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Cleveland Clinic Journal of Medicine

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Table of Contents

October 01, 2014; Volume 81,Issue 10

From the Editor

  • You have access
    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

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    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

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    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

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    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.

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    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

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    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.

  • You have access
    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
    You have access
    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

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    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).

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    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
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In this issue

Cleveland Clinic Journal of Medicine: 81 (10)
Cleveland Clinic Journal of Medicine
Vol. 81, Issue 10
1 Oct 2014
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The beat goes on: Highlights from the new American and European A-fib guidelines
What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?
Tinea incognito
Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Nociplastic pain: A practical guide to chronic pain management in the primary care setting
Sarcoidosis with diffuse purplish erythematous plaques on the hands
Cardiovascular disease in people living with HIV: Risk assessment and management
Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
Don’t judge a book by its cover: Unusual presentations of pericardial disease
Hypoglycemia after bariatric surgery: Management updates
Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
Common electrolyte imbalance, uncommon cause

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