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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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Stopping clopidogrel after ACS: Impact on incidence of death and MIDespite contemporary management, patients with acute coronary syndrome (ACS) remain at risk of recurrent adverse cardiovascular events.
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Can You Hear Me Now? Podcasting Basics for Healthcare ProfessionalsHow can you create your own medical podcasts? How do you distribute them? Why should you even bother?
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Paliperidone Palmitate Delays Relapse in Patients with Schizoaffective DisorderPatients with schizoaffective disorder who were treated with paliperidone palmitate (as monotherapy and adjunctive therapy) experienced delayed time to relapse and reduced risk of relapse compared to patients treated with placebo.
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Managing Oral Mucositis in Patients With CancerOne of the most uncomfortable consequences of anticancer therapy is the development of oral mucositis.
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The Right Technology Is Essential for Physicians Adopting New Patient-centric Practice ModelsWith a physician shortage looming and patients seeking more access to caregivers and a higher level of service, is a hybrid concierge model the answer?
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Radiology QuizLatest:
Prediction of coronary artery disease in patients with diabetes and albuminuriaWe developed a set of equations to predict the risk or probability of developing coronary artery disease (CAD) in 10 years among American Indians. The equations are based on the significant risk factors identified in the Strong Heart Study, a longitudinal study of cardiovascular disease in American Indians. The equations can be used in patient education and to evaluate the efficacy of CAD prevention and intervention programs.
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Strategies for Lung Cancer Screening ImplementationHybrid lung cancer screening programs use a combination of centralized and decentralized services.
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Intracranial hemorrhage in atrial fibrillation: Is there a racial/ethnic difference?We evaluated a multiethnic cohort of subjects with nonrheumatic atrial fibrillation hospitalized over a 6-year period to determine the racial and ethnic differences in the risk of intracranial hemorrhage (ICH) and the effect of warfarin treatment on ICH risk. Treatment with warfarin was associated with a 2-fold greater risk of ICH in whites, a 4- to 5-fold greater risk in both blacks and Hispanics, and a 15-fold greater risk in Asians. After adjusting for established stroke risk factors and warfarin use, Asians were 4 times as likely as whites to have ICH, whereas blacks and Hispanics were twice as likely.
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Initiating treatment for chronic heart failureStandard congestive heart failure treatment begins with an angiotensin-converting enzyme (ACE) inhibitor to which a beta-blocker is added once the target dose of the ACE inhibitor has been reached. We compared morbidity and mortality between standard treatment and treatment using the reverse sequence, that is, the beta-blocker bisoprolol was given to patients first, followed by the ACE inhibitor enalapril. Results showed that both sequence strategies were safe and effective, with a survival trend in favor of the bisoprolol-first strategy.
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Recognizing Posttraumatic Stress Disorder and Its ComorbiditiesPosttraumatic stress disorder is the fourth most common psychiatric condition, affecting about 1 in 10 people at some point during their lifetime. The principal cause is exposure to an extremely traumatic event. The individual's unique biologic or psychosocial character and previous exposure, along with the personal significance of the trauma, shape the intensity of the response. Early recognition of trauma symptoms and signs and prompt intervention are important in the prevention of acute stress disorder and the subsequent development of posttraumatic stress disorder. Obtaining a trauma history during a routine medical examination can lead to the diagnosis and help initiate treatment. In addition to being distressing, symptoms also diminish quality of life, impair psychosocial adjustment, and worsen overall health.
