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Self-monitoring of blood glucose: Advice for providers and patients
SELF-MONITORING OF BLOOD GLUCOSE is a critical part of diabetes management, with many benefits. It promotes personal responsibility and provides opportunities for better control. It allows for... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 28, 2016 Category: Journals (General) Tags: CCJM Review CCJM Diabetes Endocrinology & Metabolism CCJM Drug Therapy Source Type: research

Drugs that may harm bone: Mitigating the risk
DRUG-INDUCED OSTEOPOROSIS is common, and the list of drugs that can harm bone continues to grow. As part of routine health maintenance, practitioners should recognize the drugs that increase bone... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM CME CCJM Review CCJM Slide-Out CCJM Diabetes Endocrinology & Metabolism CCJM Drug Therapy CCJM Gastroenterology and Hepatology CCJM Mental Health CCJM Neurology Source Type: research

Phrenic nerve paralysis induced by brachial plexus block
A 72-YEAR-OLD MAN underwent elective ambulatory arthroscopic repair of the right shoulder rotator cuff. To manage postoperative pain, a supraclavicular catheter was placed for brachial plexus block,... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM The Clinical Picture CCJM Drug Therapy CCJM Emergency Medicine CCJM Geriatrics CCJM Imaging CCJM Pain CCJM Pulmonary Source Type: research

When does asymptomatic aortic stenosis warrant surgery? Assessment techniques
AORTIC STENOSIS is the most common valvular heart condition in the developed world, affecting 3% of people between ages 75 and 851 and 4% of people over age 85.2 Aortic valve... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Cardiology CCJM Geriatrics CCJM Imaging CCJM Slide-Out CCJM Home Page Slider Source Type: research

What is the best approach to a high systolic pulmonary artery pressure on echocardiography?
THE INCIDENTAL FINDING of high systolic pulmonary artery pressure on echocardiography is common. What we should do about it varies according to clinical presentation, comorbidities, and results... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM 1-Minute Consult CCJM Pulmonary CCJM Cardiology CCJM Imaging CCJM Vascular Medicine Source Type: research

Managing diabetes in hospitalized patients with chronic kidney disease
MANAGING GLYCEMIC CONTROL in hospitalized patients with chronic kidney disease (CKD) and diabetes mellitus is a challenge, with no published guidelines. In this setting, avoiding... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Diabetes Endocrinology & Metabolism CCJM Drug Therapy CCJM Hospital Medicine CCJM Nephrology CCJM Home Page Slider Source Type: research

Zika—a new continent and new complications?
The latest reminders that we live in a medically... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM From the Editor CCJM Viewpoints & Opinions CCJM Infectious Diseases CCJM Neurology CCJM Women's Health Source Type: research

Cocaine-induced ecchymotic rash
A 50-YEAR-OLD MAN presented with a painful rash over his extremities for the past 2 days (Figure 1). He said he had been in his usual state of health until the day he woke up with the rash.... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM The Clinical Picture CCJM Dermatology CCJM Emergency Medicine CCJM Mental Health CCJM Rheumatology CCJM Vascular Medicine CCJM Home Page Slider Source Type: research

Treating and preventing acute exacerbations of COPD
IN CONTRAST TO STABLE chronic obstructive pulmonary disease (COPD),1 acute exacerbations of COPD pose special management challenges and can significantly increase the risk of morbidity and... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - April 1, 2016 Category: Journals (General) Tags: CCJM Review CCJM CME CCJM Slide-Out CCJM Critical Care CCJM Emergency Medicine CCJM Hospital Medicine CCJM Infectious Diseases CCJM Men's Health Source Type: research

Zika virus: A primer for clinicians
ON FEBRUARY 1, 2016, the World Health Organization declared Zika virus a public health emergency of international concern due to clusters of microcephaly and neurologic manifestations in areas of... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - March 2, 2016 Category: Journals (General) Tags: CCJM Review CCJM Home Page Slider CCJM Infectious Diseases CCJM Neurology CCJM Women's Health Source Type: research

Interpreting SPRINT: How low should you go?
IN TREATING HYPERTENSION, lower systolic pressure is better than higher—with caveats. This is the message of the Systolic Blood Pressure Intervention Trial (SPRINT),1 a large, federally... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 29, 2016 Category: Journals (General) Tags: CCJM Interpreting Key Trials CCJM Slide-Out CCJM Cardiology CCJM Geriatrics CCJM Men's Health CCJM Preventive Medicine CCJM Women's Health CCJM Home Page Slider CCJM CME Source Type: research

The emotional impact of a malpractice suit on physicians: Maintaining resilience
PHYSICIANS WHO HAVE BEEN involved in malpractice actions are all too familiar with the range of emotions they experience during the process. Anxiety, fear, frustration, remorse, self-doubt, shame,... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 29, 2016 Category: Journals (General) Tags: CCJM Editorial CCJM Viewpoints & Opinions CCJM Critical Care CCJM General Internal Medicine CCJM Hospital Medicine CCJM Mental Health CCJM Practice Management Source Type: research

Prescribing opioids in primary care: Safely starting, monitoring, and stopping
CHRONIC PAIN AFFECTS an estimated 100 million Americans, at a cost of $635 billion each year in medical expenses, lost wages, and reduced productivity.1 It is often managed in primary care... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 29, 2016 Category: Journals (General) Tags: CCJM Review CCJM Drug Therapy CCJM Mental Health CCJM Men's Health CCJM Pain CCJM Rheumatology CCJM Women's Health CCJM CME CCJM Slide-Out Source Type: research

Managing patients at genetic risk of breast cancer
WHILE MOST CASES OF BREAST CANCER are sporadic (ie, not inherited), up to 10% are attributable to single-gene hereditary cancer syndromes.1–4 People with these syndromes have a lifetime... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 29, 2016 Category: Journals (General) Tags: CCJM Review CCJM Genetics CCJM Oncology CCJM Women's Health CCJM CME CCJM Slide-Out Source Type: research

The microbiome in celiac disease: Beyond diet-genetic interactions
INHERITING THE WRONG GENES and eating the wrong food (ie, gluten) are necessary for celiac disease to develop, but are not enough by themselves. Something else must be contributing, and evidence is... (Source: Cleveland Clinic Journal of Medicine)
Source: Cleveland Clinic Journal of Medicine - February 29, 2016 Category: Journals (General) Tags: CCJM Editorial CCJM Viewpoints & Opinions CCJM Allergy Immunology CCJM Dermatology CCJM Diabetes Endocrinology Metabolism CCJM Gastroenterology and Hepatology CCJM Genetics CCJM Women's Health Source Type: research