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Prevention of Disabling and Fatal Strokes by Successful Carotid Endarterectomy in Patients without Recent Neurological Symptoms; Cox-2 Inhibitors vs Nonselective NSAIDs and CHF Outcomes in Elderly Patients; Interventions for the Prevention of Falls in Older Adults
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The first nonabsorbable, gastrointestinal-selective antibiotic has been approved for the treatment of travelers diarrhea caused by noninvasive strains of Escherichia coli.
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In a prospective, randomized trial, primary excision of colorectal carcinomas by laparoscopic surgery was compared with laparotomy. Disease recurrence and 5-year survival were not significantly different in the 2 groups. Operative time was greater for those receiving laparoscopic approach but post-operative recovery and hospital stays were shorter.
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Infection rates in low-risk human bites are exceedingly low. Antibiotic treatment may not be necessary for these patients.
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The 12-lead ECG and accompanying rhythm strip shown in the Figure were obtained from an older man who presented with acute dyspnea from pneumonia. He was on multiple medications, and was in moderate-to-severe respiratory distress at the time this ECG was recorded. Is the rhythm Torsades de Pointes?
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CRP values as a continuous variable have independent predictive value for subsequent coronary events in apparently healthy women.
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The diagnosis of infective endocarditis (IE) remains a challenge. Thus, these investigators from Basel, Switzerland hypothesized that a marker of systemic bacterial infection such as procalcitonin may help. In 67 consecutive patients with clinical suspicion of IE, a multidisciplinary team applied the Duke criteria to make the diagnosis of IE in 21 patients.
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Ernst and colleagues from St. George Hospital in Hamburg, Germany describe a new technique for positioning and manipulating ablation catheters during electrophysiologic studies. The system is a remote magnetic navigation system, which uses 2 permanent magnets to move a specially designed catheter.
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An important publication by Zile and colleagues that have been long interested in diastolic properties of the heart, confirms that diastolic heart failure (DHF) is a real entity and is associated with significant abnormalities of active relaxation and passive stiffness in the left ventricle (LV).
