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Cleveland Clinic Journal of Medicine最新文献

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SGLT-2 inhibitors: Diabetes and CKD and CHF (and gout?), oh my! SGLT-2 抑制剂：糖尿病、慢性肾脏病和慢性心力衰竭（还有痛风？
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91b.07024
Brian F Mandell
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引用次数: 0
Preventing herpes zoster in immunocompromised patients: Current concepts. 预防免疫力低下患者的带状疱疹：当前概念。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.24019
Cassandra Calabrese, Elizabeth Kirchner, James Fernandez, Leonard H Calabrese
{"title":"Preventing herpes zoster in immunocompromised patients: Current concepts.","authors":"Cassandra Calabrese, Elizabeth Kirchner, James Fernandez, Leonard H Calabrese","doi":"10.3949/ccjm.91a.24019","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24019","url":null,"abstract":"<p><p>Herpes zoster (HZ) incidence is much higher in immunocompromised individuals than in immunocompetent individuals. HZ also occurs at a younger age and is often more severe in immunocompromised persons. Preventive strategies center around the recombinant zoster vaccine (RZV), which is approved for immunocompromised adults age 19 and older. Identifying those at greatest risk is critical. For those considering vaccination, evidence gaps regarding vaccine efficacy, toxicity, length of protection, and potential effects on underlying conditions may complicate shared and informed decision-making. Recent data have filled some of these gaps, with several societies issuing recommendations regarding vaccination. Remaining gaps are currently addressed by expert opinion.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 7","pages":"437-445"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476045","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
SGLT-2 inhibitors in heart failure and chronic kidney disease: A review for internists. SGLT-2 抑制剂在心力衰竭和慢性肾病中的应用：内科医生综述。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.23093
Rahul Jaswaney, Samantha Sokoloff, Val Rakita, Daniel J Rubin
{"title":"SGLT-2 inhibitors in heart failure and chronic kidney disease: A review for internists.","authors":"Rahul Jaswaney, Samantha Sokoloff, Val Rakita, Daniel J Rubin","doi":"10.3949/ccjm.91a.23093","DOIUrl":"10.3949/ccjm.91a.23093","url":null,"abstract":"<p><p>Despite current therapies, heart failure and chronic kidney disease continue to be major causes of morbidity and mortality. Sodium-glucose cotransporter 2 (SGLT-2) inhibitors have recently become standard-of-care therapy for these conditions. This review summarizes important randomized controlled trials of SGLT-2 inhibitors and guidelines for using these agents in patients with heart failure and chronic kidney disease in both clinic and hospital settings.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 7","pages":"415-423"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476047","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
Lymphedema vs lipedema: Similar but different. 淋巴水肿与脂肪水肿：相似但又不同。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.23084
Laura Daniela Lomeli, Vinni Makin, John R Bartholomew, Bartolome Burguera
{"title":"Lymphedema vs lipedema: Similar but different.","authors":"Laura Daniela Lomeli, Vinni Makin, John R Bartholomew, Bartolome Burguera","doi":"10.3949/ccjm.91a.23084","DOIUrl":"https://doi.org/10.3949/ccjm.91a.23084","url":null,"abstract":"<p><p>Lymphedema and lipedema are chronic debilitating disorders that most commonly affect the upper and lower extremities. Although they can appear similar, they differ in important ways, which the authors of this article review and contrast.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 7","pages":"425-436"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476044","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
Varicose veins. 静脉曲张
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.23083
Noelle Boctor, Paul Aronowitz
{"title":"Varicose veins.","authors":"Noelle Boctor, Paul Aronowitz","doi":"10.3949/ccjm.91a.23083","DOIUrl":"10.3949/ccjm.91a.23083","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 7","pages":"401-403"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476049","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
A hidden cause of hypokalemia. 导致低钾血症的隐性原因。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.24002
Kanza Haq, Zein Alabdin Hannouneh, C Elena Cervantes, Mohamad Hanouneh
{"title":"A hidden cause of hypokalemia.","authors":"Kanza Haq, Zein Alabdin Hannouneh, C Elena Cervantes, Mohamad Hanouneh","doi":"10.3949/ccjm.91a.24002","DOIUrl":"10.3949/ccjm.91a.24002","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"345-351"},"PeriodicalIF":6.1,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237046","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
Pursuing the diagnosis of low back pain. 继续诊断腰背痛。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91b.06024
Brian F Mandell
{"title":"Pursuing the diagnosis of low back pain.","authors":"Brian F Mandell","doi":"10.3949/ccjm.91b.06024","DOIUrl":"10.3949/ccjm.91b.06024","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"334-335"},"PeriodicalIF":3.4,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237132","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
Diabetes technology: A primer for clinicians. 糖尿病技术：临床医生入门指南。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.23073
Jayachidambaram Ambalavanan, Diana Isaacs, M Cecilia Lansang
{"title":"Diabetes technology: A primer for clinicians.","authors":"Jayachidambaram Ambalavanan, Diana Isaacs, M Cecilia Lansang","doi":"10.3949/ccjm.91a.23073","DOIUrl":"10.3949/ccjm.91a.23073","url":null,"abstract":"<p><p>Diabetes technology is evolving rapidly and is changing the way both patients and clinicians approach the management of diabetes. With more devices gaining US Food and Drug Administration approval and insurance coverage expanding, these new technologies are being widely adopted by people living with diabetes. We provide a summary of the commonly available devices in the market today that clinicians will likely encounter. This includes continuous glucose monitors (CGMs); connected insulin pens, caps, and buttons; and insulin pumps. Clinicians' awareness of and familiarity with this technology will enhance its accessibility for patients with diabetes.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"353-360"},"PeriodicalIF":6.1,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237015","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
Low back pain: Spondylitis? 腰痛：脊柱炎？
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.23086
Aditi Patel, Jean Schils
{"title":"Low back pain: Spondylitis?","authors":"Aditi Patel, Jean Schils","doi":"10.3949/ccjm.91a.23086","DOIUrl":"10.3949/ccjm.91a.23086","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"339-340"},"PeriodicalIF":3.4,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237091","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
Gastroparesis for the nongastroenterologist. 非消化内科医生的胃痉挛。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.23078
Jorge Araujo-Duran, Arjun Chatterjee, Samita Garg
{"title":"Gastroparesis for the nongastroenterologist.","authors":"Jorge Araujo-Duran, Arjun Chatterjee, Samita Garg","doi":"10.3949/ccjm.91a.23078","DOIUrl":"10.3949/ccjm.91a.23078","url":null,"abstract":"<p><p>Gastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of mechanical obstruction. Its epidemiology is unclear, and the main causes are diabetes mellitus and idiopathic disease. Cardinal symptoms often co-occur. Management involves nutritional assessment, dietary changes, drug evaluation, glycemic control (for patients with diabetes mellitus), and symptom relief. In this review, we explore challenges nongastroenterologists may encounter and how they can use current recommendations to manage patients with gastroparesis.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"373-383"},"PeriodicalIF":6.1,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237087","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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