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  Vol. 281 No. 24, June 23, 1999 TABLE OF CONTENTS
  JAMA
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June 23/30, 1999

JAMA. 1999;281:2403-2404.

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:

Stress-Induced Immunomodulation: Implications for Infectious Diseases? (SEE ARTICLE)

Educational Objective: To learn potential effects of stress on immunity to infection.

Relationship of Ascorbic Acid to Blood Lead Levels (SEE ARTICLE)

Educational Objective: To learn that ascorbic acid may decrease the risk of lead toxicity.

Association of Dental Caries and Blood Lead Levels (SEE ARTICLE)

Educational Objective: To learn that lead exposure may increase the risk of dental caries.

Chronic Hyponatremic Encephalopathy in Postmenopausal Women (SEE ARTICLE)

Educational Objective: To learn that intravenous sodium chloride may be the treatment of choice for chronic hyponatremic encephalopathy.

Variations in the Care of HIV-Infected Adults in the United States (SEE ARTICLE)

Educational Objective: To learn that access to optimal HIV care may vary by race, ethnicity, sex, and ability to pay.

Novel hMLH1 and hMSH2 Germline Mutations in African Americans With Colorectal Cancer (SEE ARTICLE)

Educational Objective: To learn about previously unrecognized genetic mutations in African American colorectal cancer patients.

A 75-Year-Old Man With Congestive Heart Failure (SEE ARTICLE)

Educational Objective: To review the clinical management of congestive heart failure.

Risk of Transmission of Bovine Spongiform Encephalopathy to Humans in the United States (SEE ARTICLE)

Educational Objective: To understand the risk of epidemic bovine spongiform encephalopathy.


RELATED ARTICLES

Stress-Induced Immunomodulation: Implications for Infectious Diseases?
Ronald Glaser, Bruce Rabin, Margaret Chesney, Sheldon Cohen, and Benjamin Natelson
JAMA. 1999;281(24):2268-2270.
EXTRACT | FULL TEXT  

Relationship of Ascorbic Acid to Blood Lead Levels
Joel A. Simon and Esther S. Hudes
JAMA. 1999;281(24):2289-2293.
ABSTRACT | FULL TEXT  

Association of Dental Caries and Blood Lead Levels
Mark E. Moss, Bruce P. Lanphear, and Peggy Auinger
JAMA. 1999;281(24):2294-2298.
ABSTRACT | FULL TEXT  

Chronic Hyponatremic Encephalopathy in Postmenopausal Women: Association of Therapies With Morbidity and Mortality
J. Carlos Ayus and Allen I. Arieff
JAMA. 1999;281(24):2299-2304.
ABSTRACT | FULL TEXT  

Variations in the Care of HIV-Infected Adults in the United States: Results From the HIV Cost and Services Utilization Study
Martin F. Shapiro, Sally C. Morton, Daniel F. McCaffrey, J. Walton Senterfitt, John A. Fleishman, Judith F. Perlman, Leslie A. Athey, Joan W. Keesey, Dana P. Goldman, Sandra H. Berry, Samuel A. Bozzette, and Additional Authors From the HCSUS Consortium
JAMA. 1999;281(24):2305-2315.
ABSTRACT | FULL TEXT  

Novel hMLH1 and hMSH2 Germline Mutations in African Americans With Colorectal Cancer
Thomas K. Weber, Hyung-Min Chin, Miguel Rodriguez-Bigas, Bernadette Keitz, Rebecca Gilligan, Linda O'Malley, Edwin Urf, Nazli Diba, James Pazik, and Nicholas J. Petrelli
JAMA. 1999;281(24):2316-2320.
ABSTRACT | FULL TEXT  

A 75-Year-Old Man With Congestive Heart Failure
Gordon Guyatt
JAMA. 1999;281(24):2321-2328.
EXTRACT | FULL TEXT  

Risk of Transmission of Bovine Spongiform Encephalopathy to Humans in the United States: Report of the Council on Scientific Affairs
Litjen Tan, Michael A. Williams, Mohamed Khaleem Khan, Hunter C. Champion, Nancy H. Nielsen, and for the Council on Scientific Affairs, American Medical Association
JAMA. 1999;281(24):2330-2339.
ABSTRACT | FULL TEXT  






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