3,946 results match your criteria Cleveland Clinic Journal of Medicine[Journal]


In reply: Metformin for type 2 diabetes.

Cleve Clin J Med 2019 Apr;86(4):237

Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86c.04004DOI Listing
April 2019
1 Read

To the Editor: Metformin for type 2 diabetes.

Cleve Clin J Med 2019 Apr;86(4):237

Brooklyn, NY, USA.

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https://www.mdedge.com/ccjm/article/197615/diabetes/metformi
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http://dx.doi.org/10.3949/ccjm.86c.04003DOI Listing
April 2019
3 Reads

In reply: Rapidly progressive pleural effusion.

Cleve Clin J Med 2019 Apr;86(4):236

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

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http://dx.doi.org/10.3949/ccjm.86c.04002DOI Listing
April 2019
2 Reads

To the Editor: Rapidly progressive pleural effusion.

Authors:
Scott Davidson

Cleve Clin J Med 2019 Apr;86(4):236

Medical Director, Hospitalist Service, Roper St. Francis Health Care, Charleston, SC, USA.

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http://dx.doi.org/10.3949/ccjm.86c.04001DOI Listing
April 2019
4 Reads

Gastroparesis in a patient with diabetic ketoacidosis.

Cleve Clin J Med 2019 Apr;86(4):238-239

Department of Pulmonary and Critical Care Medicine, Monmouth Medical Center, Long Branch, NJ, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18116DOI Listing
April 2019
2 Reads

A woman, age 35, with new-onset ascites.

Cleve Clin J Med 2019 Apr;86(4):257-262

Assistant Professor of Medicine, Division of Hospital Medicine, University of Kentucky Medical Center, Lexington, KY, USA.

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http://dx.doi.org/10.3949/ccjm.86a.17082DOI Listing

Unusual effects of common antibiotics.

Cleve Clin J Med 2019 Apr;86(4):277-281

Section of Infectious Diseases, Department of Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Antibiotics are widely prescribed and have a generally favorable safety profile. Common adverse effects such as rash and diarrhea are well recognized, but less common ones may go unrecognized. This review highlights rare but potentially lethal complications associated with antibiotics. Read More

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https://www.mdedge.com/ccjm/article/197475/infectious-diseas
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http://dx.doi.org/10.3949/ccjm.86a.17050DOI Listing
April 2019
5 Reads

Acute kidney injury after hip or knee replacement: Can we lower the risk?

Cleve Clin J Med 2019 Apr;86(4):263-276

Assistant Professor, Department of Medicine, Division of Nephrology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Patients who undergo hip or knee replacement (total joint arthroplasty) face a risk of acute kidney injury that may be higher than previously thought and that increases steeply if they undergo surgical revision to treat prosthetic joint infection. This article assesses the incidence of and risk factors for acute kidney injury after primary total joint arthroplasty or placement of an antibiotic-loaded cement spacer to treat infection, and offers suggestions on how to reduce the risk. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18044DOI Listing
April 2019
5 Reads

Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome.

Cleve Clin J Med 2019 Apr;86(4):252-256

Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN, USA.

Spontaneous coronary artery dissection (SCAD), an intramural hemorrhage leading to a separation of the layers of the coronary artery wall, is traditionally considered a rare condition associated mainly with pregnancy but is likely underdiagnosed in other settings. Its recognition by coronary angiography is key. Medical management is usually indicated, except in certain circumstances in which coronary artery bypass grafting or percutaneous coronary intervention should be considered. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18078DOI Listing
April 2019
2 Reads

Is neuroimaging necessary to evaluate syncope?

Cleve Clin J Med 2019 Apr;86(4):240-242

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

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http://dx.doi.org/10.3949/ccjm.86a.18016DOI Listing

How should I treat acute agitation in pregnancy?

Cleve Clin J Med 2019 Apr;86(4):243-247

Associate Director of Perinatal and Reproductive Psychiatry, Department of Psychiatry, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18041DOI Listing
April 2019
1 Read

The old humanities and the new science at 100: Osler's enduring message.

Cleve Clin J Med 2019 Apr;86(4):232-235

Peterman-Prosser Professor, Senior Associate Dean, Departments of Medicine and Pharmacology, Division of Hematology/Medical Oncology, Tulane University School of Medicine, New Orleans, LA, USA.

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http://dx.doi.org/10.3949/ccjm.86a.19019DOI Listing
April 2019
5 Reads

Personalizing guideline-driven cancer screening.

Cleve Clin J Med 2019 Apr;86(4):228-230

Vice Chair, Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

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http://dx.doi.org/10.3949/ccjm.86a.19037DOI Listing
April 2019
1 Read

Can a humanities background prevent physician burnout?

Authors:
Brian F Mandell

Cleve Clin J Med 2019 Apr;86(4):225-226

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http://dx.doi.org/10.3949/ccjm.86b.04019DOI Listing

Correction: Hypertension guidelines.

Cleve Clin J Med 2019 Mar;86(3):210

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

In Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47-56. Read More

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March 2019
2 Reads

Norwegian scabies.

Cleve Clin J Med 2019 Mar;86(3):163-164

Department of Dermatology, Mitoyo General Hospital, Kagawa, Japan.

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http://dx.doi.org/10.3949/ccjm.86a.18081DOI Listing
March 2019
3 Reads

Flu or strep? Rapid tests can mislead.

Cleve Clin J Med 2019 Mar;86(3):161-162

Infectious Disease Division, NYU Winthrop Hospital, Mineola, NY, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18094DOI Listing
March 2019
2 Reads

A paraneoplastic potassium and acid-base disturbance.

Cleve Clin J Med 2019 Mar;86(3):187-197

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

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http://dx.doi.org/10.3949/ccjm.86a.18014DOI Listing

Laboratory tests in rheumatology: A rational approach.

Authors:
Ernest Suresh

Cleve Clin J Med 2019 Mar;86(3):198-210

Senior Consultant Rheumatologist and Director of Acute and General Internal Medicine, Division of Medicine, Ng Teng Fong General Hospital, National University Health System, Singapore.

Laboratory tests are useful in diagnosing rheumatic diseases, but clinicians should be aware of the limitations of these tests. This article uses case vignettes to provide practical and evidence-based guidance on requesting and interpreting selected tests, including rheumatoid factor, anticitrullinated peptide antibody, antinuclear antibody, antiphospholipid antibodies, antineutrophil cytoplasmic antibody, and human leukocyte antigen-B27. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18076DOI Listing
March 2019
2 Reads

Assessing liver fibrosis without biopsy in patients with HCV or NAFLD.

Cleve Clin J Med 2019 Mar;86(3):179-186

Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH, USA.

Staging of liver fibrosis is increasingly done using noninvasive methods, in some cases obviating the need for liver biopsy. Scores based on laboratory values and demographic variables have been developed and validated for assessing fibrosis in patients with hepatitis C virus (HCV) infection and nonalcoholic fatty liver disease (NAFLD), as have several imaging methods that measure shear-wave velocity, a reflection of fibrosis severity. Read More

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http://dx.doi.org/10.3949/ccjm.86a.17118DOI Listing
March 2019
10 Reads

Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines.

Cleve Clin J Med 2019 Mar;86(3):173-178

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

The human papillomavirus (HPV) causes most cases of cervical cancer. Healthcare providers can help prevent this cancer by recommending HPV vaccination when appropriate, regularly screening women for cervical cancer, and following up on abnormal test results. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18018DOI Listing
March 2019
2 Reads

Three neglected numbers in the CBC: The RDW, MPV, and NRBC count.

Cleve Clin J Med 2019 Mar;86(3):167-172

Department of Medicine, University of Alabama, Birmingham, AL, USA.

The complete blood cell count (CBC) is one of the most frequently ordered laboratory tests, but some values included in the test may be overlooked. This brief review discusses 3 potentially underutilized components of the CBC: the red blood cell distribution width (RDW), the mean platelet volume (MPV), and the nucleated red blood cell (NRBC) count. These results have unique diagnostic applications and prognostic implications that can be incorporated into clinical practice. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18072DOI Listing
March 2019
2.712 Impact Factor

Does early repolarization on ECG increase the risk of cardiac death in healthy people?

Cleve Clin J Med 2019 Mar;86(3):165-166

Department of Cardiovascular Medicine, Wayne State University, Detroit Medical Center, Detroit, MI, USA.

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http://dx.doi.org/10.3949/ccjm.86a.17032DOI Listing

Cancer screening: A modest proposal for prevention.

Cleve Clin J Med 2019 Mar;86(3):157-160

Division of Hematology Oncology, Knight Cancer Institute; Department of Public Health and Preventive Medicine, Portland, OR, USA.

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http://dx.doi.org/10.3949/ccjm.86a.18092DOI Listing
March 2019
2 Reads

The tests that we order define us.

Authors:
Brian F Mandell

Cleve Clin J Med 2019 Mar;86(3):150

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http://dx.doi.org/10.3949/ccjm.86b.03019DOI Listing

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
5 Reads

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
21 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
1 Read

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
2 Reads

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
4 Reads

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
2 Reads

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
6 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
18 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
4 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
4 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
2 Reads

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
25 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
6 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