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The investigators induced muscle paralysis in patients with the acute respiratory distress syndrome (ARDS) by administering a neuromuscular blocking agent, cisatracurium besylate. As compared with placebo, cisatracurium resulted in a lower adjusted 90-day mortality without more severe sequelae of neuromuscular blockade.
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At least weekly, a 62-year-old teacher has a strong sense of urgency to urinate, followed by leakage as she rushes to the bathroom. She sometimes leaks urine during exercise. She takes hydrochlorothiazide for mild hypertension. On physical examination, she is found to be obese and not to have abdominal masses or pelvic-organ prolapse.
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