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In node-positive breast cancer, adjuvant doxorubicin plus cyclophosphamide followed by docetaxel was associated with significantly better disease-free survival than the three drugs together or doxorubicin–docetaxel. Premenopausal women who became amenorrheic as a consequence of treatment had significantly improved overall and disease-free survival, regardless of their treatment or the hormone-receptor status of their tumor.
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This randomized trial comparing retropubic and transobturator slings for the treatment of stress urinary incontinence showed equivalent rates of treatment success according to objective criteria; the rates of treatment success in the two groups according to subjective criteria were similar but did not meet the criteria for equivalence. Complications differed in the two groups, with more voiding dysfunction requiring surgery in the retropubic-sling group and more neurologic symptoms in the transobturator-sling group.
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In this randomized trial of deep-brain stimulation targeted to either the globus pallidus interna or the subthalamic nucleus in patients with advanced Parkinson's disease, the patients assigned to pallidal stimulation and those assigned to subthalamic stimulation had a similar improvement in motor function.
Interleukin-2 is a proinflammatory interleukin with a pleiotropic effect on different cell types of the immune system. Cytokine-inducible SRC homology 2 (SH2) domain protein (CISH) is up-regulated by interleukin-2 and suppresses interleukin-2 signaling. This study shows that variants of the CISH gene are associated with susceptibility to bacteremia, malaria, and tuberculosis.
A 57-year-old woman is seen in an outpatient clinic, where her blood pressure reading is 155/95 mm Hg. Dietary therapy is recommended. Dietary changes that have been shown to reduce blood pressure include reduced sodium intake, reduced caloric intake (for weight loss), and diets high in fruits, vegetables, low-fat dairy products, whole grains, poultry, fish, nuts, and unsaturated vegetable oils.
After 9/11, policy analysts speculated that clinicians may be reluctant to provide care during disasters because of fear of medical liability and proposed policies to create different standards of care for emergencies. In the context of the Haitian earthquake, the author argues that redefining the standard of care in disasters is neither necessary nor justified.
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