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Cleveland Clinic Journal of Medicine

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More articles from Review

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    Withholding nutrition at the end of life: Clinical and ethical issues
    Jacquelyn Slomka, PhD, RN
    Cleveland Clinic Journal of Medicine June 2003, 70 (6) 548-552;

    The decision to withhold or withdraw enteral or parenteral nutrition at the end of life should be based on medical need, in collaboration with the family and patient, if possible.

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    Staphylococcus aureus bacteremia: Using echocardiography to guide length of therapy
    Alice I. Kim, MD, Karim A. Adal, MD and Steven K. Schmitt, MD
    Cleveland Clinic Journal of Medicine June 2003, 70 (6) 517-533;

    Empiric long-term antibiotic therapy is no longer uniformly recommended for all cases of S aureus bacteremia, although experts disagree about the optimal length of therapy.

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    Proteinuria: How to evaluate an important finding
    Waqar Kashif, MD, Nauman Siddiqi, MD, Ayse P. Dincer, MD, H. Erhan Dincer, MD and Sheldon Hirsch, MD
    Cleveland Clinic Journal of Medicine June 2003, 70 (6) 535-547;

    Proteinuria should be taken seriously, even in outpatients without symptoms.

  • Raising an isolated low HDL-C level: Why, how, and when?
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    Raising an isolated low HDL-C level: Why, how, and when?
    Michael Miller, MD
    Cleveland Clinic Journal of Medicine June 2003, 70 (6) 553-560;

    No current therapy is optimal, but many can modestly increase HDL-C. The decision to treat depends on the patient’s risk for coronary disease.

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    Fecal incontinence in elderly patients: Common, treatable, yet often undiagnosed
    Tyler K. Stevens, MD, Edy E. Soffer, MD and Robert M. Palmer, MD
    Cleveland Clinic Journal of Medicine May 2003, 70 (5) 441-448;

    We should take this problem seriously. Many times it is treatable.

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    When to wean from a ventilator: An evidence-based strategy
    Fernando Frutos-Vivar, MD and Andrés Esteban, MD, PHD
    Cleveland Clinic Journal of Medicine May 2003, 70 (5) 389-400;

    Our algorithm for determining when and how to wean a patient from ventilation.

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    Clopidogrel and thrombotic thrombocytopenic purpura: No clear case for causality
    Navneet S. Majhail, MBBS, MD and Alan E. Lichtin, MD
    Cleveland Clinic Journal of Medicine May 2003, 70 (5) 466-470;

    Current evidence neither establishes nor refutes a causal relationship between the drug and this potentially fatal disorder.

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    New guidelines for occupational exposure to blood-borne viruses
    Francisco Alvarado-Ramy, MD and Elise M. Beltrami, MD
    Cleveland Clinic Journal of Medicine May 2003, 70 (5) 457-465;

    New guidelines from the US Public Health Service deal with exposure to hepatitis B, hepatitis C, and HIV.

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    Physician cultural competence: Cross-cultural communication improves care
    Anita D. Misra-Hebert, MD
    Cleveland Clinic Journal of Medicine April 2003, 70 (4) 289-303;

    Your patients culture makes a difference in his or her care—and so does your own.

  • DXA scanning to diagnose osteoporosis: Do you know what the results mean?
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    DXA scanning to diagnose osteoporosis: Do you know what the results mean?
    Bradford Richmond, MD
    Cleveland Clinic Journal of Medicine April 2003, 70 (4) 353-360;

    Behind the numbers on the report lurk many opportunities for error, and the results depend on the operator and scanner used.

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