Volume
55, Number 1Winter 2004
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FEATURE ARTICLES
Chronic Conditions
Editorial: Moving Mammals
“When disease is a built-in consequence of
our style of living, it’s time to change our style.”
By Rick Flinders, MD
Asthma Epidemic Impacts Sonoma County
“Nearly one in 10 county residents (9.4 percent)
report being diagnosed with asthma by a physician and having asthma symptoms
during the preceding 12 months.”
By Michael Martin, MD
Brief Negotiation
“The fundamental tenet of Brief Negotiation
is that everyone has the potential to make positive health behavior change.”
By Jeff Miller, MD
Current Treatment Concepts for Low Back Pain
“The treatment of low back pain, whether it
be from disc degeneration, disc herniation, or an instability process,
should begin with conservative measures.”
By Robert A. Harf, MD
Management of Chronic Conditions at Kaiser Permanente
“To be successful, population-based management
must first identify all patients with a chronic condition and monitor
the status of that population over time on both outcome and
process measures.”
By Laura Tinti de Andrade, MPH
DEPARTMENTS
Local Frontiers: Sentinel Lymph Node Dissection in Breast Cancer
“The application of the sentinel lymph node
concept to invasive breast cancer has dramatically changed the way we
stage this disease and care for our patients.”
By Charles M. Elboim, MD
Local Frontiers: The End of Suffering
“Hospice now offers help to physicians in
how to break bad news to patients and their loved ones, how to realistically
present prognosis, and how to give advice regarding the appropriateness
of resuscitative efforts.”
By Brien A. Seeley, MD
Public Health: Preparing for the Next Influenza Pandemic
“During the 20th century there were three
pandemics, in 1918, 1957, and 1968, as well as several pandemic scares.
Another pandemic is thought to be highly likely, if not inevitable.”
By Mary Maddux-González, MD, MPH
Public Health: Fetal Infant Mortality and Child Death Reports
“Over the past decade, the Fetal Infant Mortality
and Child Death review teams have made important contributions to improving
the health of children in our community.”
By Harry Ackley, MD, Hallie Beacham, MD, Beverly Gaitán,
MD, Howard Gordon, MD, Mary Maddux-González, MD, Jose Morales,
MD, Abraham Wachsberg, MD, Karen Clark, BSN, Norma Ellis, MPA, Beverly
Kerbow, BSN, and Dawn McKusker, MPH
Practical Concerns: The Ins and Outs of Vicarious Liability
“The truth is that practicing even textbook
medicine won’t protect you against liabilities stemming from the
clinical and business relationships you establish with other physicians
and health care professionals.”
By Barron Bixler
Current Books: Reason To Hope
“Although the main theme of The Nature of
Nurture and Power Beyond Measure is ‘what works,’ Chasnoff
does describe the enormity and complexity of the substance-abuse problem,
its discouraging history, and its consumption of resources.”
By Katherine Foster, MD
