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Primary Care: Clinics in Office Practice 2001: Vol 28 Index PDF

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CUMULATIVE INDEX 2001 Volume 28 March EXERCISE TESTING, pages 1-237 June PALLIATIVE CARE, pages 239-458 September GASTROENTEROLOGY, pages 459-683 December IMMUNIZATIONS, pages 685-911 Note: Page numbers of article titles are in boldface type. Abdominal angina, malabsorption in, Aerobic capacity, in exercise testing, 77-79 515-516 Aerobic fitness, 122-123 Abdominal pain, in irritable bowel Afterload, in exercise, 13 syndrome, 524 Aganglionosis, constipation in, 581 Abetalipoproteinemia, malabsorption in, Age 517 maximal exercise capacity and, 20 Absorption versus vaccine indications, 764-767 anatomy and physiology of, 630-631 Agency for Health Care Policy and problems with. See Malabsorption. Research pain assessment guidelires, Achalasia, 468-469 269-277 Acquired immunodeficiency syndrome. See Agitation, in palliative care, 335-336 Human immunodeficiency virus AIDS. See Human immunodeficiency virus infection. infection. Adenocarcinoma, esophageal, 475-476, Alcoholism 481-483, 654-656 pancreatitis in, 607-608, 618, 621 Adenomatous polyposis coli, colorectal vaccinations in, 768, 770 cancer in, 663 Altitude, maximal exercise capacity Adenomatous polyps and, 23 cancer development from, 661-662 American Academy of Pediatrics, palliative in inflammatory bowel disease, care definition of, 367 547 Aminosalicylates, for inflammatory bowel Adenosine, for pharmacologic stress disease, 549 testing, 186-187 Amoxicillin, for peptic ulcer disease, 493 Advance directives, 393-394 Amsterdam Criteria, for colorectal cancer definition of, 350-351 risk, 664 problems with, 351-352 Amylase measurement, in pancreatitis, 601, prognosis and, 3 609-610 terminology of, 352 Amyotrophic lateral sclerosis, palliative treatment goals and, 355-358 care in, 354 Adverse reactions, to vaccines. See Vaccines Anaerobic threshold, in exercise, 6, 162, and vaccination, adverse reactions to; 164-165 Safety, of vaccines. in dyspnea, 167 Advisory Committee on Immunization in heart failure, 168-173 Practices, 700-705 Anemia, in celiac disease, 512 890 CUMULATIVE INDEX Anesthetics, for palliative care, 290 Autism, measles-mumps-rubella vaccine Anger, in palliative care, 332 and, 856-859 Angina, abdominal, malabsorption in, Autonomy, as ethical principle, 392 515-516 Azathioprine Angina pectoris. See Chest pain. for Crohn’s disease, 515 Angiography, in gastrointestinal bleeding, for inflammatory bowel disease, 549-550 569-571 Angioplasty, coronary, exercise testing after, 188, 209-210, 212-214 Animal handling, vaccinations in, 779-780 Bacillus of Calmette and Guerin vaccine, for Anorectal disorders, constipation in, 582 travelers, 850 Anorexia, in palliative care, 300-301 Bacterial overgrowth syndrome, Antacids, for gastroesophageal reflux, 479 malabsorption in, 513-514 Anthrax Bad news, 249-267 as biologic warfare agent, 812-815 communication of treatment of, 815 case study of, 249-250, 256-257 vaccination for, 688, 814 clinical approach to, 256-265 Anti-reflux surgery, for gastroesophageal consensus guidelines for, 255-256 reflux, 480-481 discussion after, 260-261 Antibiotics. See also specific antibiotics. documentation of, 261-262 for inflammatory bowel disease, 550 environment for, 258-259 for pancreatitis, 616-617 family involvement in, 250-253, - Antibody(ies), Helicobacter pylori, tests for, 263-264 491-492 follow-up plan for, 261 Anticholinergic agents, for irritable bowel literature review on, 250-256 syndrome, 531 opening meeting, 259-260 Antidepressants physicians fear and discomfort with, for irritable bowel syndrome, 531 253-254 for palliative care, 312-313 randomized controlled studies of, Antiemetics, for palliative care, 302-304 254-255 Antispasmodic agents, for irritable bowel requests for nondisclosure, 263-264, syndrome, 531 410 Anxiety self-reflection on, 262 in grief, 419 telephone, 262-263 in palliative care, 310, 323 coping with, continuity in, 264-265 Aortic arch anomalies, esophageal Balke-Ware protocol, for exercise testing, compression in, 461 42-43 Aortic valve dysfunction, exercise testing Balloon tamponade, of variceal bleeding, in, 37, 173-174 567 Appetite, in palliative care, 300-301 Banding therapy, for esophageal varices, Arrhythmias, cardiac. See Cardiac 567-568 arrhythmias. Barium studies Arterial oxygen content, in exercise, 15 in colorectal cancer screening, 669 Arterial-venous oxygen difference, in in constipation, 584 exercise, 14-15 in dysphagia, 466-467 Asplenia, vaccinations in, 768, 770 in esophageal cancer, 482 Asthma, in gastroesophageal reflux, Barrett esophagus, 473-477, 481 477-478 cancer development in, 475-476 Atherosclerosis, mesenteric, malabsorption definition of, 474 in, 515-516 epidemiology of, 475 Athletes. See also Physical fitness. evaluation of, 476 exercise testing in, 55-61 historical aspects of, 473 Athletic heart syndrome, 56 pathogenesis of, 474-475 Atlanta Symposium, pancreatitis treatment of, 476-477 classification of, 612-613 Basal metabolic equivalents, in exercise Atrial tachycardia, in exercise testing, 223 testing, 40 Atrioventricular block, exercise testing in, Bayes rule, in exercise testing 35-36 interpretation, 106-110 CUMULATIVE INDEX 891 BCG (Bacillus of Calmette and Guerin Bone, metastasis to, radiation therapy for, vaccine), for travelers, 850 289 Beliefs, as cross-cultural challenge, 403 Bordetella pertussis infections. See Beneficence, as ethical principle, 391 Diphtheria-tetanus-acellular pertussis Bereavemert. See Grief and bereavement. vaccine; Pertussis. Beta-blockers, for gastrointestinal bleeding, Borreliosis, vaccination for, 849, 873-875 567 Botulinum toxin, for achalasia, 469 Bicycling, in exercise testing, 49, 165-166 Bowel obstruction, in palliative care, Biliary carcinoma, 656 322-323 Biliary colic, in gallstones, 593, 595 Brain, metastasis to, in palliative care, Biologic agents, for inflammatory bowel 320-321 disease, 550-551 Breathing, at end of life, 333-334 Biologic warfare agents, 807-821 Brief Pain Inventory, 271-273 countries possessing, 808-811 Brooke ileostomy, for inflammatory bowel history of, 807-809 disease, 553 in terrorism, 809-811 Bruce protocol, for exercise testing, 40-41, vaccines for, 811-819 43 anthrax, 812-815 aerobic capacity in, 77-7 plague, 818-819 gas analysis in, 163 smallpox, 815-818 in women, 62-63 Biopsy, small intestine, in malabsorption, Bubonic plague. See Plague. 509-510 Bundle branch block, in exercise testing, Bismuth subsalicylate, for peptic ulcer 76-77, 224-225 disease, 493 Bisphosphonates, for palliative care, 290 Black death. See Plague. C-reactive protein, measurement of, in Bleeding pancreatitis, 611 disorders of, vaccinations in, 768-769 Calcium channel blockers, for irritable gastrointestinal, 557-575 bowel syndrome, 531 assessment of, 558-561 Cancer, 647-660 lower, 568-570 biliary, 656 upper, 561-563 colorectal. See Colorectal cancer. epidemiology of, 557-558 esophageal, 475-476, 481-483, 654 laboratory tests in, 559-561 gastric, 654-656 lower, 568-571 hospice care in, 656-657 assessment of, 568-570 in celiac disease, 513 treatment of, 571 liver, 656 versus upper, 561 pain assessment in, 276-277 mortality in, 557-558 palliative care in. See Palliative care. treatment of pancreatic, 651-654 lower, 571 Carbamazepine, for palliative care, 288-289 upper, 563-568 Carbohydrates upper, 561-568 absorption of, 630 assessment of, 561-563 digestion of, 630 treatment of, 563-568 malabsorption of, 506-507, 509 versus lower, 561 Carbon dioxide, production and in palliative care, 323, 326 elimination of, in exercise testing, Bleeding scans, in gastrointestinal bleeding, 161-162 569 Cardiac arrhythmias Blood pressure, in exercise testing exercise testing in, 172 monitoring of, 45 in exercise testing, 76-77, 220-223 response of, 75-76, 223-224 Cardiac catheterization Blood transfusions, for gastrointestinal deferral of, in low-risk persons, 112 bleeding, 559 in coronary artery disease, 103-104 Body composition, measurement of, Cardiac disease, vaccinations in, 768, 770 124-127 Cardiac output, in exercise, 6, 9-10 Body mass index, measurement of, 124 venous oxygen content and, 15-16 892 CUMULATIVE INDEX Cardiac tamponade, in palliative care, Cholestyramine 326 for inflammatory bowel disease, 552 Cardiomyopathy, exercise testing in for irritable bowel syndrome, 531 gas analysis with, 168-171 Chronic illness, palliative care in, 339-347 in athletes, 57 changes occurring in, 340 Cardiopulmonary exercise testing. See Gas chronic obstructive pulmonary disease, analysis, with exercise testing. 342-343 Cardiopulmonary limits, in exercise, 8-9 congestive heart failure, 341-342 Cardiorespiratory fitness, 122-123 in undefined disease, 345-346 Catheterization, cardiac liver failure, 344-345 deferral of, in low-risk persons, 112 neurodegenerative disease, 345 in coronary artery disease, 103-104 renal disease, 343-344 CBER (Center for Biologics, Evaluation, and resources for, 341 Research), 699-700 versus disease-focused care, 340-341 Celiac disease, 512-513, 633-634 Chronic obstructive pulmonary disease Celiac plexus block, for pain exercise testing in, 176 in pancreatic cancer, 653-654 palliative care in, 342-343 in pancreatitis, 622 Chronotropic dysfunction, exercise testing Center for Biologics, Evaluation, and in, 172 Research, 699-700 Chronotropic index, in exercise testing, Centers for Disease Control and Prevention 74 National Center for Infectious Diseases, Ciprofloxacin 700 for Crohn's disease, 514-515 surveillance activities of, 706 for inflammatory bowel disease, 549 travel medicine information from, Cisapride, for irritable bowel syndrome, 823-824 531-532 vaccine adverse events reporting Clarithromycin, for peptic ulcer disease, activities, 707 493 Chaplain, in palliative care, 245, 274-275, Clostridium tetani infections, 715 433 Clotting factor deficiency, vaccinations in, Chemotherapy, for cancer 768-769 esophageal, 654 Codeine, for palliative care, 282 gastric, 656 Cognitive dysfunction, opioid-induced, metastatic colorectal, 650-651 287-288 pancreatic, 652-653 Cold environment, maximal exercise Chest pain capacity in, 22-23 exercise testing in, 30 Colectomy in emergency department, 199-201 for cancer, 649-650 in exercise testing, interpretation of, 76 for constipation, 587-588 risk stratification in, 99-118 for inflammatory bowel disease, clinical assessment in, 101-103 exercise testing in, 103-116 Colic, biliary, in gallstones, 593, 595 diagnostic, 105-110 Colitis, ulcerative. See Ulcerative colitis. prognostic, 110-116 Collaborative care, palliative, 243-246, uses of, 103-105 368-370 principles of, 99-100 College matriculation, vaccinations in, Chickenpox. See Varicella. 774-775 Children. See also Pediatric patients. Colon grief in, 420-422 cancer of. See Colorectal cancer. Chinese herbal medicine, for disorders of, constipation in, 581-582 gastrointestinal disorders, 640-641 diverticula of, bleeding from, 570 Cholecystectomy, for gallstones, 595, inflammatory disease limited to, 542-653 617-618 irritable bowel syndrome of. See Irritable Cholecystitis, 595-597 bowel syndrome. Choledocholithiasis, 597-600 polyps of Cholera, vaccination for, in travelers, 849 cancer development from, 661-662 Cholesterol gallstones, pathogenesis of, in inflammatory bowel disease, 547 591-593 transit studies of, in constipation, 584 CUMULATIVE INDEX 893 Colonoscopy Communication, in palliative care for bleeding, 568-569 among hospice team, 434 for colorectal cancer, 649, 669 intercultural, 403, 405-406, 408-409 for constipation, 583-584 of bad news, 249-267 for inflammatory bowel disease, 544-548 patient need for, 416-417 for irritable bowel syndrome, 529 verbal versus nonverbal, 405-406 Colorectal cancer, 647-651, 661-674 Compliance, ventricular, in exercise, 11 adenoma-carcinoma sequence in, Compression syndromes, in palliative care, 661-662 318-319 epidemiology of, 647, 661 Computed tomography hereditary non-polyposis, 664, 671 in gallstones, 594 in inflammatory bowel disease, 547-548 in pancreatitis, 610-611 inherited, 663-664 Conduction disturbances, exercise testing metastasis from, 650-651 in, 35-36 molecular genetics of, 665 Confusion, in palliative care, 310-312 mortality in, 661 Congenital anomalies, of esophagus, prevention of, 665-670 460-461 risk factors for, 662-664 Congestive heart failure, palliative care in, screening for, 648-649, 670-672 341-342 sporadic, 663, 671 Constipation, 524, 577-590 surgery for, 649-650 diagnostic studies of, 583-585 Coma, palliative care in, prognosis for, diary of, 583 354 epidemiology of, 577 Combination vaccines, 739-761 etiology of, 578-582 availability of, 753-754 history of, 582-583 based on diphtheria-tetanus-acellular in irritable bowel syndrome, 524 pertussis vaccine, 741-746 in palliative care, 287, 304-305 DTaP-hepatitis B, 742-746 physical examination in, 583 DTaP-hepatitis B—poliovirus, 742-746 treatment of, 585-588 DTaP-hepatitis B-PRP-tetanus, versus normal physiology, 577-578 745-746 Contractility, in exercise, 12 DTaP-Hib, 741-744 Coping DTaP-Hib-poliovirus—hepatitis B, with bad news, 264-265 746 with death, ritual in, 405 DTaP-poliovirus, 742-744 Coronary angioplasty, exercise testing after, DTaP-poliovirus—Hib, 742-744 188, 209-210, 212-214 based on hepatitis B vaccine, 746-747 Coronary artery bypass graft surgery, hepatitis B—hepatitis A, 747 exercise testing after, 188, 209-212 hepatitis B—Hib, 746 Coronary artery disease based on Streptococcus pneumoniae exercise testing in, 33-34 vaccine, 749 for risk stratification, 99-118 clinical data on, 741-749 in athletes, 57-58 development of, problems in, 749-750 in elderly persons, 66-70 extra doses of selected components with, in women, 61-66 755 myocardial perfusion imaging with, history of, 739-741 181-190 importance of, 741 probability of, 88-90 licensed, 739-740 prognostic use of, 90-95 mixing and matching of, 755 with echocardiography, 190-194 MMR-varicella, 747-749 plaque rupture in, 111 premarketing safety studies for, 754 Corticosteroids public health considerations with, for inflammatory bowel disease, 549 756 for palliative care, 289, 301 reduced immunogenicity of, 752-753 Corynebacterium diphtheriae infection. See safety of, 751 Diphtheria. testing of, 750-751 Cough Common bile duct, stones in in gastroesophageal reflux, 477-478 (choledocholithiasis), 597-600 in palliative care, 306-307 894 CUMULATIVE INDEX CREST syndrome, esophageal disorders in, Dementia, in palliative care 470 pain assessment in, 277 Crohn’s disease prognosis for, 354 cancer development in, 547-548 Denial, in grief, 418-419 clinical features of, 541 Depression, in palliative care, 312-313 differential diagnosis of, 544 Diabetes mellitus disease activity index for, 542-543 constipation in, 579 endoscopy in, 545-546 Haemophilus influenzae vaccination and, etiology of, 539-540 860 extra-intestinal manifestations of, 543 vaccinations in, 768, 770 in pregnancy, 544 Diaphoresis, in palliative care, 336 limited to colon, 542-543 Diaphragm, hiatal hernia of, 462-465, 471 limited to small intestine, 542 Diaries, pain, 273 malabsorption in, 514-515 Diarrhea measles-mumps-rubella vaccine and, in inflammatory bowel disease, 541 857-858 in irritable bowel syndrome, 524-525, pathogenesis of, 539-540 530-531 pathology of, 549 in malabsorption, treatment of, 510-511 polyps in, 547 in palliative care, 305-306 pouchitis in, 548 Dicyclomine, for irritable bowel syndrome, strictures in, 546 531 treatment of, 549-552, 554-555 Diet. See Nutrition. versus ulcerative colitis, 545-546 Digestion, anatomy and physiology of, Cryptitis, in inflammatory bowel disease, 505-506, 630-631 548-549 Diphenoxylate, for irritable bowel Cultural issues, in palliative care, syndrome, 531 401-413 Diphtheria after death, 337 clinical manifestations of, 713 bad news communication, 253 epidemiology of, 714 communication about, 403 vaccination for, 714-715. See also context for dying, 402-403 Diphtheria-tetanus-acellular cross-cultural challenges, 403-405 pertussis vaccine. definition of culture, 402 age considerations in, 765 explanatory model for, 408 history of, 690 inquiring about practices, 408-409 in pregnancy, 773 negotiating differences, 409-410 in travelers, 828 nutrition decisions, 335 Diphtheria-tetanus-acellular pertussis physician self-reflection, 407 vaccine, combination vaccines based verbal versus nonverbal communication, on, 741-746 405-406 DTaP-hepatitis B, 742-746 Culture, of Helicobacter pylori, 491-492 DTaP-hepatitis B—poliovirus, 742-746 Cycle ergometer, in exercise testing, 49, DTaP-hepatitis B-PRP-tetanus, 745-746 165-166 DTaP-Hib, 741-744 Cyclosporine, for inflammatory bowel DTaP-Hib-poliovirus-hepatitis B, 746 disease, 550 DTaP-poliovirus, 742-744 Cystic fibrosis, palliative care in, 382 DTaP-poliovirus—Hib, 742-744 Diphtheria-tetanus-pertussis vaccine, 713-718 Dipyridamole, in pharmacologic stress Death. See Dying and death. testing, 186-187, 192 Death rattle, 309, 334 Disability, evaluation for, exercise testing in, Decision-making capacity, ethical issues in, 177, 205-206 392-393 Diverticula Defecography, in constipation, 584 colonic, bleeding from, 570 Delirium esophageal, 461-462 in palliative care, 310-312, 335-336 Do-not-resuscitate orders, 396-397 opioid-induced, 287-288 Dobutamine, in pharmacologic stress pain assessment in, 275-276 testing, 186-187, 192 CUMULATIVE INDEX 895 Domperidone, for irritable bowel Electrocardiography, for exercise testing, syndrome, 532 4446, 49 Double effect principle, in palliative care, Embolism, in palliative care, 326 281, 392 Emergency department, exercise testing in, Double product, in exercise testing, 75 199-201 Drug(s) Emergent conditions, in palliative care, abuse of, vaccination recommendations 317-328 for, 781-782 anxiety attack, 323 constipation due to, 580 bowel obstruction, 322-323 exercise testing effects of, 36-37 brain metastasis, 320-321 pancreatitis due to, 608 cardiac tamponade, 326 Dry mouth, in palliative care, 301 compression syndromes, 318-319 DTaP. See Diphtheria-tetanus-acellular dyspnea, 321 pertussis vaccine. embolic phenomena, 326 Duchenne’s muscular dystrophy, palliative hemorrhage, 323, 326 care in, 383-384 hospice kit for, 435 Duplication, esophageal, 461 hypercalcemia, 320 Dying and death, 329-338 nausea and vomiting, 322-325 anger in, 332 panic attack, 323 cultural issues in, 408-409 superior vena cava syndrome, 319 documentation of, 337 urinary tract obstruction, 322 epidemiology of, 429-431 Emphysema, exercise testing in, 176 good, components of, 356 Emporiatrics, vaccinations in. See Travelers, in pediatric patients, 384-385 vaccinations for. philosophy of, 329-330 Encephalitis, Japanese, vaccination for, physical care during, 333-336 838-840 physician responsibilities during, 336-338 Encephalopathy, hepatic, palliative care in, prognostication of, 331 344-345 realities of, 330-331 End-of-life care. See Palliative care. ritual involving, 405 Endoscopic retrograde understanding of, in pediatric patients, cholangiopancreatography 373-374 in cholecystitis, 597 vigil during, 333 in choledocholithiasis, 599 with dignity, 329-330 in pancreatitis, 602, 616, 620 Dyspepsia, in irritable bowel syndrome, Endoscopy. See also Colonoscopy. 525 in dysphagia, 467 Dysphagia, in esophageal disorders, in gastrointestinal bleeding, 562-563 465-467 Endurance, muscular Dyspnea exercise prescription for, 151-152 exertional, exercise testing in, 166-167 measurement of, 127-132 in palliative care, 307-309, 321 Enema, for constipation, 587 at end of life, 333-334 Energy, for muscular work, in exercise testing, 5-6 Enteritis, radiation, malabsorption in, 516-517 Echocardiography Environmental factors stress, 190-194 in maximal exercise capacity, 22-23 with exercise testing, 42 in vaccination requirements, 780-785 after coronary angioplasty, 213-214 Esophageal disorders, 459-485 Ejection fraction, evaluation of, in achalasia, 467-468 radionuclide ventriculography, 189-190 anatomic considerations in, 459-460 Elderly persons Barrett esophagus, 473-477, 481 bacterial overgrowth syndrome in, cancer, 475-476, 481-483, 654 513-514 columnar-lined, with intestinal Crohn's disease in, 514-515 metaplasia, 476, 481 exercise testing in, 66-70 compression of, in aortic arch anomalies, palliative care of, opioid administration 461 in, 284 congenital anomalies, 460-461 896 CUMULATIVE INDEX Esophageal disorders (Continued) after coronary angioplasty, 188, 209-210, dilatation for, 469-470 212-214 diverticula, 461-462 after coronary artery bypass graft duplication, 461 surgery, 188, 209-212 dysphagia, 465-467 after myocardial infarction, 173 gastroesophageal reflux, 470-481 after revascularization, 209-217 heterotopic gastric mucosa, 461 alternatives to, 35, 50 hiatal hernia, 462-465, 471 pharmacologic stress testing, 186-187, lower sphincter relaxation in, 471-472 192 Mallory-Weiss tear, 563-564 cardiopulmonary. See Gas analysis, with motility, 467-470 exercise testing. pH monitoring in, 478 complications of, 51 rings, 461 contraindications for, 32, 34-35 scleroderma, 470 current status of, 1-4 spastic, 469-470 cut-off limits of, in myocardial ischemia, 83 stenosis, 460-461 diagnostic, in chest pain, 105-110 structural anomalies, 461-463 drug effects on, 36-37 webs, 461 dynamic, physiologic response in, 18-19 Ethical issues equipment for, 48-50 in gastrostomy placement, for end-of-life evaluation for, 38 feeding, 638 for exercise prescription, 137-158, 177 in palliative care, 391-400 for heart transplantation, 172-173 advance directives and, 393-394 gas analysis with, 77-79, 159-179 decision-making capacity, 392-393 guidelines for, 2 futility of treatment, 394-395 imaging techniques with, 181-198 nutrition, 395-396 gamma camera, 183-186 physician-assisted suicide and myocardial perfusion, 181-190 euthanasia, 397-398 pharmacologic agents in, 186-187 principles of, 391-392 radionuclide ventriculography, 189-190 resuscitation decisions, 396-397 stress echocardiography, 190-194 therapy goals, 358 in aortic stenosis, 37 treatment decisions, 394 in arrhythmias, 172 Ethylmercury, in vaccines, neurologic in athletes, 55-61 effects of, 861-862 in chest pain, risk stratification in, 99-118 Euthanasia, physician-assisted, in chronic extra-cardiac circulatory 397-398 failure, 173-176 Exercise prescription, 137-158, 177 in chronic heart failure, 167-173 components of, 140-141 in chronic pulmonary disorders, 176 definition of, 139-140 in conduction disturbances, 35-36 for flexibility, 153 in coronary artery disease. See Coronary for muscular strength and endurance, artery disease, exercise testing in. 151-152 in disability evaluation, 177, 205-206 samples of, 146-149 in elderly persons, 66-70 training in in emergency department, 199-201 duration of, 141-142 in exertional dyspnea and fatigue, frequency of, 141-142 166-167 heart rate calculation for, 143-146 in hypertension, 37, 175-176 intensity of, 141-142 in pulmonary hypertension, 174-175 modes of, 142, 149 in special populations, 55-72 progression of, 150 in special situations, 199-208 resistance, 150-151 in total fitness evaluation, 119-135 Exercise testing in valvular disease, 173-174 abnormal responses to, 219-231 in women, 61-66 arrhythmias, 220-223 indications for, 29-33 bundle branch blocks, 224-225 in athletes, 55-58 hypotension, 223-224 in elderly persons, 66-68 isolated inferior ST depression, 226-230 in women, 61-62 ST elevation, 225-226 risk stratification, 103-105 syncope, 223-224 informed consent for, 39 CUMULATIVE INDEX 897 interpretation of, 73-98 Familial adenomatous polyposis, colorectal aerobic capacity, 77-79 cancer in, 663, 671 Bayes rule in, 106-110 Family, in palliative care, 244 blood pressure response, 75-76 anger in, 332 cut-off limits and, 83 bad news communication to, 250-253, diagnostic, 105-110 263-264 dysrhythmias, 76-77 grief in, 415-425 heart rate response, 74-75 in hospice program, 432, 437 in athletes, 58, 60 nondisclosure requests from, 263-264, in coronary artery disease, 90-95 410 in elderly persons, 68-70 pediatric, 368, 372-375, 385 in myocardial ischemia, 79-88 prognostication, 331 in women, 63-66 support for, 360-361 practical approach to, 88-90 therapy goals and, 358, 360-361 prognostic, 110-116 vigil by, 333 ST segment, 86-87 Fat symptoms, 76 absorption of, 631 with negative results, 87 body, measurement of, 124-127 modes for, 46-47 digestion of, 630-631 physiologic response in, 17-18 in stool, in pancreatitis, 619-620, with gas analysis, 162-166 623 monitoring in, 45-46 malabsorption of, 506, 508 negative results in, 87 Fatigue, exertional, exercise testing in, performance of, 29-53 166-167 physical examination before, 38, 40 Fear, in palliative care, 335-336 physician responsibilities during, 38-48 Fecal occult blood tests, in colorectal cancer physiology of, 5-28 screening, 667-668 afterload, 13 Feces, fat measurement in, in cardiopulmonary response, 6-9, 16-17 malabsorption, 508 contractility, 12 Feeding, at end of life, percutaneous energy for muscular work, 5-6 endoscopic gastrostomy for, factors influencing, 17-23 636-638 filling pressure, 11 Fentanyl, for palliative care, 282-286 heart rate, 9-10 Fever, in palliative care, 336 in myocardial perfusion imaging, Fiber, dietary 182-183 for colorectal cancer prevention, 666 maximal, 19-23 for constipation, 585 peripheral factors, 14-16 for irritable bowel syndrome, 530 stroke volume, 10-11 Fick principle, 7-8 ventricular compliance, 11 Filling pressure, in exercise, 11 ventricular volume response, 13-14 Fistulas, tracheoesophageal, 460 with gas analysis, 160-162 Fitness. See Physical fitness. predictive value of, 29-31 Flexibility preoperative, 177, 201-205 exercise prescription for, 153 preparation for, 44-45 measurement of, 132-133 prognostic, in chest pain, 110-116 Fluid management protocols for for palliative care in athletes, 58-60 at end of life, 334-335 in elderly persons, 68 ethical issues in, 395-396 in women, 62-63 for pancreatitis, 615 physiologic response in, 18 5-Fluorouracil, for metastatic colorectal selection of, 40-43 cancer, 650-651 recovery after, 47-48 Food and Drug Administration scoring in, 2, 112-114 vaccine activities of, 699, 706-707 static, physiologic response in, 18-19 combination vaccines, 752-754 submaximal, 40-42 vaccine adverse events reporting supine, physiologic response in, 18 activities, 707 termination of, 47 Frank-Starling mechanism, 11 upright, physiologic response in, 18 Futility, of treatment, 394-395 898 |=C UMULATIVE INDEX Gabapentin, for palliative care, 288 malabsorption and malnutrition, 505-522, Gallbladder, inflammation of (cholecystitis), 528 595-597 nutrition. See Nutrition, in Gallstones, 591-595 gastroenterology. clinical features of, 593-594 pancreatitis, 607-628 composition of, 592-593 peptic ulcer disease, 487-503, 563 definition of, 591 Gastroesophageal reflux, 470-481 diagnosis of, 594 Barrett esophagus in, 473-477, 481 epidemiology of, 591-592 clinical features of, 470-471 pancreatitis in, 600-603, 607-608 diagnosis of, 478 pathogenesis of, 591-593 extraesophageal manifestations of, treatment of, 594-595 477-478 Gamma camera, in myocardial perfusion pathophysiology of, 472-473 imaging, with exercise testing, 183-186 treatment of, 478-481 Gardener’s syndrome, colorectal cancer in, Gastrointestinal system, symptoms in, in 663 palliative care, 300-306 Gas analysis, with exercise testing, 159-179 Gastrostomy, percutaneous endoscopic, for gas monitoring instrumentation in, 166 end-of-life feeding, 636-638 historical background of, 160 Gender, maximal exercise capacity and, 20 in chronic heart failure, 167-173 Genetic factors in chronic pulmonary disorders, 176 in colorectal cancer, 663-665 in disability evaluation, 177 in inflammatory bowel disease, 539-540 in exercise prescription, 177 in maximal exercise capacity, 20-21 in exertional dyspnea and fatigue, Gluten, avoidance of, in celiac disease, 166-167 633-634 in extra-cardiac circulatory failure, Grief and bereavement, 415-425 173-176 anticipatory, 417 in heart transplantation, 172-173 chronic, 423 in hypertension, 175-176 complicated, 423-424 in myocardial infarction, 173 definitions of, 415 in preoperative risk assessment, 177 delayed, 423 in pulmonary hypertension, 174-175 exaggerated, 423 in valvular disease, 173-174 in children, 420-422 methods for, 162-166 in loss of child, 374-375 physiology of, 160-162 in physicians, 424 Gastrectomy in terminal illness, 415-417 for gastric cancer, 656 interventions for, 417, 420 nutrition after, 634-635 Kubler-Ross stages of, 416 Gastric lavage, for bleeding, 561 manifestations of, 418 Gastric mucosa, heterotopic, in esophagus, masked, 423 461 normal, 418-420 Gastrinoma, peptic ulcer disease in, 497-498 phases of, 418-420 Gastritis, Helicobacter pylori, 489-491 physician’s involvement in, 337 Gastroenteritis Guillain-Barré syndrome, in vaccination, inflammatory bowel disease after, 540 786 irritable bowel syndrome in, 528 Gastroenterology bleeding, 557-575 cancer. See Cancer. Haemophilus influenzae infections cholecystitis, 595-597 clinical manifestations of, 729 choledocholithiasis, 597-600 epidemiology of, 729 constipation, 577-590 vaccination for, 729-731 esophageal disorders. See Esophageal combination disorders. DTaP-Hib, 741-744 gallstone pancreatitis, 600-603 DTaP-Hib-poliovirus—hepatitis B, gallstones, 591-595 746 inflammatory bowel disease, 539-556 DTaP-poliovirus—Hib, 742-744 irritable bowel syndrome, 523-538 hepatitis B—Hib, 746

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