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A 12-lead ECG was obtained from a 66 year old man with heart failure. How would you interpret this ECG? Does the patient have RBBB (right bundle branch block)? Is there "a twist" to answering this question?
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An MRI is often used to assist in the diagnosis of multiple sclerosis. This systematic review of 29 studies shows that an MRI will result in an overdiagnosis of MS when used after one episode of neurologic dysfunction.
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The TNT study (Treat to New Targets) demonstrated that intensive lipid lowering (ILL) with atorvastatin 80 mg/d in patients with stable coronary artery disease (CAD) provided more benefit than simply achieving an LDL of 100 mg/dL with atorvastatin 10 mg/d.
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The FDA has approved a new agent for smoking cessation. Varenicline blocks the action of nicotine but provides a lower level of stimulation of dopamine release to reduce craving and withdrawal symptoms.
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Two leading infection control and immunization advisory committees at the Centers for Disease Control and Prevention have jointly endorsed new guidelines to give the new Tdap vaccine to health care workers to protect them and their patients from pertussis.
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With reports of more than 100 health care workers infected with mumps during a Midwest outbreak that now exceeds 4,000 cases, the Centers for Disease Control and Prevention is recommending that all health care workers should have immunity to mumps and even those born before 1957 should receive one dose of vaccine.
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Voluntary annual influenza immunization programs that use educational efforts and other incentives to vaccinate health care workers have been an abject failure, a leading proponent of mandatory flu shots said recently in Tampa at the annual conference of the Association for Professionals in Infection Control and Epidemiology.
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After some pointed discussion and one dissenting vote, the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee (HICPAC) recently endorsed recommendations to immunize health care workers with the new pertussis vaccine.