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Passive leg raising (PLR), a rapidly reversible maneuver that simulates rapid volume expansion by putting several hundred milliliters of fluid back into the circulation, has been shown to predict fluid responsiveness in mechanically ventilated patients.
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In this issue: FDA is reviewing safety of TZDs; SSRI use with tamoxifen; Metformin smells like fish; FDA Actions.
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Nasal irrigation, also known as "jala neti" or flushing of nasal cavities with hypertonic saline solution, has been practiced for at least hundreds of years by yoga practitioners in Southern Asia and more recently has become popular around the world as an adjunctive therapy for treating nasal and sinus symptoms.
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Thrombocytopenia is a well-established adverse effect of many conventional drugs. This systematic review found few reports of such adverse effects associated with complementary and alternative medicines, herbal remedies, nutritional supplements, foods, and beverages.
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This RCT compared acupuncture to venlafaxine for management of hot flashes in breast cancer patients. Both acupuncture and venlafaxine were given for 12 weeks, and then the subjects were followed. Both groups had improvements in their symptoms, but the venlafaxine group had side effects, and the acupuncture group did not.
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Results of this small double-blind RCT suggest that neither magnetic nor copper bracelets have a place in the treatment of osteoarthritis.
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This well-done trial compared a combination of mindfulness-based breathing therapy (MBBT) and training in the relaxation response with participation in group support for elderly subjects, almost all men, with moderate to severe COPD.