Table of Contents

As medicine changes, so must the Cleveland Clinic Journal of Medicine. Dr. John D. Clough, the new editor-in-chief, outlines the Journal's educational mission.

Diabetes in the elderly is common but often not diagnosed and treated well. A rational approach to treatment can improve patients' quality of life and reduce long-term complications.

A self-test of clinical recognition.

Continuous positive airway pressure is the treatment of choice for the initial management of sleep apnea, but compliance can be difficult. Some practical tips on its use.

Community-acquired pneumonia: clinical presentation, diagnostic workup, and whom to hospitalize. Choice of antibiotics, by individual pathogen.

New strategies for regulating lipids, such as new drugs and gene therapy, hold promise in reducing coronary heart disease, but current guidelines are still the first, best strategy.

A new series, illuminating how physicians, faced with multiple good choices and issues of cost-effectiveness, make everyday diagnostic and treatment decisions.

A recommendation that bone scanning not be routinely used for follow-up after successful treatment for early-stage breast cancer.

Although early diagnosis remains important, many diagnostic and treatment dilemmas persist. An overview of the current state of breast cancer knowledge, and a historical perspective.

A debate about the advantages and disadvantages of community hospitals performing angioplasty for myocardial infarction, even if they have no facilities for heart surgery.

Intensive treatment programs for low back pain are expensive, but can reduce health care, pension, and sick leave costs.