On The Cover

Koi Pond at Ho’omaluhia
By Jae Lim, MD, PhD


This photograph was taken at Ho’omaluhia Botanical Garden in Kaneohe, Oahu, HI. The 400-acre park boasts hiking trails, freshwater lakes and streams, and a campground.


Dr Lim is an Otolaryngologist for the Hawaii Permanente Medical Group. He is passionate about exploring and photographing the natural beauty of Hawaii. More of his work can be seen at

What's New

E-Pub: 01/22/2018
Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes


E-Pub: 01/22/2018
Letting Me Off the Hook


E-Pub: 01/22/2018
To Die at Home


E-Pub: 01/18/2018
A Randomized Controlled Trial of Financial Incentives for Medicaid Beneficiaries with Diabetes


E-Pub: 01/18/2018
Medical Students’ Perspectives on Trauma-Informed Care Training


E-Pub: 01/15/2018
Impact of Standardizing Management of Atrial Fibrillation with Rapid Heart Rate in the Emergency Department


E-Pub: 01/15/2018
On Becoming Trauma-Informed: Role of the Adverse Childhood Experiences Survey in Tertiary Child and Adolescent Mental Health Services and the Association with Standard Measures of Impairment and Severity


E-Pub: 01/15/2018
Psychiatric Aspects of Extreme Sports: Three Case Studies


E-Pub: 01/03/2018
Assessment of Pharmacy Department Patient Safety Culture with the Use of Validated Work Environment Survey Indices


E-Pub: 01/03/2018
Hip Osteoarthritis: A PrimerHip Osteoarthritis: A Primer


E-Pub: 01/03/2018
Toward Better HIV Care: A Thought Leader Interview


E-Pub: 12/28/2017
A Simple Model for Predicting Two-Year Risk of Diabetes Development in Individuals with Prediabetes


E-Pub: 12/28/2017
Current Epidemiology and Management of Radiocontrast-Associated Acute- and Delayed-Onset Hypersensitivity: A Review of the Literature


E-Pub: 12/18/2017
Impact of Asynchronous Training on Radiology Learning Curve among Emergency Medicine Residents and Clerkship Students




Knee Osteoarthritis: A Primer

Knee Osteoarthritis: A Primer
Michelle J Lespasio, DNP, JD, ANP; Nicolas S Piuzzi, MD; M Elaine Husni, MD, MPH; George F Muschler, MD; AJ Guarino, PhD; Michael A Mont, MD



Yellow Palms and Soles

Image Diagnosis: Yellow Palms and Soles
Puneet Chhabra, MBBS, MD, DM; Deepak K Bhasin, MD, DM, FASGE, AGAF, FAMS


 yellow palms article


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The Permanente Journal (ISSN 1552-5767) is a peer-reviewed journal of medical science, social science in medicine, and medical humanities published quarterly by The Permanente Press.


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