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In a hospital with high ICU bed occupancy, delays in transferring critically ill patients from the emergency department or general wards to the ICU were associated with increased mortality in comparison with immediate transfer to an ICU bed, and this increased mortality was incrementally greater with increasing delay.
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Involving family members in ICU rounds improved satisfaction in some areas, such as physician communication and decision-making support, but failed to improve overall family satisfaction.
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In assessment of acute chest pain in the emergency room, a new or "presumably new" left bundle branch block (LBBB) is considered as an electrocardiographic (ECG) equivalent to ST elevation.
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This retrospective study of more than 7000 patients from four combined medical-surgical ICUs demonstrated that ionized calcium levels are unrelated to mortality over a broad range of values but are independent predictors of mortality when levels are severely increased or decreased.
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Forty-four (23%) of 192 adventure race participants in a 2005 Florida event developed suspected leptospirosis, with confirmatory serologic testing positive in 45% of the tested individuals. A unique serovar (related to species Leptospira noguchii) was isolated from 1 patient.
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In the vulvar vestibulitis clinical trial conducted at the University of Rochester between 2002 and 2007, patients with vulvar vestibulitis syndrome (localized provoked vulvodynia) were enrolled in a 12-week randomized, placebo-controlled treatment trial.
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Over the years, different tocolytics have been in vogue, only to be discarded later because meta-analyses showed that the agent simply did not work. This month's review will focus on nifedipine, a medication that has been in and out of favor for more than 20 years.
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This publication is an update on osteoporosis screening from the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation.
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Although the annual incidence of all gynecological malignancies remains between 75,000 and 80,000, a far greater number of women with this history are survivors.
