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Practice Management: Money TalksNews and online resources to help you make better financial decisions for your practice.
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Patent foramen ovale closure for stroke prevention: A myriad of unanswered questionsMigraines, including those with aura, are common and generally benign, affecting between 10% and 15% of the population.
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Mediterranean Diet as a Primary Prevention of Cardiovascular DiseaseCompared to a low-fat diet, adherence to a Mediterranean diet has significant benefit in the primary prevention of cardiovascular disease among patients aged 55-80 years old at high baseline cardiovascular risk without cardiovascular disease.
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Interventional Pain Management: Let's Abandon the Safe TriangleUsing the widely taught 'safe triangle' approach to transforaminal epidural injections can paralyze patients. There's a safer way.
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Comprehensive lifestyle modification and blood pressure controlLifestyle recommendations for the prevention and treatment of hypertension include weight loss, reduced sodium intake, increased physical activity, limited alcohol intake, and the Dietary Approaches to Stop Hypertension (DASH) diet. The 18-month results of the Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER) randomized clinical trial showed that individuals with prehypertension and stage 1 hypertension can make and sustain many of these lifestyle changes over the long term, thereby reducing their risk of cardiovascular disease.
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Ergonomics May Be the Key to Longevity for OphthalmologistsPoor posture in surgical care has been long associated with worsened clinician health. It is no different in ophthalmology.
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Telemedicine Tools Emerging in Medical SchoolArtificial intelligence has the potential to enhance many aspects of healthcare in the US, including patient and clinical outcomes, while reducing costs.
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Does Race Impact Mortality Rates in Patients with End-stage Renal Disease?During a press conference at Kidney Week 2011, Sandra Amaral, MD, MHS, Children's Hospital of Philadelphia, stressed how important it is for pediatricians and pediatric nephrologists to promote the process of kidney transplant to happen as soon as possible in children who are diagnosed with ESRD.
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Let's Get Smart about Antibiotic PrescribingAntibiotics are commonly prescribed by a wide range of clinicians. Data suggest that up to 50% of prescribed antibiotics are "unnecessary" or "inappropriate".
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Integrating the existing emergency medical system with automated external defibrillators for out-of-hospital cardiac arrestWe investigated whether a program based on diffuse deployment of automated external defibrillators operated by trained volunteers and laypersons across the largest county in Italy would safely and effectively improve the current survival rate among patients with out-of-hospital cardiac arrest. Compared with historical control subjects, the new strategy resulted in a 3-fold increase in 1-year survival free of neurologic impairment.
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Who Can Sign Your Checks?Whether you are incorporated or are sole proprietor, your spouse should be signatory to your business checking account.
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Estate Planning Essentials for PhysiciansPlanning can dramatically reduce-or avoid altogether-some common tax hits, including: capital gains, state, inheritance, and estate and gift taxes. There are several options to consider when building an estate plan.
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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.
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Noninvasive coronary angiography with multislice computed tomography and myocardial perfusion imagingA total of 114 patients with an intermediate pretest likelihood of coronary artery disease were evaluated with both multislice computed tomography (MSCT) and myocardial perfusion imaging (MPI). Results showed that in the majority of cases, a normal MSCT scan was associated with normal perfusion. However, only half of patients with significant stenoses showed abnormal perfusion. Accordingly, MPI and MSCT are intrinsically different techniques and appear to be complementary rather than overlapping as they provide information on atherosclerosis versus ischemia, respectively.
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Why do Women Have Trouble Taking Their Prenatal Vitamins?Tips for maximizing compliance based on 40 years of experience, and a new policy decision which could make matters worse.
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Intensive statin therapy in acute coronary syndromeWe conducted a meta-analysis of 13 randomized controlled trials involving 17 963 subjects to determine the effect of intensive statin therapy instituted within 14 days of hospitalization for acute coronary syndrome. Results showed that early, intensive statin therapy is safe and significantly decreases cardiovascular death and recurrent ischemia following acute coronary syndrome after 6 months of treatment.
