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Dietary added sugar and lipids; Underrecognition of adverse effects; Female sexual dysfunction in diabetes; Vitamin D from the sun or supplements?; Exenatide + rosiglita-zone added to metformin; Intensive BP control in diabetes
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In this before-after study in a surgical ICU, addition to the daily physician worksheet of a red box requiring the checking of "yes" or "no" to continued need for central venous and urinary catheters was associated with a significant reduction in the duration of catheterization.
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The presence of cerebral complications of infective endocarditis (IE) can affect diagnostic and treatment decisions. Thus, this group from Paris, France, evaluated whether early cerebral MRI would affect the diagnosis and management of hospitalized patients suspected of having IE.
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Bilateral absence of N20 responses in the setting of therapeutic hypothermia does not preclude neurologic recovery in comatose survivors of cardiac arrest.
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Asymptomatic pulmonary embolism is quite common among patients with deep venous thrombosis. In many instances in these patients, the pulmonary emboli are located within the central pulmonary arteries.
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This randomized, multicenter trial showed no differences in 28-day mortality in patients with shock who received either norepinephrine or dopamine, but did reveal a higher incidence of arrhythmia in the dopamine-treated group.
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The authors describe a previously healthy 44-year-old woman who presented with bacterial meningitis. On presentation, she was alert but complained of high fever and meningismus. She had no other neurologic symptoms.
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This prospective, open-label, randomized clinical trial was conducted at a large tertiary teaching hospital in Harare, Zimbabwe, in adult ART-naïve HIV-infected patients who received a first CM diagnosis.
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A critically ill patient, who was a heroin user, was admitted to a hospital in Scotland in December 2009 and was found to be infected with Bacillus anthracis.
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Healthcare providers have been constantly amazed at the variation in response to infection with HIV-1. In our clinic, we now routinely see elderly patients who have been on various antiretroviral regimens over the years but still persist with high CD4 counts and low viral loads.