Table of Contents

July 5, 2005; 143 (1)

Articles

  • Effect of Soybean Protein on Blood Pressure: A Randomized, Controlled Trial

    • Jiang He,
    • Dongfeng Gu,
    • Xigui Wu,
    • Jichun Chen,
    • Xiufang Duan,
    • Jing Chen,
    • and Paul K. Whelton
    Ann Intern Med July 5, 2005 143:1-9

    The authors examined the effect of soybean supplements to the diet in 302 participants with an initial untreated systolic blood pressure of 130 to 159 mm Hg, diastolic blood pressure of 80 to 99 mm Hg, or both. Systolic and diastolic blood pressure both decreased. Increasing soybean protein intake may help to prevent and treat hypertension.

  • A Randomized Clinical Trial of Acupuncture Compared with Sham Acupuncture in Fibromyalgia

    • Nassim P. Assefi,
    • Karen J. Sherman,
    • Clemma Jacobsen,
    • Jack Goldberg,
    • Wayne R. Smith,
    • and Dedra Buchwald
    Ann Intern Med July 5, 2005 143:10-19

    This randomized, sham-controlled trial compared true acupuncture with sham acupuncture in patients with fibromyalgia. Participants, data collection staff, and data analysts were blinded to treatment group. The mean subjective pain rating among patients was the same in both treatment groups.

  • Reporting of Harm in Randomized, Controlled Trials of Nonpharmacologic Treatment for Rheumatic Disease

    • Morgane Ethgen,
    • Isabelle Boutron,
    • Gabriel Baron,
    • Bruno Giraudeau,
    • Jean Sibilia,
    • and Philippe Ravaud
    Ann Intern Med July 5, 2005 143:20-25

    The authors found that trials of pharmacologic treatment for rheumatic disease report adverse effects of therapy more often than nonpharmacologic trials. Failure to report harm is an important barrier to evaluating the balance of benefit and harm of nonpharmacologic treatments.

Medicine and Public Issues

  • High and Rising Health Care Costs. Part 4: Can Costs Be Controlled While Preserving Quality?

    • Thomas Bodenheimer and
    • Alicia Fernandez
    Ann Intern Med July 5, 2005 143:26-31

    In the first 3 articles, this series on health care costs offered several explanations for high and rising health care expenditures in the United States. This final article addresses the physician's role. Specifically, what strategies might enable physicians to take an active role in reducing costs while protecting health care quality?

Clinical Guidelines

  • Screening for HIV: Recommendation Statement

    • U.S. Preventive Services Task Force*
    Ann Intern Med July 5, 2005 143:32-37

    The U.S. Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen for HIV in all adolescents and adults at increased risk for HIV infection but makes no recommendation for or against routine screening for adolescents and adults who are not at increased risk. The USPSTF recommends that clinicians screen all pregnant women for HIV.

  • Prenatal Screening for HIV: A Review of the Evidence for the U.S. Preventive Services Task Force

    • Roger Chou,
    • Ariel K. Smits,
    • Laurie Hoyt Huffman,
    • Rongwei Fu,
    • and P. Todd Korthuis
    Ann Intern Med July 5, 2005 143:38-54

    This systematic review supports the U.S. Preventive Services Task Force recommendation on HIV screening in pregnant women.

  • Screening for HIV: A Review of the Evidence for the U.S. Preventive Services Task Force

    • Roger Chou,
    • Laurie Hoyt Huffman,
    • Rongwei Fu,
    • Ariel K. Smits,
    • and P. Todd Korthuis
    Ann Intern Med July 5, 2005 143:55-73

    This systematic review supports the U.S. Preventive Services Task Force recommendations on HIV screening in adults and adolescents.

Editorials

  • Nutrition and Blood Pressure: Is Protein One Link? Toward a Strategy of Hypertension Prevention

    • Jeffrey A. Cutler and
    • Eva Obarzanek
    Ann Intern Med July 5, 2005 143:74-75

    The evidence on the environmental determinants of increased blood pressure supports 4 recommendations for lifestyle intervention: controlling body weight, reducing dietary salt, increasing physical activity, and maintaining moderate alcohol use. Our editorial summarizes several studies of another factor, dietary protein.

  • Health Care Expenditures Reexamined

    • Victor R. Fuchs
    Ann Intern Med July 5, 2005 143:76-78

    Recently, Annals has published 4 articles on health care costs, the last of which appears in this issue. This editorial, written by an economist for physicians, differentiates sharply between levels of expenditures and their rates of growth, addresses the question of why either should be of concern for public policy, and discusses strategies for containing expenditures.

  • An Editorial Update: What Level of Blood Pressure Control in Chronic Kidney Disease?

    • Andrew S. Levey and
    • Cynthia D. Mulrow
    Ann Intern Med July 5, 2005 143:79-81

    Several recent studies have tried to characterize the effects of a lower-than-usual target blood pressure on progression of nondiabetic kidney disease. An observational study, the Modification of Diet in Renal Disease Study, showed long-term benefit. The randomized African-American Study of Kidney Disease and Hypertension showed no benefit, nor did the recently published Ramipril Efficacy in Nephropathy 2 Trial. Here's our take on these conflicting study results.

On Being a Doctor

  • Unintended Consequences: The Accreditation Council for Graduate Medical Education Work-Hour Rules in Practice

    • Jason Ryan
    Ann Intern Med July 5, 2005 143:82-83

    It had been a frenetic day for me and my team. We were swamped with patients, and keeping up was exacting, made worse by the pace. But in addition to the volume of admissions, our night felt increasingly overwhelming from a unique and novel burden: We had to finish everything by 11:00 p.m. This was medical training under the mandatory work-hour restrictions for physicians.

Letters

  • Clinical Experience and Quality of Health Care

    • Martin A. Samuels and
    • Allan H. Ropper
    Ann Intern Med July 5, 2005 143:84

  • Clinical Experience and Quality of Health Care

    • Roy M. Poses and
    • Joseph A. Diaz
    Ann Intern Med July 5, 2005 143:84-85

  • Clinical Experience and Quality of Health Care

    • Ronald S. Szabo
    Ann Intern Med July 5, 2005 143:85

  • Clinical Experience and Quality of Health Care

    • Geoffrey R. Norman and
    • Kevin W. Eva
    Ann Intern Med July 5, 2005 143:85-86

  • Clinical Experience and Quality of Health Care

    • Elizabeth W. Loder
    Ann Intern Med July 5, 2005 143:86

  • Clinical Experience and Quality of Health Care

    • Niteesh K. Choudhry,
    • Robert H. Fletcher,
    • and Stephen B. Soumerai
    Ann Intern Med July 5, 2005 143:86-87

  • Clinical Experience and Quality of Health Care

    • The Editors
    Ann Intern Med July 5, 2005 143:87

  • “Practice Makes Perfect”…or Does It?

    • Richard L. Neubauer
    Ann Intern Med July 5, 2005 143:87

  • “Practice Makes Perfect”…or Does It?

    • Ira Daniel Breite
    Ann Intern Med July 5, 2005 143:87-88

  • “Practice Makes Perfect”…or Does It?

    • Steven E. Weinberger,
    • F. Daniel Duffy,
    • and Christine K. Cassel
    Ann Intern Med July 5, 2005 143:88

  • Correction: “Practice Makes Perfect”… or Does It?

    Ann Intern Med July 5, 2005 143:88

Medical Notices

  • Medical Notices

    Ann Intern Med July 5, 2005 143:0

Summaries for Patients

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This Issue

July 5, 2005; 143 (1)
  1. Articles
  2. Medicine and Public Issues
  3. Clinical Guidelines
  4. Editorials
  5. On Being a Doctor
  6. Letters
  7. Medical Notices
  8. Summaries for Patients

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