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Cleveland Clinic Journal of Medicine

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More articles from Medical Grand Rounds

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    Can the patient make treatment decisions? Evaluating decisional capacity
    George J. Agich, PHD
    Cleveland Clinic Journal of Medicine October 1997, 64 (9) 461-464;

    Evaluations of a patient's ability to make treatment decisions are common in everyday practice. Dr. Agich reviews the standards for evaluating decisional capacity.

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    Low back pain: Living with ambiguity
    Daniel Mazanec, MD
    Cleveland Clinic Journal of Medicine September 1997, 64 (8) 407-410;

    Ambiguity is a fact of life in treating acute low back pain, frustrating physicians and patients alike.

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    Is intensive glycemic control worth the expense?
    Richard C. Eastman, MD
    Cleveland Clinic Journal of Medicine September 1997, 64 (8) 410-413;

    Is tight control of glucose levels cost-effective for type I diabetes? And what about type II diabetes?

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    Evaluating adrenal incidentalomas
    Rossana D. Danese, MD
    Cleveland Clinic Journal of Medicine June 1997, 64 (6) 287-291;

    Adrenal incidentalomas are detected on approximately 1% to 2% of all abdominal CT scans. The question is, how clinically significant are they?

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    Disturbing asthma statistics reflect suboptimal management
    Cyril M. Grum, MD
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    Beta agonists are used too often and inhaled steroids too little. Leukotrine receptor antagonists will be an important new asthma therapy, but allergy shots remain controversial.

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    Beyond statistics: What is really important in medicine?
    Alvan R. Feinstein, MD
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    Clinicians should apply clinical reasoning when interpreting trial results, and researchers should find better ways of measuring “soft” outcomes, such as quality of life.

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    New treatment options for epilepsy
    Harold H. Morris, MD
    Cleveland Clinic Journal of Medicine March 1997, 64 (3) 125-127;

    The four newest anticonvulsant drugs— gabapentin, lamotrigine, felbamate, and topiramate—offer some advantages over older agents.

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    The constitutionality of physician-assisted suicide: the cases and issues before the US Supreme Court
    Michael J. Meehan, JD
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    How the Court rules on physician-assisted suicide will spur further legal debate for decades.

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    Reperfusion for acute myocardial infarction: 1997 and beyond
    Eric J. Topol, MD
    Cleveland Clinic Journal of Medicine January 1997, 64 (1) 9-12;

    The optimal thrombolytic therapy will be a cocktail of several thrombolytic, antithrombotic, and antiplatelet agents, each of which attacks different pathways of clot formation.

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    Smoking and the complications of diabetes mellitus
    S. Sethu K. Reddy, MD
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    Even though persons with diabetes have more to gain from quitting smoking than those without diabetes, the prevalence of smoking in the diabetic population is surprisingly high.

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