Latest Articles

  • Osborn waves: An inverse correlation with core body temperature
    Hesham R. Omar, MD and Hany D. Abdelmalak, MD
    Cleveland Clinic Journal of Medicine November 2011, 78 (11) 734-736; DOI: https://doi.org/10.3949/ccjm.78a.10163

    Classic electrocardiographic findings in hypothermia include J waves, which become higher in amplitude the lower the core body temperature.

  • A discussion of dissection
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 644; DOI: https://doi.org/10.3949/ccjm.78b.11010

    Few medical emergencies are as dramatic as an acutely rupturing aortic aneurysm. Advances in research offer potential for more alternatives to emergency surgery.

  • What is the best questionnaire to screen for alcohol use disorder in an office practice?
    Keji Fagbemi, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 649-651; DOI: https://doi.org/10.3949/ccjm.78a.10186

    A variety of questionnaires can be used. The important thing is to be proactive about screening for this very common yet underrecognized problem.

  • A new ICU paradigm: Intensivists as primary critical care physicians
    Marc J. Popovich, MD, Shahpour Esfandiari, MD and Azmy Boutros, MD, FRCA
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 697-700; DOI: https://doi.org/10.3949/ccjm.78a.10162

    The time has come for critical care medicine to end its identity crisis.

  • Dabigatran: Will it change clinical practice?
    Siddharth A. Wartak, MD and John R. Bartholomew, MD, FACC
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 657-664; DOI: https://doi.org/10.3949/ccjm.78a.11021

    This new oral anticoagulant has advantages over warfarin (Coumadin), but it is more expensive, which may pose a barrier to its wider use.

  • Jet lag and shift work sleep disorders: How to help reset the internal clock
    Bhanu P. Kolla, MBBS and R. Robert Auger, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 675-684; DOI: https://doi.org/10.3949/ccjm.78a.10083

    Some relief is possible for the grogginess and disorientation that often ensue from travelling long distances or working the night shift.

  • Aortic dissection: Prompt diagnosis and emergency treatment are critical
    Aortic dissection: Prompt diagnosis and emergency treatment are critical
    Alan C. Braverman, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 685-696; DOI: https://doi.org/10.3949/ccjm.78a.11053

    Aortic dissection can be rapidly fatal, and it can mimic more common conditions. Suspicion is essential.

  • Update in intensive care medicine: Studies that challenged our practice in the last 5 years
    Enrique Diaz-Guzman, MD, Juan Sanchez, MD and Alejandro C. Arroliga, MD, FCCP
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 665-674; DOI: https://doi.org/10.3949/ccjm.78a.10188

    Several once-established therapies have failed the test of time, as the result of evidence from clinical trials.

  • Necrotic skin lesions after hemodialysis
    Christopher R. Newey, DO, MS, Aarti Sarwal, MD, Jeffrey Uchin, MD and Guy Mulligan, MD
    Cleveland Clinic Journal of Medicine October 2011, 78 (10) 646-648; DOI: https://doi.org/10.3949/ccjm.78a.10149

    A 44-year-old woman with end-stage liver disease presents with a painful, ischemic, necrotic lesion on her thigh. What is the diagnosis?

  • Accountable care organizations, the patient-centered medical home, and health care reform: What does it all mean?
    David L. Longworth, MD
    Cleveland Clinic Journal of Medicine September 2011, 78 (9) 571-582; DOI: https://doi.org/10.3949/ccjm.78gr.11003

    Central to fixing the broken US health care system are two concepts: the patient-centered medical home and accountable care organizations.

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