Table of Contents

February 6, 2001; 134 (3)

Articles

  • Sex Differences in 2-Year Mortality after Hospital Discharge for Myocardial Infarction

    • Viola Vaccarino,
    • Harlan M. Krumholz,
    • Jorge Yarzebski,
    • Joel M. Gore,
    • and Robert J. Goldberg
    Ann Intern Med February 6, 2001 134:173-181

    Younger, but not older, women who survive hospitalization for myocardial infarction have a higher long-term mortality rate than men. This finding provides additional evidence that younger women who sustain a myocardial infarction are at greater risk for death than men.

  • Cardiovascular Disease and Mortality in Older Adults with Small Abdominal Aortic Aneurysms Detected by Ultrasonography: The Cardiovascular Health Study

    • Anne B. Newman,
    • Alice M. Arnold,
    • Gregory L. Burke,
    • Daniel H. O'Leary,
    • and Teri A. Manolio
    Ann Intern Med February 6, 2001 134:182-190

    Total mortality, cardiovascular disease mortality, and rate of incident cardiovascular disease were higher in patients with abdominal aortic aneurysm than in those without aneurysm, independent of age, sex, other clinical cardiovascular disease, and extent of atherosclerosis detected by noninvasive testing.

  • Subcutaneous Enoxaparin Once or Twice Daily Compared with Intravenous Unfractionated Heparin for Treatment of Venous Thromboembolic Disease

    • Geno Merli,
    • Theodore E. Spiro,
    • Carl-Gustav Olsson,
    • Ulrich Abildgaard,
    • Bruce L. Davidson,
    • Amiram Eldor,
    • Darlene Elias,
    • Andrew Grigg,
    • Dominique Musset,
    • George M. Rodgers,
    • Arthur A. Trowbridge,
    • Roger D. Yusen,
    • Krystyna Zawilska,
    • and for the Enoxaparin Clinical Trial Group*
    Ann Intern Med February 6, 2001 134:191-202

    Subcutaneous enoxaparin given once or twice daily is as effective and safe as dose-adjusted, continuously infused unfractionated heparin for preventing recurrent symptomatic venous thromboembolic disease.

Brief Communications

  • Inhaled Human Insulin Treatment in Patients with Type 2 Diabetes Mellitus

    • William T. Cefalu,
    • Jay S. Skyler,
    • Ione A. Kourides,
    • William H. Landschulz,
    • Cecile C. Balagtas,
    • Shu-Lin Cheng,
    • Robert A. Gelfand,
    • and for the Inhaled Insulin Study Group*
    Ann Intern Med February 6, 2001 134:203-207

    Pulmonary delivery of insulin in patients with type 2 diabetes who require insulin improved glycemic control, was well tolerated, and demonstrated no adverse pulmonary effects.

Academia and Clinic

  • Life after Death: A Practical Approach to Grief and Bereavement

    • David Casarett,
    • Jean S. Kutner,
    • Janet Abrahm,
    • and for the End-of-Life Care Consensus Panel*
    Ann Intern Med February 6, 2001 134:208-215

    This consensus paper describes the essential skills that clinicians need to help persons who are experiencing grief after the death of a loved one. Four aspects of the grieving process are reviewed: anticipatory grief, acute grief, normal grief reactions, and complicated grief.

Review

  • Thrombus Formation on Atherosclerotic Plaques: Pathogenesis and Clinical Consequences

    • Ursula Rauch,
    • Julio I. Osende,
    • Valentin Fuster,
    • Juan J. Badimon,
    • Zahi Fayad,
    • and James H. Chesebro
    Ann Intern Med February 6, 2001 134:224-238

    Long-term treatment with potent antithrombotic drugs, such as tissue factor or factor Xa inhibitors, that effectively block thrombosis without causing bleeding complications could help reduce death from cardiovascular disease.

Editorials

  • Increased Mortality among Middle-Aged Women after Myocardial Infarction: Searching for Mechanisms and Solutions

    • John Z. Ayanian
    Ann Intern Med February 6, 2001 134:239-241

    Amid growing efforts to understand and improve the treatment of heart disease in women, Vaccarino and colleagues, in this issue, provide sobering evidence regarding the adverse long-term consequences of acute myocardial infarction in middle-aged women.

  • Inhaled Insulin for Type 2 Diabetes: Solution or Distraction?

    • David M. Nathan
    Ann Intern Med February 6, 2001 134:242-244

    In this issue, Cefalu and colleagues report findings from a 3-month study of inhaled insulin in patients with type 2 diabetes. Can we draw any conclusions about this method of delivering insulin, considering the absence of a control group in this study?

On Being a Patient

  • Reflections on a Death

    • Theodore Tsomides
    Ann Intern Med February 6, 2001 134:246-248

    As a resident in internal medicine at a 600-bed teaching hospital, I have cared for many dying patients and their families. But nothing could have prepared me for the experience of taking care of my dying father or taught me more about the art of medicine.

Letters

Medical Writings

  • The Remains of the Profession, or What the Butler Knew

    • Ellen S. More
    Ann Intern Med February 6, 2001 134:255-259

    The Remains of the Day,the brilliant novel by Kazuo Ishiguro, reminds us, physicians and health care organizations alike, that no matter what the setting or the institutional constraints, authentic professionalism in the broadest sense cannot abrogate its core duties: to make sound and ethical judgments and to acknowledge the responsibility for having made them.

Medical Writings: Book Notes

  • Obesity: Impact on Cardiovascular Disease

    • Arthur C. Fox
    Ann Intern Med February 6, 2001 134:260

  • Gastrointestinal Motility: Tests and Problem-Oriented Approach

    • Edy E. Soffer
    Ann Intern Med February 6, 2001 134:260

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Differences between Men and Women in Risk for Death after a Heart Attack

    Ann Intern Med February 6, 2001 134:S74

  • Cardiovascular Disease and Death in Older Adults with Small Aneurysm in the Abdominal Aorta

    Ann Intern Med February 6, 2001 134:S75

  • Comparison of Two Forms of the Anticlotting Drug Heparin for Treatment of Blood Clots in the Legs

    Ann Intern Med February 6, 2001 134:S76

  • Treating Type 2 Diabetes with Inhaled Insulin

    Ann Intern Med February 6, 2001 134:S77

Updates from the Annual Session

  • Update in Hepatology

    • Willis C. Maddrey
    Ann Intern Med February 6, 2001 134:216-223

    This Update discusses some important aspects of the history of viral hepatitis and hemochromatosis and describes notable new reports that may help guide an internist's approach to patients with these liver diseases.

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This Issue

February 6, 2001; 134 (3)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Review
  5. Editorials
  6. On Being a Patient
  7. Letters
  8. Medical Writings
  9. Medical Writings: Book Notes
  10. Ad Libitum
  11. Book Listings
  12. Medical Notices
  13. Summaries for Patients
  14. Updates from the Annual Session

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