Table of Contents
December 01, 2018; Volume 85, Issue 12-
From the Editor
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A new reason to reconsider that antibiotic prescription: The microbiome
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 906-907;
- DOI: https://doi.org/10.3949/ccjm.85b.12018
Prescribing an antibiotic is a far more complicated and long-lasting affair than most of us thought.
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The Clinical Picture
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Lung complications of prescription drug abuse
Josiah D. McCain, MD, Monia E. Werlang, MD, Andras Khoor, MD, PhD and Isabel Mira-Avendano, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 910-911;
- DOI: https://doi.org/10.3949/ccjm.85a.18050
Opioid tablets crushed, then injected intravenously.
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Acute necrotizing esophagitis
Takeshi Kondo, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 912-913;
- DOI: https://doi.org/10.3949/ccjm.85a.18054
Poorly controlled diabetes, confusion, coffee-ground emesis.
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1-Minute Consult
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What can I do when first-line measures are not enough for vasovagal syncope?
Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922;
- DOI: https://doi.org/10.3949/ccjm.85a.17112
Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.
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Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
Gregory T. Brennan, MD, Alex Duong, Emily T. Nguyen, PharmD and Douglas L. Nguyen, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 923-924;
- DOI: https://doi.org/10.3949/ccjm.85a.18037
Active IBD poses a greater risk than continuing drug therapy.
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Do all hospital inpatients need cardiac telemetry?
Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927;
- DOI: https://doi.org/10.3949/ccjm.85a.17114
Routine cardiac telemetry raises costs and does little.
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Medical Grand Rounds
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Our missing microbes: Short-term antibiotic courses have long-term consequences
Martin J. Blaser, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 928-930;
- DOI: https://doi.org/10.3949/ccjm.85gr.18005
Is the rise in chronic diseases due to loss of microbial diversity?
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Review
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Beta-cell therapies for type 1 diabetes: Transplants and bionics
Kathryn Bux Rodeman, MD and Betul Hatipoglu, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 931-937;
- DOI: https://doi.org/10.3949/ccjm.85a.17088
Chief among the challenges: millions of people have diabetes.
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Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949;
- DOI: https://doi.org/10.3949/ccjm.85a.17115
Even where it is legal, doctors should recommend it only after careful consideration.
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Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958;
- DOI: https://doi.org/10.3949/ccjm.85a.18059
A review of study results from the last 2 years.
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Narcolepsy: Diagnosis and management
Erin C. Golden, MD and Melissa C. Lipford, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969;
- DOI: https://doi.org/10.3949/ccjm.85a.17086
Treatments can offer enhanced quality of life.
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Opinion
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Telemedicine: Past, present, and future
Jamal H. Mahar, MD, Gregory J. Rosencrance, MD and Peter A. Rasmussen, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 938-942;
- DOI: https://doi.org/10.3949/ccjm.85a.17062
Low reimbursement, licensing, practice issues limit its use.
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Cannabis for chronic pain: Not a simple solution
Xavier F. Jimenez, MD- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 950-952;
- DOI: https://doi.org/10.3949/ccjm.85a.18089
Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.
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Departments
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Prostate cancer screening, November 2018
David L. Keller, MD, FACP- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 908;
- DOI: https://doi.org/10.3949/ccjm.85c.12001
A reader comments on the use of prostate-specific antigen (November 2018).
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Men’s health 2018 (November 2018)
- Cleveland Clinic Journal of Medicine December 2018, 85 (12) 913;
An error occurred in Chaitoff A, Killeen TC, Nielsen C. Men’s health 2018: BPH, prostate cancer, erectile dysfunction, supplements. Cleve Clin J Med 2018; 85(11):871–880. doi:10.3949/ccjm.85a.18011.
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