The Journal, the Internet, and you
At ccjm.org you can find all of our articles, free CME credit, and now the proceedings of the second annual Cleveland Clinic Perioperative Medicine Summit.
B.F. MANDELL

When should prophylactic anticoagulation begin after a hip fracture?
The short answer is immediately, but several issues need consideration before starting.
P.J. GRANT and A.K. JAFFER

Migraine prophylaxis: Who, why, and how
If a patient has frequent, severely debilitating migraine headaches, prophylactic treatment may help. But only about half of patients obtain a 50% or greater reduction in attacks.
J. LOJ and G.D. SOLOMON

Is digoxin a drug of the past? This old drug is still useful, with some caveats.
It is no longer the cornerstone of heart-failure treatment, but it can be beneficial as an adjunct. Serum levels should probably be kept lower than in the past.
M.H. PERVAIZ, M.G. DICKINSON, and M. YAMANI

Tending to the musculoskeletal problems of obesity
Obese patients often hear that any ache or pain they have is due to their excess weight and will resolve with weight loss. The truth is more subtle, but weight loss can make a substantial difference.
M.M. HOOPER

Newer antibiotics for serious gram-positive infections
We use two case scenarios to discuss when and how to use these agents and how to monitor and respond to their adverse effects.
T.G. FRASER, C. HANSEN, and J.K. LONG

Imaging's roles in acute pancreatitis
A 50-year-old man presents with severe upper-abdominal pain radiating to the back with nausea and vomiting. His serum amylase and lipase levels are markedly elevated. Should he have any imaging tests, and if so, which ones?
T. BOLEK, M.E. BAKER, and R. MATTHEW WALSH

A perspective on the Women's Health Study: Aspirin prevents stroke but not MI in women; vitamin E has no effect on CV disease or cancer
This 10-year trial found that aspirin prevented stroke but not myocardial infarction in women. Vitamin E had no effect.
J.E. BURING

Metformin helps kids lose weight