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Reversible myocardial dysfunction may be much more common in critical illness than has been generally appreciated.
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Synopsis: In this small study, differences in the respiratory rate to tidal volume ratio (RTVR) after 1 hour of spontaneous breathing with ATC were a good predictor of whether patients would remain extubated or require reintubation. But was it really better than other tests?
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The FDA has mandated a Black Box warning for all estrogen and estrogen/progestin products for use by postmenopausal women. The new warnings are based on analysis of data from the Womens Health Initiative (WHI) study that was published July 2002.
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Synopsis: Physicians rated the quality of ICU care higher than nurses, and these health care providers opionions did not correlate with those of patients. Patients perceived satisfaction with their care waas rated higher by physicians than by either nurses or patients.
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In the United States, physicians trained in internal medicine provide a substantial portion of the care of critically ill patients.
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ALLHAT: Thiazide for Hypertension Treatment; Candesartan Effective Against Migraines; Cough! No Cold Relief from Echinacea; COX-2 Inhibitors and GI Benefits Could Be Overrated; FDA Actions
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Three recent studies have provided further evidence linking elevated homocysteine levels to brain atrophy and cognitive dysfunction, as well as a decline in physical function.
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The publication of the ALLHAT trial received much publicity not only in medical circles but was also front-page news in the Wall Street Journal. This trial was a significant blow to the pharmaceutical industry, and it convincingly showed that inexpensive diuretic medications had superiority over highly marketed ACE inhibitors and calcium channel blockers for the treatment of hypertension.