More articles from Original Study

  • Multidisciplinary treatment for chronic low back pain: a randomized, prospective study
    Ane F. Bendix, MD, Tom Bendix, MD, DMSc, Keld Vægter, MD, Christine Lund, PT, Lone Frølund, PhD and Lillian Holm, OT
    Cleveland Clinic Journal of Medicine January 1996, 63 (1) 62-69;

    Intensive treatment programs for low back pain are expensive, but can reduce health care, pension, and sick leave costs.

  • Radical hysterectomy for cervical cancer: the effect of shorter length of stay on outcome
    Alexander W. Kennedy, MD, Gert Peterson, RN, Laurie J. Tuason, MS, Jerome L. Belinson, MD and Kenneth D. Webster, MD
    Cleveland Clinic Journal of Medicine May 1995, 62 (3) 193-197;

    Radical hysterectomy and pelvic lymph-node dissection continue to be a safe and effective treatment for limited cervical carcinoma.

  • Physical and social impact of alpha 1-antitrypsin deficiency: results of a survey
    James K. Stoller, MD, Peter Smith, Peter Yang, MS and Judy Spray, PhD
    Cleveland Clinic Journal of Medicine November 1994, 61 (6) 461-467;
  • Pleural changes in malignant pleural effusions: appearance on computed tomography
    Peter B. O’Donovan, MB, BCh and Philip Eng, MD
    Cleveland Clinic Journal of Medicine March 1994, 61 (2) 127-131;

    CT scanning appears to facilitate demonstration of several features that should arouse the clinician’s and radiologist’s suspicion of pleural malignancy.

  • Attitudes toward childbearing and changes in sexual and contraceptive practices among HIV-infected women
    Kwan Kew Lai, DMD, MD
    Cleveland Clinic Journal of Medicine March 1994, 61 (2) 132-136;

    After studying 46 women with HIV infection, the authors found that counseling often was not adequate and that, though sexual practices changed, further study is needed to see if these changes are sustained.

  • Long-term follow-up of children after repair of atrial septal defects
    James Mandelik, MD, Douglas S. Moodie, MD, Richard Sterba, MD, Daniel Murphy, MD, Eliot Rosenkranz, MD, Sharon Medendorp, MPH and Andrea Kovaks, BS
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 29-33;

    The authors advocate repair of atrial septal defects as early as possible, definitely "before age 5, in order to minimize long-term complications of left-to-right shunting.

  • Durability of bipolar coaxial endocardial pacemaker leads compared with unipolar leads
    Marcelo E. Helguera, MD, Sergio L. Pinski, MD, James D. Maloney, MD, Javier R. Woscoboinik, MD, Richard G. Trohman, MD, Victor A. Morant, MD, Bruce L. Wilkoff, MD and Lon W. Castle, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 25-28;

    Bipolar coaxial leads are preferable to unipolar leads in most aspects. Yet survival of bipolar coaxial leads in long-term follow-up studies seems worse than that of unipolar leads, indicating the need to reevaluate the risk-benefit ratio of the coaxial design.

  • Mortality of patients transferred to a tertiary care hospital
    John D. Clough, MD, Robert Kay, MD, William R. Gombeski, MPH, MBA, Daniel E. Nickelson, MA and Floyd D. Loop, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 449-454;

    A look at the effect of transfers on patient outcome and on hospital mortality statistics, and how superficial review of these statistics could lead to mistaken conclusions about the quality of hospitals to which patients are transferred.

  • Early-onset prosthetic valve endocarditis
    Thomas F. Keys, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 455-459;

    Despite advances in surgical expertise and antibiotic prophylaxis, this complication occurs in about 1% of patients with implanted heart valves, with a mortality of 30% to 50%.

  • Systemic diseases associated with intermediate uveitis
    Steven A. Boskovich, MD, Careen Y. Lowder, MD, PhD, David M. Meisler, MD and Froncie A. Gutman, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 460-465;

    Multiple sclerosis, inflammatory bowel disease, thyroid abnormalities, and possible Epstein-Barr virus infection were among the findings in 26 of 83 intermediate uveitis patients.

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