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Over a 6-year period, 2305 patients with reduced left ventricular ejection fraction and normal sinus rhythm were randomized to warfarin treatment (target INR of 2.0 to 3.5) or aspirin (325 mg per day) and followed to determine the rate of a composite endpoint of ischemic stroke, intracerebral hemorrhage, or death from any cause.
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Changes in CSF metabolites reflect dopamine and norepinephrine deficiency in Parkinson's disease, and may be sensitive in early identification.
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Azithromycin and cardiac risk; warfarin and heart failure; aspirin and VTE; effectiveness of long-acting contraceptives; and FDA actions.
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Normal pressure hydrocephalus remains a clinical diagnosis and standardized clinical assessments predict a positive response to shunting in most patients.
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It is recognized that most cases of chronic tinnitus are generated by central brain mechanisms that may be amenable to treatment with cognitive therapies and magnetic stimulation protocols of the temporal and frontal lobes.
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In the immediate aftermath of Hurricane Sandy, many hard-hit hospitals along the northeast coast were putting in calls to colleagues in New Orleans for advice on how best to pick up the pieces and, perhaps more importantly, bolster their defenses for future disasters. While hospitals along the Gulf Coast are much more accustomed to preparing for hurricanes than facilities in the Northeast, Hurricane Katrina knocked even the best-prepared facilities on their heels when it devastated the region in August of 2005.
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A new study, led by researchers at the University of Michigan (UM) in Ann Arbor, MI, suggests that clinicians might not be spending enough time discussing some of the most complex patients when they are handing-off these cases during shift changes. And there is a simple reason why, according to Michael Cohen, PhD, professor of complex systems, information, and public policy at UM.
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While blood transfusions are often essential in the care of trauma patients, several prominent health care organizations recognize that too often providers are ordering blood transfusions when they are not medically necessary. This drives up costs and exposes patients to unnecessary risks, according to experts. And it also essentially wastes precious blood supplies.
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While 2012 has been a year of uncertainty in health care, as both the Supreme Court and voters made judgments on whether provisions of the Accountable Care Act will continue to unfold, salaries for ED leaders have remained relatively stable, according to the results of the 2012 ED Management Salary Survey.
