Table of Contents

June 1, 1999; 130 (11)

Articles

  • Genetic and Environmental Influences on Total-Body and Central Abdominal Fat: The Effect of Physical Activity in Female Twins

    • Katherine Samaras,
    • Paul J. Kelly,
    • Mathias N. Chiano,
    • Tim D. Spector,
    • and Lesley V. Campbell
    Ann Intern Med June 1, 1999 130:873-882

    Current physical activity predicted lower total-body and central abdominal adiposity in healthy middle-aged female identical twins. After adjustment for genetic and environmental factors, the influence of physical activity was greater than that of other measured environmental factors.

  • Association between Body Mass and Adenocarcinoma of the Esophagus and Gastric Cardia

    • Jesper Lagergren,
    • Reinhold Bergström,
    • and Olof Nyrén
    Ann Intern Med June 1, 1999 130:883-890

    The association between body mass index and esophageal carcinoma was strong and was not explained by bias or confounding. The carcinogenic mechanism, however, remains to be clarified. The increasing prevalence of obesity in western countries could be important in understanding the increasing occurrence of this tumor.

  • Large Pleural Effusions Occurring after Coronary Artery Bypass Grafting

    • Richard W. Light,
    • Jeffrey T. Rogers,
    • Dong-sheng Cheng,
    • R. Michael Rodriguez,
    • and Cardiovascular Surgery Associates, PC*
    Ann Intern Med June 1, 1999 130:891-896

    Large pleural effusions may develop in a small proportion of patients after coronary artery bypass grafting. Most bloody effusions can be managed with one to three therapeutic thoracenteses. Resolution of nonbloody effusions may require anti-inflammatory agents, tube thoracostomy, or intrapleural injection of antisclerosing agents.

  • The Effect of Low-Dose Continuous Estrogen and Progesterone Therapy with Calcium and Vitamin D on Bone in Elderly Women: A Randomized, Controlled Trial

    • Robert R. Recker,
    • K. Michael Davies,
    • Rachel M. Dowd,
    • and Robert P. Heaney
    Ann Intern Med June 1, 1999 130:897-904

    In elderly women, continuous low-dose hormone replacement therapy with conjugated equine estrogen and oral medroxyprogesterone combined with adequate calcium and vitamin D provides a bone-sparing effect that is similar or superior to that provided by other, higher-dose hormone replacement regimens.

Brief Communications

  • Treatment of the Systemic Capillary Leak Syndrome with Terbutaline and Theophylline: A Case Series

    • Naeem K. Tahirkheli and
    • Philip R. Greipp
    Ann Intern Med June 1, 1999 130:905-909

    A regimen of terbutaline and theophylline seems to be effective prophylaxis against the systemic capillary leak syndrome. In this series of eight patients, maintenance of therapeutic drug levels was associated with favorable results.

Review

  • Functional Somatic Syndromes

    • Arthur J. Barsky and
    • Jonathan F. Borus
    Ann Intern Med June 1, 1999 130:910-921

    Functional somatic syndromes cause great suffering and disability and have substantial societal costs. The public needs to recognize the ubiquity of benign symptoms and self-limited syndromes and to appreciate the influence of psychosocial factors on the experience of illness. Clinicians, in turn, should continue to search for biological and physical causes of symptoms but also examine psychological and sociocultural factors.

Perspectives

  • Evaluating Novel Cardiovascular Risk Factors: Can We Better Predict Heart Attacks?

    • Paul M. Ridker
    Ann Intern Med June 1, 1999 130:933-937

    When considering the clinical utility of screening for a new marker of cardiovascular disease, physicians should determine whether a standardized and reproducible assay for the marker is available, whether a consistent series of prospective studies indicate that baseline elevations of the marker predict future risk, and whether assessment of the marker adds to the predictive value of other plasma-based risk factors.

NIH Conferences

  • Recent Advances in Varicella-Zoster Virus Infection

    • Jeffrey I. Cohen,
    • Philip A. Brunell,
    • Stephen E. Straus,
    • and Philip R. Krause
    Ann Intern Med June 1, 1999 130:922-932

    This conference paper focuses on recent developments in the biology, clinical presentation, treatment, and prevention of varicella-zoster virus infections.

Editorial

  • Genes and Obesity: Is There Reason To Change Our Behaviors?

    • Roland L. Weinsier
    Ann Intern Med June 1, 1999 130:938-939

    If someone is genetically predisposed to be physically inactive, is he or she predestined to become obese? The article by Samaras and colleagues in this issue contributes to our understanding of this question by examining the relation of physical activity and dietary behaviors to adiposity while controlling for genetic influences.

On Being a Patient

  • The Other Side of the Bed Rail

    • Mary O'Flaherty Horn
    Ann Intern Med June 1, 1999 130:940-941

    As the pace of change in medicine quickens, physicians who teach will bear a special responsibility to provide strong examples of empathy and professionalism to students and residents. After all, one day we may find ourselves on the other side of the bed rail.

Letters

  • Epinephrine and Outcome after Cardiac Arrest

    • Paul E. Gause
    Ann Intern Med June 1, 1999 130:942

  • Epinephrine and Outcome after Cardiac Arrest

    • Robert E. Fromm, Jr. and
    • Joseph Varon
    Ann Intern Med June 1, 1999 130:942

  • Epinephrine and Outcome after Cardiac Arrest

    • Fritz Sterz,
    • Wilhelm Behringer,
    • and Harald Kittler
    Ann Intern Med June 1, 1999 130:942-943

  • Bee Sting Dysphagia

    • Gloria DeGrandi-Hoffman and
    • Richard F. Hoffman
    Ann Intern Med June 1, 1999 130:943

  • Bee Sting Dysphagia

    • Macy I. Levine
    Ann Intern Med June 1, 1999 130:943

  • Bee Sting Dysphagia

    • Dhiren Shah and
    • Tat-Kin Tsang
    Ann Intern Med June 1, 1999 130:943

  • Electronic Patient–Physician Communication

    • H.C. George Wong
    Ann Intern Med June 1, 1999 130:944

  • Electronic Patient–Physician Communication

    • Kenneth D. Mandl and
    • Isaac S. Kohane
    Ann Intern Med June 1, 1999 130:944

  • Venlaxafine-Associated Hepatitis

    • Yves Horsmans,
    • Michel De Clercq,
    • and Christine Sempoux
    Ann Intern Med June 1, 1999 130:944

Medical Writings

  • Toward an Understanding of Frailty

    • David Hamerman
    Ann Intern Med June 1, 1999 130:945-950

    Ameliorating frailty is an important health care goal that has enormous societal implications. This article describes many of the clinical correlates of frailty and considers evidence for this condition's biological underpinnings.

Medical Writings: Book Notes

  • Access to Experimental Drugs in Terminal Illness: Ethical Issues

    • Henry S. Perkins
    Ann Intern Med June 1, 1999 130:951

  • Beyond Consent: Seeking Justice in Research

    • Dennis J. Mazur
    Ann Intern Med June 1, 1999 130:951-952

  • The Successful Physician: A Productivity Handbook for Practitioners

    • Yucel Balbay and
    • Duncan Neuhauser
    Ann Intern Med June 1, 1999 130:952

  • The Little Black Book of Primary Care

    • Allison Oler
    Ann Intern Med June 1, 1999 130:952

Ad Libitum

Book Listings

Medical Notices

  • Medical Notices

    Ann Intern Med June 1, 1999 130:0
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This Issue

June 1, 1999; 130 (11)
  1. Articles
  2. Brief Communications
  3. Review
  4. Perspectives
  5. NIH Conferences
  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

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