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JAMA. 1999;281:1863-1864.

Physicians in the United States, Canada, and Mexico
Physicians with current and valid licenses in the United States, Canada, or Mexico who read any 3 of the selected continuing medical education (CME) articles in this issue of JAMA, complete the CME Evaluation Form, and fax it to the number or mail it to the address at the bottom of the CME Evaluation Form are eligible for category 1 CME credit. There is no charge.

The American Medical Association (AMA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor CME for physicians. The AMA designates this educational activity for up to 1 hour of category 1 CME credit per JAMA issue toward the AMA Physician's Recognition Award (PRA). Each physician should claim for credit only those hours that were actually spent in this educational activity.

Physicians in Other Countries
Physicians with current and valid licenses in the United States, Mexico, or Canada are eligible for CME credit even if they live or practice in other countries. Physicians licensed in other countries are also welcome to participate in this CME activity. However, the PRA is available only to physicians licensed in the United States, Canada, or Mexico.

Earning Credit and the CME Evaluation Form
To earn credit, read 3 of the articles listed below that are designated for CME credit carefully and complete the CME Evaluation Form. The CME Evaluation Form must be submitted within 1 month of the issue date. A certificate awarding 1 hour of category 1 CME credit will be faxed or mailed to you; it is then your responsibility to maintain a record of credit received.

One of our goals is to assess continually the educational needs of our readers so we may enhance the educational effectiveness of JAMA. To achieve this goal, we need your help. You must complete the CME Evaluation Form to receive credit.

Statement of Educational Purpose
JAMA is a general medical journal. Its mission and educational purpose is to promote the science and art of medicine and the betterment of the public health. A flexible curriculum of article topics is developed annually by THE JOURNAL's editorial board and is then supplemented throughout the year with information gained from readers, authors, reviewers, and editors. To accommodate the diversity of practice types within JAMA's readership, the Reader's Choice CME activity allows readers, as adult learners, to determine their own educational needs and to assist the editors in addressing their needs in future issues.

Readers of JAMA should be able to attain the following educational objectives: (1) select and read at least 3 articles in 1 issue to gain new medical information on topics of particular interest to them as physicians, (2) assess the articles' value to them as practicing physicians, and (3) think carefully about how this new information may influence their own practices. The educational objective for each CME article is given after the article title below.

CME Articles in This Issue of JAMA
The following articles in this issue may be read for CME credit:

Efficacy of Tremacamra, a Soluble Intercellular Adhesion Molecule 1, for Experimental Rhinovirus Infection: A Randomized Clinical Trial (SEE ARTICLE)

Educational Objective: To learn that an experimental drug may reduce the severity of the common cold.

Two Outbreaks of Multidrug-Resistant Salmonella Serotype Typhimurium DT104 Infections Linked to Raw-Milk Cheese in Northern California (SEE ARTICLE)

Educational Objective: To learn a food source of drug-resistant Salmonella infection.

Investigation of Multidrug-Resistant Salmonella Serotype Typhimurium DT104 Infections Linked to Raw-Milk Cheese in Washington State (SEE ARTICLE)

Educational Objective: To learn a food source of drug-resistant Salmonella infection.

Homocysteine and Risk of Cardiovascular Disease Among Postmenopausal Women (SEE ARTICLE)

Educational Objective: To learn that elevated homocysteine increases risk of cardiovascular disease in women.

The Clinical Effectiveness and Cost-effectiveness of Screening for Anal Squamous Intraepithelial Lesions in Homosexual and Bisexual HIV-Positive Men (SEE ARTICLE)

Educational Objective: To learn the benefit of screening HIV-positive men with anal Pap smears.

Preventing Strokes in Patients With Atrial Fibrillation (SEE ARTICLE)

Educational Objective: To review stroke prevention for patients with atrial fibrillation.

User's Guides to the Medical Literature: XVI. How to Use a Treatment Recommendation (SEE ARTICLE)

Educational Objective: To understand how to assess the value of published treatment recommendations.

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RELATED ARTICLES

Efficacy of Tremacamra, a Soluble Intercellular Adhesion Molecule 1, for Experimental Rhinovirus Infection: A Randomized Clinical Trial
Ronald B. Turner, Margaret T. Wecker, Gerhardt Pohl, Theodore J. Witek, Eugene McNally, Roger St. George, Birgit Winther, and Frederick G. Hayden
JAMA. 1999;281(19):1797-1804.
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Two Outbreaks of Multidrug-Resistant Salmonella Serotype Typhimurium DT104 Infections Linked to Raw-Milk Cheese in Northern California
Sara H. Cody, Sharon L. Abbott, Anthony A. Marfin, Beth Schulz, Philip Wagner, Keith Robbins, Janet C. Mohle-Boetani, and Duc J. Vugia
JAMA. 1999;281(19):1805-1810.
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Investigation of Multidrug-Resistant Salmonella Serotype Typhimurium DT104 Infections Linked to Raw-Milk Cheese in Washington State
Rodrigo G. Villar, Mark D. Macek, Shawna Simons, Peggy S. Hayes, Marcia J. Goldoft, Jay H. Lewis, Lynnell L. Rowan, Denny Hursh, Marianne Patnode, and Paul S. Mead
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Homocysteine and Risk of Cardiovascular Disease Among Postmenopausal Women
Paul M. Ridker, JoAnn E. Manson, Julie E. Buring, Jessie Shih, Matthew Matias, and Charles H. Hennekens
JAMA. 1999;281(19):1817-1821.
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The Clinical Effectiveness and Cost-effectiveness of Screening for Anal Squamous Intraepithelial Lesions in Homosexual and Bisexual HIV-Positive Men
Sue J. Goldie, Karen M. Kuntz, Milton C. Weinstein, Kenneth A. Freedberg, Mark L. Welton, and Joel M. Palefsky
JAMA. 1999;281(19):1822-1829.
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Preventing Stroke in Patients With Atrial Fibrillation
Michael D. Ezekowitz and Jody A. Levine
JAMA. 1999;281(19):1830-1835.
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Users' Guides to the Medical Literature: XVI. How to Use a Treatment Recommendation
Gordon H. Guyatt, Jack Sinclair, Deborah J. Cook, Paul Glasziou, and for the Evidence-Based Medicine Working Group and the Cochrane Applicability Methods Working Group
JAMA. 1999;281(19):1836-1843.
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