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Lung function was measured in firefighters and emergency-medical-service workers who responded to the collapse of the World Trade Center towers in New York on September 11, 2001. There was initial marked loss in lung-function measures without substantial recovery during the following 7 years.
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It has been hypothesized that oxidative stress may underlie the development of preeclampsia. In this large, multicenter, randomized, double-blind trial involving low-risk, nulliparous women, supplementation with 1000 mg of vitamin C and 400 IU of vitamin E, beginning in the 9th to 16th week of pregnancy, did not reduce the rates of adverse maternal or perinatal outcomes related to pregnancy-associated hypertension.
In this randomized trial of patients infected with hepatitis C virus genotype 1 in whom a sustained virologic response was not achieved after initial therapy, patients retreated with peginterferon alfa-2a and ribavirin combined with telaprevir were more likely to have a sustained response than patients retreated with peginterferon alfa-2a and ribavirin alone.
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In this demonstration experiment on the structure of an internal-medicine teaching service, the investigators found that a model with two attending physicians and limited patient-staff census resulted in greater satisfaction on the part of trainees and attending physicians than the approach used on the standard teaching services.
Hyperphosphatemia, which is nearly universal in kidney failure, is accompanied by low serum levels of vitamin D and hypocalcemia. Without treatment, severe secondary hyperparathyroidism occurs, which may result in painful fractures, brown tumors, and generalized osteopenia. This article reviews the rationale for treatment with oral phosphate binders, discusses evidence supporting the use of available agents, and suggests an approach for clinical practice.
Three days before admission to this hospital, a 37-year-old, right-handed woman had vertigo, weakness and numbness of the left side, and shaking of the left leg. Magnetic resonance imaging (MRI) at another hospital revealed a mass in the right parietal lobe of the brain. She had had an endometrial biopsy 2 weeks before admission and a dental procedure 1.5 weeks before admission. On transfer to this hospital, she did not have fever, chills, or pain. Examination revealed decreased sensation to touch on the left. Repeat MRI showed enlargement of the brain lesion. A diagnostic procedure was performed.
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Anesthesiologists have a unique view of humanitarian disasters, as I discovered when I spent 21 days volunteering on the U.S.N.S. Comfort after the January earthquake in Haiti. Based in operating rooms, anesthesiologists see close up the entire grotesque ...
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