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  • Eat the Celery Stalk in Your Bloody Mary

    The more fruits and vegetables you eat, the lower your overall cancer risk.
  • Clinical Briefs by Louis Kuritzky, MD

    The prostate cancer prevention trial did not ignite advocacy among clinicians for chemoprevention of prostate cancer (PCA).
  • Don't Treat Superficial Thrombophlebitis Superficially

    Superficial venous thrombosis is not a benign condition and deserves close attention.
  • Frail Elderly and Cardiac Surgery

    Although age is a risk factor for morbidity and mortality with cardiac surgery, chronologic age does not always reflect biological age. Although frailty has been shown to predict falls, hospitalization, institutionalization, and mortality in geriatric populations in the community, it has not been systematically studied in patients undergoing surgery.
  • Can We Make Intubation a Safer Procedure for Patients?

    This two-phase, prospective, multicenter study demonstrated that implementation of an intubation management protocol reduced the incidence of severe hypoxemia and cardiovascular collapse during endotracheal intubation when compared to standard practice, but did not improve other patient outcomes such as ICU mortality or duration of mechanical ventilation.
  • Admitted from the ED

    In a prospective, observational study, > 50% of patients identified and treated for severe sepsis in the emergency department (ED) had negative cultures; 18% of patients had a noninfectious diagnosis that mimicked sepsis.
  • Outcomes for Plasma Exchange to Treat TTP

    The risk of relapse after effective therapy with plasma exchange for thrombotic thrombocytopenic purpura (TTP) has not been well-characterized. Among 376 patients with an initial episode of TTP treated with plasma exchange, overall survival was around 68%, with a survival of 78% among the subset with idiopathic TTP. Survival did not differ on those having a low (< 10%) ADAMTS13 level. Relapse was greater for those with a low ADAMTS13 level at the time of presentation.
  • Daily Multidisciplinary ICU Rounds Improve Patient Outcomes

    In this large retrospective cohort study of more than 100,000 patients in 112 hospitals, after correction for illness severity and other factors, daily rounds by a multidisciplinary care team were associated with lower mortality in the ICU, regardless of whether an intensivist model of physician staffing was in use.
  • Making a Dent in Teen Pregnancy Rates

    This is a small U.S.-based clinical trial of 23 adolescent women (ages 14-18) randomized to levonorgestrel-releasing vs Copper T intrauterine device (IUD).
  • Sonographic Prediction of Fetal Macrosomia

    The management of a patient with suspected fetal macrosomia remains an enigma. Not being able to come up with a consistent plan of management for macrosomia is compounded by our inability to reliably predict it.