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In this prospective, multicenter, randomized trial, addition of a helium-oxygen gas mixture to non-invasive positive pressure ventilation in the treatment of COPD exacerbations did not decrease the need for intubation when compared to non-invasive positive pressure ventilation alone.
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Cardiac surgery carries greater risk in older patients. Nonagenarians are a growing part of cardiology practice as our population ages. While age > 90 years has previously been considered a contraindication to cardiac surgery, more recently, surgeons have been operating on selected nonagenarians who have high functional status.
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Stress-induced apical cardiomyopathy (tako-Tsubo) is a recently recognized reversible form of acute cardiomyopathy that may mimic acute myocardial infarction initially.
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Each year, about 795,000 strokes occur in the United States; 85% of these are acute ischemic strokes.
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This multicenter, unblinded, randomized trial demonstrated that prone positioning was not associated with a mortality benefit in patients with ARDS, including subgroups with moderate and severe hypoxemia.
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One-year mortality post-severe sepsis and septic shock was significantly reduced after implementation of an early goal-directed therapy protocol for sepsis in a large urban emergency department.
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Do children < 1-year-old actually develop diarrhea due to C. difficile? What should be the patient age cutoff below which laboratories should reject any stools for C. difficile testing? How will the new state-of-the-art molecular tests influence the interpretation of results in children?
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Patients who adhered to prescribed anti-hypertensive medication experienced a significantly decreased risk of acute cardiovascular events, yet only 6 months after diagnosis, only 8.1% of patients were classified as having high adherence, 40.5% demonstrated intermediate adherence, and 51.4% demonstrated low adherence to prescribed medication regimens.
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Most respondents in this survey of medical students, residents, and staff physicians reported coming to work when they had a respiratory tract infection, with staff physicians most likely to do so.
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> In this study of initial serum sodium values in more than 150,000 adults admitted to ICUs, both hyponatremia (Na < 130 mmol/L) and hypernatremia (Na > 150 mmol/L) were associated with substantially increased ICU and hospital mortality.
