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Cleveland Clinic Journal of Medicine

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Table of Contents

May 01, 2004; Volume 71,Issue 5

From the Editor

  • You have access
    Fantastic voyage: The peeping pill
    John D. Clough, MD
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 366;

    In the 1966 movie Fantastic Voyage, Raquel Welch and her colleagues were shrunk and injected in a miniature submarine into the circulatory system of a comatose scientist. Now we have a disposable miniaturized television camera that can be swallowed.

Medical Grand Rounds

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    Shared medical appointments: Increasing patient access without increasing physician hours
    David L. Bronson, MD and Richard A. Maxwell, MD
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 369-377;

    Physicians meet with a group of patients simultaneously during a 90-minute visit. Patients get improved access and education, and physicians improve productivity.

Practice Commentary

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    The case for insulin treatment early in type 2 diabetes
    Pasquale J. Palumbo, MD
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 385-405;

    I hope to convince you that, in type 2 diabetes, insulin treatment should not be a last resort.

Medical Grand Rounds

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    Rheumatoid arthritis: More aggressive approach improves outlook
    Michael E. Weinblatt, MD
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 409-413;

    Gone is the “pyramid” approach. Now, as soon as the diagnosis is established, we start a disease-modifying antirheumatic drug, usually methotrexate.

Review

  • Video capsule endoscopy: A voyage beyond the end of the scope
    You have access
    Video capsule endoscopy: A voyage beyond the end of the scope
    Aman Ali, MD, Janice M. Santisi, RN and John Vargo, MD, MPH
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 415-425;

    A tiny ingestible video camera can image the entire length of the small intestine, formerly the black box of the gastrointestinal system.

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    Strengthening the standards for preventing heart disease and stroke: The recent AHA guidelines
    Raul J. Seballos, MD and James Gutierrez, MD
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 426-432;

    New guidelines call for managing risk factors more aggressively than ever before, especially in people at high risk.

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    Six strategies to identify and assist patients burdened by out-of-pocket prescription costs
    G. Caleb Alexander, MD, MS and Chien-Wen Tseng, MD, MPH
    Cleveland Clinic Journal of Medicine May 2004, 71 (5) 433-437;

    As many as one in five people report that they did not fill a prescription in the previous year because of the cost. Physicians can help by asking about the problem and applying simple strategies to limit the patient’s costs.

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In this issue

Cleveland Clinic Journal of Medicine: 71 (5)
Cleveland Clinic Journal of Medicine
Vol. 71, Issue 5
1 May 2004
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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
  • Frailty in older adults: Implications for end-of-life care
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