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The neurological manifestations of chronic cirrhosis and hepatic failure are protean. Myoclonus (often negative), chorea, and dystonia may occur in these patients, often accompanied by pyramidal dysfunction and dementia.
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In patients with sickle cell anemia (SCA), increasing the levels of fetal hemoglobin (HbF) decreases sickle cell hemoglobin polymerization and erythrocyte sickling.
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In patients with pulmonary embolism, elevated plasma levels of cardiac troponins help to identify a subgroup of patients who are at high risk and who may benefit from more aggressive treatment.
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Many ICU physicians dont get the reimbursement they deserve because they quit billing for critical care too soon, says consultant Frank Lucas, who has performed chart audits based on payer mix and midnight census of 100-150 records to assess potential revenues for more than 35 ICUs.
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The initial 80% savings rate that Denvers Centura-St. Anthony Central Hospital realized through standardizing a formulary for ICU sedative drugs has held firm for more than four years, according to medical director Joseph Heit, MD.
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This study of blood culture draw sites in febrile ICU patients found that it is safe and reliable to obtain at least 1 of the blood cultures from a central venous catheter, irrespective of the type of catheter in place.
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In 1936 Selye noted that rats exposed to stressors had enlarged adrenal glands. In the late 1940s, Kendall and Reichstein isolated cortisone as the active principle of the adrenal glands. In more recent years our understanding of the hypothalamic-pituitary-axis has grown immensely.
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Developing a research survey instrument is a lengthy and complicated process, says Daniel P. Sulmasy, OFM, MD, PhD, of the John J. Conley Department of Ethics at Saint Vincents Hospital in Manhattan. Sulmasy and several colleagues spent five years developing an instrument that elicits ratings of quality and satisfaction with care from medical inpatients, especially those near the end of life.
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