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Most hospital-based clinicians are aware that anemia develops in many hospitalized patients.
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In an observational study conducted in Germany of more than 600 anemic cancer patients receiving parenteral iron (ferric carboxymaltose), hemoglobin levels were shown to rise significantly. The iron treatment was well tolerated. Randomized interventional studies are warranted to demonstrate efficacy in terms of physical function and quality of life and safety in this population.
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This paper details the result of a population-based cohort study of all Ontario, Canada, residents older than 66 years of age who began warfarin therapy for atrial fibrillation over an 11-year period. Patients were identified by the authors from data in the Ontario Health Insurance Plan.
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During family discussions, physicians who believe more strongly that life support should be withdrawn are more likely to present the option of comfort care and describe its benefits.
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Zolpidem, a commonly utilized agent for sleep disturbance, is associated with increased fall risk in hospitalized, non-pregnant, non-critically ill patients. Its use for a given patient and its appropriateness within standard order sets should be carefully considered.
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Special Report from the International Stroke Conference: Current Endovascular Interventions for Acute Ischemic Stroke Do Not Result in Better Clinical Outcomes than Intravenous Thrombolysis
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Calcium supplementation in women; type 2 diabetes treatments and pancreatitis risk; treating chronic idiopathic urticaria; rivaroxaban and VTE; and FDA actions.
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In settings in which an admitting neurology service is unavailable, hospitalists may be called upon to care for and initiate an appropriate diagnostic evaluation for adult patients with new-onset seizures.
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Primary percutaneous coronary intervention (PCI) is the preferred strategy for treating ST-segment elevation myocardial infarction (STEMI).