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The Cleveland Clinic Foundation
Cleveland Clinic Journal of Medicine
9500 Euclid Avenue, NA32
Cleveland, Ohio 44195

216.444.2661, FAX 216.444.9385
  ccjm@ccf.org
May 03, 2002

 

 

CME credit: Fewer hours, but still a good deal 
Owing to ACCME regulations, we can give you only 1 hour of CME credit per issue instead of the 2 hours you have been getting. Still, we hope you find the Journal worth your time and attention.
J.D. CLOUGH and L.K. HENGSTLER

 

Taking it to the bar: Medicolegal ramifications of perioperative steroid coverage 
Will a jury side with an expert witness who cites "usual and customary" practice-or with one who cites published evidence?
B.F. MANDELL and V.L. VANCE

 
  Brief answers to specific clinical questions
   When is perioperative "steroid coverage" necessary?
Although data are lacking, it seems prudent to boost glucocorticoid doses in the perioperative period for patients receiving long-term steroid therapy.
M. SHAW
 

Adverse events: Reducing the risk of litigation 
Common-sense measures can prevent adverse outcomes and lawsuits.
N.G. CORREIA

 

Statins in acute coronary syndromes: Start them in the hospital
New data indicate statins should be started as soon as possible in acute coronary syndromes. Current guidelines may need to be changed.
M. ACEVEDO and D.L. SPRECHER

 

A 45-year-old woman in the intensive care unit
What is the cause of this patient's symptoms? A self-test.
L.-L. LIM, R. PRAYSON, and R. SHIELDS

 

Cultural and clinical issues in the care of Asian patients
Three case studies that illustrate some of the special problems affecting the health care of Asian patients and ways to deal with them constructively.
X.W. JIN, J. SLOMKA, and C.E. BLIXEN

 

A homeless 63-year-old man with an abnormal electrocardiogram
Questions and answers on the visible signs of diseases.
R. BARGOUT and B.P. LUCAS

 

Sepsis: Menu of new approaches replaces one therapy for all
Recombinant human activated protein C is the first therapy approved for treating sepsis. However, instead of a "one therapy for all" approach, we are finding that therapy must be targeted.
S.P. LAROSA

  

Caring for patients with prosthetic heart valves
General internists have a leading role in providing routine care, including regular physical examinations, echocardiograms, antithrombotic therapy, and antibiotic prophylaxis against endocarditis.
M.S. BETTADAPUR, B.P. GRIFFIN, and C.R. ASHER

  

CME Calendar
2001 Reviewers
Letters to the Editor