Cardiology
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Do Corticosteroids Play a Role in the Treatment of Community-acquired Pneumonia?
Despite antibiotic therapy and hospital-based care, severe community-acquired pneumonia still carries a high risk for morbidity and mortality.
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Aromatherapy: A Replacement for Antidepressants?
This randomized, double-blind, placebo-controlled study of an oral preparation of the essential oil of lavender showed that it is more effective for the treatment of generalized anxiety disorder than either placebo or an SSRI.
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Curcuminoids for Inflammation and Oxidative Stress Levels in Individuals with Metabolic Syndrome
Bioavailable cucuminoids were found to reduce oxidative stress and inflammation in individuals diagnosed with metabolic syndrome. Superoxide dismutase activity, malondialdehyde, and C-reactive protein (CRP) concentration were each significantly improved after short-term (8 weeks) of supplementation with curcuminoids. Meta-analysis of eight other studies investigating the impact of curcuminoids on various health parameters, including serum CRP concentration, also found a significant reduction of CRP with curcuminoid supplementation.
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Managing IBS with Semi-permanent Embedded Fibers at Acupuncture Sites
Catgut-embedded acupuncture, which involves embedding fibers of animal intestines into the skin at acupuncture points, improved abdominal pain, constipation, and bloating as well as symptoms of depression among patients with irritable bowel syndrome compared to both sham acupuncture and conventional drug therapy.
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Blueberry Consumption Improves Blood Pressure and Arterial Stiffness in Postmenopausal Women with Hypertension
This randomized, double-blind, placebo-controlled study demonstrated that consumption of freeze-dried blueberry powder twice daily for 8 weeks improved blood pressure and measurements of arterial stiffness in postmenopausal women with pre- or stage 1 hypertension.
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A Guide to When and How to Stop CPR
In cardiopulmonary arrest situations, the mnemonic CEASE (Clinical features, Effectiveness, Ask, Stop, Explain), provides a guide for clinicians on how to discontinue resuscitative efforts and effectively communicate with other clinicians and families.
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Survival in ARDS Can Be Predicted By Driving Pressure
Statistical models were applied to several large trials of ARDS patients undergoing lung protective ventilation strategies and found that decreases in driving pressure, or Δ P, were strongly associated with increased survival.
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Multiple Factors Contribute to Recovery of Physical Function After Critical Illness
Physical function after critical illness is influenced by clinical, physiological, and psychological factors that suggest a need for comprehensive interventions to promote recovery and quality of life.
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Nasal Screening for MRSA: The New Basis for De-escalation of Empiric Antibiotics?
The high negative predictive value of a negative nasal screen for methicillin-resistant Staphylococcus aureus suggests these patients do not have lower respiratory tract infections caused by the organism.
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Post-ICU Stress Symptoms Are Associated with Increased Acute Care Service Utilization for at Least One Year
In this prospective, longitudinal study of adult medical-surgical ICU patients, in-hospital substantial acute stress symptoms were associated with a greater risk of rehospitalization within 1 year post-ICU discharge; those with substantial post traumatic stress disorder symptoms at 3 months post-ICU also had a greater risk of future emergency department visits within the year.