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Cleveland Clinic Journal of Medicine

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Table of Contents

March 01, 2010; Volume 77,Issue 3

From the Editor

  • You have access
    Vaccination: An option not to be ignored
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 151; DOI: https://doi.org/10.3949/ccjm/77a/03001

    Outbreaks of measles are seemingly on the rise, mainly because of lower vaccination rates, which are in part due to the unfounded fear that the vaccine causes autism.

Interpreting Key Trials

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    Treating silent reflux disease does not improve poorly controlled asthma
    Brent P. Riscili, MD, Jonathan P. Parsons, MD, MSc and John G. Mastronarde, MD, MSc
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 155-160; DOI: https://doi.org/10.3949/ccjm.77a.09111

    A recent multicenter trial indicated that empirically prescribing a proton pump inhibitor does not help control asthma symptoms and that current guidelines need to be reevaluated.

Editorial

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    Stenting for atherosclerotic renal artery stenosis: One poorly designed trial after another
    Mitchell D. Weinberg, MD and Jeffrey W. Olin, DO
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 164-171; DOI: https://doi.org/10.3949/ccjm.77a.10001

    The three randomized trials of stenting vs medical therapy published so far are so seriously flawed that it is impossible to make treatment decisions based on their results.

Review

  • Stenting atherosclerotic renal arteries: Time to be less aggressive
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    Stenting atherosclerotic renal arteries: Time to be less aggressive
    James F. Simon, MD
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 178-189; DOI: https://doi.org/10.3949/ccjm.77a.09098

    It is time to strongly reconsider the current aggressive approach to revascularization of stenotic renal arteries and to take a more coordinated, critical approach.

Interpreting Key Trials

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    Interpreting the Jupiter trial: Statins can prevent VTE, but more study is needed
    Alejandro Perez, MD and John R. Bartholomew, MD
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 191-194; DOI: https://doi.org/10.3949/ccjm.77a.09077

    The incidence of venous thromboembolism in people taking rosuvastatin (Crestor) 20 mg/day was about half that in people taking placebo. This was a relatively healthy population, and the incidence in both groups was low.

Review

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    When and how to evaluate mildly elevated liver enzymes in apparently healthy patients
    George Aragon, MD and Zobair M. Younossi, MD, MPH
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 195-204; DOI: https://doi.org/10.3949/ccjm.77a.09064

    Not all asymptomatic people with a mildly elevated liver enzyme value need an extensive evaluation, which can be costly, anxiety-provoking, and risky.

The Clinical Picture

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    Palpable purpura
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, María Sierra Girón-Prieto, MD, María Antonia Fernández-Pugnaire, PhD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 205-206; DOI: https://doi.org/10.3949/ccjm.77a.09065

    A healthy 47-year-old woman presents with a 3-day history of widespread asymptomatic lesions in the extremities, fever, arthralgias, and mild abdominal pain. What is the diagnosis?

Review

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    Measles: Not just a childhood rash
    Camille Sabella, MD
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 207-213; DOI: https://doi.org/10.3949/ccjm.77a.09123

    Outbreaks continue to be reported in communities with a high number of unvaccinated people. Most cases are linked to international travel.

Departments

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    Diffuse alveolar hemorrhage (April 2008)
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 160;

    Errors appeared in Ioachimescu OC, Stoller JK. Diffuse alveolar hemorrhage: diagnosing it and finding the cause. Cleve Clin J Med 2008; 74:258–280, and in Samplaski MK, Irwin BH, Desai M. Less-invasive ways to remove stones from the kidneys and ureters. Cleve Clin J Med 2009; 76:592–598.

  • You have access
    Renal stone interventions (October 2009)
    Cleveland Clinic Journal of Medicine March 2010, 77 (3) 160;

    Errors appeared in Ioachimescu OC, Stoller JK. Diffuse alveolar hemorrhage: diagnosing it and finding the cause. Cleve Clin J Med 2008; 74:258–280, and in Samplaski MK, Irwin BH, Desai M. Less-invasive ways to remove stones from the kidneys and ureters. Cleve Clin J Med 2009; 76:592–598.

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In this issue

Cleveland Clinic Journal of Medicine: 77 (3)
Cleveland Clinic Journal of Medicine
Vol. 77, Issue 3
1 Mar 2010
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