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Clopidogrel and proton pump inhibitors; adverse events with tamsulosin after cataract surgery; new guidelines for persistent pain in the elderly; and FDA Actions.
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This large multicenter, randomized, controlled parallel-group trial found that intensive glucose management, compared to conventional (target glucose 81-108 mg/dL vs. ≤ 180 mg/dL), increases 90-day mortality in both medical and surgical ICU patients.
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Patients presenting to the emergency department (ED) with acute chest pain are a significant portion of our health care budget.
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Observational studies have suggested statins may not only reduce arterial cardiovascular events but also venous thromboembolism.
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In a randomized, multicenter trial, chlorhexidine-impregnated sponges used in the dressing of intravascular catheters reduced catheter-related infections by 60%. Increasing the interval of catheter-related dressing changes from 3 to 7 days did not increase the rate of infection.
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Syncope is commonly accepted to be a danger sign in patients with hypertrophic cardiomyopathy (HCM). In this paper, Spirito et al report data from a registry of 1,511 patients with HCM who have been followed longitudinally at four institutions.
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With persistent outbreaks but milder-than-expected disease severity, novel H1N1 posed a unique dilemma for hospitals. They first needed to assuage fear, then to prevent against complacency. They needed to monitor employee illnesses and provide adequate precautions, yet encountered varying guidance.
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Amid uncertainties about the novel H1N1 virus (swine flu), there's one clear edict: Vaccinate early and often for seasonal influenza.