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Statin use, regardless of drug type, reduces the risk of dementia in later life.
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Pathological gambling related to dopamine replacement therapy in Parkinson's disease is associated with overactivity of a right hemisphere network that includes regions involved in impulse control, reward, motivation, and memory.
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This is an open label extension of 306 subjects from a previously reported delayed-start phase III clinical trial of rasagiline in early Parkinson's disease. Clinical benefit observed at one year in the early vs. delayed-start arm was maintained over an average 3.6 ± 2.1 years observation, raising the question of whether earlier intervention with rasagiline results in better outcomes.
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In this study, there is no correlation between the risk of recurrent stroke and the size of a PFO, the magnitude of the right-to-left shunt, or the presence of an atrial septal aneurysm.
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Belligerent behavior, communication problems, inconsistent responses to questions, and lack of competency to refuse treatment: Any of these factors can get in the way of obtaining a good history and physical for a patient with psychiatric complaints, according to Barbara E. Person, an attorney with Omaha, NE-based Baird Holm.
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There is a growing trend of specialty organizations coming out with guidelines and recommendations, but in some cases, these are inappropriate for ED patientsand may even be harmful.
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Hospital emergency departments (EDs) interact with police on a daily basis with varying degrees of cooperation, but whether the cooperation is good or bad, many police interactions raise risks of violating federal EMTALA and other regulations.
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An emergency physician (EP) diagnoses pneumonia in a 40-year-old male and treats appropriately. Later, the radiologist agrees with the pneumonia diagnosis, but suggests that "a small nodule in the left upper lobe should be evaluated with a chest CT." Somehow, that report never gets read by the ED staff, and the patient's cancer progresses until it is too late for effective treatment. A lawsuit is filed.
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While the introduction of new technologies such as computerized physician order entry (CPOE) were lauded by proponents as "silver bullets" that dramatically would improve patient safety, The Joint Commission is warning in a new Sentinel Event Alert that "users must be mindful of the safety risks and preventable adverse events that these implementations can create or perpetuate."