Latest Articles

  • Taking blood pressure: Too important to trust to humans?
    Donald G. Vidt, MD, Richard S. Lang, MD, MPH, Raul J. Seballos, MD, Anita Misra-Hebert, MD, John Campbell, MD and James F. Bena, MS
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 683-688; DOI: https://doi.org/10.3949/ccjm.77a.09155

    The reality of blood pressure measurement is that human beings do not do it very well. The time has come to delegate this job to machines that can do it better.

  • Management of hyponatremia: Providing treatment and avoiding harm
    Management of hyponatremia: Providing treatment and avoiding harm
    Chirag Vaidya, MD, Warren Ho, MD and Benjamin J. Freda, DO
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 715-726; DOI: https://doi.org/10.3949/ccjm.77a.08051

    Undercorrection of acute symptomatic hyponatremia can lead to serious neurologic injury, but so can overly rapid correction of chronic hyponatremia.

  • Is there a doctor in your house? Home health care of the future
    John Hickner, MD, MSc
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 681-682; DOI: https://doi.org/10.3949/ccjm.77a.10100

    A modernized, efficient, effective home health care system would be a welcome improvement on the patchwork system we have had for the past 30 years.

  • Finding the right target for treating Alzheimer disease
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 650; DOI: https://doi.org/10.3949/ccjm.77b.10010

    It is not always easy to pick a therapeutic target. Sometimes, potential targets are actually embers of the pathologic process rather than flames driving the disease.

  • Noninvasive positive pressure ventilation for stable outpatients: CPAP and beyond
    Theerakorn Theerakittikul, MD, Basma Ricaurte, MD and Loutfi S. Aboussouan, MD
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 705-714; DOI: https://doi.org/10.3949/ccjm.77a.10060

    We discuss the different types of noninvasive positive pressure ventilation, the specific conditions in which they can be used, and the evidence supporting their efficacy in outpatients.

  • Should healthy people take a multivitamin?
    Benjamin Caballero, MD, PhD
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 656-657; DOI: https://doi.org/10.3949/ccjm.77a.10070

    No. There is no scientific basis for recommending vitamin-mineral supplements to the healthy population.

  • Bringing home the ‘medical home’ for older adults
    Steven H. Landers, MD, MPH, Paula Suter, RN, MA, CCP and Beth Hennessey, MSN, RN
    Cleveland Clinic Journal of Medicine October 2010, 77 (10) 661-675; DOI: https://doi.org/10.3949/ccjm.77a.10006

    We may be able to improve the care of our vulnerable older patients—and control costs—by taking their primary care to their own homes.

  • Are antibiotics indicated for the treatment of aspiration pneumonia?
    Ehab Daoud, MD and Jorge Guzman, MD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 573-576; DOI: https://doi.org/10.3949/ccjm.77a.09139

    Yes, for primary bacterial aspiration pneumonia and secondary bacterial infection of aspiration (chemical) pneumonitis, but not for uncomplicated chemical pneumonitis.

  • An ulcerated plaque on the hand
    Husein Husein-El Ahmed, MD, José Aneiros-Fernández, MD, Salvador Arias-Santiago, MD, Rosa Ortega Del Olmo, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 585-586; DOI: https://doi.org/10.3949/ccjm.77a.10004

    A 73-year-old farmer has a lesion on the dorsum of his hand that bleeds intermittently. What is it?

  • The shrinking woman
    Hung-Yi Chu, MD and Pauling Chu, MD, PhD
    Cleveland Clinic Journal of Medicine September 2010, 77 (9) 583-584; DOI: https://doi.org/10.3949/ccjm.77a.10010

    A 45-year-old woman on dialysis has lost 20 cm in height over the past 8 years, despite two parathyroidectomy procedures. Would a third one help?

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