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Ventilator-associated pneumonia (VAP) is nosocomial pneumonia occurring in a mechanically ventilated patient > 48 hours after intubation. It is categorized as early-onset (defined by most experts as 48-96 hours after intubation) and late-onset (> 2-96 hours after intubation): these differ with respect to responsible bacterial agents as well as outcomes.
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Recruiting 21 patients with hypertension from the cardiovascular Risk Factor Reduction Unit of the University of Saskatchewan and 23 controls, Shin and colleagues tested the hypothesis that hot-water immersion would cause greater blood pressure changes in hypertensive patients than in normotensive controls.
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It has been estimated that as many as 50% of hospitalized congestive heart failure patients are malnourished.
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Gastric fundic gland polyps can be visually horrifying when seen on endoscopy, and they are now quite commonly present in patients taking chronic acid suppressive therapy with proton pump inhibitors.
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Numerous published studies have strongly suggested that negative emotions such as depression and anxiety contribute to the development of symptomatic coronary artery heart disease.
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The FDA has approved the first combination NSAID and proton pump inhibitor.
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Oral rofecoxib (Vioxx) may have a role in controlling postoperative pain patients undergoing knee surgery.
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A topical estradiol emulsion has been approved for treating symptoms of menopause. Currently available estrogen products include pills, patches, and vaginal rings. The new estrogen emulsion provides another option for estrogen therapy. Novavax Inc markets this topical formulation as Estrasorb.
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The rhythm strip shown in the Figure was obtained from a middle-aged man in severe pain from a musculoskeletal disorder. He was not having chest pain, and had no known history of cardiovascular disease. He had an episode of vomiting shortly before this tracing was recorded. Is there evidence of heart block? If so, what type?