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Sleep and headache have a long and complex relationship. Morning (or awakening) headache has been linked to sleep disorders, especially obstructive sleep apnea syndrome, but this association is controversial.
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It appears safe to conclude that patients with mild-to-moderate angina can be safely managed with continued medical therapy, but percutaneous coronary intervention is certainly indicated and appropriate if anginal symptoms are not controlled by maximum, aggressive medical management.
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Did the ephedra ban mark a new era of dietary supplement regulation at the FDA? Altern Med Alert 224;7(8):S1-S2.
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Influenza takes an enormous toll on humanity with respect to mortality, hospitalization, and medically attended illness. Despite the licensure of antiviral medications, immunization is the best control measure of influenza. Because patients eligible for influenza vaccine frequent EDs, health care providers working in this arena should offer the vaccine or appropriately recommend and refer patients following current guidelines to sites where the vaccine is obtainable.
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In recent years, the analysis of complex system errors, such as medical errors occurring in the ED, has changed from simply labeling and punishing individuals to understanding the underlying systems that contribute to medical error. In this issue of Emergency Medicine Specialty Reports, error in the ED and its contributing factors will be discussed, as well as steps to develop a culture of safety.
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Greenfield RH. Manipulative therapy for shoulder pain. Altern Med Alert 2004;7(12):144.
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The American Heart Association dietary recommendations. Altern Med Alert 2004;7(suppl 12):S1-S2.
