Table of Contents

November 01, 1997; Volume 64, Issue 10
  • Editorial

  • Internal Medicine Board Review

  • Clinical Decision Making

  • Clinical Review

      • Vancomycin-resistant Staphylococcus aureus: An emerging public health threat

        Patricia A. Flores, PharmD and Steven M. Gordon, MD
        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 527-532;
        • Three reported cases of S aureus with intermediate susceptibility to vancomycin raise fears that high-level vancomycin resistance may soon be seen. Physicians need to limit their use of vancomycin, and hospitals need to intensify their infection-control efforts.

      • Stress ulcer prophylaxis: The case for a selective approach

        Donald G. Vidt, MD, Mary Beth Bobek, PharmD and Alejandro C. Arroliga, MD
        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 533-542;
        • Although stress-related mucosal damage is common in critically ill patients, the risk of significant gastrointestinal bleeding appears to be confined to patients with certain risk factors. A full-color illustration explaining the pathogenesis of stress-related mucosal damage accompanies this article.

      • Homocysteine: Update on a new risk factor

        Raj S. Ballal, MD, Donald W. Jacobsen, PHD and Killian Robinson, MD
        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 543-549;
        • A high fasting plasma homocysteine level is an independent risk factor for atherosclerosis and venous thrombosis.

  • Cancer Diagnosis and Management

      • Stereotactic breast biopsy: A less-invasive option

        Maurie Markman, MD, William A. Chilcote, MD and Christine A. Quinn, MD
        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 550-554;
        • Percutaneous core needle biopsy, guided by digital three-dimensional x-ray imaging, offers a reasonable alternative to standard surgical biopsy.

  • Departments

      • Dear Colleague

        John D. Clough, MD
        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 508;
      • 1997 Reviewers

        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 519;
      • Index to Volume 64

        • Cleveland Clinic Journal of Medicine November 1997, 64 (10) 555-558;