Table of Contents
May 01, 2002; Volume 69, Issue 5-
From the Editor
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Functional health illiteracy: What patients don’t know can hurt them
John D. Clough, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 355;
Patient education has become a discipline in itself, and physicians need to take better advantage of it.
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1-Minute Consult
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Intravenous or oral steroids: Which is better for acute exacerbations of asthma or COPD?
Charles Emerman, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 365-366;
For asthma, oral steroids appear to be as effective as intravenous. For COPD, we have less evidence.
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Cancer Diagnosis and Management
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Assessing cancer clinical trials: Will your patient benefit from a ‘breakthrough’?
Maurie Markman, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 368-376;
Pick up a newspaper or turn on the news, and you will see a story about some breakthrough in cancer. So will your patients.
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Interpreting Key Trials
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The CURE trial: Using clopidogrel in acute coronary syndromes without ST-segment elevation
Gregory P. Gerschutz, MD and Deepak L. Bhatt, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 377-385;
An important advance, but at the cost of excess bleeding.
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Im Board Review
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A 25-year-old woman with hemiparesis and a solitary brain lesion
David L. Longworth, MD, James K. Stoller, MD, Jinny O. Tavee, MD, Charles J. Bae, MD, Richard A. Prayson, MD and Erik P. Pioro, MD, PHD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 389-394;
What is the cause of this patient’s symptoms? A self-test.
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Review
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Two new treatment options for infections due to drug-resistant gram-positive cocci
Susan J. Rehm, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 397-413;
Drug-resistant gram-positive cocci are on the rise, including VRE and MRSA strains. Synercid and Zyvox are welcome and needed, but they should not be used empirically.
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Patient Information
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Medical Grand Rounds
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Recognizing and overcoming inadequate health literacy, a barrier to care
Mark V. Williams, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 415-418;
A shocking number of patients cannot read adequately or understand medical concepts, with adverse consequences for their health.
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The new American diet and the changing face of foodborne illness
Alan J. Taege, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 419-424;
Foodborne illness isn’t just about bad potato salad any more.
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Review
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Benign breast disease: When to treat, when to reassure, when to refer
Lakshmi Vaidyanathan, MD, Karen Barnard, MD, MPH and D. Michael Elnicki, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 425-432;
Many women have symptoms of breast disease, but few have cancer.
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Heart Failure Update
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ACE inhibitors vs ARBs: Is one class better for heart failure?
James Young, Mark E. Dunlap, MD and Ross C. Peterson, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 433-438;
A patient who apparently cannot tolerate ACE inhibitors presents with worsening heart failure. What should be the next step?
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Departments
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Smallpox and bioterrorism (November/December 1999)
David M. Huff- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 360;
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In reply: Smallpox and bioterrorism (November/December 1999)
Steven M. Gordon, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 360-361;
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Hypothermia in a homeless man (January 2002)
David Silverman, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 362;
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In reply: Hypothermia in a homeless man (January 2002)
Raed Bargout, MD and Brian P. Lucas, MD- Cleveland Clinic Journal of Medicine May 2002, 69 (5) 362;
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