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In a randomized trial of neurosurgical clipping versus endovascular coiling for ruptured intracranial aneurysms, endovascular coiling was more likely to result in independent survival at 1 year.
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Depression and anxiety in Parkinson's disease might be associated with a specific loss of dopamine and noradrenaline innervation in the limbic system.
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An increased dietary intake of folate reduces the risk of developing AD.
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Appendicitis is a serious diagnosis with the potential for catastrophic outcomes in any age group, but especially in the young child. Although the clinician may have this diagnosis in the differential for select patient populations, this article highlights the clinical scenarios when the clinician should consider the diagnosis in a child.
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In this meta-analysis, Quiroz and colleagues attempted to identify all English-language reports published since 1990 that included at least three months of follow-up in patients clinically suspected of having pulmonary thromboembolism (PTE), whose computed tomography (CT) angiograms were negative, and who did not receive anticoagulant therapy.
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The rhythm in the Figure was obtained from a 70-year-old woman who was admitted to the hospital with a history of "falling out" on several occasions during the week prior to admission. Her initial 12-lead electrocardiogram (ECG) was unremarkable, and acute serum markers were negative for recent infarction.
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Several recent studies have significantly expanded the evidence for the central role of computed tomography (CT) in the evaluation of the patient with suspected pulmonary embolism (PE). We review these studies below and summarize the current understanding of the advantages and disadvantages of CT.
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Only about one in four physicians in the United States use e-mail to communicate clinical information to patients, and one reason may be a lack of effective means of billing for e-mail time. But some say they don't yet know enough about what quality of care can be delivered via patients' e-mail inboxes.
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The recent federal approval of nonprescription sales of the emergency contraceptive Plan B (Barr Laboratories; Woodcliffe Lake, NJ) to women and men ages 18 and older may have quieted what was a brewing controversy in emergency medicine. However, the ethical issues that gave rise to the debate still are very much in play, emergency department (ED) experts say.