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Lyon and colleagues performed a retrospective cohort study of the relationship between insurance status and 30-day mortality, as well as the use of five common ICU procedures, among 138,720 adult patients admitted to ICUs in Pennsylvania in fiscal years 2005 and 2006.
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Treating pain in the ED is relatively straightforward if the cause is obvious like a broken leg or acute myocardial infarction for which there is clear evidence for the diagnosis. Treating pain is somewhat more problematic when there is no diagnostic test. So it is with headaches, especially the severe migraine types.
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As the baby boomers become older adults, we will see a rapid rise not only in the older population, but also an increase in older patients. While older adults accounted for 13% of the population in the year 2000, by 2030 they will be at least 20% of the population, or almost 71 million.
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This pan-European multicultural study investigates whether after initial weight loss in overweight subjects, a subsequent diet of high or low carbohydrate (glycemic index) or protein diets helped subjects maintain their new weight better.
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In this paper, Priori and colleagues from a consortium of 10 Italian arrhythmia centers enrolled Brugada syndrome patients to evaluate the role of programmed electrical stimulation in risk stratification and to look for other novel predictors of outcome in Brugada syndrome patients.
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The prevalence of obesity is increasing throughout the western world at an alarming rate. Obesity has been associated with higher rates of cardiovascular events, although the converse association (between weight loss and reduction in cardiovascular events) has been harder to prove.
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Newer more sensitive troponin assays have the potential to identify acute myocardial infarction (AMI) earlier, but some detect troponin in 50% of normal populations, which renders them clinically useless.
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Shah et al used an administrative database, the California State Inpatient Database from the Healthcare Utilization Project, to analyze the short and intermediate success and complication rates associated with catheter ablation for atrial fibrillation (AF).