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Of 2761 patients with endocarditis enrolled in a prospective, multinational cohort study, 49 patients with non-HACEK gram-negative endocarditis were identified. E. coli and Pseudomonas aeruginosa were the most common pathogens, and 57% were considered to be health care associated. Fifty-nine percent of cases were associated with prosthetic valves. The mortality rate was high (24%) despite cardiac surgery being performed in 51% of cases.
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Schistosomiasis and strongyloidiasis were highly prevalent in two cohorts of African refugees resettled to the United States; presumptive treatment for parasitic diseases in such groups should include coverage for these parasitoses.
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Two recent studies suggest that rapid TIA evaluation and treatment can reduce stroke risk.
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Using a simple clinical screening tool, patients considered at high risk for death in this closed medical ICU received a basic palliative care consultation. Those with unmet needs received a full consultation with ongoing intervention from the palliative care team. This process shortened ICU length of stay without affecting mortality rates or discharge disposition.
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The frequency of false positive cardiac catheterization laboratory activation for suspected STEMI in community practice is relatively common with 14% of patients having no clear-cut culprit coronary artery lesions and 9.5% having no significant epicardial coronary artery disease.
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Greenfield RH. Kombating bone weakness: Vitamin K and osteoporosis. 2008;11:21-22.
Greenfield RH. Of mesmer and morphine – Hypnosis and surgery. 2008;11:22-23.
Greenfield RH. Flakes? Cereal eaters and body weight. 2008;11:23-24.
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O’Mathuna DP. Garlic and cardiovascular disease. Alter Med Alert. 2008;11:20.