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Patients with diabetes are much more likely to die after an acute myocardial infarction than patients without diabetes

Diabetes Increases Mortality Risk After Acute Myocardial Infarction

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Study points to need for better coordinated care, more effective use of medications
Mortality is increased for patients with non-ST-segment elevation myocardial infarction who do not undergo coronary revascularization

Mortality Up With No Revascularization in STEMI

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Risk associated with no revascularization consistent in subgroup analysis, including older age
Recommendations have been developed for the prevention and repair of obstetric lacerations during vaginal delivery. The new Practice Bulletin was published in the July issue of Obstetrics & Gynecology.

Recommendations Developed for Managing Obstetric Lacerations

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Application of warm compresses to perineum during pushing, reduction in episiotomy recommended
In patients with early breast cancer

Candesartan Doesn’t Prevent Trastuzumab Cardiotoxicity

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Cumulative incidence of cardiac events not significantly different with candesartan, placebo
There is variation in the number of emergency department visits and expected source of payment for visits in the five most populous states (California

Variation in ER Visit Use for the Five Most Populous States

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And, differences between states in expected source of payment for emergency department visits
A diet inclusive of foods rich in fiber may fuel more successful aging

High-Fiber Diet May Promote Healthy, Disease-Free Aging

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Top fiber consumers were 79 percent more likely to remain fully functional and disease-free
For black Americans with diabetes

Diabetes Plus Kidney Disease Raises CVD Risk in Blacks

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Odds of cardiovascular mortality 14.8 percent higher in black Americans with both conditions
For women undergoing abdominal hysterectomy

Superior Hypogastric Plexus Block Beneficial After Hysterectomy

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Ropivacaine linked to reduced postoperative opioid consumption, pain versus placebo
Primary HIV+ kidney transplant recipients who lose their graft and seek retransplantation have an increased risk of death and graft loss

Adverse Outcomes Up With Kidney Retransplant in HIV+

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HIV+ retransplant recipients have increased risk of death and graft loss versus HIV− re-KT patients
Total body photography is associated with a reduction in nevus biopsies

Decrease in Nevus Biopsies With Total Body Photography

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Decreased age, male gender, family history of melanoma linked to biopsy rate after TBP