Internal Medicine
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Survival in ARDS Can Be Predicted By Driving Pressure
Statistical models were applied to several large trials of ARDS patients undergoing lung protective ventilation strategies and found that decreases in driving pressure, or Δ P, were strongly associated with increased survival.
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Multiple Factors Contribute to Recovery of Physical Function After Critical Illness
Physical function after critical illness is influenced by clinical, physiological, and psychological factors that suggest a need for comprehensive interventions to promote recovery and quality of life.
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Nasal Screening for MRSA: The New Basis for De-escalation of Empiric Antibiotics?
The high negative predictive value of a negative nasal screen for methicillin-resistant Staphylococcus aureus suggests these patients do not have lower respiratory tract infections caused by the organism.
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Post-ICU Stress Symptoms Are Associated with Increased Acute Care Service Utilization for at Least One Year
In this prospective, longitudinal study of adult medical-surgical ICU patients, in-hospital substantial acute stress symptoms were associated with a greater risk of rehospitalization within 1 year post-ICU discharge; those with substantial post traumatic stress disorder symptoms at 3 months post-ICU also had a greater risk of future emergency department visits within the year.
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Athlete’s Heart vs Brugada ECG
The normal variant ECG seen predominantly in highly trained athletes of domed ST segment elevation, and negative T waves in V1-V3 can be confused with some of the ECG patterns in Brugada syndrome patients.
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Intracranial Clot Extraction Results in Better Outcomes than Intravenous Thrombolysis Alone
This article will discuss three studies that have been recently published in the New England Journal of Medicine — MR CLEAN, ESCAPE, and EXTEND — regarding intracranial clot extraction for acute ischemic stroke
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Cardiac Sarcoidosis: Rare or Underdiagnosed?
There is increasing evidence that sarcoidosis can be confined to the heart, but disagreements abound about the diagnosis and treatment of cardiac sarcoidosis (CS).
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SIMPLE Is Better – ICD Defibrillation Testing Does Not Improve Outcomes
Traditionally, the placement of an implantable cardioverter-defibrillator (ICD) concludes with induction of ventricular fibrillation (VF) to confirm that the new device is able to appropriately sense the arrhythmia and terminate it while there is still the opportunity to reposition the ventricular lead or add an additional lead if necessary.
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Restless Legs Syndrome and Post-polio Syndrome
Restless legs syndrome is prevalent in patients with post-polio syndrome and is associated with decreased quality of life and fatigue.
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Are Atrial Premature Complexes Benign?
Atrial premature complexes (APCs) are commonly observed on routine ECGs and believed to be harbingers of atrial fibrillation, especially in patients with cardiovascular disease.