Table of Contents

June 15, 2004; 140 (12)

Articles

  • Withholding Anticoagulation after a Negative Result on Duplex Ultrasonography for Suspected Symptomatic Deep Venous Thrombosis

    • Scott M. Stevens,
    • C. Gregory Elliott,
    • Karen J. Chan,
    • Marlene J. Egger,
    • and Kirmanj M. Ahmed
    Ann Intern Med June 15, 2004 140:985-991

    These researchers withheld anticoagulation from 375 patients who had negative results on comprehensive (ankle to groin) duplex ultrasonography for a first episode of suspected symptomatic deep venous thrombosis of the leg. The rate of subsequently diagnosed deep venous thrombosis was 0.8% (95% CI, 0.16% to 2.3%).

  • Visceral Adiposity Is an Independent Predictor of Incident Hypertension in Japanese Americans

    • Tomoshige Hayashi,
    • Edward J. Boyko,
    • Donna L. Leonetti,
    • Marguerite J. McNeely,
    • Laura Newell-Morris,
    • Steven E. Kahn,
    • and Wilfred Y. Fujimoto
    Ann Intern Med June 15, 2004 140:992-1000

    This prospective study used computed tomography to measure body fat in 300 normotensive Japanese Americans. Ninety-two participants developed hypertension within 10 to 11 years. Greater visceral adiposity was associated with increased risk for hypertension even after adjustment for baseline differences in risk factors for hypertension.

  • Drug Provocation Tests in Patients with a History Suggesting an Immediate Drug Hypersensitivity Reaction

    • Djamel Messaad,
    • Hocine Sahla,
    • Said Benahmed,
    • Philippe Godard,
    • Jean Bousquet,
    • and Pascal Demoly
    Ann Intern Med June 15, 2004 140:1001-1006

    Giving the suspect drug to an individual with presumed drug allergy can safely confirm or rule out drug hypersensitivity if done in a carefully controlled setting. Results of drug provocation testing were negative in 82.4% of the patients in this case series.

  • Effects of Aerobic Physical Exercise on Inflammation and Atherosclerosis in Men: The DNASCO Study: A Six-Year Randomized, Controlled Trial

    • Rainer Rauramaa,
    • Pirjo Halonen,
    • Sari B. Väisänen,
    • Timo A. Lakka,
    • Arno Schmidt-Trucksäss,
    • Aloys Berg,
    • Ilkka M. Penttilä,
    • Tuomo Rankinen,
    • and Claude Bouchard
    Ann Intern Med June 15, 2004 140:1007-1014

    Aerobic exercise did not slow progression of atherosclerosis at the carotid artery bifurcation in middle-aged men. In a subgroup analysis, exercise reduced the rate of progression of atherosclerosis in men who did not take statins.

Improving Patient Care

  • The Effectiveness of Depression Care Management on Diabetes-Related Outcomes in Older Patients

    • John W. Williams, Jr.,
    • Wayne Katon,
    • Elizabeth H.B. Lin,
    • Polly H. Nöel,
    • Jason Worchel,
    • John Cornell,
    • Linda Harpole,
    • Bridget A. Fultz,
    • Enid Hunkeler,
    • Virginia S. Mika,
    • Jürgen Unützer,
    • and the IMPACT Investigators*
    Ann Intern Med June 15, 2004 140:1015-1024

    Twelve months of intensive treatment of depression improved mood and functional status in older patients with depression and diabetes but did not affect diabetes-specific outcomes in this randomized trial in patients with good baseline glycemic control.

  • Acute Decompensation after Removing a Central Line: Practical Approaches to Increasing Safety in the Intensive Care Unit

    • Peter J. Pronovost,
    • Albert W. Wu,
    • and J. Bryan Sexton
    Ann Intern Med June 15, 2004 140:1025-1033

    Medical errors are common in intensive care units (ICUs), in part because many ICU processes require precise execution of a complex sequence of actions. Avoiding errors requires careful planning, excellent teamwork, and built-in checks for correct implementation. This paper, part of the Quality Grand Rounds series, provides a practical framework for improving patient safety in ICUs.

Perspectives

  • Resident Redux

    • Abraham Verghese
    Ann Intern Med June 15, 2004 140:1034-1036

    At a recent journal club, I was essentially looking at the children of the foreign medical graduates who had been my peers and colleagues—the children of some of the thousands of foreign-trained physicians scattered across the country. Here was unequivocal proof that my generation had passed the baton. Although they still looked very much like my generation, these kids were now at home in the very places that were effectively closed to us.

Clinical Guidelines

  • Medical Management of the Acute Radiation Syndrome: Recommendations of the Strategic National Stockpile Radiation Working Group

    • Jamie K. Waselenko,
    • Thomas J. MacVittie,
    • William F. Blakely,
    • Nicki Pesik,
    • Albert L. Wiley,
    • William E. Dickerson,
    • Horace Tsu,
    • Dennis L. Confer,
    • C. Norman Coleman,
    • Thomas Seed,
    • Patrick Lowry,
    • James O. Armitage,
    • and Nicholas Dainiak
    Ann Intern Med June 15, 2004 140:1037-1051

    Terrorists could use highly radioactive material to commit acts of destruction. This consensus document provides guidelines for evaluating, triaging, and medically managing victims with acute radiation injury.

Editorials

  • One-Time Comprehensive Ultrasonography To Diagnose Deep Venous Thrombosis: Is That the Solution?

    • Dalia El Kheir and
    • Harry Büller
    Ann Intern Med June 15, 2004 140:1052-1053

    Ultrasonography limited to the common femoral and popliteal veins has been the gold standard for diagnosing symptomatic deep venous thrombosis. After a negative examination, many centers repeat the study 1 week later to exclude propagation of calf vein thrombosis into the thigh. Stevens and colleagues report on the safety of withholding anticoagulation after normal results on a single ankle-to-groin ultrasonographic examination. Will this test become the new gold standard?

  • Can Treating Depression Improve Disease Outcomes?

    • Jeffrey L. Jackson,
    • Kent DeZee,
    • and Elizabeth Berbano
    Ann Intern Med June 15, 2004 140:1054-1056

    Although treating depression may not improve the outcome of comorbid illnesses, as a study in this issue suggests, it may dramatically improve the quality of life for patients and their families. Clinicians should continue to look for and treat depression in their patients.

On Being a Doctor

  • A Foreign Concept

    • Ranjana Srivastava
    Ann Intern Med June 15, 2004 140:1057-1058

    Five years out of medical school, amid the heady days of youth and with the luxury of being able to gaze straight ahead without any real distractions, I have been blind to the trials that lash someone 15 years older, displaced from country, profession, and family and straining to simply find a hint of solace in each passing day.

Letters

  • γ-Hydroxybutyrate Use in Older Adults

    • D. Eric Brush,
    • Steven B. Bird,
    • and Edward W. Boyer
    Ann Intern Med June 15, 2004 140:W-70-W-71

  • Tolerability of Rofecoxib versus Naproxen

    • Lonnie B. Hanauer
    Ann Intern Med June 15, 2004 140:1059

  • Tolerability of Rofecoxib versus Naproxen

    • John M. Rusche
    Ann Intern Med June 15, 2004 140:1059

  • Tolerability of Rofecoxib versus Naproxen

    • M. L. Jenkinson
    Ann Intern Med June 15, 2004 140:1059-1060

  • Tolerability of Rofecoxib versus Naproxen

    • Jeffrey R. Lisse,
    • Monica Perlman,
    • Adam B. Polis,
    • and Gregory P. Geba
    Ann Intern Med June 15, 2004 140:1060

  • Coping with SARS

    • Mary Jeanne Buttrey
    Ann Intern Med June 15, 2004 140:1060-1061

  • Improving Geriatrics Training

    • Rebecca D. Elon
    Ann Intern Med June 15, 2004 140:1061

  • Hospital Procedure Volume and Outcomes

    • Ashish V. Joshi and
    • Lesley-Ann Miller
    Ann Intern Med June 15, 2004 140:1061-1062

  • Hospital Procedure Volume and Outcomes

    • Jeffrey A. Meyerhardt and
    • Charles S. Fuchs
    Ann Intern Med June 15, 2004 140:1062

  • Isolated Gastric Varices Occurring 5 Years after Chemotherapy for Splenic Lymphoma

    • Srinivas R. Puli,
    • John S. Farrell,
    • and Martin A. Alpert
    Ann Intern Med June 15, 2004 140:1062-1063

  • Correction: Hospital Procedure Volume and Outcomes

    Ann Intern Med June 15, 2004 140:1063

Medical Writings: Book Notes

Ad Libitum

Book Listings

  • Book Listings

    Ann Intern Med June 15, 2004 140:0

Medical Notices

  • Medical Notices

    Ann Intern Med June 15, 2004 140:0

Summaries for Patients

  • Reliability and Safety of Managing Patients with Suspected Blood Clots in the Legs Using Comprehensive Duplex Ultrasonography

    Ann Intern Med June 15, 2004 140:I-12

  • Fat Content Inside the Abdomen Helps Predict Whether Japanese Americans Develop Hypertension

    Ann Intern Med June 15, 2004 140:I-17

  • Tests To Confirm Drug Allergy in Patients with a History of Possible Immediate Allergic Reactions to Drugs

    Ann Intern Med June 15, 2004 140:I-30

  • Does Aerobic Exercise Slow Progression of Atherosclerosis?

    Ann Intern Med June 15, 2004 140:I-37

  • Depression Care Management for Older Adults with both Depression and Diabetes

    Ann Intern Med June 15, 2004 140:I-48

  • Medical Management of the Acute Radiation Syndrome: Recommendations of the Strategic National Stockpile Radiation Working Group

    Ann Intern Med June 15, 2004 140:I-51
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This Issue

June 15, 2004; 140 (12)
  1. Articles
  2. Improving Patient Care
  3. Perspectives
  4. Clinical Guidelines
  5. Editorials
  6. On Being a Doctor
  7. Letters
  8. Medical Writings: Book Notes
  9. Ad Libitum
  10. Book Listings
  11. Medical Notices
  12. Summaries for Patients

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