Table of Contents

April 01, 2013; Volume 80, Issue 4
  • From the Editor

      • Resistance of man and bug

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 202;
        • DOI: https://doi.org/10.3949/ccjm.80b.04013
        • Why individual clinicians make specific decisions usually can be sorted out. But our behavior as a group is more difficult to understand—and to alter.

  • The Clinical Picture

      • Implications of a prominent R wave in V1

        Eric J. Chan, MD, Vijaiganesh Nagarajan, MD, MRCP, FACP and Donald A. Underwood, MD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 204-205;
        • DOI: https://doi.org/10.3949/ccjm.80a.11138
        • A 19-year-old woman presents with exertional dyspnea. What can her electrocardiogram tell us?

      • A rapidly growing crusted nodule on the lip

        Paul J. Wirth and Thomas N. Helm, MD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 222-224;
        • DOI: https://doi.org/10.3949/ccjm.80a.12050
        • The patient, who had a squamous cell carcinoma, underwent Mohs surgery and has done well.

  • Medical Grand Rounds

      • Detecting and controlling diabetic nephropathy: What do we know?

        Gerald Appel, MD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 209-217;
        • DOI: https://doi.org/10.3949/ccjm.80gr.12006
        • Diabetic kidney disease is on the rise. Strategies to prevent or control it are lowering blood pressure, controlling blood sugar, and inhibiting the renin-angiotensin-aldosterone system.

  • Review

      • Carbapenem-resistant Enterobacteriaceae: A menace to our most vulnerable patients

        Federico Perez, MD and David Van Duin, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 225-233;
        • DOI: https://doi.org/10.3949/ccjm.80a.12182
        • The emergence of carbapenem-resistant Enterobacteriaceae (CRE) highlights the importance of effective antibiotics to maintain the safety of our health care system. Clinicians will encounter CRE as a cause of difficult-to-treat and often fatal infections in hospitalized patients. We review the mechanisms of carbapenem resistance, the dissemination and clinical impact of these resistant organisms, and challenges to their detection, treatment, and control.

      • TOC Icon

        Options for managing severe aortic stenosis: A case-based review

        Olcay Aksoy, MD, Bridget L. O’brien, MD, FACC and Venu Menon, MD, FACC, FAHA
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 243-252;
        • DOI: https://doi.org/10.3949/ccjm.80a.12078
        • Today, patients who cannot undergo surgery can be offered a variety of less invasive treatments. We use seven cases to illustrate how to manage these patients.

  • Interpreting Key Trials

      • Bone mineral density testing: Is a T score enough to determine the screening interval?

        Krupa B. Doshi, MD, CCD, Leila Z. Khan, MD, CCD, Susan E. Williams, MS, MD, CCD and Angelo A. Licata, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 234-239;
        • DOI: https://doi.org/10.3949/ccjm.80a.12069
        • Although a trial found that women with normal or only slightly low results need not come back for another 15 years, it may not be so simple.

  • Editorial

      • What should be the interval between bone density screenings?

        Susan M. Ott, MD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 240-242;
        • DOI: https://doi.org/10.3949/ccjm.80a.12166
        • Doctors should not order unnecessary and expensive tests and should not recommend frequent repeated testing that does not benefit the patient.

      • Aortic valve replacement: Options, improvements, and costs

        Lars G. Svensson, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 253-254;
        • DOI: https://doi.org/10.3949/ccjm.80a.13010
        • How aortic valve disease is managed continues to evolve. Issues include outcomes and costs.

  • Departments

      • Short QT syndrome (January 2013)

        Supawat Ratanapo, MD, Narat Srivali, MD, Wisit Cheungpasitporn, MD, Saeed Ahmed, MB, BS, Promporn Suksaranjit, MD and Daych Chongnarungsin, MD
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 203;
        • DOI: https://doi.org/10.3949/ccjm.80c.04001
        • Readers comment on the short QT syndrome (January 2013).

      • In Reply: Short QT syndrome (January 2013)

        Hayan Al Maluli, MD and Arnold B. Meshkov, MD, MBA, FACC
        • Cleveland Clinic Journal of Medicine April 2013, 80 (4) 203;
        • DOI: https://doi.org/10.3949/ccjm.80c.04002
        • Readers comment on the short QT syndrome (January 2013).