Cardiology
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Risk Factors for Hospital Readmissions Ending in Death or Transition to Hospice
This study highlights factors that are associated with an increased risk of hospital readmission within 30 days and adds to the growing body of literature on healthcare use after a hospitalization for sepsis.
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Healthcare Use in Survivors of Sepsis
The need to understand patterns of healthcare use in sepsis survivors has gained momentum to assess whether readmissions could be prevented.
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Ventricular Tachycardia, Supraventricular Tachycardia With Right Bundle Branch Block, or Something Else?
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Clinical Briefs
In this section: recognizing signs of binge eating disorder; a closer look an antisocial behavioral problems; and treating sickle cell pain.
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Desmopressin Acetate Nasal Spray (Noctiva)
Desmopressin nasal spray is indicated for the treatment of nocturia due to nocturnal polyuria in adults who awaken at least twice per night to void.
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Polyneuropathy in the Metabolic Syndrome
The metabolic syndrome, independent of the diagnosis of diabetes, is associated with the development of polyneuropathy.
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Pioglitazone Improves Fibrosis Scores in Nonalcoholic Steatohepatitis Patients With and Without Diabetes
In a meta-analysis of eight studies (five pioglitazone, three rosiglitazone) involving 516 patients with biopsy-proven nonalcoholic steatohepatitis, pioglitazone was found to improve fibrosis between six and 24 months.
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Can Magnesium Cure Nocturnal Leg Cramps?
A small randomized, double-blind, placebo-controlled trial demonstrated that oral magnesium oxide was not superior to placebo for older adults suffering from nocturnal leg cramps.
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High-sensitivity Cardiac Troponin
In patients with new-onset chest pain without ECG evidence of an ST-elevation myocardial infarction, conversion to the use of a high-sensitivity troponin T assay with three-hour retesting in three hospitals was compared to maintaining the fourth-generation troponin T assay with six-hour retesting in three other hospitals. The use of high-sensitivity troponin T resulted in lower ED length of stay and costs, without increasing the use of coronary angiography or stress testing. -
Hyperoxia in ICU Patients May Cause Harm
Patients randomized to maintain oxygen saturation between 94-98% experienced better outcomes than patients allowed to receive partial pressure of oxygen > 150 mmHg.