Table of Contents

February 01, 2003; Volume 70,Issue 2

From the Editor

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A pox upon human folly
John D. Clough, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 79;

In mass smallpox vaccination, the choices aren’t pretty or easy.

Editorial

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Pre-event smallpox vaccination: Unresolved issues
Steven M. Gordon, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 80-86;

We are on the verge of the first phase of nationwide smallpox vaccination, but many questions remain unanswered.
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Vertebral compression fractures: What time destroys, methylmethacrylate may mend
Christopher M. Bono, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 88-90;

The sequelae of osteoporosis present numerous clinical challenges; several new surgical options show promise.

1-Minute Consult

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What are the key issues women face when ending hormone replacement therapy?
Wulf H. Utian, MD, BCH, PhD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 93-94;

A logical approach is to review why the patient is on HRT and to consider alternatives.
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What is the appropriate treatment for Dupuytren contracture?
Thomas R. Hunt, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 96-97;

The diseased tissue is either watched with benign neglect or surgically excised.
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How do you manage a healthy, asymptomatic, 24-year-old with a positive RPR on a premarital blood test?
Sherif B. Mossad, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 101-102;

A positive rapid plasma reagin must be confirmed or refuted, but if the history, physical, and laboratory studies are negative, there is a great chance it was falsely positive.

Clinical Picture

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Worsening shortness of breath
Mustaphasahim Shaaraoui, MD and Curtis M. Rimmerman, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 104-109;

ECGs from a 58-year-old man with type 2 diabetes who presents to the emergency room with dyspnea.

Review

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Fungal nail infection: Assessing the new treatment options
Georgeanne Botek, DPM

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 110-118;

Newer antifungal agents are more effective and better tolerated than older agents.
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Challenges and choices in drug therapy for chronic pain
Scott M. Fishman, MD and David Teichera, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 119-138;

Chronic pain is different from acute pain, and its treatment is more challenging.

Medical Grand Rounds

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Improving care of chronic heart failure: Advances from drugs to devices
Randall C. Starling, MD, MPH

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 141-146;

The right combination of drugs and surgical treatment can improve systolic function and prevent, attenuate, or reverse heart failure.

Review

$Vertebral compression fractures: Manage aggressively to prevent sequelae$

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Vertebral compression fractures: Manage aggressively to prevent sequelae
Daniel J. Mazanec, MD, Vinod K. Podichetty, MD, Alex Mompoint, MD and Amarish Potnis, MD

Cleveland Clinic Journal of Medicine February 2003, 70 (2) 147-156;

Advances in preventing and managing acute vertebral compression fractures can reduce their devastating impact, even in the face of an aging population.

Departments

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Reviewers 2002
Cleveland Clinic Journal of Medicine February 2003, 70 (2) 157;