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Should I refer my patient for a parathyroidectomy? 我是否应该让病人接受甲状旁腺切除术？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23076
Gustavo Romero-Velez, Leila Zeinab Khan, Judy Jin
{"title":"Should I refer my patient for a parathyroidectomy?","authors":"Gustavo Romero-Velez, Leila Zeinab Khan, Judy Jin","doi":"10.3949/ccjm.91a.23076","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23076","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"279-280"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When should I give corticosteroids to my patient with Pneumocystis pneumonia? 什么时候应该给肺孢子菌肺炎患者使用皮质类固醇？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.23082
Simran Gupta, Lisa M Bebell
{"title":"When should I give corticosteroids to my patient with <i>Pneumocystis</i> pneumonia?","authors":"Simran Gupta, Lisa M Bebell","doi":"10.3949/ccjm.91a.23082","DOIUrl":"10.3949/ccjm.91a.23082","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"217-219"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When should we consider SGLT-2 inhibitors in patients with acute decompensated heart failure? 急性失代偿性心力衰竭患者何时应考虑使用 SGLT-2 抑制剂？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91c.04001
Aditya Sharma
{"title":"When should we consider SGLT-2 inhibitors in patients with acute decompensated heart failure?","authors":"Aditya Sharma","doi":"10.3949/ccjm.91c.04001","DOIUrl":"10.3949/ccjm.91c.04001","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"207"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coin. 糖皮质激素诱发的肾上腺功能不全和糖皮质激素戒断综合征：一枚硬币的两面
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.23039
Noura Nachawi, Dingfeng Li, M Cecilia Lansang
{"title":"Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coin.","authors":"Noura Nachawi, Dingfeng Li, M Cecilia Lansang","doi":"10.3949/ccjm.91a.23039","DOIUrl":"10.3949/ccjm.91a.23039","url":null,"abstract":"<p><p>Diseases of the adrenal glands can lead to primary adrenal insufficiency, and suppression of the hypothalamic-pituitary-adrenal axis can cause secondary adrenal insufficiency (adrenal suppression). The most common cause of adrenal suppression is exogenous steroids, a condition recently termed <i>glucocorticoid-induced adrenal insufficiency</i> (GIAI). Similarly, weaning from high doses of glucocorticoids or giving insufficient glucocorticoid replacement after curative surgery for endogenous hypercortisolism (Cushing syndrome) can lead to glucocorticoid withdrawal syndrome, which overlaps with GIAI.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"245-255"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Reply: When should we consider SGLT-2 inhibitors in patients with acute decompensated heart failure? 回复：急性失代偿性心力衰竭患者何时考虑使用 SGLT-2 抑制剂？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91c.04002
Osamah Z Badwan, Venu Menon, W H Wilson Tang
{"title":"In Reply: When should we consider SGLT-2 inhibitors in patients with acute decompensated heart failure?","authors":"Osamah Z Badwan, Venu Menon, W H Wilson Tang","doi":"10.3949/ccjm.91c.04002","DOIUrl":"10.3949/ccjm.91c.04002","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"207-208"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of lower-extremity venous thromboembolism: An updated review. 下肢静脉血栓栓塞症的治疗：最新综述。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.22090
Farah Ziyadeh, Yael Mauer
{"title":"Management of lower-extremity venous thromboembolism: An updated review.","authors":"Farah Ziyadeh, Yael Mauer","doi":"10.3949/ccjm.91a.22090","DOIUrl":"10.3949/ccjm.91a.22090","url":null,"abstract":"<p><p>According to the 2021 updated guidelines of the American College of Chest Physicians, the location of venous thromboembolism, the severity of symptoms, the risk of thrombus extension vs that of bleeding, and comorbidities all affect the decision to treat, the choice of anti-thrombotic agent, and the duration of therapy. In patients with isolated distal deep vein thrombosis without high-risk features, monitoring progression is recommended over initiating anticoagulation. However, treatment of proximal deep vein thrombosis with anticoagulation is strongly recommended by the guidelines. More evidence now supports the treatment of superficial vein thrombosis with anticoagulation in high-risk patients.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"229-235"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acquired reactive perforating collagenosis in a patient with diabetes. 一名糖尿病患者的后天反应性穿孔性胶原病。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.23074
Li-Wen Zhang, Juan Wu, Rong-Hua Xu, Tao Chen
{"title":"Acquired reactive perforating collagenosis in a patient with diabetes.","authors":"Li-Wen Zhang, Juan Wu, Rong-Hua Xu, Tao Chen","doi":"10.3949/ccjm.91a.23074","DOIUrl":"10.3949/ccjm.91a.23074","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"213-214"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corticosteroids: Giving and taking away. 皮质类固醇：给药和停药
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91b.04024
Brian F Mandell
{"title":"Corticosteroids: Giving and taking away.","authors":"Brian F Mandell","doi":"10.3949/ccjm.91b.04024","DOIUrl":"10.3949/ccjm.91b.04024","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"203-204"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microscopic colitis: What is it, and what are the treatment options? 显微镜下结肠炎：它是什么，有哪些治疗方案？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.23057
Katherine E Westbrook, Ari Garber
{"title":"Microscopic colitis: What is it, and what are the treatment options?","authors":"Katherine E Westbrook, Ari Garber","doi":"10.3949/ccjm.91a.23057","DOIUrl":"10.3949/ccjm.91a.23057","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"215-216"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nonhormone therapies for vasomotor symptom management. 治疗血管运动症状的非激素疗法。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI: 10.3949/ccjm.91a.23067
Tara K Iyer, Alexa N Fiffick, Pelin Batur
{"title":"Nonhormone therapies for vasomotor symptom management.","authors":"Tara K Iyer, Alexa N Fiffick, Pelin Batur","doi":"10.3949/ccjm.91a.23067","DOIUrl":"10.3949/ccjm.91a.23067","url":null,"abstract":"<p><p>Vasomotor symptoms (VMS) are associated with adverse health consequences and can cause significant morbidity for postmenopausal women. Although hormone therapy remains the gold standard of VMS treatment in menopausal women, some women have contraindications to or may choose not to take hormone therapy. This article provides an up-to-date overview of the current evidence-based nonhormone therapies available for managing VMS. Evidence supporting various treatment options is reviewed, including lifestyle interventions, mind-body therapies, procedures, pharmacologic agents, and emerging therapies, such as neurokinin-receptor antagonists. The efficacy, safety, and clinical use of these treatments are detailed, offering insights for clinicians to make informed decisions in menopausal VMS management.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 4","pages":"237-244"},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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