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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.
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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.
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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
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Oral rofecoxib (Vioxx) may have a role in controlling postoperative pain patients undergoing knee surgery.
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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.
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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?
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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.
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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.