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Cleveland Clinic Journal of Medicine

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Table of Contents

September 01, 2002; Volume 69,Issue 9

From the Editor

  • You have access
    Follow the evidence—but don’t expect a straight path
    John D. Clough, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 663;

    The newest data on hormone replacement therapy remind us that evidence-based practice is not cookbook medicine.

1-Minute Consult

  • Is there a relationship between hypertension and cognitive function in older adults?
    You have access
    Is there a relationship between hypertension and cognitive function in older adults?
    Rony Abou Jawde, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 664-669;

    Yes, and there is some evidence that treating hypertension protects against cognitive decline later in life.

Medical Grand Rounds

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    The case for hormone replacement: New studies that should inform the debate
    Holly L. Thacker, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 670-678;

    Unfortunately, many women who might benefit from hormone replacement may decide to forgo it.

Patient Information

  • Hormone replacement therapy: Frequently asked questions
    You have access
    Hormone replacement therapy: Frequently asked questions
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 680-681;

Editorial

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    Hormone replacement therapy: Applying the results of the Women’s Health Initiative
    Susan R. Johnson, MD, MS
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 682-685;

    The ground rules have changed for prescribing hormone replacement therapy. Here are one expert’s recommendations.

Heart Valve Update

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    Choosing the most appropriate valve operation and prosthesis
    Maran Thamilarasan, MD and Brian Griffin, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 688-703;

    Should the valve be repaired or replaced? And if replaced, which prosthesis is best?

Review

  • What internists need to know about postpolio syndrome
    You have access
    What internists need to know about postpolio syndrome
    Julie K. Silver, MD and Dorothy D. Aiello, PT
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 704-711;

    Polio may be eradicated soon, but at least 1 million polio survivors in the United States are at risk of developing postpolio syndrome.

Interpreting Key Trials

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    The ACUTE Trial
    Craig R. Asher, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 713-718;

    A TEE-guided approach showed no advantage over conventional management in rates of embolic events, but shortened the anticoagulation course, allowed for earlier cardioversion, and caused fewer bleeding events.

The Clinical Picture

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    The crystal, the gout, and the paradox
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 720;

    We think we know what causes gout, but things may not be so simple.

Review

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    Advances in diagnosing and excluding pulmonary embolism: Spiral CT and D-dimer measurement
    Teresa L. Carman, MD and Steven R. Deitcher, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 721-729;

    No test is 100% sensitive and specific for pulmonary embolism. The best approach still depends on the pretest probability and, thus, on clinical judgment.

Medical Grand Rounds

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    Acute stroke therapy: Beyond IV tPA
    Anthony J. Furlan, MD
    Cleveland Clinic Journal of Medicine September 2002, 69 (9) 730-734;

    The quest to improve treatment includes intra-arterial infusion of thrombolytics, mechanical interventions, and neuroprotection through hypothermia.

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In this issue

Cleveland Clinic Journal of Medicine: 69 (9)
Cleveland Clinic Journal of Medicine
Vol. 69, Issue 9
1 Sep 2002
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  • From the Editor
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  • Medical Grand Rounds
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  • Meta-analysis: Its strengths and limitations
  • Primary angiitis of the central nervous system: diagnostic criteria and clinical approach
  • Role of uric acid in hypertension, renal disease, and metabolic syndrome
  • Physical and social impact of alpha 1-antitrypsin deficiency: results of a survey
  • Statin myopathy: A common dilemma not reflected in clinical trials
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