Clinician.com

TAVR Without On-site Cardiac Surgical Backup: Fringe Procedure, or Wave of the Future?

SYNOPSIS: Data from transcatheter aortic valve replacement procedures performed at German hospitals without on-site cardiac surgery shows relatively low rates of major complications and mortality similar to hospitals with full surgical programs.

Human Adenovirus B7: Severe Infection

ABSTRACT & COMMENTARY: Patients with HAdV-B7 were more likely to be adults and to have longer hospital stays.

Dual Antiplatelet Therapy Appears More Effective Than Single Therapy

The CHANCE study showed that the combination of aspirin and clopidogrel was superior to aspirin alone for reducing the risk of stroke in the first 90 days after a TIA or minor ischemic stroke (N Engl J Med 2013;369:11-19).

Can Procalcitonin Predict Need for ICU Admission in Community-acquired Pneumonia Patients?

Several studies have focused on the use of procalcitonin in diagnosing sepsis, as a prognostic marker in sepsis, and as a guide to antibiotic decisions in sepsis.

Rosacea: Pathophysiology, Clinical Features, and Treatment

MONOGRAPH: Here's an in-depth guide for the primary care physician.

Nature Nurturing Health

A national prospective cohort study of nurses found that higher levels of green vegetation were associated with decreased mortality.

Seafood Consumption and Brain Mercury Levels in Older Adults with Dementia

This cross-sectional study of older adults who were part of the Rush Memory and Aging Project demonstrated that moderate seafood consumption was correlated with a decreased level of brain Alzheimer’s disease neuropathology in APOE ε4 carriers. Higher brain levels of mercury were correlated with higher seafood consumption. However, these levels were not correlated with brain neuropathology.

Individualized Integrative Medicine Treatment for Preoperative Anxiety

In a randomized, clinical trial investigating the treatment of preoperative anxiety, standard sedating medication with a specified add-on individualized integrative technique is the most effective intervention.

Olive Oil or Mixed Nuts Consumption, as Part of the Mediterranean Diet, May Help Reduce Body Weight and Central Adiposity

The long-term vegetable fat enrichment of a Mediterranean diet leads to less weight gain and less increase of central adiposity than a control diet.

Infectious Disease Alert Updates

C. diff. Risk in Veteran’s Long-term Care; Survival in Acute Liver Failure

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