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Biomarkers in heart failure: Work in progressAssessing prognosis in heart failure poses a challenge in clinical practice.
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Effectiveness and Cost-Effectiveness of Diabetes Prevention among Adherent ParticipantsOver 10 years, lifestyle intervention and metformin were cost-effective or cost saving compared with placebo.
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Impaired insulin sensitivity in patients with stable chronic heart failureWe showed that impaired insulin sensitivity in patients with chronic heart failure (CHF) significantly predicted impaired survival. Insulin resistance relates to an advanced disease state and higher mortality independent of body composition and established prognosticators, implicating a pathophysiologic role for insulin sensitivity in CHF. Patients with CHF may possibly benefit from early treatment of impaired insulin sensitivity, but further research is needed.
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Acute coronary syndromes and women: A new eraWomen with acute coronary syndromes continue to be undertreated with pharmacologic therapy and invasive procedures, despite the fact that they receive the same benefits from therapy as men. Although the older age at diagnosis for women adds complexity to clinical decision making, studies show that an aggressive medical or interventional approach to acute coronary syndromes is often warranted and should be based on patient size, comorbidity, and renal function.
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Social Media Notebook: The Intersection of Health and the LawToday, it's all about sexting, COPPA, and children's online privacy. Who knows what issues we'll have to face tomorrow?
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How Should I Approach a Patient with Resistant Hypertension?The true prevalence of resistant hypertension is unknown, but it is estimated to occur in up to 20% of patients with chronic hypertension.
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Contemporary stenting practices, optimal antiplatelet and antithrombotic therapy, and the continuum of care of patients with cardiovascular disease: A roundtable discussionThe first stent was invented in 1969 by Charles Theodore Dotter, experimenting on canine peripheral arteries.
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Simple Steps to Cooking Like a Pro (Sort Of)Dr. Gourmet offers some basic tips for cooking tasty, nutritious, and inexpensive meals at home.
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Burnout: The End of the HangoverSometimes things we enjoy cause harm, and our career can be one of those things....how do you make sense of that?
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West's Points: Evolving Issues With ALK RearrangementsH. Jack West, MD, takes a moment to talk about what he is finding in regard to anaplastic lymphoma kinase (ALK) rearrangements seen in approximately 4% of patients with non�small cell lung cancer, as reviewed by Shaw et al in a September 2009 issue of the Journal of Clinical Oncology.
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Enhancing Efficiency in the Endo SuiteThe need exists to achieve maximum efficieny in the endo suite while maintaining maximum qualty.
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Manuel Delgado, 9/11 Paramedic and Survivor, Reflects 15 Years LaterOn 9/11/01 Manuel Delgado was a paramedic caring for patients at the base of the south tower. Delgado shares his first hand account of the attack on the building, patient care, survival, and the implications of events of the day on paramedic practice in New York City.
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Renally-Impaired Patients with Chronic Hepatitis B Virus Infection Find Success with Low Dose of TDFA low dose of TDF may help to preserve renal function and maintain viral suppression in patients with chronic hepatitis B virus infection, even those with advanced liver disease.
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Targeted Agents Boost Hormonal Therapies In Breast CancerAlthough hormonal therapy has been long established in the treatment of breast cancer, novel combinations with targeted agents show promise for improved outcomes and are likely to become part of a new paradigm for managing patients.
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Procainamide-induced Pleural and Pericardial EffusionsDrug-induced diseases and serious adverse drug effects can alter therapeutic plans and greatly affect patient outcomes. Many medications are known to have a narrow therapeutic index and to require close patient monitoring.
