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Perspectives on travel and healthcare. 关于旅行和医疗保健的观点。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.24018
Maan Fares
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引用次数: 0
Providing comfort: Caring for patients who wish to die in their home country. 提供安慰：照顾希望在本国去世的病人。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23095
Kelly Ferraro, Sandhya Sharma, Kimberly A Indovina
{"title":"Providing comfort: Caring for patients who wish to die in their home country.","authors":"Kelly Ferraro, Sandhya Sharma, Kimberly A Indovina","doi":"10.3949/ccjm.91a.23095","DOIUrl":"10.3949/ccjm.91a.23095","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850706","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
Reducing the risks when using benzodiazepines to treat insomnia: A public health approach. 降低使用苯并二氮杂卓治疗失眠症的风险：公共卫生方法。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23061
Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, Lakshit Jain
{"title":"Reducing the risks when using benzodiazepines to treat insomnia: A public health approach.","authors":"Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, Lakshit Jain","doi":"10.3949/ccjm.91a.23061","DOIUrl":"10.3949/ccjm.91a.23061","url":null,"abstract":"<p><p>Benzodiazepines are widely used but can cause considerable harm, including sedation, addiction, falls, fractures, and cognitive impairment, especially with long-term use and in elderly patients. The authors propose a public health approach to reduce the potential for harm when using benzodiazepines to treat insomnia. Primary prevention involves judicious patient selection and patient education. Secondary prevention requires keeping the duration of use as short as possible according to guidelines. Tertiary prevention, for patients who have been taking a benzodiazepine for a long time, uses shared decision-making to introduce a gradual and carefully monitored taper.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850261","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 I always need a central venous catheter to administer vasopressors? 使用血管加压药是否总是需要中心静脉导管？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23033
Zainab J Gandhi, Siddharth Dugar, Ryota Sato
{"title":"Do I always need a central venous catheter to administer vasopressors?","authors":"Zainab J Gandhi, Siddharth Dugar, Ryota Sato","doi":"10.3949/ccjm.91a.23033","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23033","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857846","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
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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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
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