Index by author

May 01, 1993; Volume 60,Issue 3

  1. Lewis, Edmund J.

    1. Treating SLE nephritis: some guidelines
      Edmund J. Lewis, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 192;

  2. Longworth, David L.

    1. Discussion
      David L. Longworth, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 188;
    2. New feature: IM board review self-test
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 187;

  3. Markman, Maurie

    1. Surgeon’s Skill Key to Ovarian Cancer Management
      Maurie Markman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 183-184;

      No good screening test exists for ovarian cancer, yet women are being advised to demand screening.

  4. Nett, Louise M.

    1. A medical approach to nicotine addiction treatment
      Thomas L. Petty, MD and Louise M. Nett, RN, RRT
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 254-258;

  5. Niederman, Michael S.

    1. Noninfectious respiratory disease in pregnancy
      Mark J. Clinton, MD and Michael S. Niederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 233-244;

      BACKGROUND Pregnancy increases the risk of many noninfectious respiratory conditions.

      OBJECTIVE To review the clinical presentation and management of a variety of noninfectious respiratory conditions in pregnant women.

      SUMMARY Asthma, aspiration pneumonia, venous air embolism, adult respiratory distress syndrome, pulmonary embolism, and deep venous thrombosis may have unique features in pregnant women.

      CONCLUSIONS Evaluation and treatment of these diseases and conditions requires an understanding of the normal physiologic alterations that accompany pregnancy and an awareness of the risks of medication use during pregnancy and in the postpartum period.

  6. Parker, Pamela

    1. Acquired immunodeficiency syndrome: case reporting at a university hospital
      Andrew Picken, BA, Robert Plona, RN, Pamela Parker, RN, John T. Carey, MD and Michael M. Lederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 202-206;

      BACKGROUND Planning and allocating resources for care of patients with acquired immunodeficiency syndrome (AIDS) requires accurate assessment of disease incidence.

      OBJECTIVE To assess the accuracy and completeness of AIDS case reporting at our institution, we reviewed all inpatient and outpatient records of patients with AIDS seen at University Hospitals of Cleveland, Ohio, between January 1983 and July 1990.

      METHODS The patients were identified through review of hospital discharge summaries, ambulatory clinic listings, and laboratory identification of opportunistic infections.

      RESULTS We found that 24 of 291 AIDS cases (8%) seen at this institution had not been reported to state health departments. Of the 24 patients with unreported AIDS, 16 had received an AIDS diagnosis at other institutions, 11 had never been hospitalized at this institution, and 2 had used pseudonyms.

      CONCLUSIONS Review of AIDS case reporting can ascertain the magnitude of underreporting; the profile of patients who were unreported may be used to evaluate the accuracy of reporting elsewhere and to identify systematic problems in case reporting methods.

  7. Petty, Thomas L.

    1. A medical approach to nicotine addiction treatment
      Thomas L. Petty, MD and Louise M. Nett, RN, RRT
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 254-258;

  8. Picken, Andrew

    1. Acquired immunodeficiency syndrome: case reporting at a university hospital
      Andrew Picken, BA, Robert Plona, RN, Pamela Parker, RN, John T. Carey, MD and Michael M. Lederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 202-206;

      BACKGROUND Planning and allocating resources for care of patients with acquired immunodeficiency syndrome (AIDS) requires accurate assessment of disease incidence.

      OBJECTIVE To assess the accuracy and completeness of AIDS case reporting at our institution, we reviewed all inpatient and outpatient records of patients with AIDS seen at University Hospitals of Cleveland, Ohio, between January 1983 and July 1990.

      METHODS The patients were identified through review of hospital discharge summaries, ambulatory clinic listings, and laboratory identification of opportunistic infections.

      RESULTS We found that 24 of 291 AIDS cases (8%) seen at this institution had not been reported to state health departments. Of the 24 patients with unreported AIDS, 16 had received an AIDS diagnosis at other institutions, 11 had never been hospitalized at this institution, and 2 had used pseudonyms.

      CONCLUSIONS Review of AIDS case reporting can ascertain the magnitude of underreporting; the profile of patients who were unreported may be used to evaluate the accuracy of reporting elsewhere and to identify systematic problems in case reporting methods.

  9. Plona, Robert

    1. Acquired immunodeficiency syndrome: case reporting at a university hospital
      Andrew Picken, BA, Robert Plona, RN, Pamela Parker, RN, John T. Carey, MD and Michael M. Lederman, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 202-206;

      BACKGROUND Planning and allocating resources for care of patients with acquired immunodeficiency syndrome (AIDS) requires accurate assessment of disease incidence.

      OBJECTIVE To assess the accuracy and completeness of AIDS case reporting at our institution, we reviewed all inpatient and outpatient records of patients with AIDS seen at University Hospitals of Cleveland, Ohio, between January 1983 and July 1990.

      METHODS The patients were identified through review of hospital discharge summaries, ambulatory clinic listings, and laboratory identification of opportunistic infections.

      RESULTS We found that 24 of 291 AIDS cases (8%) seen at this institution had not been reported to state health departments. Of the 24 patients with unreported AIDS, 16 had received an AIDS diagnosis at other institutions, 11 had never been hospitalized at this institution, and 2 had used pseudonyms.

      CONCLUSIONS Review of AIDS case reporting can ascertain the magnitude of underreporting; the profile of patients who were unreported may be used to evaluate the accuracy of reporting elsewhere and to identify systematic problems in case reporting methods.

  10. Snider, Gordon L.

    1. Theophylline in the ambulatory treatment of chronic obstructive lung disease: resolving a controversy
      Gordon L. Snider, MD
      Cleveland Clinic Journal of Medicine May 1993, 60 (3) 197-201;

      BACKGROUND Recent reports of a high frequency of theophylline toxicity, which usually occurs at theophylline blood levels >20 μg/mL, coupled with the recent addition of metered-dose, inhaled anticholinergics to the beta-2 agonist inhalers already available for treatment of chronic obstructive pulmonary disease, has led some authors to suggest that theophylline should no longer be used in the ambulatory management of this disease.

      OBJECTIVE The author suggests an alternate approach to theophylline dosing as a means of resolving the current controversy.

      SUMMARY Because of the log-linear relationship between bronchodilation and blood level, little bronchodilator efficacy is lost by using a target therapeutic theophylline blood level of 10 ± 2 μg/mL. This target provides a greater range between therapeutic and toxic blood levels than the 17 ± 2 μg/mL therapeutic target blood level that has also been recommended.

      CONCLUSIONS Because theophylline has a different mode of action than the sympathomimetic or anticholinergic drugs, it continues to have a useful place in the ambulatory management of chronic obstructive pulmonary disease.

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