Fall 2006 - Volume 10 Number 3

Fall 2006 - Volume 10 Number 3Original Research and Contributions

The Effect of a Predialysis Calcitriol Administration Protocol on Postdialysis Parathyroid Hormone Levels
Micah L Thorp, DO, MPH, FASN; Lois A Tobin, RD; Eeva Gray, RD, CDE; BarbaraE Nye, RPh

This original research report examines the benefit of careful monitoring plus treatment with calcitriol in patients with end-stage renal disease.

Review Articles

Emergency Cardiology: A Review of Recent Literature
Amal Mattu, MD

From a database of current literature, this article reviews and evaluates relevant evidence-based studies of timely topics.

Clinical Evidence Review: Best Practices Diabetes Mellitus Update
Michelle Wong, MPH, MPP; R James Dudl, MD

This update presents a case example that highlights the updated CMI Diabetes Guidelines.

Preventing Antibiotic Resistance: The Next Step
Jeffrey B Ritterman, MD

The significance of antibiotic resistance and the steps already taken to limit the emergence of resistant bacteria are explored in this exhortation for further action to preserve antibiotics as a therapeutic tool.

Case Study

How Can We Manage Hyperlipidemia and Avoid Rhabdomyolysis in Transplant Patients?
Joseph M Kahwaji, MD, MPH; Ryszard R Dudek, MD

A case study illustrates the "dos" and "don'ts" of managing lipid problems in kidney transplant patients.


Farm Pens and Prescription Pads
John M Balbus, MD, MPH, FACP

El Milagro [The Miracle]
Karen G Stone

Team Disputes at End-of-Life: Toward an Ethic of Collaboration
Debra Gerardi, RN, MPH, JD

Wither Primary Care?
Michael J Pentecost, MD

The pending potential crisis in primary care is thoughtfully examined in this reprint that reviews Medicare history and legislation that has brought us to this point.

Learn To Serve
Phillip J Tuso, MD, FACP

"The true leader serves" inspired an acrostic for the word SERVE, which describes leadership qualities that are important aspects of "servant-hood."

The Danger of Doctorspeak
Scott Abramson, MD

Health care has its own language that can be confusing to patients and their families. This article illustrates this reality and offers some steps practitioners can take to avoid the confusion.


Empathy: In a Moment, a Powerful Therapeutic Tool
Tom Janisse, MD

Disaster Responses: Is the US Really Prepared? Lessons from Anthrax, Tsunamis, and Hurricanes
Lee Jacobs, MD

Health Systems

A Conversation with Marion Nestle: Straight Talk About Obesity, Nutrition, and Food Policy
Transcript edited by Jon Stewart, Public Policy Editor

Marion Nestle, PhD, MPH, a nutrition activist, visited Northern California and discussed food policy and its connections to nutrition and health. We present an edited transcript of this open discussion.

Kaiser Permanente Georgia's Experience with Operation Zero: A Group Medical Appointment to Address Pediatric Overweight
Josephine Hinchman, MPH; Luke Beno, MD; Adrienne Mims, MD, MPH

An award-winning program to address overweight in teens is described with outcomes analysis.

Ten Tips for Staff Satisfaction Assessment Interviewing
Michael P Quirk, PhD

This article explains, staff interviewing techniques drawn from psychological literature.

CCC Update
Quality Translations: A Matter of Patient Safety, Service Quality, and Cost Effectiveness
Gayle Tang, MSN, RN; Oscar Lanza; Fátima M Rodríguez, MPH; Annie Chang

This article describes the importance of using high-quality translations in the health care setting, explains the accomplishments to date, and offers suggestions for future actions.

Narrative Medicine

My Life as a Doctor in the World Health Organization
Einar Helander, MD, PhD

Primary Care in Romania
Macrina Florescu, MD

Ethnographic Studies in the Principles of Clinical Medicine
William L Toffler, MD

A second-year medical student program designed to help students develop cultural sensitivity requires each student to write an ethnographic study on a patient. This first in a series explains the program and describes the student's interaction and self-examination.

A Fundamental Prejudice
Ann Cooley

Assisting Hurricane Evacuees in Houston and Louisiana
Skip Skivington, MBA, Editor

This collection of stories shares the experiences of some of the KP volunteers responding to the Hurricane Katrina disaster.

Letters to the Editor

From our Readers

Book Reviews

Soul of the Healer

Santillana Home

Sunrise and Ship

Chaco Canyon, New Mexico

Reflections of a Hospital Worker

View from the Water

On the Cover

Les Fleurs du Château
Melinda Lacerna Kimbrell, MD


25,000 print readers per quarter, 6900 eTOC readers, and in 2015, 1.4 million page views on TPJ articles in PubMed from a broad international readership


The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. The Permanente Journal is available online (ISSN 1552-5775) at www.thepermanentejournal.org.


Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to permanente.journal@kp.org.

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