Cardiology
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Fish Consumption and Disease Activity in Rheumatoid Arthritis
A cross-sectional analysis using baseline data from participants in the Evaluation of Subclinical Cardiovascular Disease and Predictors of Events in Rheumatoid Arthritis (ESCAPE-RA) cohort study demonstrated biweekly consumption of fish significantly decreased pain and progression of RA sufferers.
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After the WHI: How Is Your Sex Life?
Women who discontinued systemic postmenopausal hormonal therapy following participation in the Women’s Health Initiative studies experienced an increase in vaginal and sexual symptoms.
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As-needed Inhaled Corticosteroid/LABA May Be Effective for Mild Asthma Control
In two randomized, double-blind, multicenter trials, symptom-triggered, twice-daily dosing of budesonide-formoterol was as effective in preventing severe asthma attacks as scheduled twice-daily dosing of budesonide-terbutaline, but not as effective in relieving symptoms.
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Emotional Freedom Technique and Post-traumatic Stress Disorder
The emotional freedom technique is a new approach to treating post-traumatic stress disorder in veterans that uses genomic science.
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sTMS for Migraine Prevention
This observational study adds evidence for daily use of single-pulse, transcranial stimulation (sTMS) for the prevention of migraines.
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Is Electroacupuncture the Answer to Stress Urinary Incontinence?
Following six weeks of every other day treatment, women treated with electroacupuncture in the sacral region reported less urinary incontinence than women receiving sham acupuncture in the same region.
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Sepsis-related Neurologic Dysfunction Strongly Associated With Long-term Mortality
In this multicenter, retrospective study, acute neurologic dysfunction was the organ dysfunction most strongly associated with short- and long-term mortality in patients surviving a sepsis hospitalization.
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Selection of Isotonic Crystalloid for Fluid Resuscitation: How Much Does It Matter?
Using balanced crystalloids rather than normal saline for intravenous fluid administration in critically ill adults leads to statistically significant lower rates of major adverse kidney events, including death from any cause, new renal replacement therapy, and persistent renal dysfunction, compared to normal saline in critically ill adults. Clinical judgment should be applied when selecting fluid.
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Re-evaluating Steroid Therapy in Septic Shock
Septic shock carries a significant risk of mortality despite increasing knowledge of its pathophysiology and clinical management. Studies dating back to the 1960s suggested steroid treatment may alter the course of septic shock and led to the concept of critical illness-related corticosteroid insufficiency. Two recent trials have provided more data regarding steroid therapy for septic shock. Comparing these seminal studies provides context for the decision about whether to treat septic shock with steroid therapy.
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Simple Prediction Tool Facilitates Diagnosis of Heart Failure With Preserved Ejection Fraction
In patients with unexplained dyspnea, a score based on six noninvasive criteria can predict the likelihood of heart failure with preserved ejection fraction.