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Though nuclear weapons are one of the few potential bioterrorism agents that have actually been used against human populations, in many ways, the Cold Wars ultimate weapon remains as poorly understood as some emerging, exotic pathogen.
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With nuclear terror, there is every reason to hope but very much to fear. Consider these findings of an analysis of the current situation by a scholar at Harvard University in Cambridge, MA.
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The topic of pediatric traumatic brain injury (TBI) is extensive, and the majority of information is very familiar to the practicing emergency department physician. The author discusses two areas of controversy patient selection for imaging and an update on management strategies for children with TBI.
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Endorsed by a multi-disciplinary panel of clinical experts, the Year 2004 ATBS Clinical Consensus Report primarily is directed toward physicians faced with the challenge of managing patients with acute bacterial rhinosinusitis in the primary care, emergency, and urgent care settings. The ultimate goal is to provide a concise, practical, and clinically relevant schemata for day-to-day patient management in which evidence can be put into practice to optimize clinical outcomes.
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Have you made your labor and delivery unit a veritable fortress with high-tech equipment and strict policies to prevent infant abductions, while leaving the back door wide open? Children in the pediatrics unit can be just as vulnerable as infants, experts say, but risk managers too often put all their focus on protecting the newborns while devoting relatively few resources to other young patients.
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Approximately 10% of all patients with middle cerebral artery (MCA) territory cerebral infarction suffer progressive deterioration due to cerebral edema, increased intracranial pressure, and brain herniation. In these patients with malignant MCA territory infarction aggressive decompressive craniectomy has been reported to improve overall prognosis.
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Chronic inflammation is now a well-recognized cause of atherosclerotic vascular disease, including coronary artery disease and stroke. Asymptomatic individuals harboring the common bacterium Chlamydia pneumoniae have been shown to have an elevated incidence of plaque in both the coronary and carotid arteries.
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Huntingtons disease is a progressive neurodegenerative disease with onset generally in midlife. Insoluble huntingtin protein aggregates have been seen in vitro in mammalian cells, as well as in transgenic mouse models and in brain tissues from patients with Huntingtons disease. The relationship between the presence of the insoluble protein aggregates and Huntingtons disease pathogenesis has been controversial.