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Passive leg raising (PLR), a rapidly reversible maneuver that simulates rapid volume expansion by putting several hundred milliliters of fluid back into the circulation, has been shown to predict fluid responsiveness in mechanically ventilated patients.
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With increased emphasis on evidence-based medicine during the last dozen years has come the implicit assumption that the availability of more and better evidence on how disease should be diagnosed and managed will lead to better patient care.
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This engaging epidemiologic survey assessed microbial contamination of soda-fountain drinks, dispensed from nine different fountain machines, relative to current U.S. drinking water standards.
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This well-done trial compared a combination of mindfulness-based breathing therapy (MBBT) and training in the relaxation response with participation in group support for elderly subjects, almost all men, with moderate to severe COPD.
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Results of this small double-blind RCT suggest that neither magnetic nor copper bracelets have a place in the treatment of osteoarthritis.
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This RCT compared acupuncture to venlafaxine for management of hot flashes in breast cancer patients. Both acupuncture and venlafaxine were given for 12 weeks, and then the subjects were followed. Both groups had improvements in their symptoms, but the venlafaxine group had side effects, and the acupuncture group did not.
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Thrombocytopenia is a well-established adverse effect of many conventional drugs. This systematic review found few reports of such adverse effects associated with complementary and alternative medicines, herbal remedies, nutritional supplements, foods, and beverages.
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