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Hidden Giant: Medium Vessel Vasculitis as a Cause for Unresolving Fever

The purpose of this article is to determine if conversion from eating wild game harvested with lead-based ammunition to nonlead-based ammunition results in lower blood lead levels. Supersonic injection of toxin-leeching frangible projectiles into food is intuitively bad. As much as 95% of the ~13.7 million hunters in the United States choose shrapnel-inducing lead bullets […]

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Increased Vulnerability to Poorer Cancer-Specific Outcomes Following Recent Divorce

Prior studies have only considered the association between static marital status and cancer-specific outcomes. We aim to measure the effect of recent divorce on cancer-specific outcomes. Methods There were 83,804 patients with 2 malignancies, diagnosed 12 to 60 months apart, from 1973-2006 from the Surveillance, Epidemiology, and End Results database. Patients were identified as newly […]

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elder woman sick in bed with husband looking on

Death and Dignity: Exploring Physicians’ Responsibilities After a Patient’s Death

Literature focused on care at the end of life is flourishing. The scope of this work has been broad, including how to best communicate bad news1, 2 or discuss patient wishes at the end of life,3, 4 as well as detailing where patients are dying and how it impacts their care5 and the value of palliative and hospice care during […]

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Incidence, Frequency, and Clinical Characteristics of Type 3 Myocardial Infarction in Clinical Practice

Cardiac death in a patient with symptoms and electrocardiographic changes indicative of myocardial ischemia but without available measurements of cardiac biomarkers is designated a type 3 myocardial infarction. We wanted to investigate the incidence, the frequency, and the characteristics of patients diagnosed as type 3 myocardial infarction. Methods The occurrence of deaths in a well-defined […]

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Glock

How Physicians Can Reduce Suicide—Without Changing Anyone’s Mental Health

Suicide is the leading cause of injury death in the US, and its rate has increased in recent years. On an average day, over 115 Americans take their lives. A typical physician’s patient is more likely to die from suicide than from motor vehicle crashes, falls, unintentional overdose, or homicide. Most people who die by suicide […]

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