Table of Contents
March 01, 2000; Volume 67, Issue 3-
From the Editor
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On this we agree: The value of healthy debate in medicine
John D. Clough, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 152;
The debate on dyspepsia on page 214 illustrates the value of healthy controversy.
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1-Minute Consult
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Should everyone over age 75 take a multivitamin?
Cindy Moore, MS, RD, LD, FADA- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 155-156;
Many—perhaps most—seniors are at risk of malnutrition, but age should not be the sole criterion.
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Medical Grand Rounds
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In preventive cardiology there is no ‘One True Thing’
William S. Wilke, MD and Fredric J. Pashkow, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 159-162;
In preventing coronary artery disease, the only approach that works is multifactorial, focusing on permanent changes in diet, exercise, and stress management.
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New therapies for allergic rhinitis
William S. Wilke, MD and David F. Graft, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 165-168;
Nearly one fourth of Americans have allergic rhinitis. Newer medications are more effective and have fewer side effects.
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Commentary
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Where to draw the line using statins: Lessons from 4S to AFCAPS/TexCAPS
Dennis L. Sprecher, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 169-171;
For patients at low risk, a treatment that is beneficial statistically may not be practical or economical. But how should this question be decided? And who should decide?
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Review
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Primary pulmonary hypertension: Update on pathogenesis and novel therapies
Alejandro C. Arroliga, MD, Raed A. Dweik, MD, F. J. Takao Kaneko, MD and Serpil C. Erzurum, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 175-190;
Research into biochemical derangements, and new therapies that prolong survival.
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Cancer Diagnosis and Management
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How new technology is changing mammography and breast cancer management
Maurie Markman, MD, Gilda Cardenosa, MD, MS, William A. Chilcote, MD, Mary A. Barry, RN, Christine A. Quinn, MD and Mary G. Foglietti, RN- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 191-202;
Improved detection now allows a tailored approach to abnormal findings.
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Patient Information
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Acute Coronary Syndromes
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Adjunctive medical therapy for acute coronary syndromes
Gary S. Francis, MD, Mark Robbins, MD and Joel P. Reginelli, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 205-213;
Aspirin, nitrates, beta-blockcrs, ACE inhibitors, statins, and intraaortic balloon pumps all have important roles.
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Gastroenterology Dialogue
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Eradicating H pylori in nonulcer dyspepsia: 7 reasons for vs 7 reasons against
Alan F. Cutler, MD and Edgar Achkar, MD- Cleveland Clinic Journal of Medicine March 2000, 67 (3) 214-220;
A spirited debate between two experts on a contentious topic.
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