Table of Contents

December 7, 2004; 141 (11)

Articles

  • Sudden Death in Young Adults: A 25-Year Review of Autopsies in Military Recruits

    • Robert E. Eckart,
    • Stephanie L. Scoville,
    • Charles L. Campbell,
    • Eric A. Shry,
    • Karl C. Stajduhar,
    • Robert N. Potter,
    • Lisa A. Pearse,
    • and Renu Virmani
    Ann Intern Med December 7, 2004 141:829-834

    Anomalous origin of the left coronary artery and myocarditis are the leading identifiable causes of sudden death among military recruits. More than one third of sudden deaths remain unexplained after detailed medical investigation and autopsy.

  • Management of Implantable Cardioverter Defibrillators in End-of-Life Care

    • Nathan E. Goldstein,
    • Rachel Lampert,
    • Elizabeth Bradley,
    • Joanne Lynn,
    • and Harlan M. Krumholz
    Ann Intern Med December 7, 2004 141:835-838

    Implantable cardioverter defibrillators (ICDs) may discharge as an inevitable death draws near and make the act of dying more distressing. In this study, deceased patients' next of kin reported that clinicians seldom discussed deactivating ICDs. Individuals with an ICD should have the opportunity to turn it off as death approaches.

  • Negative d-dimer Result To Exclude Recurrent Deep Venous Thrombosis: A Management Trial

    • Suman W. Rathbun,
    • Thomas L. Whitsett,
    • and Gary E. Raskob
    Ann Intern Med December 7, 2004 141:839-845

    A negative d-dimer test result can obviate the need for further testing or anticoagulation in many patients with a suspected first episode of deep venous thrombosis. This management trial extends this concept to patients with suspected recurrent venous thrombosis by showing a very low rate of deep venous thrombosis after a negative d-dimer test result in up to two thirds of such patients.

  • Brief Communication: Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin Levels, Elevated Ghrelin Levels, and Increased Hunger and Appetite

    • Karine Spiegel,
    • Esra Tasali,
    • Plamen Penev,
    • and Eve Van Cauter
    Ann Intern Med December 7, 2004 141:846-850

    Sleep-deprived healthy persons experience increased hunger. They also have increased blood levels of leptin and decreased levels of ghrelin (hormones that regulate satiety and hunger). These hormonal effects could be the cause of their increased hunger.

Improving Patient Care

  • Systematic Review: Effects of Resident Work Hours on Patient Safety

    • Kathlyn E. Fletcher,
    • Steven Q. Davis,
    • Willie Underwood,
    • Rajesh S. Mangrulkar,
    • Laurence F. McMahon, Jr.,
    • and Sanjay Saint
    Ann Intern Med December 7, 2004 141:851-857

    Studies of interventions to decrease housestaff work hours, fatigue, and sleep deprivation are few; taken together, they make a relatively weak body of evidence. As educators struggle to improve working conditions for housestaff, they cannot rely on past research.

Updates

  • Update in Infectious Diseases

    • Bennett Lorber
    Ann Intern Med December 7, 2004 141:875-881

    This year's Update in Infectious Diseases incorporates articles on common infections, HIV medicine, therapeutics, bioterrorism, and emerging infections.

Reviews

  • Systematic Review: Transient Left Ventricular Apical Ballooning: A Syndrome That Mimics ST-Segment Elevation Myocardial Infarction

    • Kevin A. Bybee,
    • Tomas Kara,
    • Abhiram Prasad,
    • Amir Lerman,
    • Greg W. Barsness,
    • R. Scott Wright,
    • and Charanjit S. Rihal
    Ann Intern Med December 7, 2004 141:858-865

    Some people who do not have coronary artery obstruction experience transient wall-motion abnormalities involving the left ventricular apex and mid-ventricle. They have transient left ventricular apical ballooning syndrome. The authors review case series of patients with this syndrome.

  • Meta-Analysis: Outcomes in Patients with Suspected Pulmonary Embolism Managed with Computed Tomographic Pulmonary Angiography

    • Lisa K. Moores,
    • William L. Jackson, Jr.,
    • Andrew F. Shorr,
    • and Jeffrey L. Jackson
    Ann Intern Med December 7, 2004 141:866-874

    Patients with suspected pulmonary embolism seldom have subsequent venous thromboembolism after negative results on computed tomographic pulmonary angiography (CTPA). Withholding anticoagulation after negative CTPA results seems to be safe.

Editorials

  • Sudden Cardiac Death in Young Military Recruits: Guarding the Heart of a Soldier

    • Gary J. Balady
    Ann Intern Med December 7, 2004 141:882-884

    In this issue, Eckart and colleagues show that cardiovascular conditions account for most sudden deaths in basic military training. These conditions are very difficult to detect with noninvasive tests in a low-risk population. A history of chest pain, syncope, or unusual dyspnea before or during basic training should alert physicians to military recruits at relatively high risk.

  • A Good Night's Sleep: Future Antidote to the Obesity Epidemic?

    • Jeffrey S. Flier and
    • Joel K. Elmquist
    Ann Intern Med December 7, 2004 141:885-886

    In this issue, Spiegel and colleagues raise much food for thought (so to speak). If their findings on changes in leptin and ghrelin during sleep deprivation are reproducible and generalizable, and if these hormonal changes cause changes in food intake over time, we may add inadequate sleep to the environmental factors that contribute to weight gain and obesity.

On Being a Doctor

  • A Rose for Dr. Martin

    • Michael J. Schott
    Ann Intern Med December 7, 2004 141:887

    One day after my lecture during morning report, Dr. Martin approached me. She said, “I'm going to teach you how to read an EKG.” I was shocked that she would take time out of her busy day to teach me. It seemed almost sacrilegious to me, like a master magician sharing her art with a member of the audience.

Letters

  • Obstetricians Still Wanted: Mothers Should Read the Fine Print

    • Philip E. Young
    Ann Intern Med December 7, 2004 141:888

  • Single Complete Compression Ultrasonography for Suspected Deep Venous Thrombosis: Ideal in Routine Clinical Practice?

    • Marc Righini,
    • Henri Bounameaux,
    • and Grégoire Le Gal
    Ann Intern Med December 7, 2004 141:888-889

  • Single Complete Compression Ultrasonography for Suspected Deep Venous Thrombosis: Ideal in Routine Clinical Practice?

    • Scott M. Stevens and
    • C. Gregory Elliott
    Ann Intern Med December 7, 2004 141:889

  • Aerobic Physical Exercise and Atherosclerosis in Men

    • Th. F.M. Fennis and
    • J. W. Vredeveld
    Ann Intern Med December 7, 2004 141:889

  • Aerobic Physical Exercise and Atherosclerosis in Men

    • Rainer Rauramaa,
    • Timo A. Lakka,
    • and Pirjo Halonen
    Ann Intern Med December 7, 2004 141:890

  • Exercise and Atherosclerosis

    • Norman M. Kaplan
    Ann Intern Med December 7, 2004 141:890

  • Exercise and Atherosclerosis

    • The Editors
    Ann Intern Med December 7, 2004 141:890

  • Foreign Medicine

    • Mohsen Eledrisi
    Ann Intern Med December 7, 2004 141:890-891

  • Management of the Acute Radiation Syndrome

    • Milton Ende
    Ann Intern Med December 7, 2004 141:891

  • Dose Effects of Steroids on Survival in Sepsis

    • David W. Noble
    Ann Intern Med December 7, 2004 141:891

  • Dose Effects of Steroids on Survival in Sepsis

    • Robert G. Badgett
    Ann Intern Med December 7, 2004 141:891-892

  • Dose Effects of Steroids on Survival in Sepsis

    • Katherine J. Deans,
    • Charles Natanson,
    • and Peter C. Minneci
    Ann Intern Med December 7, 2004 141:892

  • Angiotensin-Converting Enzyme Inhibitors and Diuretics: Optimal Combination Therapy

    • Mori J. Krantz and
    • Philip S. Mehler
    Ann Intern Med December 7, 2004 141:893

  • Angiotensin-Converting Enzyme Inhibitors and Diuretics: Optimal Combination Therapy

    • Barry R. Davis,
    • Curt D. Furberg,
    • Jackson T. Wright, Jr.,
    • Jeffrey A. Cutler,
    • and Paul Whelton
    Ann Intern Med December 7, 2004 141:893

  • Ginseng and Warfarin Interactions

    • Gregory A. Plotnikoff,
    • Dennis McKenna,
    • Kenji Watanabe,
    • and Mark Blumenthal
    Ann Intern Med December 7, 2004 141:893-894

  • Ginseng and Warfarin Interactions

    • Chun-Su Yuan
    Ann Intern Med December 7, 2004 141:894-895

  • B-Type Natriuretic Peptide Is Effective Therapy before Care

    • Ronald Witteles,
    • Kelly Matsuda,
    • and Michael B. Fowler
    Ann Intern Med December 7, 2004 141:895

  • Multiple Pseudotumors in IgG4-Associated Multifocal Systemic Fibrosis

    • Hans J.J. van der Vliet and
    • Roos M. Perenboom
    Ann Intern Med December 7, 2004 141:896-897

  • The Health Insurance Portability and Accountability Act and the Informed Consent Process

    • Peter Breese,
    • William Burman,
    • Cornelis Rietmeijer,
    • and Dennis Lezotte
    Ann Intern Med December 7, 2004 141:897-898

  • Gastrointestinal Beriberi: A Previously Unrecognized Syndrome

    • Michael Donnino
    Ann Intern Med December 7, 2004 141:898-899

Medical Writings: Book Notes

  • Healers & Heroes: Ordinary People in Extraordinary Times

    • Ann Klassen
    Ann Intern Med December 7, 2004 141:900

  • The Art of Living … The Art of Medicine. The Wit and Wisdom of Life and Medicine: A Physician's Perspective

    • Geno J. Merli
    Ann Intern Med December 7, 2004 141:900

Medical Notices

  • Medical Notices

    Ann Intern Med December 7, 2004 141:0

Summaries for Patients

  • Sudden Death in Military Recruits

    Ann Intern Med December 7, 2004 141:I-26

  • Implantable Cardioverter Defibrillators and End-of-Life Care

    Ann Intern Med December 7, 2004 141:I-38

  • Diagnosis of Suspected Recurrent Deep Venous Thrombosis Using d-Dimer and Compression Ultrasonography

    Ann Intern Med December 7, 2004 141:I-46

  • Sleep Duration and Levels of Hormones That Influence Hunger

    Ann Intern Med December 7, 2004 141:I-52
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This Issue

December 7, 2004; 141 (11)
  1. Articles
  2. Improving Patient Care
  3. Updates
  4. Reviews
  5. Editorials
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Medical Notices
  10. Summaries for Patients

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