Table of Contents

June 1, 2004; 140 (11)

Articles

  • Association of Statin Therapy with Outcomes of Acute Coronary Syndromes: The GRACE Study

    • Frederick A. Spencer,
    • Jeanna Allegrone,
    • Robert J. Goldberg,
    • Joel M. Gore,
    • Keith A.A. Fox,
    • Christopher B. Granger,
    • Rajendra H. Mehta,
    • David Brieger,
    • and the GRACE Investigators*
    Ann Intern Med June 1, 2004 140:857-866

    Statin therapy can modulate early pathophysiologic processes in patients with acute coronary syndromes. In this observational study, patients taking statins before admission for acute coronary syndromes and patients who started taking statins after admission had better outcomes than patients who did not take statins.

  • Fondaparinux or Enoxaparin for the Initial Treatment of Symptomatic Deep Venous Thrombosis: A Randomized Trial

    • Harry R. Büller,
    • Bruce L. Davidson,
    • Hervé Decousus,
    • Alexander Gallus,
    • Michael Gent,
    • Franco Piovella,
    • Martin H. Prins,
    • Gary Raskob,
    • Annelise E.M. Segers,
    • Roger Cariou,
    • Oscar Leeuwenkamp,
    • Anthonie W.A. Lensing,
    • and The Matisse Investigators*
    Ann Intern Med June 1, 2004 140:867-873

    Once-daily subcutaneous fondaparinux was at least as effective and safe as twice-daily, body weight–adjusted enoxaparin in the initial treatment of symptomatic deep venous thrombosis.

  • Effects of Training in Direct Observation of Medical Residents' Clinical Competence: A Randomized Trial

    • Eric S. Holmboe,
    • Richard E. Hawkins,
    • and Stephen J. Huot
    Ann Intern Med June 1, 2004 140:874-881

    The authors studied direct observation of competence, a new approach to improving faculty skills in evaluating trainees' clinical ability. The new method appeared to make faculty more critical observers of trainee performance.

  • Brief Communication: Early Appearance of Islet Autoantibodies Predicts Childhood Type 1 Diabetes in Offspring of Diabetic Parents

    • Michael Hummel,
    • Ezio Bonifacio,
    • Sandra Schmid,
    • Markus Walter,
    • Annette Knopff,
    • and Anette-G Ziegler
    Ann Intern Med June 1, 2004 140:882-886

    Childhood autoimmune diabetes is associated with autoimmunity that starts before 2 years of age. Autoimmunity that starts after 2 years is much less likely to lead to diabetes.

Improving Patient Care

  • Effects of a Quality Improvement Collaborative on the Outcome of Care of Patients with HIV Infection: The EQHIV Study

    • Bruce E. Landon,
    • Ira B. Wilson,
    • Keith McInnes,
    • Mary Beth Landrum,
    • Lisa Hirschhorn,
    • Peter V. Marsden,
    • David Gustafson,
    • and Paul D. Cleary
    Ann Intern Med June 1, 2004 140:887-896

    This prospective, controlled study of almost 10 000 patients found that a quality improvement collaborative did not significantly affect the quality of care. We need additional research to improve methods of implementing quality improvement programs in order to achieve better results.

  • Creating the Evidence Base for Quality Improvement Collaboratives

    • Brian S. Mittman
    Ann Intern Med June 1, 2004 140:897-901

    Many of the intensive efforts to improve health care quality and safety use the quality improvement collaborative method, an approach emphasizing collaborative learning and exchange of insights and support among a set of health care organizations. Unfortunately, the widespread use of this method is based not on solid evidence but on shared beliefs and anecdotal experience that may overstate its actual effectiveness.

Academia and Clinic

  • A New Model for Accreditation of Residency Programs in Internal Medicine

    • Allan H. Goroll,
    • Carl Sirio,
    • F. Daniel Duffy,
    • Richard F. LeBlond,
    • Patrick Alguire,
    • Thomas A. Blackwell,
    • William E. Rodak,
    • Thomas Nasca,
    • and the Residency Review Committee for Internal Medicine
    Ann Intern Med June 1, 2004 140:902-909

    The Residency Review Committee for Internal Medicine of the Accreditation Council for Graduate Medical Education proposes a new outcomes-based accreditation strategy for residency training programs in internal medicine. It shifts residency program accreditation from external audit of educational process to continuous assessment and improvement of trainee clinical competence.

Review

  • Systematic Review: Surveillance Systems for Early Detection of Bioterrorism-Related Diseases

    • Dena M. Bravata,
    • Kathryn M. McDonald,
    • Wendy M. Smith,
    • Chara Rydzak,
    • Herbert Szeto,
    • David L. Buckeridge,
    • Corinna Haberland,
    • and Douglas K. Owens
    Ann Intern Med June 1, 2004 140:910-922

    Few surveillance systems have been specifically designed for collecting and analyzing data for the early detection of a bioterrorist event. Past studies of surveillance systems for detecting bioterrorism are insufficient to characterize the timeliness of detection or its sensitivity and specificity. As a result, they may compromise clinical and public health decision making.

Editorials

  • Observational Studies of Treatment Effectiveness: Some Cautions

    • Andreas Laupacis and
    • Muhammad Mamdani
    Ann Intern Med June 1, 2004 140:923-924

    The current evidence leaves us uncertain about whether starting statin therapy at the time of admission for an acute coronary syndrome is more effective than starting this therapy later. While we wait for the results of large randomized trials, we can reflect on the many reasons for caution in drawing firm conclusions from observational studies of treatment effectiveness.

  • Toward the Simplification of Antithrombotic Treatment of Venous Thromboembolism

    • Paolo Prandoni
    Ann Intern Med June 1, 2004 140:925-926

    After almost 50 years without any substantial progress, antithrombotic treatment of patients with venous thromboembolism has finally evolved. Factor Xa or thrombin inhibitors will probably allow antithrombotic treatment that is effective, safe, and simple enough for all physicians to use in most outpatients.

  • Quality of Care and Quality of Training: A Shared Vision for Internal Medicine?

    • Christine K. Cassel
    Ann Intern Med June 1, 2004 140:927-928

    Two papers in this issue indicate the dramatic and important movement of outcomes-based thinking into the world of medical education and training.

On Being a Doctor

  • A Tale of Two Patients

    • Faith T. Fitzgerald
    Ann Intern Med June 1, 2004 140:929-930

    Two patients, two doctor visits, two widely different experiences.

Letters

  • Successful Treatment of Sarcoidosis

    • Yousaf Ali and
    • Elliot Perlman
    Ann Intern Med June 1, 2004 140:W-48

  • Clinical Implications of Genetic Polymorphism of CYP2D6 in Mexican Americans

    • Deborah L. Flores,
    • Israel Alvarado,
    • Ma-Li Wong,
    • Julio Licinio,
    • and David Flockhart
    Ann Intern Med June 1, 2004 140:W-48-W-49

  • Risk Factors for Helicobacter pylori Resistance

    • Josefina Seow and
    • Fook Tim Chew
    Ann Intern Med June 1, 2004 140:931

  • Risk Factors for Helicobacter pylori Resistance

    • Thomas W. Hennessy,
    • Brian J. McMahon,
    • and Jay C. Butler
    Ann Intern Med June 1, 2004 140:931

  • Use of Angiotensin-Converting Enzyme Inhibitors in Heart Failure and Renal Insufficiency

    • Ali Ahmed
    Ann Intern Med June 1, 2004 140:931-932

  • Use of Angiotensin-Converting Enzyme Inhibitors in Heart Failure and Renal Insufficiency

    • Michael G. Shlipak
    Ann Intern Med June 1, 2004 140:932

  • Patient Safety and Medical Malpractice

    • Harry L. Gale
    Ann Intern Med June 1, 2004 140:932

  • Patient Safety and Medical Malpractice

    • Munsey S. Wheby
    Ann Intern Med June 1, 2004 140:933

  • Practice Guidelines for Chronic Kidney Disease

    • Carl Erik Mogensen
    Ann Intern Med June 1, 2004 140:933-934

  • Practice Guidelines for Chronic Kidney Disease

    • Anthony Korosi
    Ann Intern Med June 1, 2004 140:934

  • Practice Guidelines for Chronic Kidney Disease

    • Andrew S. Levey and
    • for the Kidney Disease Outcomes Quality Initiatives Work Group on Chronic Kidney Disease
    Ann Intern Med June 1, 2004 140:934-935

  • To Butterfly or To Needle: The Pilot Phase

    • Lukas Hefler,
    • Christoph Grimm,
    • Sepp Leodolter,
    • and Clemens Tempfer
    Ann Intern Med June 1, 2004 140:935-936

  • A Novel Diagnostic Method for Acute Pulmonary Embolism: Technetium-99m Apcitide Scintigraphy

    • Jonathan M. Davison,
    • Robert Bridwell,
    • Jamie L. Montilla,
    • Edward Jackson,
    • and Lisa K. Moores
    Ann Intern Med June 1, 2004 140:936-939

  • Correction: Update in Infectious Diseases

    Ann Intern Med June 1, 2004 140:939

Medical Writings: Book Notes

  • Atlas of Primary Care Procedures

    • Barbara Starfield
    Ann Intern Med June 1, 2004 140:940

  • Governance of Teaching Hospitals: Turmoil at Penn and Hopkins

    • Donald C. Harrison
    Ann Intern Med June 1, 2004 140:940

Book Listings

  • Book Listings

    Ann Intern Med June 1, 2004 140:0

Medical Notices

  • Medical Notices

    Ann Intern Med June 1, 2004 140:0

Supplement: Diabetes Translation and Public Health: 25 Years of CDC Research and Programs

  • 25 Years and Counting: Centers for Disease Control and Prevention Identifies Opportunities and Challenges for Diabetes Prevention and Control

    • Frank Vinicor and
    • Leonard Jack, Jr.
    Ann Intern Med June 1, 2004 140:943-944

  • The Evolving Diabetes Burden in the United States

    • Michael M. Engelgau,
    • Linda S. Geiss,
    • Jinan B. Saaddine,
    • James P. Boyle,
    • Stephanie M. Benjamin,
    • Edward W. Gregg,
    • Edward F. Tierney,
    • Nilka Rios-Burrows,
    • Ali H. Mokdad,
    • Earl S. Ford,
    • Giuseppina Imperatore,
    • and K. M. Venkat Narayan
    Ann Intern Med June 1, 2004 140:945-950

  • Primary Prevention of Type 2 Diabetes Mellitus by Lifestyle Intervention: Implications for Health Policy

    • Centers for Disease Control and Prevention Primary Prevention Working Group*
    Ann Intern Med June 1, 2004 140:951-957

  • Diabetes Translation Research: Where Are We and Where Do We Want To Be?

    • K. M. Venkat Narayan,
    • Evan Benjamin,
    • Edward W. Gregg,
    • Susan L. Norris,
    • and Michael M. Engelgau
    Ann Intern Med June 1, 2004 140:958-963

  • Understanding the Environmental Issues in Diabetes Self-Management Education Research: A Reexamination of 8 Studies in Community-Based Settings

    • Leonard Jack, Jr.,
    • Leandris Liburd,
    • Tirzah Spencer,
    • and Collins O. Airhihenbuwa
    Ann Intern Med June 1, 2004 140:964-971

  • Application of Economic Analysis to Diabetes and Diabetes Care

    • Ping Zhang,
    • Michael M. Engelgau,
    • Susan L. Norris,
    • Edward W. Gregg,
    • and K. M. Venkat Narayan
    Ann Intern Med June 1, 2004 140:972-977

  • Moving Diabetes Care from Science to Practice: The Evolution of the National Diabetes Prevention and Control Program

    • Dara Murphy,
    • Tom Chapel,
    • and Cynthia Clark
    Ann Intern Med June 1, 2004 140:978-984

Summaries for Patients

  • Statin Therapy and the Outcomes during Hospitalization for Acute Coronary Syndromes

    Ann Intern Med June 1, 2004 140:I-29

  • Fondaparinux or Enoxaparin for Deep Venous Thrombosis?

    Ann Intern Med June 1, 2004 140:I-44

  • Direct Observation of Medical Trainees' Clinical Skills

    Ann Intern Med June 1, 2004 140:I-46

  • Development of Islet Cell Autoantibodies and Type 1 Diabetes

    Ann Intern Med June 1, 2004 140:I-64

  • Do Quality Improvement Programs Improve Care for HIV-Infected Patients?

    Ann Intern Med June 1, 2004 140:I-92
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This Issue

June 1, 2004; 140 (11)
  1. Articles
  2. Improving Patient Care
  3. Academia and Clinic
  4. Review
  5. Editorials
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Book Listings
  10. Medical Notices
  11. Supplement: Diabetes Translation and Public Health: 25 Years of CDC Research and Programs
  12. Summaries for Patients

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