Table of Contents
June 01, 2003; Volume 70, Issue 6-
From the Editor
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‘Obvious’ answers aren’t always so simple
John D. Clough, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 487;
In atrial fibrillation, rhythm control seemed “obviously” better than rate control-until randomized trials were done.
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1-Minute Consult
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Should primary care physicians screen for depression?
George E. Tesar, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 488-490;
Yes, if they have the time and resources to do something about it if they find it.
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Editorial
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On testing for proteinuria: Time for a methodical approach
Garabed Eknoyan, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 493-501;
It is now imperative that we test for proteinuria in outpatients.
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In-hospital initiation of statins: Taking advantage of the ‘teachable moment’
Gregg C. Fonarow, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 502-506;
For a variety of reasons, starting a statin in the hospital increases long-term compliance.
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Minimally Invasive Surgery Updates
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New Series
Inderbir S. Gill, MD, MCh- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 508;
We hope to keep you abreast of how laparoscopic techniques are revolutionizing surgical care, and what this means for your patients.
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Laparoscopic repair of giant paraesophageal hernias: An update for internists
Michael Rosen, MD and Jeffrey Ponsky, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 511-514;
Laparoscopic repair is safe and can provide excellent results.
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Review
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Staphylococcus aureus bacteremia: Using echocardiography to guide length of therapy
Alice I. Kim, MD, Karim A. Adal, MD and Steven K. Schmitt, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 517-533;
Empiric long-term antibiotic therapy is no longer uniformly recommended for all cases of S aureus bacteremia, although experts disagree about the optimal length of therapy.
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Proteinuria: How to evaluate an important finding
Waqar Kashif, MD, Nauman Siddiqi, MD, Ayse P. Dincer, MD, H. Erhan Dincer, MD and Sheldon Hirsch, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 535-547;
Proteinuria should be taken seriously, even in outpatients without symptoms.
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Withholding nutrition at the end of life: Clinical and ethical issues
Jacquelyn Slomka, PhD, RN- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 548-552;
The decision to withhold or withdraw enteral or parenteral nutrition at the end of life should be based on medical need, in collaboration with the family and patient, if possible.
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Raising an isolated low HDL-C level: Why, how, and when?
Michael Miller, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 553-560;
No current therapy is optimal, but many can modestly increase HDL-C. The decision to treat depends on the patient’s risk for coronary disease.
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Interpreting Key Trials
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The Lescol Intervention Prevention Study (Lips)
Adrian W. Messerli, MD, Herbert D. Aronow, MD, MPH and Dennis L. Sprecher, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 561-566;
The trial showed a significant reduction in cardiac events in patients who received a statin drug immediately after a successful percutaneous coronary intervention. Currently, this is seldom done.
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Atrial fibrillation: Rate control is as good as rhythm control for some, but not all
Mina K. Chung, MD- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 567-573;
Many clinicians are questioning the need to restore or maintain sinus rhythm in atrial fibrillation. What did four recent trials show ?
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Departments
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Osteoporosis in men (March 2003)
- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 501;
Osteoporosis in men (
Cleve Clin J Med 2003; 70:247–254 ).
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Preventing kidney failure (April 2003)
- Cleveland Clinic Journal of Medicine June 2003, 70 (6) 501;
Preventing kidney failure (
Cleve Clin J Med 2003; 70:337–344 ).
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