Table of Contents

April 20, 1999; 130 (8)

Articles

  • Cost-Effectiveness of Cardioversion and Antiarrhythmic Therapy in Nonvalvular Atrial Fibrillation

    • Edward Catherwood,
    • W. David Fitzpatrick,
    • Mark L. Greenberg,
    • Peter T. Holzberger,
    • David J. Malenka,
    • Barbara R. Gerling,
    • and John D. Birkmeyer
    Ann Intern Med April 20, 1999 130:625-636

    Cardioversion alone should be the initial management strategy for persistent nonvalvular atrial fibrillation. On relapse of arrhythmia, repeated cardioversion plus low-dose amiodarone is cost-effective for patients at moderate to high risk for ischemic stroke.

  • Familial Occurrence of Abdominal Aortic Aneurysm

    • Jarmo A. Salo,
    • Sari Soisalon-Soininen,
    • Sören Bondestam,
    • and Petri S. Mattila
    Ann Intern Med April 20, 1999 130:637-642

    The prevalence of abdominal aortic aneurysm was found to be significantly increased among brothers of patients with surgically treated aneurysms. Aging brothers have the highest risk for developing the disease.

  • Activated Protein C Resistance and Factor V Leiden Mutation Are Independent Risk Factors for Venous Thromboembolism

    • Francesco Rodeghiero and
    • Alberto Tosetto
    Ann Intern Med April 20, 1999 130:643-650

    The factor V Leiden mutation and resistance to activated protein C are important, independent risk factors for venous thromboembolism. Phenotypic evaluation of resistance to activated protein C should be encouraged in patients with venous thromboembolism.

  • Breast Symptoms among Women Enrolled in a Health Maintenance Organization: Frequency, Evaluation, and Outcome

    • Mary B. Barton,
    • Joann G. Elmore,
    • and Suzanne W. Fletcher
    Ann Intern Med April 20, 1999 130:651-657

    Breast symptoms in women 40 to 70 years of age were common in a large primary care practice. Evaluation beyond initial examination was common, and cancer was diagnosed in more than 4% of breast symptom episodes. These findings indicate that follow-up of breast symptoms is important in primary care practices.

Brief Communications

  • Rapid Recovery of Bone Mass in Hypercalciuric, Osteoporotic Men Treated with Hydrochlorothiazide

    • John S. Adams,
    • Cindy F. Song,
    • and Vitaly Kantorovich
    Ann Intern Med April 20, 1999 130:658-660

    Hydrochlorothiazide treatment in men with hypercalciuria and osteoporosis was associated with a rapid rebound increase in bone mineral density at the spine and hip.

Academia and Clinic

  • Disclosure of Researcher Contributions: A Study of Original Research Articles in The Lancet

    • Veronica Yank and
    • Drummond Rennie
    Ann Intern Med April 20, 1999 130:661-670

    In response to a proposal suggesting that researcher contributions to published papers be specified, The Lancet began disclosing these contributions at the end of original articles. This study of the contribution lists in The Lancet found that publication of such lists is feasible and seems to impart important information.

Review

  • The Role of Leptin in Human Obesity and Disease: A Review of Current Evidence

    • Christos S. Mantzoros
    Ann Intern Med April 20, 1999 130:671-680

    Since leptin was discovered 4 years ago, understanding of the mechanisms underlying neuroendocrine function, body weight, and energy homeostasis has greatly broadened. Elucidation of these mechanisms is expected to result in the development of novel therapeutic approaches for obesity and eating disorders.

Perspectives

  • Oregon's Low In-Hospital Death Rates: What Determines Where People Die and Satisfaction with Decisions on Place of Death?

    • Susan W. Tolle,
    • Anne G. Rosenfeld,
    • Virginia P. Tilden,
    • and Yon Park
    Ann Intern Med April 20, 1999 130:681-685

    Use and availability of beds in acute care hospitals have been confirmed to be the principal determining factors in location of death. Within that constraint, however, the availability of other resources and services both facilitates the process of arranging for patients to die outside the hospital and improves satisfaction with the quality of terminal care.

  • Good Managed Care Needs Universal Health Insurance

    • Donald W. Light
    Ann Intern Med April 20, 1999 130:686-689

    Cost-cutting tactics used by managed care plans have spawned movements that demand rights for patients and providers; shoring up those rights, however, will increase the number of uninsured persons. The problems created by this untenable sequence of events will not be resolved until some form of universal health insurance is implemented.

Editorials

  • Finding What You Seek: Analyzing Therapies for Nonvalvular Atrial Fibrillation

    • Stephen G. Pauker and
    • Mark H. Eckman
    Ann Intern Med April 20, 1999 130:690-691

    Over the past decade, the management of patients with nonvalvular atrial fibrillation has been the subject of more papers than any clinician has time to digest. In this issue, Catherwood and colleagues extend their previous model to offer a new cost-effectiveness analysis of therapies for nonvalvular fibrillation.

  • The 28th Amendment

    • Frank Davidoff and
    • Robert D. Reinecke
    Ann Intern Med April 20, 1999 130:692-694

    The health care system in the United States is an embarrassing, world-class mess. At times, it seems that nothing short of a constitutional amendment will prevent us from continuing to turn our backs on the health care problem.

  • In a World of Black and White, Helicobacter pylori Is Gray

    • Martin J. Blaser
    Ann Intern Med April 20, 1999 130:695-697

    The issues of how best to diagnose the presence of Helicobacter pylori and how best to eliminate this organism must follow from the larger question: In whom is elimination of H. pylori beneficial?

On Being a Doctor

  • Conversations with Stella

    • Dean Gianakos
    Ann Intern Med April 20, 1999 130:698-699

    Does Stella really mean “no” when she says that she does not want to be put on a respirator?

Letters

  • Colonoscopy for Small Adenomas

    • James C. Hurowitz
    Ann Intern Med April 20, 1999 130:700

  • Colonoscopy for Small Adenomas

    • Kenneth W. Stubbs
    Ann Intern Med April 20, 1999 130:700

  • Colonoscopy for Small Adenomas

    • Thomas E. Read,
    • Julie D. Read,
    • and Lynn F. Butterly
    Ann Intern Med April 20, 1999 130:700-701

  • Colonoscopy for Small Adenomas

    • Norton J. Greenberger
    Ann Intern Med April 20, 1999 130:701

  • Colonoscopy for Small Adenomas

    • Michael B. Wallace,
    • Francis A. Farraye,
    • and James Alan Kemp
    Ann Intern Med April 20, 1999 130:701

  • Duodenal Obstruction Secondary to Bay Leaf Impaction

    • Tat-Kin Tsang,
    • Michael J. Flais,
    • and Gary Hsin
    Ann Intern Med April 20, 1999 130:701-702

  • Humoral Hypercalcemia Associated with a Uterine Fibroid

    • Keyvan Ravakhah,
    • Alina Gover,
    • and Beejadi N. Mukunda
    Ann Intern Med April 20, 1999 130:702

Medical Writings: Book Notes

  • The Right Test: A Physician's Guide to Laboratory Medicine

    • David A. Horowitz
    Ann Intern Med April 20, 1999 130:703

  • Mechanism and Management of Headache

    • Rodney D. Bell
    Ann Intern Med April 20, 1999 130:703-704

  • Women's Health Care: Activist Traditions and Institutional Change

    • Deborah Kwolek
    Ann Intern Med April 20, 1999 130:704

  • Introduction to Clinical Psychiatry

    • Nancy P. Schell
    Ann Intern Med April 20, 1999 130:704

Currents

  • Nutrition and Policy

    • Aaron Levin
    Ann Intern Med April 20, 1999 130:705-707

  • Putting Prevention into Practice: The Patient's Role

    • Tom Reynolds
    Ann Intern Med April 20, 1999 130:707-708

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med April 20, 1999 130:0
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This Issue

April 20, 1999; 130 (8)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Review
  5. Perspectives
  6. Editorials
  7. On Being a Doctor
  8. Letters
  9. Medical Writings: Book Notes
  10. Currents
  11. Ad Libitum
  12. Book Listings
  13. Medical Notices

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