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Procedural sedation is an important tool for the emergency department physician, especially when faced with a child who requires a painful procedure. The ability to adequately address the pain and anxiety of the child and safely complete the procedure is rewarding to both the physician and the family of the child.
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Using blood pressure, BUN, serum sodium, and presence of peripheral arterial disease as predictors of mortality in heart failure patients, 67% who had 3 or more factors died within 6 months and would qualify for the Medicare hospice benefit.
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Strategies to determine treatment of acute coronary syndromes need to take gender into account.
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A randomized controlled trial in the Netherlands showed that oral prednisolone and naproxen were equivalent in the treatment of acute gout with no difference in side effects.
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In the evening after work, and in a generally relaxed environment, subjects had their coronary flow velocities in the left anterior descending artery recorded by non-invasive transthoracic Doppler echocardiography, and coronary flow velocity reserve (CFVR) was calculated. CFVR was assessed at baseline and immediately following 30 minutes of lavender aromatherapy, as were serum cortisol levels.
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Needle EMG is a safe procedure in patients who are taking antiplatelet or warfarin therapy.
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Axonal sensory neuropathy is a common complication of thalidomide therapy and occurs at a lower than expected dose in patients with cutaneous lupus.
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Fourteen cases of the rare and difficult to treat "painful legs and moving toes" syndrome are presented. The cases included diverse etiologies—polyneuropathy, radiculopathy, or neuroleptic use—and half responded to GABAergic medications.