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  • Ethicists Hold Debriefings After Critical Patient Events

    In the emotionally charged, fast-paced ICU, clinicians are faced with death and dying daily. Engaging in open, honest communication about these situations will help build a moral and ethical community.

  • Ethicists View HEC-C as One Step Toward Professionalization

    The demand for ethics work is rising, but most individuals who conduct consults are clinicians who work as volunteers. Leaders must identify and address all kinds of ethical issues, which requires employing the right people with relevant and specific knowledge and skills.

  • Task Force Aims to Grow HEC-C Program

    The Healthcare Ethics Consultant-Certified (HEC-C) designation is advancing the overall professionalization of the field of ethics. The certification advances the quality of ethics consultations and puts ethicists on a level playing field with clinical counterparts.

  • Reconsidering Aspirin Therapy for Elderly Patients

    A post-hoc analysis of the ASPREE trial revealed that in presumably healthy elderly subjects, taking low-dose aspirin daily over three years was associated with a significant drop in hemoglobin and ferritin levels vs. placebo, even when patients with major bleeding events were excluded.

  • Can Physical Activity Thwart the Negative Cardiometabolic Effects of Obesity?

    Compared to normal-weight workers, overweight or obese employees in Spain exhibited a higher prevalence of risk factors for cardiovascular disease, which can be partially mitigated by regular exercise.

  • Alcohol: Double-Edged Sword, or Hatchet?

    Researchers reported consuming two to 14 alcoholic drinks per week was associated with fewer major adverse cardiovascular events, which the authors noted could be explained in part by less stress-related neural activity demonstrated on PET and CT scans.

  • The Value of the GRACE Risk Score for Triaging Non-ST-Elevation Acute Coronary Syndrome Patients

    A prospective, pragmatic, cluster, randomized clinical study of using the Global Registry of Acute Coronary Events (GRACE) risk score and standard care for the management of non-ST-elevation acute coronary syndromes failed to demonstrate more use of guideline-recommended care or better outcomes.

  • Angiographic Fractional Flow Reserve Is Useful, But Not Ready for Prime Time

    Using a blinded, independent core laboratory, researchers compared five commercially available angiographic fractional flow reserve (FFR) methods to the pressure wire-based FFR technique. The authors found the diagnostic accuracy of these software techniques surpassed that of two-dimensional quantitative coronary angiography, but fell short of what has been reported in validation trials run by individual vendors.

  • New Advances in Cardiac Arrest Treatment

    Cardiac arrest requires emergent medical intervention, with the goal of perfusing the brain and other major organs while attempting to reverse the underlying etiology causing the arrest.

  • Diagnosing and Treating Pelvic Inflammatory Disease

    The term pelvic inflammatory disease (PID) describes a compilation of infections that arise from an ascending infection of the vagina or cervix to the upper genital tract, which is comprised of the uterus, fallopian tubes, and ovaries. These infections include, either alone or in combination, tubo-ovarian abscess, salpingitis, endometritis, and peritonitis. Making the diagnosis of PID is important, since it is associated with uterine and fallopian tube scarring leading to tubal factor infertility and ectopic pregnancy, as well as chronic pelvic pain. This article provides an evidence-based review of diagnostic and treatment recommendations for PID.