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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. Your thoughts on the case?
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An important publication by Zile and colleagues that have been long interested in diastolic properties of the heart, confirms that diastolic heart failure (DHF) is a real entity and is associated with significant abnormalities of active relaxation and passive stiffness in the left ventricle (LV).
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Ernst and colleagues from St. George Hospital in Hamburg, Germany describe a new technique for positioning and manipulating ablation catheters during electrophysiologic studies. The system is a remote magnetic navigation system, which uses 2 permanent magnets to move a specially designed catheter.
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The diagnosis of infective endocarditis (IE) remains a challenge. Thus, these investigators from Basel, Switzerland hypothesized that a marker of systemic bacterial infection such as procalcitonin may help. In 67 consecutive patients with clinical suspicion of IE, a multidisciplinary team applied the Duke criteria to make the diagnosis of IE in 21 patients.
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When you think about the new Joint Commission on Accreditation of Healthcare Organizations survey process, do you envision surveyors talking to your organizations least articulate staff members, selecting patients to trace for whom everything possible has gone wrong, and arriving at units when your most experienced nurses are nowhere in sight?
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A clinical trial involving school-aged children in Thailand shows that a tetravalent dengue vaccine is safe and immunogenic, despite frequently bothersome side effects.
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On April 5, 2004, Aventis Pasteur contacted all recipients of IMOVAX Rabies Vaccine to inform them of an urgent recall of their manufactured lots: X0067-2, X0067-3, W1419-2, and W1419-3.
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Despite some initial controversy, it appears that HIV-infected patients with relapses of visceral leishmaniasis have higher levels of HIV-RNA viral loads and lower CD4+ counts than those without relapses. Non-compliance with HAART regimens and intravenous drug use possibly contribute to this greater risk of relapse.
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This is a fascinating report of a cluster of human Plasmodium knowlesi cases misdiagnosed as Plasmodium malariae in a rural rainforest area of Sarawak.
