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Cleveland Clinic Journal of Medicine

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    Universal precautions to reduce stimulant misuse in treating adult ADHD
    Vania Modesto-Lowe, MD, MPH, Margaret Chaplin, MD, Shirshendu Sinha, MD and Katie Woodard, BS
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    At each visit, assess the four ‘A’s: ADHD symptoms, Activities of daily living, Adverse events, and Aberrant behavior.

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    RACE stands for Removal of necrotic tissue, Antibacterials, odor Concealers, and Education and support. Quality of life is the prize.

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    Starting insulin in patients with type 2 diabetes: An individualized approach
    Andrei Brateanu, MD, FACP, Giavanna Russo-Alvarez, PharmD, BCACP and Craig Nielsen, MD, FACP
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    Take into account the patient’s age, life expectancy, concurrent illnesses, risk of hypoglycemia, and other factors.

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    E-cigarettes: Safe to recommend to patients?
    Jason M. Jerry, MD, FAPA, Gregory B. Collins, MD, DFAPA and David Streem, MD
    Cleveland Clinic Journal of Medicine August 2015, 82 (8) 521-526; DOI: https://doi.org/10.3949/ccjm.82a.14054

    E-cigarettes have never been subjected to testing of safety or efficacy as nicotine replacement therapy.

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    Marijuana is both antiemetic and proemetic
    Marvin Louis Roy Y. Lu, MD and Markus D. Agito, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 429-434; DOI: https://doi.org/10.3949/ccjm.82a.14023

    Chronic marijuana use can have an emetic effect. Patients shower or bathe in extremely hot water to relieve the symptoms.

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    Urologic applications of botulinum toxin
    Ashley King, MD, Adrienne Quirouet, MD and Courtenay K. Moore, MD
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    Botulinum toxin is approved for neurogenic detrusor overactivity and overactive bladder refractory to drug therapy.

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    Care of the aging HIV patient
    Jason M. Blaylock, MD and Glenn W. Wortmann, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 445-455; DOI: https://doi.org/10.3949/ccjm.82a.14094

    Today, more than 50% of all HIV-infected people in the United States are over age 50.

  • Bell palsy: Clinical examination and management
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    Donika K. Patel, DO and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine July 2015, 82 (7) 419-426; DOI: https://doi.org/10.3949/ccjm.82a.14101

    Bell palsy is characterized by acute facial mononeuropathy of unclear cause presenting with unilateral facial weakness.

  • Long-term management of liver transplant recipients: A review for the internist
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    Long-term management of liver transplant recipients: A review for the internist
    Danny H. Issa, MD and Naim Alkhouri, MD
    Cleveland Clinic Journal of Medicine June 2015, 82 (6) 361-372; DOI: https://doi.org/10.3949/ccjm.82a.14072

    Internists are caring for a greater number of transplant recipients and managing their long-term problems.

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    Our first concern is myocardial infarction. However, several other conditions can also cause ST elevation.

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