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Patients who were transferred directly to the authors medical ICU from other hospitals were sicker and had worse outcomes than those who were directly admitted. Benchmarking data generated without taking referral source into account erroneously indicated an excessive death rate and other adverse outcomes.
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The randomized, controlled trial (RCT) is believed to provide the strongest evidence for verifying both effectiveness and ineffectiveness of a given treatment. Once the RCT judges the proposed treatment as ineffective, it is rare that the treatment is ever evaluated again.
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Good ED/ICU networks are becoming more important as more rural hospitals close due to lack of funding, says Janet Williams, MD, FACEP, director of the Center for Rural Emergency Medicine and Professor of Emergency Medicine at West Virginia University in Morgantown.
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Advancing technology continues to reshape the way care management is practiced in the ICU and elsewhere, but early experience shows that technology is no guarantee for physician buy-in at the front end, much less patient compliance at the back end.
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Influenza Vaccination and Reduction in Hospitalizations; Screening Men
for Prostate and Colorectal Cancer; Weight Loss in CHF and Treatment
with ACE-I; Impaired Fasting Glucose vs Impaired Glucose Tolerance;
Risk Stratification in Long-QT Syndrome; EBCT, Motivation, Behavioral
Change, and Cardiovascular Risk Profile
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This review will provide an overview of SARS for the primary care physician, including epidemiology, etiology, review of the clinical and laboratory features as well as diagnosis, therapy, and prevention of SARS.
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The Women's Health Initiatives was halted a year ago, but fallout
from this landmark study continues. The study was designed to identify
the risks or benefits of estrogen plus progesterone vs placebo in
healthy postmenopausal women.
