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Cleveland Clinic Journal of Medicine最新文献

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Stop the clot: When is laboratory evaluation for thrombophilia warranted? 阻止血栓何时需要对血栓性疾病进行实验室评估？
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-09-03 DOI: 10.3949/ccjm.91a.24058
Jaideep Singh Bhalla, G Jay Bishop, Scott J Cameron
{"title":"Stop the clot: When is laboratory evaluation for thrombophilia warranted?","authors":"Jaideep Singh Bhalla, G Jay Bishop, Scott J Cameron","doi":"10.3949/ccjm.91a.24058","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24058","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124932","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
Vaccine hesitancy in the time of COVID: How to manage a public health threat. COVID 时代的疫苗犹豫：如何应对公共卫生威胁。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-09-03 DOI: 10.3949/ccjm.91a.24062
H Clifford Lane, Steven M Gordon
{"title":"Vaccine hesitancy in the time of COVID: How to manage a public health threat.","authors":"H Clifford Lane, Steven M Gordon","doi":"10.3949/ccjm.91a.24062","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24062","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124933","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
Foxglove, not quite gone or forgotten. 狐尾草，还没有完全消失或被遗忘。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91b.08024
Brian F Mandell
{"title":"Foxglove, not quite gone or forgotten.","authors":"Brian F Mandell","doi":"10.3949/ccjm.91b.08024","DOIUrl":"10.3949/ccjm.91b.08024","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874281","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
Helicobacter pylori: A concise review of the latest treatments against an old foe. 幽门螺杆菌：针对老对手的最新疗法简评。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.24031
Wafa A Aldhaleei, Michael B Wallace, Dana M Harris, Yan Bi
{"title":"<i>Helicobacter pylori</i>: A concise review of the latest treatments against an old foe.","authors":"Wafa A Aldhaleei, Michael B Wallace, Dana M Harris, Yan Bi","doi":"10.3949/ccjm.91a.24031","DOIUrl":"10.3949/ccjm.91a.24031","url":null,"abstract":"<p><p><i>Helicobacter pylori</i> is a significant public health concern given its high prevalence, growing rates of antibiotic resistance, and carcinogenic effect, all of which create management challenges for internists, gastroenterologists, and other specialty physicians. With almost half of the world's human population harboring <i>H pylori</i>, carcinogenic sequelae are a concern to many practitioners. Recent guidelines recommend testing high-risk populations for <i>H pylori</i> using noninvasive or invasive methods. <i>H pylori</i> eradication regimens are tailored based on the presence of effective empiric therapy (local cure rates ≥ 90% for a given regimen) or antimicrobial susceptibility testing. When empiric therapy cure rates are not optimal, guidelines recommend antimicrobial susceptibility testing to improve eradication rates and reduce the progression of antibiotic resistance.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874278","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
Persistent erosions of the glans penis and foreskin. 阴茎龟头和包皮持续糜烂。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.23085
Zheng Gu, Dong-Lai Ma
{"title":"Persistent erosions of the glans penis and foreskin.","authors":"Zheng Gu, Dong-Lai Ma","doi":"10.3949/ccjm.91a.23085","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23085","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874282","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
Digoxin is still useful, but is still causing toxicity. 地高辛仍然有用，但仍会引起中毒。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.23105
Alejandro Durán Crane, Michael Militello, Michael D Faulx
{"title":"Digoxin is still useful, but is still causing toxicity.","authors":"Alejandro Durán Crane, Michael Militello, Michael D Faulx","doi":"10.3949/ccjm.91a.23105","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23105","url":null,"abstract":"<p><p>Digoxin, the oldest known cardiovascular drug, is still used today to treat heart failure and atrial fibrillation. Because it has a narrow therapeutic index and multiple interactions, it frequently causes toxicity with a wide range of symptoms and cardiac arrhythmias. More importantly, elevated serum digoxin levels have been linked to a higher risk of death in patients with heart failure or atrial fibrillation, even without signs or symptoms of toxicity. This article reviews the current state of digoxin use, its pharmacologic principles, and the mechanisms, clinical presentation, and management of toxicity.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874280","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
Diabetic retinopathy: Screening, prevention, and treatment. 糖尿病视网膜病变：筛查、预防和治疗。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.24028
David D Chong, Nikhil Das, Rishi P Singh
{"title":"Diabetic retinopathy: Screening, prevention, and treatment.","authors":"David D Chong, Nikhil Das, Rishi P Singh","doi":"10.3949/ccjm.91a.24028","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24028","url":null,"abstract":"<p><p>Internists are integral in the multidisciplinary approach to diabetic retinopathy, contributing significantly to the management of diabetes and diabetes-related complications. Effective screening processes, timely referrals, and strategic diabetes management are imperative to prevent and mitigate the consequences of diabetic retinopathy. The evolution of treatments for diabetic retinopathy has markedly improved vision outcomes and reduced the burden on patients. Despite these advances, a collaborative approach to care is essential to prevent the progression of vision impairment and manage associated complications.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874279","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
Recurrent syncope in a 62-year-old man. 一名 62 岁男子反复晕厥。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.24008
Cindy Hsin-Ti Lin, Michael Sheu, Faiz Anwer
{"title":"Recurrent syncope in a 62-year-old man.","authors":"Cindy Hsin-Ti Lin, Michael Sheu, Faiz Anwer","doi":"10.3949/ccjm.91a.24008","DOIUrl":"10.3949/ccjm.91a.24008","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874283","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
What fluids should I order for my patient with acute pancreatitis? 我应该为急性胰腺炎患者输什么液体？
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-08-01 DOI: 10.3949/ccjm.91a.24027
Anusha Agarwal, Arjun Chatterjee, Prabhleen Chahal
{"title":"What fluids should I order for my patient with acute pancreatitis?","authors":"Anusha Agarwal, Arjun Chatterjee, Prabhleen Chahal","doi":"10.3949/ccjm.91a.24027","DOIUrl":"10.3949/ccjm.91a.24027","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874284","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
Do patients with sepsis benefit from intravenous albumin? 败血症患者是否能从静脉注射白蛋白中获益？
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.23089
Ryan Dunn, Kealy Ham, Lisa Marks, Neera Agrwal
{"title":"Do patients with sepsis benefit from intravenous albumin?","authors":"Ryan Dunn, Kealy Ham, Lisa Marks, Neera Agrwal","doi":"10.3949/ccjm.91a.23089","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23089","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476041","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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