Table of Contents
Editorial
- What now for the Cleveland Clinic Journal of Medicine?
As medicine changes, so must the Cleveland Clinic Journal of Medicine. Dr. John D. Clough, the new editor-in-chief, outlines the Journal's educational mission.
Medical Grand Rounds
- Diabetes in the elderly: studies dispel common misconceptions
Diabetes in the elderly is common but often not diagnosed and treated well. A rational approach to treatment can improve patients' quality of life and reduce long-term complications.
Internal Medicine Board Review
- A 37-year-old woman with end-stage cirrhosis, progressive dyspnea, platypnea, and hypoxemia
A self-test of clinical recognition.
Clinical Reviews
- Treatment of obstructive sleep apnea: the role of nasal continuous positive airway pressure
Continuous positive airway pressure is the treatment of choice for the initial management of sleep apnea, but compliance can be difficult. Some practical tips on its use.
- Community-acquired pneumonia: an update
Community-acquired pneumonia: clinical presentation, diagnostic workup, and whom to hospitalize. Choice of antibiotics, by individual pathogen.
Current Drug Therapy
- Lipid-regulating and antiatherosclerotic therapy: current options and future approaches
New strategies for regulating lipids, such as new drugs and gene therapy, hold promise in reducing coronary heart disease, but current guidelines are still the first, best strategy.
Clinical Decision-Making
- New series: Clinical decision-making at the crossroads
A new series, illuminating how physicians, faced with multiple good choices and issues of cost-effectiveness, make everyday diagnostic and treatment decisions.
- Bone scintigraphy screening in stage I-II breast cancer: Is it cost-effective?
A recommendation that bone scanning not be routinely used for follow-up after successful treatment for early-stage breast cancer.
Cancer Diagnosis and Management
- An update on breast cancer: evolving treatments and persistent questions
Although early diagnosis remains important, many diagnostic and treatment dilemmas persist. An overview of the current state of breast cancer knowledge, and a historical perspective.
Cardiology Dialogues
- Should community hospitals perform angioplasty for acute myocardial infarction?
A debate about the advantages and disadvantages of community hospitals performing angioplasty for myocardial infarction, even if they have no facilities for heart surgery.
Original Study
- Multidisciplinary treatment for chronic low back pain: a randomized, prospective study
Intensive treatment programs for low back pain are expensive, but can reduce health care, pension, and sick leave costs.
