Cardiology
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Should We Use Early Physical Therapy for Respiratory Muscles?
Mechanically ventilated patients undergoing inspiratory muscle training demonstrated significant increases in both maximum inspiratory and expiratory muscle pressures; the training was associated with reduced weaning duration of 2.3 days.
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A Novel Prediction Tool for Hypoxemia During ICU Intubation
The authors of this retrospective analysis of data from two prospective randomized trials of tracheal intubation created a new risk score calculator to identify patients who may develop severe hypoxemia during this procedure.
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What Is the Key ECG Finding?
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Tafenoquine Tablets (Krintafel)
Tafenoquine is indicated for the radical cure of P. vivax malaria in patients ≥ 16 years of age who have received appropriate antimalarial therapy for acute P. vivax infection.
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Initial Management of Patients With Medication-overuse Headache
As part of a randomized treatment trial for medication-overuse headache, a simple protocol that provided early advice on stopping excessive medications was effective in one-third of patients, even before any prophylactic medications were started.
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Clinicians Prescribe Antibiotics for Excessive Duration in Patients With a Diagnosis of Acute Sinusitis
Clinicians inappropriately prescribe antibiotics most often to patients with a diagnosis of acute sinusitis for durations much longer than recommended.
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Canagliflozin Reduces Risk of Heart Failure Hospitalizations for Diabetic Patients
In type 2 diabetes mellitus patients with a higher risk of cardiovascular disease, canagliflozin lowered the risk of cardiovascular death or heart failure hospitalization. Patients with pre-existing heart failure may experience even greater benefit.
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Substance Abuse and Myocardial Infarction
Among patients ≤ 50 years of age with first myocardial infarctions, use of cocaine or marijuana increased the likelihood of an ST-segment elevation myocardial infarction and the subsequent risk of all-cause and cardiovascular mortality.
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Vitamin C for Postoperative Atrial Fibrillation Risk
The authors of a systematic review of 13 studies found convincing evidence that vitamin C supplementation, beginning before cardiac surgery and continuing for a few days postoperatively, can decrease the risk of atrial fibrillation.
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Tele-yoga for Chronic Pain: A Management Therapy for the Future?
Researchers reviewed the use of yoga instruction, transmitted remotely for access-challenged patients in treating chronic pain. The study suggests that tele-yoga can be an effective treatment, but it is unknown if it is as effective as in-person yoga instruction.