramycin for Neutropenic Fevers

    • Gerald R. Donowitz and
    • James E. Peacock Jr.
    Ann Intern Med March 4, 2003 138:436

  • Reversible Myopathy after Statin Therapy in Patients with Normal Creatine Kinase Levels

    • William E. Bennett,
    • Almond J. Drake III,
    • and KM Mohamed Shakir
    Ann Intern Med March 4, 2003 138:436-437

  • Long-Term Medical Care of Testicular Cancer Survivors

    • Kevin T. Tong
    Ann Intern Med March 4, 2003 138:437

  • Long-Term Medical Care of Testicular Cancer Survivors

    • David J. Vaughn and
    • Anna T. Meadows
    Ann Intern Med March 4, 2003 138:437

  • Chronic HIV Infection

    • Benjamin Jacobs and
    • David M. Aboulafia
    Ann Intern Med March 4, 2003 138:437-438

  • Correction: Central Pontine Myelinolysis

    Ann Intern Med March 4, 2003 138:438

  • Correction: Color Duplex Ultrasonography Compared with Contrast Venography in Patients Suspected of Having Deep Venous Thrombosis of the Upper Extremities

    Ann Intern Med March 4, 2003 138:438

Medical Writings

  • Hope for the Best, and Prepare for the Worst

    • Anthony L. Back,
    • Robert M. Arnold,
    • and Timothy E. Quill
    Ann Intern Med March 4, 2003 138:439-443

    Physicians often deal with hope as something to embrace or negate completely. But this exclusive focus on hope constricts options for discussing how a patient, family, and physician can work together with a life-threatening illness. Embracing a dual approach of hoping for the best and preparing for the worst helps physicians join with patients and families, yet plan medical care that is responsive to a range of potential outcomes.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • The Effect of a Vitamin and Mineral Supplement on Infection and Self-Reported Health

    Ann Intern Med March 4, 2003 138:I-40

  • Finding and Treating Alcohol Problems in Primary Care

    Ann Intern Med March 4, 2003 138:I-49

  • The Relationship between Intentional Weight Loss and Mortality

    Ann Intern Med March 4, 2003 138:I-56

  • Do Applicants to Internal Medicine Residency Programs Misrepresent Publications?

    Ann Intern Med March 4, 2003 138:I-60
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This Issue

March 4, 2003; 138 (5)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Updates
  5. Review
  6. Perspectives
  7. NIH Conferences
  8. Editorial
  9. On Being a Doctor
  10. On Being a Patient
  11. Letters
  12. Medical Writings
  13. Medical Writings: Book Notes
  14. Ad Libitum
  15. Book Listings
  16. Medical Notices
  17. Summaries for Patients

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