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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Geriatrics

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    DXA and clinical challenges of fracture risk assessment in primary care
    Susan Williams, MS, RD, MD, CCD, FACP, FACE, Leila Khan, MD and Angelo A. Licata, MD, PhD, FACP, FACE
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 615-622; DOI: https://doi.org/10.3949/ccjm.88a.20199

    Overdependence on dual-energy x-ray absorptiometry, especially for patient populations the test was not designed for, may lead to poor clinical decisions.

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    Should my older adult patients take aspirin for primary prevention of cardiovascular disease?
    Robert M. Zimbroff, MD, Gina Ayers, PharmD, BCPS, BCGP and Kenneth Koncilja, MD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 632-634; DOI: https://doi.org/10.3949/ccjm.88a.21024

    For patients age 70 and older, recent evidence shows that the harms outweigh the benefits.

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    Elevated hCG can be a benign finding in perimenopausal and postmenopausal women
    Lea El Hage, MD and Betul Hatipoglu, MD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 635-639; DOI: https://doi.org/10.3949/ccjm.88a.18069

    A search for the source of the elevation in perimenopausal and postmenopausal women who are not pregnant and have no disease or tumor may delay patient care.

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    Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
    Jonathan Wiesen, MD, Christopher Donatelli, MD, Martin L. Smith, STD, Laurel Hyle, JD, MPH and Eduardo Mireles-Cabodevila, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 516-527; DOI: https://doi.org/10.3949/ccjm.88a.14126

    Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.

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    How do you effectively evaluate the elderly for alcohol use disorder?
    Moronkeji Fagbemi, MD, FASAM
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 434-439; DOI: https://doi.org/10.3949/ccjm.88a.20123

    A brief review of clues to an underrecognized and underdiagnosed problem with physical as well as emotional and social consequences.

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    Antiobesity drug therapy: An individualized and comprehensive approach
    Yael Mauer, MD, MPH, Marcie Parker, PharmD, BCACP and Sangeeta R. Kashyap, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 440-448; DOI: https://doi.org/10.3949/ccjm.88a.20080

    As part of a comprehensive plan, these drugs can provide lasting obesity control and additional health benefits, including decreased cardiovascular risk.

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    The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
    Asad Khan, MD, Erik H. Van Iterson, PhD and Luke J. Laffin, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 449-458; DOI: https://doi.org/10.3949/ccjm.88a.20098

    What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?

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    ‘Guidelines to Practice’ series: Asthma in adults
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 365; DOI: https://doi.org/10.3949/ccjm.88b.07021

    A clinically useful summary, highlighting the practical and newer conceptual aspects of the guidelines.

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    Outpatient management of asthma in adults: A snapshot of the 2020 GINA report
    Kavya Kommaraju, MD and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 377-380; DOI: https://doi.org/10.3949/ccjm.88a.20167

    A review of the guidelines, with a focus on what’s new and clinically important.

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    Heightening awareness of blistering disorders
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2021, 88 (6) 308-309; DOI: https://doi.org/10.3949/ccjm.88b.06021

    The spectrum of associated disorders ranges from annoying to life-threatening.

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