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As of early 2008, a minority (about 17%) of physicians have a basic or extensive electronic health record (EHR) system. Those who use electronic health records believe they improve the quality of care, and tend to be primary physicians, those practicing in large groups, hospitals, or medical centers, and those located in the western region of the United States.
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Surrogate decision makers rated communication as good but could not answer questions about resuscitation status or the care their family member was receiving.
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In this study, 750 severely ill patients requiring initial hemodialysis were randomized to receive either jugular or femoral vein catheterization. Jugular catheterization significantly increased the incidence of catheter colonization in patients with body mass index (BMI) < 24.2, whereas jugular catheterization decreased the incidence in patients with BMI > 28.4. Across all BMI strata, there was no significant difference in catheter-related blood stream infections in patients who underwent femoral vs jugular catheterization.
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Many odors are noxious, but few are as repellent as the foul smell of massive hematochezia. Everybody in the emergency department knows something is wrong. Once you get past the smell, you realize you often have a very ill patient with a complex medical history and underlying comorbidities. Disposition decision is often easy ("ADMIT"), but to whom and where?
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It has been suggested that bipolar disorder (BPD) is underdiagnosed, and is hence sometimes regrettably discovered subsequent to unmasking with treatment instituted for presumed unipolar depression.
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Obesity confers an elevated risk of ACS in subgroups of subjects with both healthy and less healthy lifestyle behaviors. However, adherence to healthy lifestyle behaviors is definitely associated with a lower risk even among obese individuals.
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The findings of this retrospective study of 825 patients hospitalized with COPD exacerbations indicate that the use of beta blockers in such patients is not harmful and may actually be associated with reduced mortality.
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Baxter Bioscience has developed a whole-virus, two dose vaccine against avian flu; warning label now on antipsychotics regarding an increased risk of mortality in elderly patients treated for dementia-related psychosis; vitamin D for men with heart disease on horizon? A new oral anticoagulant may soon be available for prevention of thrombotic complications of hip or knee surgery; FDA Actions
