Articles Tagged With:
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Progression of Coronary Calcium on Statin Treatment
In those treated with statins vs. those who were not, statins decreased plaque volume in plaques with little or no calcium (plaque regression) and increased calcium density without changes in plaque volume in calcified plaques (plaque stabilization).
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First-Line Therapy for Hypertension
When comparing angiotensin-converting enzyme inhibitors and angiotensin receptor blockers (ARBs) to treat hypertension, researchers observed no difference in major cardiovascular events — but a better safety profile for ARBs.
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Early Coronary Angiography in Out-of-Hospital Cardiac Arrest
In a trial of immediate vs. delayed coronary angiography for resuscitated out-of-hospital cardiac arrest, researchers found no significant benefit on 30-day mortality.
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Slow, Steady, and Synchronized Wins the Race
In patients with atrial fibrillation and heart failure, definitive rate control via atrioventricular junction ablation and biventricular pacing resulted in a significant reduction in all-cause mortality vs. pharmacologic rate control.
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Screen Older Heart Failure Patients for Transthyretin Cardiac Amyloidosis
A screening study of heart failure patients ≥ age 60 years, left ventricular ejection fraction ≥ 40%, and left ventricle wall thickness ≥ 12 mm revealed 6.3% prevalence of transthyretin cardiac amyloidosis, a highly treatable disease.
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Nurses Appreciate Training on End-of-Life Care
It is difficult for nurses to remain hopeful and honest when caring for someone at the end of life. Still, families need physical, psychological, and spiritual care that nurses must be adept in providing.
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Medical Organizations’ Ethics Statements Are Inconsistent
Investigators analyzed the ethics statements of 22 organizations and characterized each as traditional (18%), relational (9%), or social constructionist (73%). Overall, there was significant inconsistency and lack of clarity on the direct goals of medicine. The study showed 33% to 53% of direct statements regarding the goals of medicine contained a fundamental philosophical disagreement.
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For Most Patients on Dialysis, Religious/Spiritual Beliefs Are Important
Researchers surveyed 937 patients receiving dialysis at 31 facilities in Nashville and Seattle from 2015 to 2018. Those for whom religious or spiritual beliefs were more important were more likely to favor a shared decision-making role, more likely to favor resuscitation and mechanical ventilation, and less likely to have considered stopping dialysis.
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Many Nurses Hesitate to Ask for Ethics Consult
Some nurses mistakenly believe only the attending physician can request ethics consults. Others do not even know their institution offers an active ethics consultation service. Still others worry about retaliation.
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Inconsistent Ethics Training in Undergraduate Radiologic Technology Programs
Few programs are using case-based studies and group discussions. Such instruction gives students the opportunity to recognize, analyze, and understand ethical dilemmas. This would allow educators to evaluate how students apply their learning in the professional setting.