3,921 results match your criteria Cleveland Clinic Journal of Medicine[Journal]


Dancing sternal wires: A radiologic sign of sternal dehiscence.

Cleve Clin J Med 2019 Feb;86(2):87-88

Clinical Assistant Professor, Department of Radiology, Division of Cardiothoracic Imaging, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18091DOI Listing
February 2019

Aleukemic leukemia cutis.

Cleve Clin J Med 2019 Feb;86(2):85-86

Department of Hematology and Oncology, Captain James A. Lovell Federal Healthcare Center, North Chicago, IL, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18057DOI Listing
February 2019

Heart failure guidelines: What you need to know about the 2017 focused update.

Cleve Clin J Med 2019 Feb;86(2):123-139

Departments of Medicine and Cardiology, Johns Hopkins University, Baltimore, MD, USA.

The 2017 focused update of the 2013 ACC/AHA guideline on heart failure contains new and important recommendations on prevention, novel biomarker uses, heart failure with preserved ejection fraction (HFpEF), and comorbidities such as hypertension, iron deficiency, and sleep-disordered breathing. Potential implications for management of acute decompensated heart failure will also be explored. Read More

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https://www.mdedge.com/ccjm/article/193385/cardiology/heart-
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http://dx.doi.org/10.3949/ccjm.86a.18022DOI Listing
February 2019
2 Reads

Breast augmentation surgery: Clinical considerations.

Cleve Clin J Med 2019 Feb;86(2):111-122

Department of Plastic Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Women receive breast implants for both aesthetic and reconstructive reasons. This brief review discusses the evolution of and complications related to breast implants, as well as key considerations with regard to aesthetic and reconstructive surgery of the breast. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18017DOI Listing
February 2019

Subclinical hypothyroidism: When to treat.

Cleve Clin J Med 2019 Feb;86(2):101-110

Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic, Cleveland, OH, USA.

Subclinical hypothyroidism is defined by an elevated serum thyroid-stimulating hormone (TSH) level along with a normal free thyroxine (T) level. Whether it should be treated remains controversial. Currently, the best practical approach is to base treatment decisions on the degree of TSH elevation, thyroid autoimmunity, and associated comorbidities. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17053DOI Listing
February 2019
1 Read

Managing malignant pleural effusion.

Cleve Clin J Med 2019 Feb;86(2):95-99

Respiratory and Critical Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.

Malignant pleural effusion can be managed in different ways, including clinical observation, thoracentesis, placement of an indwelling pleural catheter, and chemical pleurodesis. The optimal strategy depends on a variety of clinical factors. This article uses cases to illustrate the rationale for determining the best approach in different situations. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17095DOI Listing
February 2019
1 Read

Repeating blood cultures after initial bacteremia: When and how often?

Cleve Clin J Med 2019 Feb;86(2):89-92

Department of Medicine, Detroit Medical Center, Detroit, MI, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18001DOI Listing
February 2019

Follow-up blood cultures are often needed after bacteremia.

Cleve Clin J Med 2019 Feb;86(2):93-94

Head, Section of HIV, Department of Infectious Disease, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18114DOI Listing
February 2019

There is more to the TSH than a number.

Authors:
Brian F Mandell

Cleve Clin J Med 2019 Feb;86(2):77-78

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http://dx.doi.org/10.3949/ccjm.86b.02019DOI Listing
February 2019

Emphysematous cystitis.

Cleve Clin J Med 2019 01;86(1):10-11

Department of Pulmonary Medicine, Joan C. Edwards School of Medicine at Marshall University, Huntington, WV, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18063DOI Listing
January 2019
2 Reads

Acute-onset quadriplegia with hyperreflexia.

Cleve Clin J Med 2019 01;86(1):7-8

Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18049DOI Listing
January 2019
1 Read

Progress in diagnosing and managing cardiac amyloidosis.

Cleve Clin J Med 2019 Jan;86(1):29-37

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.

The last decade has seen major advances in diagnosing and treating cardiac amyloidosis. Early diagnosis can often now be made using noninvasive laboratory testing and imaging. New treatments are effective and well tolerated. Read More

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https://www.mdedge.com/ccjm/article/191792/cardiology/progre
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http://dx.doi.org/10.3949/ccjm.86gr.18004DOI Listing
January 2019
11 Reads

Rapidly progressive pleural effusion.

Cleve Clin J Med 2019 Jan;86(1):21-27

Respiratory and Critical Care Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.

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http://dx.doi.org/10.3949/ccjm.86a.18067DOI Listing
January 2019
3 Reads

Who needs to carry an epinephrine autoinjector?

Cleve Clin J Med 2019 01;86(1):66-72

Department of Medicine and Pediatrics, University of Tennessee College of Medicine, Memphis, TN, USA.

Patients who have had anaphylaxis or who are at risk of it (eg, due to food allergy or Hymenoptera hypersensitivity) should carry an epinephrine autoinjector at all times. However, the risks and benefits must be considered on an individual basis, especially in patients with atherosclerotic heart disease, elderly patients on polypharmacy, patients receiving allergen immunotherapy, those with large local reactions to insect stings, and individuals with oral allergy syndrome. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17123DOI Listing
January 2019
2 Reads

Common benign breast concerns for the primary care physician.

Cleve Clin J Med 2019 Jan;86(1):57-65

Professor of Medicine, Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Women often visit their primary care physician because of breast concerns such as masses, pain, and nipple discharge. Most breast problems are benign, but it is important to know how to manage these and other breast problems and when to refer patients for further testing. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17100DOI Listing
January 2019
1 Read

Hypertension guidelines: Treat patients, not numbers.

Cleve Clin J Med 2019 Jan;86(1):47-56

Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

The updated 2017 American College of Cardiology and American Heart Association (ACC/AHA) guidelines for managing hypertension advocate tighter blood pressure control than previous guidelines. This review summarizes the evidence behind the guidelines, discusses the risks and benefits of stricter blood pressure control, and provides our insights on blood pressure management in clinical practice. Read More

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https://www.mdedge.com/ccjm/article/191816/cardiology/hypert
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http://dx.doi.org/10.3949/ccjm.86a.18027DOI Listing
January 2019
3 Reads

Monoclonal gammopathy of undetermined significance: A primary care guide.

Cleve Clin J Med 2019 Jan;86(1):39-46

Chairman, Department of Hematology and Medical Oncology, Bone Marrow Transplant Program, Cleveland Clinic, Cleveland, OH, USA.

Monoclonal gammopathy of undetermined significance (MGUS) is commonly diagnosed in outpatients being worked up for an array of clinical concerns. It carries a risk of progression to myeloma and other lymphoproliferative disorders that, albeit low (1% per year), warrants regular follow-up. Patients with MGUS can be risk-stratified on the basis of the amount and type of their monoclonal protein as well as whether they have an abnormal light-chain ratio. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17133DOI Listing
January 2019
1 Read

Should metformin be used in every patient with type 2 diabetes?

Cleve Clin J Med 2019 01;86(1):17-20

Professor of Medicine; Director, Inpatient Diabetes Service, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18039DOI Listing
January 2019
1 Read

When can I stop dual antiplatelet therapy in patients with drug-eluting stents?

Cleve Clin J Med 2019 01;86(1):13-16

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

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http://dx.doi.org/10.3949/ccjm.86a.17033DOI Listing
January 2019
1 Read

MGUS: It's about the protein, not just the marrow.

Authors:
Brian F Mandell

Cleve Clin J Med 2019 Jan;86(1):4-5

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http://dx.doi.org/10.3949/ccjm.86b.01019DOI Listing
January 2019
1 Read

Correction: Men's health 2018.

Cleve Clin J Med 2018 Dec;85(12):913

Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.

In the article by Chaitoff et al (Men's health 2018: BPH, prostate cancer, erectile dysfunction, supplements. Cleve Clin J Med 2018; 85(11):871-880, doi:10.3949/ccjm. Read More

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December 2018
20 Reads

To the Editor: Prostate cancer screening.

Authors:
David L Keller

Cleve Clin J Med 2018 Dec;85(12):908

Lomita, CA, USA.

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http://dx.doi.org/10.3949/ccjm.85c.12001DOI Listing
December 2018
1 Read

Acute necrotizing esophagitis.

Authors:
Takeshi Kondo

Cleve Clin J Med 2018 12;85(12):912-913

Department of General Medicine, Chiba University Hospital, Chiba, Japan.

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http://dx.doi.org/10.3949/ccjm.85a.18054DOI Listing
December 2018
2 Reads

Lung complications of prescription drug abuse.

Cleve Clin J Med 2018 12;85(12):910-911

Department of Pulmonary Medicine, Mayo Clinic, Jacksonville, FL, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18050DOI Listing
December 2018
1 Read

Our missing microbes: Short-term antibiotic courses have long-term consequences.

Authors:
Martin J Blaser

Cleve Clin J Med 2018 12;85(12):928-930

Muriel G. and George W. Singer Professor of Translational Medicine, New York, NY, USA.

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https://www.mdedge.com/ccjm/article/189671/infectious-diseas
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http://dx.doi.org/10.3949/ccjm.85gr.18005DOI Listing
December 2018
3 Reads

Narcolepsy: Diagnosis and management.

Cleve Clin J Med 2018 12;85(12):959-969

Assistant Professor and Consultant, Department of Neurology and Center for Sleep Medicine, Mayo Clinic, Rochester, MN, USA.

Narcolepsy is a chronic disorder of hypersomnia that can have a significant impact on quality of life and livelihood. However, with appropriate treatment, its symptoms are manageable, and a satisfying personal, social, and professional life can still be enjoyed. Greater awareness of the disorder promotes accurate and efficient diagnosis. Read More

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http://dx.doi.org/10.3949/ccjm.85a.17086DOI Listing
December 2018
2 Reads

Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care.

Cleve Clin J Med 2018 Dec;85(12):953-958

Director, Center for Geriatric Medicine, Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

A review of articles on geriatric topics from 2017 and 2018 revealed evidence supporting exercise for the elderly, early mobility for hospitalized patients, and oral anticoagulant therapy for atrial fibrillation to support cognitive function, and evidence against antipsychotic drugs for dementia-associated behaviors. No silver bullet was found for Alzheimer prevention or therapy. Read More

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http://dx.doi.org/10.3949/ccjm.85a.18059DOI Listing
December 2018
1 Read

Cannabis for peripheral neuropathy: The good, the bad, and the unknown.

Cleve Clin J Med 2018 Dec;85(12):943-949

University of Connecticut School of Medicine, Farmington, CT, USA.

Cannabis may be an effective alternative or adjunctive treatment for peripheral neuropathy, an often debilitating condition for which standard treatments often provide little relief. Most studies show moderately improved pain from inhaled cannabis use, but adverse effects such as impaired cognition and respiratory problems are common, especially at high doses. Data on the long-term safety of cannabis treatments are limited. Read More

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http://dx.doi.org/10.3949/ccjm.85a.17115DOI Listing
December 2018
2 Reads

Beta-cell therapies for type 1 diabetes: Transplants and bionics.

Cleve Clin J Med 2018 12;85(12):931-937

Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic, Cleveland, OH, USA.

Research continues toward the goal of treating type 1 diabetes by replacing insulin-producing beta cells. Ideally, such treatment would be safe and long-lasting and would eliminate the need for subcutaneous insulin replacement. This article reviews the current state of beta-cell replacement through transplant of the whole pancreas or of islet cells. Read More

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http://dx.doi.org/10.3949/ccjm.85a.17088DOI Listing
December 2018
1 Read

Do all hospital inpatients need cardiac telemetry?

Cleve Clin J Med 2018 12;85(12):925-927

Wayne State University, Detroit Medical Center, DMC Heart Hospital, Detroit, MI, USA.

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http://dx.doi.org/10.3949/ccjm.85a.17114DOI Listing
December 2018
1 Read
2.712 Impact Factor

Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?

Cleve Clin J Med 2018 12;85(12):923-924

Associate Professor, Department of Medicine, Division of Gastroenterology, University of California Irvine Medical Center, Irvine, CA, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18037DOI Listing
December 2018
1 Read

What can I do when first-line measures are not enough for vasovagal syncope?

Cleve Clin J Med 2018 12;85(12):920-922

Associate Director, Syncope Center, Cleveland Clinic, Cleveland, OH, USA.

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https://www.mdedge.com/ccjm/article/189706/cardiology/what-c
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http://dx.doi.org/10.3949/ccjm.85a.17112DOI Listing
December 2018
12 Reads

Cannabis for chronic pain: Not a simple solution.

Authors:
Xavier F Jimenez

Cleve Clin J Med 2018 Dec;85(12):950-952

Medical Director, Chronic Pain Rehabilitation Program, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18089DOI Listing
December 2018
2 Reads

Telemedicine: Past, present, and future.

Cleve Clin J Med 2018 12;85(12):938-942

Cerebrovascular Center, Diagnostic Radiology, Brain Tumor and Neuro-oncology Center, Gamma Knife Center, and Medical Director, Distance Health, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.85a.17062DOI Listing
December 2018
1 Read

A new reason to reconsider that antibiotic prescription: The microbiome.

Authors:
Brian F Mandell

Cleve Clin J Med 2018 Dec;85(12):906-907

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http://dx.doi.org/10.3949/ccjm.85b.12018DOI Listing
December 2018
1 Read

Correction: Genitourinary syndrome of menopause.

Cleve Clin J Med 2018 Nov;85(11):860

Director, Center for Specialized Women's Health, Department of Obstetrics and Gynecology, Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.

In the article by A.C. Moreno, S. Read More

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November 2018
2 Reads

Back pain as a sign of inferior vena cava filter complications.

Cleve Clin J Med 2018 11;85(11):835-836

Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

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https://www.mdedge.com/ccjm/article/178179/vascular/back-pai
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http://dx.doi.org/10.3949/ccjm.85a.18046DOI Listing
November 2018
5 Reads

Renal vein thrombosis and pulmonary embolism.

Cleve Clin J Med 2018 11;85(11):833-834

Associate Professor of Medicine, Department of Medicine, Division of Nephrology, Johns Hopkins University, Baltimore, MD, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18064DOI Listing
November 2018
2 Reads

Pulmonary infarction due to pulmonary embolism.

Cleve Clin J Med 2018 11;85(11):848-852

Departments of Hospital Medicine and Outcomes Research Anesthesiology, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.85a.17132DOI Listing
November 2018
2 Reads

Bisphosphonate-related atypical femoral fracture: Managing a rare but serious complication.

Cleve Clin J Med 2018 Nov;85(11):885-893

David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Atypical femoral fracture is a rare but serious complication of long-term bisphosphonate therapy. Although the benefit of preventing osteoporotic fractures greatly outweighs the risk of atypical fracture in bisphosphonate users, concern about atypical fracture risk has led to a decrease in bisphosphonate use. What are the risks, and how do we treat atypical femoral fracture? Read More

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http://dx.doi.org/10.3949/ccjm.85a.17119DOI Listing
November 2018
1 Read

Men's health 2018: BPH, prostate cancer, erectile dysfunction, supplements.

Cleve Clin J Med 2018 Nov;85(11):871-880

Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.

This review describes the latest research and guidelines for 4 topics in men's health commonly addressed by primary care physicians: the diagnosis and treatment of benign prostatic hyperplasia (BPH), prostate cancer, and erectile dysfunction and the evidence concerning the use of dietary supplements in men. Read More

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http://dx.doi.org/10.3949/ccjm.85a.18011DOI Listing
November 2018
19 Reads

Influenza update 2018-2019: 100 years after the great pandemic.

Cleve Clin J Med 2018 Nov;85(11):861-869

Department of Infectious Diseases, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.

Four influenza pandemics, starting with the historic 1918 pandemic, have killed thousands of people around the world. Vaccination, still the most important means of preventing influenza, is currently recommended yearly for all people age 6 months and older, with a goal of vaccinating 80% of all Americans and 90% of at-risk populations. Neuraminidase inhibitors are underused, and a new drug with a different mechanism of action, baloxavir marboxil, is expected to be approved soon in the United States. Read More

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https://www.mdedge.com/ccjm/article/178290/infectious-diseas
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http://dx.doi.org/10.3949/ccjm.85a.18095DOI Listing
November 2018
11 Reads

Perioperative cardiovascular medicine: 5 questions for 2018.

Cleve Clin J Med 2018 Nov;85(11):853-859

Professor Emeritus, Director, Medical Consultation Service, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL, USA.

A MEDLINE search was performed from January 2017 to February 2018, and articles were selected for this update based on their significant influence on the practice of perioperative cardiovascular medicine. Read More

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http://dx.doi.org/10.3949/ccjm.85a.18066DOI Listing
November 2018
1 Read
2.712 Impact Factor

Which patients with pulmonary embolism need echocardiography?

Cleve Clin J Med 2018 11;85(11):826-828

Interventional Cardiology, Detroit Heart Hospital, Detroit Medical Center, Wayne State University, Detroit, MI, USA.

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https://www.mdedge.com/ccjm/article/178174/vascular/which-pa
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http://dx.doi.org/10.3949/ccjm.85a.17094DOI Listing
November 2018
9 Reads

PSA screening: Back to the future.

Authors:
Eric Klein

Cleve Clin J Med 2018 11;85(11):881-883

Andrew C. Novick Distinguished Chair, Glickman Urological and Kidney Institute, and Staff, Department of Urology and Department of Cancer Biology, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18102DOI Listing
November 2018
1 Read

How acute pain leads to chronic opioid use.

Cleve Clin J Med 2018 11;85(11):837-841

Addiction Medicine, Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.

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http://dx.doi.org/10.3949/ccjm.85a.18038DOI Listing
November 2018
1 Read

A physician's response to observational studies of opioid prescribing.

Authors:
Brian F Mandell

Cleve Clin J Med 2018 Nov;85(11):824-825

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http://dx.doi.org/10.3949/ccjm.85b.11018DOI Listing
November 2018
1 Read

Correction: Liver enzymes.

Cleve Clin J Med 2018 Oct;85(10):737

Department of Gastroenterology, Brown University, Providence, RI, USA.

In the article by Agganis B, Lee D, Sepe T (Liver enzymes: No trivial elevations, even if asymptomatic. Cleve Clin J Med 2018; 85(8):612-617, doi:10.3949/ccjm. Read More

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October 2018
2 Reads

In reply: Postsurgical hypoparathyroidism is not primary hypoparathyroidism.

Cleve Clin J Med 2018 Oct;85(10):736-737

The University of Jordan, Amman, Jordan.

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http://dx.doi.org/10.3949/ccjm.85c.10003DOI Listing
October 2018
2 Reads

To the Editor: Postsurgical hypoparathyroidism is not primary hypoparathyroidism.

Cleve Clin J Med 2018 Oct;85(10):735-736

Northern Ontario School of Medicine, East Timmins, ON, Canada.

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https://www.mdedge.com/ccjm/article/175908/endocrinology/pos
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http://dx.doi.org/10.3949/ccjm.85c.10002DOI Listing
October 2018
2 Reads