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Do Large Clinical Trials Adequately Consider Individual Patient Physiology? Debating The RELIEF Study

By Michael Keane, BMBS, FANZCA and Shashikanth Manikappa, MD, DNB, FANZCA
February 21, 2019

Patient safety requires a well-informed debate about the rationale of large, randomized controlled trials (RCTs) and whether, by their very nature, they can adequately consider the unique physiology of every individual patient. 

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WAKE-UP Time for Thrombolysis in Acute Stroke?

25mm napoleonic polish - light 41 figs infantry - inf (22037)

By Martina McGrath, MD
October 30, 2018

MRI thrombolysis for stroke of unknown time of onset

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Prior studies have suggested a particular pattern may be seen on an MRI of the brain in the early hours following stroke onset; a visible ischemic lesion on diffusion-weighted imaging along with the lack of a hyperintense signal in the same area on fluid-attenuated inversion recovery (FLAIR). The benefit of aggressive stroke intervention in patients with the combination of unknown time of symptom onset and this particular signal mismatch on MRI brain scans is unknown. Continue reading “WAKE-UP Time for Thrombolysis in Acute Stroke?”

25mm napoleonic prussian - line 24 figures - inf (31543)

By Olivier Lucar
October 16, 2018

Citadel Man O War Bretonnian CorsairsForgeworld Warhammer Legion Anvillus Dreadclaw Drop Pod 40k 30k Horus HeresyGames Workshop Warhammer Blood Bowl The Gouged Eye Orc Team PaintedKnow No Fear A Warhammer 40k Starter Set GWS 40-03-60 NIBOrk Orc 40k Wargames Terrain Scenery Ork Building 225mm napoleonic prussian - musketeers 32 figs metal painted - inf (7715)

25mm napoleonic saxon - infantry 18 figs painted metal - inf (7217)

By Connor Emdin
September 26, 2018

Stormcast Retributors - - Warhammer F52Warhammer 40,000 Kill Team Sector Imperialis Basilicanum GW 64-48 NIBWarhammer 40,000 Tau Empire TY7 Devilfish GW (56-10) NIBWarhammer 40k terrain,scenery aegis defence line on a raised plateau Continue reading “Use of Guideline-Recommended Medical Therapy in Patients with Heart Failure”

Restrictive versus Liberal Fluid Therapy in Abdominal Surgery

By Connor Emdin
August 28, 2018

Warhammer Age of Sigmar Squig Hoppers Pro Painted made to orderWarhammer AOS 1 of a Kind chaos bloodbound ogres PRO-PAINTEDWarmaster Empire Lot Knights x2, Skirmishers, Cannon - Games Workshop 4 Blisters1988 Human Bloodbowl 2nd Edition Star Player Gregor Meissen Citadel Team NAF GW Continue reading “Restrictive versus Liberal Fluid Therapy in Abdominal Surgery”

Epinephrine in Out-Of-Hospital Cardiac Arrest: Increased Survival but at What Cost?

By Martina McGrath, MD
August 8, 2018

It is estimated that 1 in every 7.5 people in the US will die of sudden cardiac death.25mm roman era numidian - cavalry 12 cavalry - cav (17652) Survival following out-of-hospital cardiac arrest has increased in recent years, from 10.2% in 2006, to 12.4% in 2015.1 However, only 9% of those surviving to hospital discharge were classified as having good functional status. Therefore, significant long-term neurologic impairment is a common outcome of cardiac arrest. Continue reading “Epinephrine in Out-Of-Hospital Cardiac Arrest: Increased Survival but at What Cost?”

Cervical Cancer Screening Using HPV Testing Alone: Are We There Yet?

25mm roman legionaries 18 figures (10720)

By Martina McGrath, MD
July 18, 2018

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- confederate ACW 25mm american (12453) inf - figures 12 infantry war civil 3cf40azct32785-Toys & Games

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Item specifics

Type: Historical Paint Options: Painted
Miniatures / Books / Other: Miniatures
25mm ACW   confederate - american civil war infantry 12 figures - inf (12453)

Dulaglutide in Type 2 Diabetes: Do GLP-1 agonists delay progression of diabetic nephropathy?

28MM Claymore HYW Foot Soldier Painted SAGA Lion Rampart Frostgrave

By Connor Emdin
June 27, 2018

1997 Epic Imperial Guard Deathstrike Missile Launcher Citadel 6mm 40K WarhammerGames Workshop Epic 40k Ork Orks Bonebreaka Bonebreakas Bonebreaker Tanks32 Uruk Hai Plastic Lord Of The Rings LOTR WarhammerGames Workshop Lord Of The Rings Army Of The Dead (x40) 28mm five Street Violence metal figures Foundry Miniatures well painted & based

Procalcitonin-Guided Antibiotic Therapy in Lower Respiratory Tract Infection: Is It Safe?

28mm SAGA Irish Cheiften ProPainted

By Martina McGrath, MD
June 5, 2018

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65mm napoleonic american - john jenkins 1812 1 figure - cav (25261)

LORD OF THE RINGS STRATEGY BATTLE GAME RULEBOOK BUNDLE GAMES WORKSHOP LEGIONS

By Lea Borgi, MD
May 16, 2018

Lotr warhammer Ring Wraith - The Tainted Foot& MountedMiddle-Earth Strategy Battle Game Armies Of The Hobbit - Eng Games Workshop NewThe Heirs Of Erebor Blister Forge World Warhammer World UK ONLY Exclusive Continue reading “Does Menu Labeling Lead to Healthier Food Choices?”