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Stent-retriever Therapy Improves the Rate of Functional Independence for Acute Ischemic Patients
February 9, 2016
NEW YORK (Reuters Health) - Stent-retriever therapy for the treatment of acute ischemic stroke improves the rate of functional independence at 90 days, according to a systematic review and meta-analysis. Stent retrievers are deployed in an occluded vessel, temporarily expanded into the body of a
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Six Strategies to Help Hospitalists Improve Communication
February 8, 2016
As Karen Smith, MD, SFHM, chief of hospital medicine at Children’s National Health System in Washington, D.C., sees it, communication problems often arise at the first possible opportunity, when she’s trying to find out whom to call when she needs to inform a primary care physician or specialist abo
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QUIZ: When Should You Suspect Kawasaki Disease as the Cause of Fever in an Infant?
February 8, 2016
Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology that occurs in children. Because there is no specific diagnostic test or pathognomonic clinical feature, clinical diagnostic criteria have been established to guide physicians.
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An Early Invasive Strategy for Elderly with Myocardial Infraction is Promising
February 8, 2016
NEW YORK (Reuters Health) - An early invasive strategy provides better outcomes than a conservative strategy in octogenarians with non-ST-elevation myocardial infarction (NSTEMI) or unstable angina, according to the After Eighty clinical trial. "Management of the very elderly with myocardial infar
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20-Year Rate for Kidney Stones Increased in Children, Adolescents, Females, Blacks
February 5, 2016
NEW YORK (Reuters Health) - Rates of kidney stones have increased substantially over the past 20 years, particularly among children, adolescents, females, and blacks, according to a population-based study in South Carolina. Historically, the highest rates of kidney stone disease have been in midd
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Practice Expanding: The Rising Trend in Hospitalist Co-Management
February 4, 2016
As the practice of medicine continues to transition to performance-based payment systems, the number of mergers of hospitalists and specialists has surged.
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Study Shows ICDs Benefit Women in Heart Failure Prevention
February 4, 2016
NEW YORK (Reuters Health)—Women with heart failure (HF) derive as much benefit from implantable cardiac defibrillators (ICDs) for primary prevention as men, according to a comparative effectiveness study. "Randomized clinical trials demonstrated that the ICD confers survival benefit to many patie
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Hospitalist Cynthia Cheung, MD, Joins Hospital Committee, Promotes Antibiotic Stewardship
February 3, 2016
Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics, and at least 23,000 people die as a result of these infections.
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PICCs Increase Risk for Upper- and Lower-Extremity DVT
February 2, 2016
Clinical question: Do peripherally inserted central catheters increase the risk for upper- and lower-extremity deep venous thromboses? Bottom line: Although the association between peripherally inserted central catheters (PICCs) and upper-extremity deep venous thromboses (DVTs) was already known,
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NSAIDs Safe, Effective Option for Pleurodesis Pain
February 2, 2016
Clinical question: For pleurodesis, do nonsteroidal anti-inflammatory drugs and smaller chest tubes, as compared with opioids and larger tubes, provide better pain relief while maintaining efficacy of the procedure? Bottom line: Although nonsteroidal anti-inflammatory drugs (NSAIDs) are not neces
