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The National Hospice and Palliative Care Organization (NHPCO) has published a report about end-of-life care, emphasizing the importance of more personal and private discussions about the topic.
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How is your pain today? On a scale of 1 to 10, how would you rate your pain? Are you comfortable today? Did the medication lessen your pain?
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Investigators prospectively assessed quality of life in newly diagnosed AML patients 60 years and older using the EORTC QLC-C30 and QOL-E surveys. Among the 113 patients enrolled, 42.4% underwent intensive induction chemotherapy and 57.6% received palliative treatment. Self-rated quality of life did not correlate with physician-rated performance status or induction chemotherapy. Lower self-report functional status predicted higher mortality, even after adjusting for age, treatment, and comorbidity. Patient-reported quality of life may be an independent prognostic factor for AML outcomes.
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High sensitivity C-reactive protein may be useful in acute viral or idiopathic pericarditis for establishing the diagnosis, determining the duration of therapy, and suggesting when to escalate therapy.
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Tropical Medicine Specialists Jan Clerinx and Alfons Van Gompel from Belgium provide a practical review of current knowledge about schistosomiasis as it relates to travelers and migrants, including good images of parasite lifestyle, maps, parasite eggs, and 223 references.
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The numbers of households with pets, both traditional such as dogs and cats, as well as exotic pets, are increasing in many countries across the world. In addition, data obtained from media sources note a trend in the percentage of these pets sleeping in, or on, the owner's bed.
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Two children were diagnosed with japanese encephalitis (JE) in the United States in July 2010. The first child, aged 11 years, had onset of fever, headache, nausea, vomiting, and neck pain 4 days after returning from a 21-day trip visiting relatives in the Philippines.