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While stroke is most often a result of progressive atherosclerotic cerebrovascular disease, occurring with increasing frequency as the population ages, there are less common causes of stroke that mainly affect younger populations.
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A randomized controlled trial in Australia showed that a 16 week program of tai chi reduced falls by 33% in a group of elderly persons.
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Two hundred eighty-eight patients hospitalized with severe community-acquired pneumonia (CAP) were followed for 28 days in a prospective multicenter study. At day 7, 25% of patients had resolution of CXR abnormalities and 56% had improvement. At day 28, 53% of patients had resolution of CXR abnormalities and 78% had clinical cure. By multivariate analysis, delayed resolution of CXR abnormalities by day 7 was associated with multilobar disease, dullness to percussion by physical exam, elevated CRP (> 200 mg/L), and tachypnea (respiratory rate > 25/min.) on admission.
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Asymptomatic brain MRI findings of infarct, cerebral aneurysms and benign tumors were fairly common in the general population. The clinical significance of these findings is unknown.
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The FDA has approved a new drug for the treatment of advanced breast cancer.
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In patients with heart failure and diabetes, metformin is not associated with harm and may reduce all cause mortality.
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Many staff emergency physicians and resident physicians interact with pharmaceutical representatives on a regular basis. It seems a fairly harmless interaction, with the emergency physician then returning to the daily grind in their busy emergency department.