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Cleveland Clinic Journal of Medicine

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Table of Contents

January 01, 1992; Volume 59,Issue 1

Highlights from Medical Grand Rounds

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    Treating Respiratory Infections in HIV-Positive Patients
    Susan Rehm, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 13-96;

    In HIV-positive patients, respiratory infection symptoms can usually be treated or at least suppressed, but the clinical response may be obscured.

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    A Mimic of Vasculitis
    Jeffrey W. Olin, DO
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 96-97;

    Of the many disorders that imitate vasculitis, one is particularly challenging to the diagnostician and produces significant patient morbidity and mortality.

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    Antimicrobial Resistance in Neisseria Gonorrhoeae
    Roselyn J. Rice, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 97;

    Many of the N gonorrhoeae strains seen today are impervious to the relatively inexpensive drugs advocated for primary treatment in earlier years.

CME Notebook

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    The changing face of the AIDS epidemic
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 25;

    HIV infection in women; bone marrow aspiration and biopsy in HIV infection; septic arthritis and HIV infection; current demographics of AIDS in the United States; common CNS infections in AIDS.

Contributions

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    Acute tubulointerstitial nephritis
    Sara S. Eapen, MD and Phillip M. Hall, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 27-32;

    This condition should be suspected in patients with new azotemia who do not exhibit prerenal factors, features typical of acute tubular necrosis or a glomerular process, or evidence of obstructive uropathy.

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    Quality of life assessment by patients with inflammatory bowel disease
    Richard G. Farmer, MD, Kirk A. Easley, MS and Janice M. Farmer, MSSA, LISW
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 35-42;

    Patients evaluated their quality of life on a questionnaire designed to more accurately reflect treatment outcome and to act as a tool for quality assurance assessment.

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    Consent to treatment with zidovudine among HIV-infected patients
    Kwan Kew Lai, DMD, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 45-47;

    A high percentage of HIV-infected patients, both asymptomatic and mildly symptomatic, are consenting to zidovudine therapy, despite the risk for serious adverse effects associated with this agent.

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    Stereotactic biopsy of nonneoplastic lesions in adults
    Donald M. Whiting, MD, Gene H. Barnett, MD, Melinda L. Estes, MD, Cathy A. Sila, MD, Richard A. Rudick, MD, Samuel J. Hassenbusch, MD, PhD and Charles F. Lanzieri, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 48-55;

    Stereotactic biopsy is useful in identifying non-neoplastic intracranial lesions when the diagnosis was unclear by conventional means. An accompanying commentary puts the results in perspective.

Commentary

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    Commentary
    Robert M. Herndon, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 55;

Editorial

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    A new quality of life questionnaire for patients with inflammatory bowel disease
    Goran Hellers, MD, PhD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 56-57;
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    America and death: reflections on euthanasia
    Steven G. Post, PhD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 58-60;

Review

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    Experimental therapies for multiple sclerosis: current status
    Donald E. Goodkin, MD, Richard M. Ransohoff, MD and Richard A. Rudick, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 63-74;

    A critical analysis of current experimental agents and obstacles to the development of effective drug therapy.

State of the Art: Pulmonary Disease

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    Spirometry: a key diagnostic test in pulmonary medicine
    James K. Stoller, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 75-78;

    Spirometry permits diagnosis of a wide range of diseases and can be used to reinforce medical advice to modify harmful behavior, such as cigarette smoking.

Current Drug Therapy

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    Moricizine: pharmacodynamic, pharmacokinetic, and therapeutic profile of a new antiarrhythmic
    Alan Bakst, PharmD, Gabriel Vanerio, MD and James D. Maloney, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 79-86;

    This agent appears to be well tolerated, with a low incidence of both short-term and long-term side effects. However, more clinical experience is needed to better define its antiarrhythmic role.

Case Report

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    Aortico-left ventricular tunnel in a neonate
    Eliot R. Rosenkranz, MD and Daniel J. Murphy, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 87-90;
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    A novel approach to determining the cause of pacemaker lead failure
    George K. Brodell, MD and Bruce L. Wilkoff, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 91-92;
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    Superior vena cava syndrome after open heart surgery
    H.J. Maggiano, MD, Thomas L. Higgins, MD, W. Lobo, MD, G. Makos, MD and Leonard A. R. Golding, MD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 93-95;

Issues in Bloethics

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    A good death: is euthanasia the answer?
    Martin L. Smith, STD, James Orlowski, MD, Charles Radey, MD and Giles Scofield, JD
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 99-109;

    Better pain management and a willingness to provide care within already established ethical and legal guidelines are the appropriate responses to current proposals for assistance in dying.

Departments

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    Erratum
    Cleveland Clinic Journal of Medicine January 1992, 59 (1) 109;
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In this issue

Cleveland Clinic Journal of Medicine
Vol. 59, Issue 1
1 Jan 1992
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  • Meta-analysis: Its strengths and limitations
  • Primary angiitis of the central nervous system: diagnostic criteria and clinical approach
  • Role of uric acid in hypertension, renal disease, and metabolic syndrome
  • Frailty in older adults: Implications for end-of-life care
  • The essential role of exercise in the management of type 2 diabetes
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