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  • Reperfusion Strategies for ST-Segment Elevation Myocardial Infarction: An Overview of Current Therapeutic Options, Part II

    Optimizing outcomes in patients with acute coronary syndrome requires matching patients with strategies that will produce the best results in specific clinical subgroups. Identifying those patients with ST elevation myocardial infarction (STEMI) who represent ideal candidates for fibrinolysis, and who are likely to have outcomes that are at least as favorable as they would have with percutaneous interventions, has become an area of intense focus among cardiologists and emergency physicians. Significant improvements in patient outcomes will be made when patients are managed according to their institutional capabilities, with the understanding that prompt thrombolysis in the setting of STEMI is fundamental to optimal patient care. This article, the second in a two-part series, provides a practical, evidence-based approach to comprehensive management of this patient population.
  • Once Upon a (Medium-Firm) Mattress

    The virtues of a firm mattress are generally espoused by the medical and lay community alike despite the utter lack of scientific evidence to support it. In an attempt to shed light on this poorly understood subject, Kovacs and associates assess the effect of the firmness of a mattress on low back pain.
  • Clinical Briefs in Primary Care Supplement

    St Johns Wort and Drug Interactions; Serum Potassium and Stroke Risk Among Hypertensive Adults; Skin Cancer Prevention and Detection Practices Among Siblings of Patients with Melanoma, TZDs and HF in People with Type 2 Diabetes; Exercise Plus Behavioral Management in Patients with AD; Spironolactone in Resistant HBP
  • Full January 2004 Issue in PDF

  • Pharmacology Watch: Vioxx Might Control Postoperative Knee Pain

    Oral rofecoxib (Vioxx) may have a role in controlling postoperative pain patients undergoing knee surgery.
  • Integrated CM system will make your job easier

    If your hospital isnt using case management software that is integrated with the rest of the hospitals information systems, you may be behind the curve, asserts Vicky Mahn-DiNicola, RN, MS, vice president of ACS Healthcare Solutions, a Tucson, AZ-based health care technology firm.
  • Ambulatory Care Quarterly: ED is hotbed for lawsuits; address risky conditions

    What happens in your emergency department (ED) when a patient shows up complaining that he still has that terrible headache you sent him home with six hours ago? Do staff label him a whiner and send him back out the door with some Tylenol?
  • Full March 2004 Issue in PDF

  • Less pain for outpatient knee replacement

    Although technological advances are responsible for the movement of many surgical procedures from the inpatient to the outpatient setting, sometimes the switch relies more upon the surgeons technique rather than the actual equipment.
  • Liposuction cases are safe, according to study

    The recent action by the Florida Board of Medicine to restrict liposuction and abdominoplasty procedures in an office setting may call the safety of liposuction into question. However, the latest liposuction study reports a complication rate of only 3% for 331 cases performed in office-based settings included in the study, according to the Accreditation Association for Ambulatory Health Cares Institute for Quality Improvement (IQI) in Wilmette, IL.