Table of Contents

September 4, 2001; 135 (5)

Articles

  • Restricted Activity among Community-Living Older Persons: Incidence, Precipitants, and Health Care Utilization

    • Thomas M. Gill,
    • Mayur M. Desai,
    • Evelyne A. Gahbauer,
    • Theodore R. Holford,
    • and Christianna S. Williams
    Ann Intern Med September 4, 2001 135:313-321

    Restricted activity is common in community-living older persons, regardless of risk for disability, and it is usually attributable to several concurrent health-related problems. Although restricted activity is associated with a substantial increase in health care utilization, older persons with restricted activity often do not seek medical attention.

  • A Prospective Study of Asymptomatic Carriers of the Factor V Leiden Mutation To Determine the Incidence of Venous Thromboembolism

    • Saskia Middeldorp,
    • Johan R. Meinardi,
    • Maria M.W. Koopman,
    • Elisabeth C.M. van Pampus,
    • Karly Hamulyák,
    • Jan van der Meer,
    • Martin H. Prins,
    • and Harry R. Büller
    Ann Intern Med September 4, 2001 135:322-327

    The absolute annual incidence of spontaneous venous thromboembolism in asymptomatic carriers of the factor V Leiden mutation is low and does not justify routine screening of the families of symptomatic patients.

  • Racial Differences in Cardiac Revascularization Rates: Does “Overuse” Explain Higher Rates among White Patients?

    • Eric C. Schneider,
    • Lucian L. Leape,
    • Joel S. Weissman,
    • Robert N. Piana,
    • Constantine Gatsonis,
    • and Arnold M. Epstein
    Ann Intern Med September 4, 2001 135:328-337

    Among a large and diverse sample of Medicare beneficiaries in five U.S. states, overuse of percutaneous transluminal coronary angioplasty was greater in white men than in other groups, but this difference did not fully explain overall disparities in revascularization by race. Overuse of cardiac revascularization varied significantly by geographic region.

Brief Communications

  • Molecular Analysis of the Mevalonate Kinase Gene in a Cohort of Patients with the Hyper-IgD and Periodic Fever Syndrome: Its Application as a Diagnostic Tool

    • Anna Simon,
    • Laurence Cuisset,
    • M.-Françoise Vincent,
    • Saskia D. van der Velde-Visser,
    • Marc Delpech,
    • Jos W.M. van der Meer,
    • Joost P.H. Drenth,
    • and for the International HIDS Study Group
    Ann Intern Med September 4, 2001 135:338-343

    The hyper-IgD and periodic fever syndrome (HIDS) is characterized by recurrent attacks of fever, abdominal distress, and arthralgia and is caused by mevalonate kinase mutations. This cross-sectional study from the Netherlands found that genetic heterogeneity exists among patients with a clinical diagnosis of HIDS.

Academia and Clinic

  • Perceptions about Complementary Therapies Relative to Conventional Therapies among Adults Who Use Both: Results from a National Survey

    • David M. Eisenberg,
    • Ronald C. Kessler,
    • Maria I. Van Rompay,
    • Ted J. Kaptchuk,
    • Sonja A. Wilkey,
    • Scott Appel,
    • and Roger B. Davis
    Ann Intern Med September 4, 2001 135:344-351

    National survey data do not support the view that use of complementary and alternative medical (CAM) therapy in the United States primarily reflects dissatisfaction with conventional care. Adults who use both appear to value both forms of therapy and tend to be less concerned about their medical doctor's disapproval than their doctor's inability to understand or incorporate CAM therapy use.

Review

  • Racial Differences in the Use of Invasive Cardiovascular Procedures: Review of the Literature and Prescription for Future Research

    • Nancy R. Kressin and
    • Laura A. Petersen
    Ann Intern Med September 4, 2001 135:352-366

    This review found racial differences in invasive cardiac procedure use even after adjustment for disease severity. Future studies should comprehensively and simultaneously examine the full range of patient, physician, and health care system variables related to racial differences in the provision of invasive cardiac procedures.

Perspectives

  • The Thrombophilias: Well-Defined Risk Factors with Uncertain Therapeutic Implications

    • Kenneth A. Bauer
    Ann Intern Med September 4, 2001 135:367-373

    The author focuses on which patients should be screened for hereditary and other thrombophilias and on the implications of such a diagnosis on patient management.

Editorial

  • Restricted Activity: Key Indicator of Decline or “Just Having a Bad Day”?

    • Edward R. Marcantonio
    Ann Intern Med September 4, 2001 135:374-376

    Perhaps the most important question raised by Gill and colleagues' study in this issue is the significance of restricted activity. Is restricted activity a key marker of functional decline and long-term disability, or does it merely indicate intermittent difficulty in the performance of usual activities: in other words, an elderly person “having a bad day”? The answer to both questions is probably “yes.”

On Being a Patient

Letters

  • Methylene Blue Improves the Hepatopulmonary Syndrome

    • David A. Groneberg and
    • Axel Fischer
    Ann Intern Med September 4, 2001 135:380

  • Methylene Blue Improves the Hepatopulmonary Syndrome

    • Peter Schenk,
    • Stephan Lehr,
    • and Christian Müller
    Ann Intern Med September 4, 2001 135:380-381

  • Periodic Liver Biopsy for Mild Hepatitis C

    • Barry Kisloff
    Ann Intern Med September 4, 2001 135:381

  • Periodic Liver Biopsy for Mild Hepatitis C

    • John B. Wong and
    • Raymond S. Koff
    Ann Intern Med September 4, 2001 135:381-382

  • Cost-Effectiveness Analyses

    • Charles M. Clark, Jr
    Ann Intern Med September 4, 2001 135:382

  • Cost-Effectiveness Analyses

    • Lisa A. Prosser,
    • Aaron A. Stinnett,
    • Lee Goldman,
    • and Milton C. Weinstein
    Ann Intern Med September 4, 2001 135:382-383

  • Ultrasonography in Management of Nodular Thyroid Disease

    • Matthew C. Leinung,
    • Andrew Gianoukakis,
    • and Daniel W. Lee
    Ann Intern Med September 4, 2001 135:383

  • Ultrasonography in Management of Nodular Thyroid Disease

    • Jorge L. Gross
    Ann Intern Med September 4, 2001 135:383-384

  • Ultrasonography in Management of Nodular Thyroid Disease

    • Ellen Marqusee,
    • P. Reed Larsen,
    • and Susan J. Mandel
    Ann Intern Med September 4, 2001 135:384

  • Doxepin-Induced Torsade de Pointes Tachycardia

    • Peter Alter,
    • Daniela Tontsch,
    • and Wolfram Grimm
    Ann Intern Med September 4, 2001 135:384-385

Medical Writings

  • To Change or Not To Change: “Sounds Like You Have a Dilemma”

    • Wendy Levinson,
    • Marc S. Cohen,
    • Donald Brady,
    • and F. Daniel Duffy
    Ann Intern Med September 4, 2001 135:386-391

    One of a physician's most important tasks is to help patients change unhealthy behaviors, such as smoking, hazardous alcohol use, overeating, or physical inactivity. The authors explain a clinically useful model for counseling and provide sample words and phrases to illustrate how physicians can influence change.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

  • Restricted Activity among Older People Living in the Community

    Ann Intern Med September 4, 2001 135:S33

  • Blood Clots in People with the Factor V Leiden Mutation

    Ann Intern Med September 4, 2001 135:S34

  • Overuse of Coronary Artery Bypass Graft Surgery and Percutaneous Transluminal Coronary Angioplasty

    Ann Intern Med September 4, 2001 135:S35

  • Can Genetics Help Diagnose the Hyper-IgD and Periodic Fever Syndrome?

    Ann Intern Med September 4, 2001 135:S36
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This Issue

September 4, 2001; 135 (5)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Review
  5. Perspectives
  6. Editorial
  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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