Table of Contents
June 01, 2000; Volume 67, Issue 6-
From the Editor
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‘Interpreting Key Trials’: Doing what we do best
John D. Clough, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 391;
A key
CCJM mission is to quickly translate the results of important trials into practical clinical advice.
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Medical Grand Rounds
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Appropriate use of DNR orders: A practical approach
William S. Wilke, MD, George J. Agich, PHD and Alejandro C. Arroliga, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 392-400;
A procedure and rationale for resolving conflict and reaching consensus about end-of-life care.
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1-Minute Consult
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How should patients taking the discontinued diabetes drug troglitazone be managed?
S. Sethu K. Reddy, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 401-402;
The newer insulin sensitizers appear safe, but monitoring for hepatotoxicity is still warranted.
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When do you x-ray ankle sprains in patients with acute ankle injuries?
Terry Philbin, DO and Brian G. Donley, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 405-406;
Many are sprained, but few are fractured.
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Cancer Diagnosis and Management
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Cancer genetics for the clinician: Recommendations on screening for BRCA1 and BRCA2 mutations
Maurie Markman, MD and Brian A. Clark, PhD, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 408-414;
The discovery of cancer-related genes raises difficult questions for clinicians and patients.
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Patient Information
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Genetic testing for risk of breast and ovarian cancer: Is it right for you?
- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 415;
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Review
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Transesophageal echocardiography: First-line imaging for aortic diseases
Fatih Yalçin, MD, James D. Thomas, MD, David Homa, BS and Frank A. Flachskampf, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 417-428;
Because transesophageal echocardiography is fast, portable, and widely available, it is ideal for diagnosing potentially catastrophic diseases of the aorta.
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Interpreting Key Trials
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Alpha-blockers and congestive heart failure: Early termination of an arm of the ALLHAT trial
Donald G. Vidt, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 429-433;
Current guidelines for treating high blood pressure need to be changed, in light of surprising findings from a major study.
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Acute respiratory distress syndrome: Low-stretch ventilation improves survival
Herbert P. Wiedemann, MD and Alejandro C. Arroliga, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 435-440;
By setting the respirator to deliver smaller volumes of air than traditionally used, we can decrease the mortality rate by one fifth.
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Caring for Older Patients
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Effective treatment of Alzheimer disease and its complications
Robert M. Palmer, MD, Maurice R. Hanson, MD and Nestor Galvez-Jimenez, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 441-448;
Prompt and careful treatment can improve the quality of life for Alzheimer patients.
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Departments
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New therapies for allergic rhinitis
- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 448;
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Shortcomings of coronary angiography (September 1999)
Tsung O. Cheng, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 450-452;
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To the Editor: Shortcomings of coronary angiography (September 1999)
Richard M. Fleming, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 450-451;
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The HOPE study (April 2000)
Raed Bargout, MD- Cleveland Clinic Journal of Medicine June 2000, 67 (6) 452;
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