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Cleveland Clinic Journal of Medicine

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    Update on hormonal contraception
    Nziavake Masimasi, MD, Mala S. Sivanandy, MD and Holly L. Thacker, MD
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    The trends are for lower estrogen doses, newer progestins, longer cycles, and non-oral options. A review of the latest products.

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    Glucosamine in osteoarthritis: Questions remain
    Carlos J. Lozada, MD
    Cleveland Clinic Journal of Medicine January 2007, 74 (1) 65-71;

    Glucosamine is now widely used, but studies have so far failed to prove convincingly that it works, how it might work, or whether it is safe to take long-term.

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    The controversy over long-acting beta agonists: Examining the evidence
    David M. Lang, MD
    Cleveland Clinic Journal of Medicine November 2006, 73 (11) 973-992;

    Asthma drugs that contain salmeterol (Serevent, Advair) or formoterol (Foradil) now carry a warning about an increased risk of asthma-related death. This paper critically examines the evidence.

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    Using the new HPV vaccines in clinical practice
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    The new vaccines against human papillomavirus (HPV) could prevent up to 70% of cases of cervical cancer. But Pap testing will still be necessary.

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    Thomas G. Fraser, MD, Christine Hansen, PharmD and Jennifer K. Long, PharmD
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    We use two case scenarios to discuss when and how to use these agents and how to monitor and respond to their adverse effects.

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    This old drug is still useful, with some caveats. It is no longer the cornerstone of heart-failure treatment, but it can be beneficial as an adjunct. Serum levels should probably be kept lower than in the past.

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    Exenatide and pramlintide: New glucose-lowering agents for treating diabetes mellitus
    Byron J. Hoogwerf, MD
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    Elias A. Khawam, MD, Georgia Laurencic, MD and Donald A. Malone, MD
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    Noncompliance with antidepressant treatment remains worrisome. Educating and reassuring patients about potential side effects promotes effective treatment.

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