Table of Contents
October 01, 2014; Volume 81, Issue 10-
From the Editor
-
To dream the maybe possible dream: A breast cancer vaccine
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 584-585;
- DOI: https://doi.org/10.3949/ccjm.81b.10014
The work is in an extremely preliminary phase, but the concept is an active area of research worth keeping tabs on.
-
-
Smart Testing
-
Should all patients have a resting 12-lead ECG before elective noncardiac surgery?
Prashant Sharma, MD, FACP, Sourab Dhungel, MD, FACP and Anbazhagan Prabhakaran, MD, MRCP (Edin), FACP- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 594-596;
- DOI: https://doi.org/10.3949/ccjm.81a.13141
If the risk is low, an ECG could unnecessarily delay surgery, drive up costs, trigger further testing, and increase anxiety.
-
-
The Clinical Picture
-
Terry nails in a patient with chronic alcoholic liver disease
Satyendra Khichar, MBBS and Shyama Choudhary, MBBS, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 603-604;
- DOI: https://doi.org/10.3949/ccjm.81a.13134
His fingernails had a distal thin brown-pink transverse band, a white nail bed, and no lunula.
-
-
Medical Grand Rounds
-
Bench-to-bedside challenges in developing immune protection against breast cancer
Vincent K. Tuohy, PhD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 605-607;
- DOI: https://doi.org/10.3949/ccjm.81gr.14006
A vaccine against breast cancer is being developed. Here, the author explains the principles and challenges.
-
Keeping up with immunizations for adults
Craig Nielsen, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 608-612;
- DOI: https://doi.org/10.3949/ccjm.81gr.14004
Flu, tetanus, measles, mumps, rubella, varicella, hepatitis A and B, human papillomavirus, zoster, pneumonia, and meningitis.
-
-
Review
-
Managing snoring: When to consider surgery
Duc A. Tien, MD and Alan Kominsky, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 613-619;
- DOI: https://doi.org/10.3949/ccjm.81a.13034
If conservative measures fail, a variety of surgical procedures are designed to keep the airway open during sleep.
-
Diabetes therapy and cancer risk: Where do we stand when treating patients?
Grace E. Ching Sun, DO, Sangeeta R. Kashyap, MD and Christian Nasr, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 620-628;
- DOI: https://doi.org/10.3949/ccjm.81a.13140
Several classes of diabetes drugs are under scrutiny for potentially promoting cancer in a population already at risk.
-
When patients on target-specific oral anticoagulants need surgery
Mary Anderson, MD, Kathryn L. Hassell, MD, Toby C. Trujillo, PharmD, FCCP, FAHA, BCPS (AQ CARDIOLOGY) and Brian Wolfe, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 629-639;
- DOI: https://doi.org/10.3949/ccjm.81a.13168
Until evidence-based guidelines are developed, clinicians will have to apply their knowledge of pharmacology.
-
-
Departments
-
Why is metformin contraindicated in chronic kidney disease? (May 2014)
Talha H. Imam, MD- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 586;
- DOI: https://doi.org/10.3949/ccjm.81c:10001
A reader comments on why metformin is contraindicated in chronic kidney disease, which was mentioned by Sakhuja et al (Cleve Clin J Med 2014; 81:289–299).
-
In Reply: Why is metformin contraindicated in chronic kidney disease? (May 2014)
James F. Simon, MD, Ankit Sakhuja, MD and Jennifer Hyland, RN, MSN, CNP- Cleveland Clinic Journal of Medicine October 2014, 81 (10) 593;
- DOI: https://doi.org/10.3949/ccjm.81c:10002
-
