Articles Tagged With:
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Anticoagulation Decisions in Atrial Fibrillation
Using the Delphi method of arriving at a consensus among clinicians concerning to whom with atrial fibrillation to recommend oral anticoagulants, the risk of stroke, the risk of hemorrhage, and patient-specific factors emerged. Many of these factors are not included in the guidelines and should be studied further.
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Optimizing AED Placement Locations
A study of the location of out-of-hospital cardiac arrests (OHCA) compared to the location of automatic external defibrillators (AED) in Denmark showed that if the placements of AEDs more closely matched the location of OHCAs, bystander defibrillation and 30-day survival would improve.
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Cardiac Constriction vs. Cardiac Restriction
The five Mayo Clinic Doppler echocardiographic criteria for the diagnosis of constrictive pericarditis (CP) were tested in a group of surgically confirmed CP compared to a group of cardiac biopsy proven amyloid restrictive cardiomyopathy. Interventricular septal bounce and an elevated mitral annular medial e’ were found to be the most accurate criteria, especially if used together.
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Value of PET Scans in Infective Endocarditis
18F-FDG PET/CT imaging in a consecutive series of patients with proven infective endocarditis was of diagnostic value in those with prosthetic value endocarditis and of prognostic value in all cases.
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Dapagliflozin Treatment Improves Life Quality for Systolic Heart Failure Patients
Treatment with dapagliflozin for 12 weeks resulted in improved health status, either a reduction in NT-proBNP or improvement in quality of life measures, in systolic heart failure patients with or without type 2 diabetes mellitus.
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Fresh Data on Medical Student, Nurse Attitudes on Medical Assistance in Dying
Nurses play a central role in the process of medical assistance in dying, even if they bear no responsibility for the act itself, according to the authors of a recent study.
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Challenges to Transplant Allocation Carry Ethical Implications
An insurance company’s denial of coverage for a liver transplant sometimes is perceived as discriminatory. The authors of a recent paper analyzed judicial review of these controversial cases.
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One-Size-Fits-All Limits on Opioids Are Ethically Problematic
The current opioid crisis generated immediate actions at many levels; regulatory requirements were implemented quickly. However, some of these placed seemingly arbitrary limits on prescribing, even for painful surgical procedures.
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Evolving Ethics of Anonymous Sperm and Egg Donors
Traditionally, the identity of sperm and egg donors were kept strictly anonymous, but this is changing. A recent position statement from the American Society for Reproductive Medicine concerns this ethical issue.
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Ethics Consult Can Go Undocumented — to the Detriment of Ethics Department
Many problems can occur if ethics consults are documented sparsely or not at all. Lack of documentation hinders the ethics service from knowing how it is performing.