Table of Contents

October 5, 1999; 131 (7)

Articles

  • Using the Berlin Questionnaire To Identify Patients at Risk for the Sleep Apnea Syndrome

    • Nikolaus C. Netzer,
    • Riccardo A. Stoohs,
    • Cordula M. Netzer,
    • Kathryn Clark,
    • and Kingman P. Strohl
    Ann Intern Med October 5, 1999 131:485-491

    Although sleep apnea is common, it often goes undiagnosed in primary care encounters. The Berlin Questionnaire was found to be a means of identifying patients who are likely to have sleep apnea.

  • Antithrombotic Therapy To Prevent Stroke in Patients with Atrial Fibrillation: A Meta-Analysis

    • Robert G. Hart,
    • Oscar Benavente,
    • Ruth McBride,
    • and Lesly A. Pearce
    Ann Intern Med October 5, 1999 131:492-501

    Adjusted-dose warfarin and aspirin reduce stroke in patients with atrial fibrillation, and warfarin is substantially more efficacious than aspirin. The benefit of antithrombotic therapy was not offset by the occurrence of major hemorrhage among participants in randomized trials.

  • Drug Resistance Patterns, Genetic Subtypes, Clinical Features, and Risk Factors in Military Personnel with HIV-1 Seroconversion

    • Stephanie K. Brodine,
    • Richard A. Shaffer,
    • Monica J. Starkey,
    • Sybil A. Tasker,
    • Joyce L. Gilcrest,
    • Mark K. Louder,
    • Anthony Barile,
    • Thomas C. VanCott,
    • Maryanne T. Vahey,
    • Francine E. McCutchan,
    • Deborah L. Birx,
    • Douglas D. Richman,
    • and John R. Mascola
    Ann Intern Med October 5, 1999 131:502-506

    The percentage of HIV-1 non–subtype B infection and mutations resistant to antiretroviral drugs was relatively high in U.S. military personnel with recently acquired HIV-1 infection.

Brief Communications

  • High-Dose Chemotherapy and Syngeneic Hemopoietic Stem-Cell Transplantation for Severe, Seronegative Rheumatoid Arthritis

    • Geoff McColl,
    • Hitoshi Kohsaka,
    • Jeff Szer,
    • and Ian Wicks
    Ann Intern Med October 5, 1999 131:507-509

    A patient with severe, treatment-resistant rheumatoid arthritis received high-dose cyclophosphamide and antithymocyte globulin. Hemopoietic rescue was achieved with peripheral blood stem cells from the patient's identical twin brother.

  • Long-Term Sequelae of Spontaneous Axillary–Subclavian Venous Thrombosis

    • Emmanuel Héron,
    • Olivier Lozinguez,
    • Joseph Emmerich,
    • Claude Laurian,
    • and Jean-Noël Fiessinger
    Ann Intern Med October 5, 1999 131:510-513

    The overall clinical outcome of spontaneous axillary–subclavian venous thrombosis is good, and no relation exists between the severity of late symptoms and ultrasonographic sequelae.

Updates

  • Update in Psychiatry

    • Robert K. Schneider and
    • James L. Levenson
    Ann Intern Med October 5, 1999 131:514-521

    In covering the pertinent psychiatric literature published in 1998, this Update expands on and introduces information about psychiatry that may not be readily available to the general clinical internist.

Perspectives

  • Diagnosing Suffering: A Perspective

    • Eric J. Cassell
    Ann Intern Med October 5, 1999 131:531-534

    The diagnosis of suffering is often missed, even in severe illness and even when it stares physicians in the face. Knowing patients well enough to understand the origin of their suffering and its best treatment requires methods of empathic attentiveness and nondiscursive thinking that can be learned and taught. The relief of suffering depends on physicians acquiring these skills.

NIH Conferences

  • The Stiff-Person Syndrome: An Autoimmune Disorder Affecting Neurotransmission of γ-Aminobutyric Acid

    • Lucien M. Levy,
    • Marinos C. Dalakas,
    • and Mary Kay Floeter
    Ann Intern Med October 5, 1999 131:522-530

    The stiff-person syndrome is characterized by muscle rigidity and episodic spasms that involve axial and limb muscles. Although the cause is unknown, an autoimmune pathogenesis is suspected. The syndrome is potentially treatable by immunomodulatory agents.

Editorials

  • Do You Ever Take a Sleep History?

    • Richard P. Millman
    Ann Intern Med October 5, 1999 131:535-536

    In this issue, Netzer and colleagues' well-designed study shows that a simple self-administered patient questionnaire is an excellent way of identifying patients at high risk for sleep apnea. The study also provides further evidence that physicians underrecognize sleep disorders.

  • Atrial Fibrillation: The Epidemic of the New Millennium

    • Michael D. Ezekowitz
    Ann Intern Med October 5, 1999 131:537-538

    Hart and colleagues' meta-analysis in this issue reemphasizes the value of anticoagulation in patients with atrial fibrillation, especially those at highest risk for stroke. These findings may lead to increased use of antithrombotic therapy in elderly patients, who have the greatest risk for stroke but also are a group for whom the fear of bleeding complications with anticoagulation is greatest.

On Being a Patient

  • To Dream

    • Norman Epstein
    Ann Intern Med October 5, 1999 131:540-541

    A dream—influenced by melatonin?—helps a physician put his father's spirit to rest.

Letters

  • The 28th Amendment

    • Richard L. Neubauer
    Ann Intern Med October 5, 1999 131:542

  • The 28th Amendment

    • Frederick Paola
    Ann Intern Med October 5, 1999 131:542

  • The 28th Amendment

    • Thomas J. Romano
    Ann Intern Med October 5, 1999 131:542-543

  • The 28th Amendment

    • Ruric Anderson
    Ann Intern Med October 5, 1999 131:543

  • The 28th Amendment

    • Frank Davidoff and
    • Robert D. Reinecke
    Ann Intern Med October 5, 1999 131:543

  • The Hospitalist Movement

    • Lawrence A. Starr
    Ann Intern Med October 5, 1999 131:543-544

  • The Hospitalist Movement

    • Charles E. Hofmann
    Ann Intern Med October 5, 1999 131:544

  • The Hospitalist Movement

    • Darius A. Rastegar
    Ann Intern Med October 5, 1999 131:544

  • The Hospitalist Movement

    • Heidi Wald
    Ann Intern Med October 5, 1999 131:544

  • The Hospitalist Movement

    • Bradley Flansbaum,
    • Steven A. Wartman,
    • and Steven J. Walerstein
    Ann Intern Med October 5, 1999 131:544-545

  • The Hospitalist Movement

    • Robert M. Wachter
    Ann Intern Med October 5, 1999 131:545

  • The Hospitalist Movement

    • Lee Goldman
    Ann Intern Med October 5, 1999 131:545

  • Physiologic Left Ventricular Cavity Dilatation in Elite Athletes

    • Isabela Ribeiro and
    • Jardim Botanico
    Ann Intern Med October 5, 1999 131:546

  • Physiologic Left Ventricular Cavity Dilatation in Elite Athletes

    • Antonio Pelliccia and
    • Barry J. Maron
    Ann Intern Med October 5, 1999 131:546

  • Hand Hygiene in Hospitals

    • Philip P. Mortimer
    Ann Intern Med October 5, 1999 131:546

  • Misdiagnosis of HIV Infection

    • Walter Palmas
    Ann Intern Med October 5, 1999 131:546-547

  • Misdiagnosis of HIV Infection

    • Charmagne Goodman,
    • Wesley Emmons,
    • and James Newton
    Ann Intern Med October 5, 1999 131:547

  • Misdiagnosis of HIV Infection

    • Josiah D. Rich,
    • Eleftherios Mylonakis,
    • and Timothy P. Flanigan
    Ann Intern Med October 5, 1999 131:547-548

  • Myocardial Infarction in HIV-Infected Men Receiving Protease Inhibitors

    • Thomas E. Flynn and
    • Lee A. Bricker
    Ann Intern Med October 5, 1999 131:548

  • Ocular Venous Occlusion and Hyperhomocysteinemia

    • Didier Ducloux,
    • Catherine Bresson-Vautrin,
    • and Jean-Marc Chalopin
    Ann Intern Med October 5, 1999 131:548-549

  • Cyclophosphamide-Associated Uroepithelial Toxicity

    • Ronnier J. Aviles,
    • Stacey A. Vlahakis,
    • and Peter L. Elkin
    Ann Intern Med October 5, 1999 131:549

  • CD123 hiDendritic Cell Lymphoma: An Unusual Case of Non-Hodgkin Lymphoma

    • Paulo Lúcio,
    • Antonio Parreira,
    • and Alberto Orfao
    Ann Intern Med October 5, 1999 131:549-550

Medical Writings

  • Quotations on the Wall

    • J. Willis Hurst
    Ann Intern Med October 5, 1999 131:551-554

    The author shares 17 quotations that he has framed and placed on the wall of a teaching conference room. These quotations illustrate a few principles that should be considered as physicians move into the future.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med October 5, 1999 131:0

Summaries for Patients

  • Using a Questionnaire to Help Identify Patients with Sleep Apnea

    Ann Intern Med October 5, 1999 131:485

  • Therapy to Prevent Stroke in Patients with Atrial Fibrillation

    Ann Intern Med October 5, 1999 131:492

  • Features of the Human Immunodeficiency Virus (HIV) in Military Personnel with Recent Infection

    Ann Intern Med October 5, 1999 131:502

  • A Novel but Potentially Risky Therapy for Severe Rheumatoid Arthritis

    Ann Intern Med October 5, 1999 131:507

  • Long-Term Symptoms after Spontaneous Clots in Upper Arm Veins

    Ann Intern Med October 5, 1999 131:510
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This Issue

October 5, 1999; 131 (7)
  1. Articles
  2. Brief Communications
  3. Updates
  4. Perspectives
  5. NIH Conferences
  6. Editorials
  7. On Being a Patient
  8. Letters
  9. Medical Writings
  10. Medical Writings: Book Notes
  11. Ad Libitum
  12. Book Listings
  13. Medical Notices
  14. Summaries for Patients

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