Current Issue
Volume: 122
Number: 1
Index: January 2010
Clinical Focus: Emergency Medicine
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March 2010
Clinical Focus: Deep Venous Thrombosis, Cardiovascular Events, Differential Diagnosis, and Gastrointestinal Disorders
Gastrointestinal:
  • Gastroesophageal reflux disease
  • Ulcerative colitis
  • Crohn's disease
  • Spastic colon
  • GI tract erosion
  • Bariatric surgery
  • Laparoscopic band surgery
  • Short bowel syndrome and recombinant human growth hormone
  • Malabsorption syndrome
  • Parenteral nutrition
  • Screening for pelvic dyssynergia in chronic constipation
  • Cyclic vomiting syndrome
  • Cell transplantation: minimally invasive surgery
  • Sources for hepatocytes for transplantation
  • Future directions in endoscopic sedation
  • The role of anesthesia in endoscopy
  • Advances in celiac disease
  • Enteroscopy for inflammatory disorders
  • CLDs: Markers of disease progression
  • GERD: PPI failure
  • Preventing colorectal cancer in inflammatory bowel disease
  • Autoimmune disorders of the pancreas and biliary tract
  • Bariatrics for the endoscopist: bypasses and detours
  • Colonoscopic cancer screening in 2010
  • Common approaches to pelvic floor abnormalities
  • Detecting and managing colonic dysplasia in IBD: current and future practices
  • Gastrointestinal surgery in the elderly
  • Hepatic resection for liver masses
  • Optional management of anticoagulation
  • Management of hepatitis C non-responders and relapsers
  • Multimodality detection and management of Barrett's and dysplasia
  • NASH and comorbidities
  • New and emerging approaches to the management of IBS
  • NOTES single-port access surgery
  • Pancreatic cancer screening
  • Predicting and treating variceal hemorrhage
  • Advances in endoscopic imaging
  • Clinical HPB/upper GI
  • Endoscopic sedation and monitoring issues in 2010
  • HCV therapy advances
  • New developments in eosinophilic esophagitis
Cardiovascular:
  • Long-term outcomes of drug-eluting versus bare-metal stents in underrepresented populations: results from the Linked NCDR and CMS database
  • Antithrombotic strategy during PCI in NSTEMI: Update from ACTION registry GWTG
  • Timing of in-hospital CABG in relationship to mortality for ACS patients: NCDR ACTION registry
  • Limitations of using cardiac catheterization rates as a quality measure for non-ST-segment elevation MI
  • STEMI care and outcomes
  • High-risk features of carotid artery stent patients: preliminary results from the CARE registry
  • Secondary prevention therapies among patients with nonobstructive CAD
  • Regional variations of primary prevention implantable cardioverter-defibrillators
  • High-dose statins usage before PCI
  • Embolic Protection in Patients With Atrial Fibrillation (PROTECT AF) trial and Watchman group
  • JUPITER trial and rosuvastatin reducing risk of thromboembolism
  • Combination treatment in atrial fibrillation
  • Polypill usage with statins, aspirin, and folic acid
  • Benefits of renal sympathetic nerve ablation
  • Use of relaxin in acute heart failure
  • Detecting DVT: venous access in the emergency department
  • DVT prevention in the at-risk patient population
  • DVT prevention in critically ill patients
Submission deadline: January 04
Fast-Track deadline: January 20
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Fast-Track peer review is available for those papers requiring immediate review (for an additional fee). Complete peer review is finalized in 1-2 weeks and comments are provided to the author within 72 hours of their receipt by the editorial office. Authors are asked to submit a revised manuscript within 10-12 days. Accepted manuscripts are processed within 2-3 weeks, published online within 3 business days of final author approval, and in print in the next available issue.
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Clinical Focus
doi: 10.3810/pgm.2009.05.2002
Postgraduate Medicine: Volume 121: No.3
Management of Diabetes in Patients with Chronic Kidney Disease
Ziauddin Ahmed, MD; Barbara Simon, MD; and Devasmita Choudhury, MD
Abstract: Management of patients with diabetes mellitus and chronic kidney disease (CKD) is a challenging task because multiple factors in each condition may impact the other. Glycemic control offers significant benefits in the prevention of diabetic kidney disease (DKD), but other associated morbidities are also important to address. Patients with diabetes with insufficient glycemic and blood pressure control are at a high risk for developing both cardiovascular disease and progression of nephropathy. This article discusses proper screening, identification, and management in the different stages of DKD, with special considerations for dialysis and transplant patients. We also review information on altered metabolism of medications and the appropriate use of diabetic agents, including recommendations for management of glucose control in CKD.

Keywords: diabetes; diabetic kidney disease; chronic kidney disease; renal disease; dialysis; antidiabetic medications

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