Latest Articles

  • Cardiovascular problems and pregnancy: An approach to management
    Samuel Siu, MD and Jack M. Colman, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 977-985;

    We review the impact of pregnancy on a number of heart diseases (and vice versa) and offer recommendations for their management.

  • Benefits of more aggressive VTE prophylaxis in hospitalized medical patients
    L. Bernardo Menajovsky, MD, MS and John Spandorfer, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 947-960;

    Most hospitalized medical patients who should be receiving anticoagulants to prevent VTE according to current guidelines are not getting them, or are receiving subtherapeutic doses.

  • The sad story of Vioxx, and what we should learn from it
    Juhana Karha, MD and Eric J. Topol, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 933-939;

    The withdrawal of rofecoxib (Vioxx) has important implications both for patients with arthritis and for the pharmaceutical field in general.

  • A guide to assessing decision-making capacity
    Roger C. Jones, MD and Timothy Holden, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 971-975;

    Physicians must care for many patients who are neither fully capable nor totally incapable of understanding and expressing choices about their treatment. We present an algorithm for assessing decision-making capacity.

  • Epidural steroids for back and leg pain: Mechanism of action and efficacy
    Epidural steroids for back and leg pain: Mechanism of action and efficacy
    Robert F. McLain, MD, Leonardo Kapural, MD, PhD and Nagy A. Mekhail, MD, PhD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 961-970;

    Epidural steroid injections may relieve the patient’s pain while healing occurs. Who should receive this therapy, and what kind of benefit can they reasonably expect?

  • Radiologic imaging in rhinosinusitis
    Pete S. Batra, MD
    Cleveland Clinic Journal of Medicine November 2004, 71 (11) 886-888;

    Imaging may be necessary for rhinosinusitis that is refractory, chronic, recurrent, or complicated.

  • A world without Vioxx: To COX-2 or not to COX-2?
    Lee S. Simon, MD and Vibeke Strand, MD
    Cleveland Clinic Journal of Medicine November 2004, 71 (11) 849-856;

    Are all selective COX-2 inhibitors associated with an increased risk for thromboembolic cardiovascular events? And what should we tell patients?

  • Understanding valvular heart disease in patients with systemic autoimmune diseases
    Kathleen Maksimowicz-McKinnon, DO and Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2004, 71 (11) 881-885;

    Specific systemic autoimmune diseases are associated with distinct valvular heart disorders. Earlier detection and management may prevent some morbidity and mortality.

  • A guide to informed consent for clinician-investigators
    Katrina A. Bramstedt, PhD
    Cleveland Clinic Journal of Medicine November 2004, 71 (11) 907-910;

    Informed consent is a process, not a form. It is a legal and ethical safeguard to ensure that subjects enter studies voluntarily and fully informed.

  • A practical program for preventing delirium in hospitalized elderly patients
    Sharon K. Inouye, MD, MPH
    Cleveland Clinic Journal of Medicine November 2004, 71 (11) 890-896;

    Delirium in hospitalized elderly patients is common, often unrecognized, and can lead to serious complications. A systematic program can improve the rate of recognition and decrease the rate of incidence.

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