Table of Contents

July 01, 1990; Volume 57, Issue 5
  • Highlights from Medical Grand Rounds

      • Eosinophilia-Myalgia Syndrome: Unresolved Questions

        William S. Wilke, MD and James W. Kazura, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 415-416;
        • Although L-tryptophan is gone from the US market, research continues into its link with eosinophilia-myalgia syndrome.

      • Smoking Cessation: Strategies That Work

        Garland Y. Denelsky, PhD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 416-417;
        • Most physicians underestimate their power to achieve smoking cessation; the key to success is persistence.

      • Mesenteric Ischemia: A Neglected Diagnosis

        Mark E. Sesto, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 417-418;
        • In the absence of accurate noninvasive diagnostic modalities, aggressive use of mesenteric angiography is the only way to achieve early diagnosis of mesenteric ischemia.

  • Managing Androgen Excess

  • Contributions

      • Atrial pacemaker leads compared

        Martin M. Masterson, MD, James D. Maloney, MD, E. Murat Tuzcu, MD, Bruce L. Wilkoff, MD, Atila Emre, MD, Gabriel Vanerio, MD, Tony W. Simmons, MD, Victor A. Morant, MD and Lon W. Castle, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 433-436;
        • Pacemaker leads from eight different manufacturers were compared for differences in acute pacing and sensing characteristics.

      • Clinical diagnoses and EEG interpretation

        George W. Williams, PhD, Ronald P. Lesser, MD, J.B. Silvers, PhD, Abraham Brickner, PhD, Marlene Goormastic, MPH, Kathy J. Fatica, BS and Donald W. Klass, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 437-440;
        • Factors that lead to different interpretations of the same electroencephalogram and to variations in follow-up diagnostic studies were identified.

      • Patient and spouse acceptance and adaptation to implantable cardioverter defibrillators

        Colette Pycha, RN, MSN, Joseph R. Calabrese, MD, A. Dale Gulledge, MD and James D. Maloney, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 441-444;
        • Surveys revealed AICD patients and families share a mix of relief and apprehension.

  • Review

      • The clinical challenge of Lyme disease

        David L. Longworth, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 453-463;
        • A medical curiosity only 10 years ago, Lyme disease is now the most common vector-borne disease in the United States; its diverse manifestations and lack of standardized serologic tests make diagnosis a challenge.

      • Methanol intoxication: clinical features and differential diagnosis

        Paula F. Suit, MD and Melinda L. Estes, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 464-471;
        • The advent of methanol as a major source of fuel in the coming century and its growing industrial uses will increase the risk of both deliberate and accidental intoxication, requiring a high index of suspicion to ensure early diagnosis.

  • Case Report

      • Clinical features of the yellow nail syndrome

        Edward M. Cordasco Jr, DO, S. Beder, MD, Adele Coltro, MD, S. Bavbek, MD, H. Gurses, MD and Atul C. Mehta, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 472-476;
        • A patient displayed the classic symptoms that are diagnostic of this rare cause of exudative pleural effusions.

  • Editorial

  • Current Drug Therapy

      • Understanding the actions of adrenergic receptors

        Donald G. Vidt, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 480;
      • Adrenergic receptors: structure and function

        Donald G. Vidt, MD, Alan W. Bakst, RPH, PHARMD and Robert M. Graham, MD
        • Cleveland Clinic Journal of Medicine July 1990, 57 (5) 481-491;
        • Our understanding of adrenergic receptors is a result of studies of structure and function that involve classical biochemistry and pharmacology as well as recombinant DNA technology.

  • Departments