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In Reply: Severe hyponatremia: Are you monitoring the urine output? 回复中：严重低钠血症：您监测尿量了吗？
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Cleveland Clinic Journal of Medicine
Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91c.07002
Elias Bassil, Georges N Nakhoul, Jonathan J Taliercio, Ali Mehdi
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引用次数: 0
Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt? 我的急性静脉曲张出血患者是否需要经颈静脉肝内门体分流术？
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Cleveland Clinic Journal of Medicine
Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91a.24014
Mahnur Haider, Indira Bhavsar-Burke, Robert S O'Shea, Christina C Lindenmeyer
{"title":"Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt?","authors":"Mahnur Haider, Indira Bhavsar-Burke, Robert S O'Shea, Christina C Lindenmeyer","doi":"10.3949/ccjm.91a.24014","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24014","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 7","pages":"409-413"},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476042","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
Severe hyponatremia: Are you monitoring the urine output? 严重低钠血症：您监测尿量了吗？
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Cleveland Clinic Journal of Medicine
Pub Date : 2024-07-01 DOI: 10.3949/ccjm.91c.07001
Anup Katyal, Ashwani Joshi
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引用次数: 0
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 Q1 MEDICINE, GENERAL & INTERNAL
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 Q1 MEDICINE, GENERAL & INTERNAL
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

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.

免疫力低下者的带状疱疹（HZ）发病率远高于免疫力正常者。免疫力低下者的带状疱疹发病年龄也更小，病情往往更严重。预防策略以重组带状疱疹疫苗（RZV）为中心，该疫苗已被批准用于 19 岁及以上免疫力低下的成年人。识别风险最大的人群至关重要。对于那些考虑接种疫苗的人来说，有关疫苗疗效、毒性、保护期以及对潜在疾病的潜在影响的证据缺口可能会使共同和知情决策变得复杂。最近的数据填补了其中的一些空白，一些协会也发布了有关疫苗接种的建议。其余的差距目前由专家意见来解决。
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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 Q1 MEDICINE, GENERAL & INTERNAL
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

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.

尽管目前有各种疗法，但心力衰竭和慢性肾病仍然是发病和死亡的主要原因。钠-葡萄糖共转运体 2（SGLT-2）抑制剂最近已成为治疗这些疾病的标准疗法。本综述总结了 SGLT-2 抑制剂的重要随机对照试验，以及在临床和医院环境中对心力衰竭和慢性肾病患者使用这些药物的指南。
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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 Q1 MEDICINE, GENERAL & INTERNAL
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

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.

淋巴水肿和脂肪性水肿是最常影响上肢和下肢的慢性衰弱性疾病。虽然它们看起来很相似，但在一些重要方面存在差异，本文作者对此进行了回顾和对比。
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引用次数: 0
Varicose veins. 静脉曲张
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
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 Q1 MEDICINE, GENERAL & INTERNAL
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 Q1 MEDICINE, GENERAL & INTERNAL
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
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