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This study showed that surrogate decision-makers with a loved one in the ICU want clinicians to discuss the patient's prognosis, even if it is uncertain.
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Fluid therapy is an integral aspect of trauma resuscitation. With advances in resuscitation research, controversies abound regarding approaches to the initial fluid management.
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Remember how you were told in medical school that history is 90% of diagnosis? Was it usually ascribed to William Osler or another such legendary figure? Do you still believe it?
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A study of thermal spa baths for chronic low back pain revealed some benefits over warm tap water baths. However, multiple hypothesis testing takes away from the confidence clinicians can have regarding the true effect. Nonetheless, all patients improved during and after the treatment period of daily baths.
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In an initial investigation of the potential for information from CAM research to influence clinical practice, a 2007 national survey asked acupuncturists, naturopaths, internists, and rheumatologists about their awareness of CAM clinical trials, ability to interpret research results, and use of research evidence in decision making.
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This small pilot study represents the first controlled assessment of intravenous micronutrient therapy for fibromyalgia. No statistically significant benefit over placebo was identified, though clinical benefit was apparent, and feasibility was established. Regardless of one's bias regarding this type of care, further study is needed.
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Upon evaluating data from the STAR*D project, researchers concluded that phase III clinical trials often do not recruit representative populations of depressed outpatients, making the recommendations drawn from the studies' conclusions of limited applicability to general clinical practice.