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Death or Debt? National Estimates of Financial Toxicity in Persons with Newly-Diagnosed Cancer

The purpose of this study was to evaluate the impact of cancer upon a patient’s net worth and debt in the US. Methods This longitudinal study used the Health and Retirement Study from 1998–2014. Persons ≥50 years with newly-diagnosed malignancies were included, excluding minor skin cancers. Multivariable generalized linear models assessed changes in net worth […]

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Twenty Children, Six Teachers, Two Sets of Eyes, a Dog, and a Transformation

Twenty children, six teachers, two sets of eyes, and a dog were a terribly tragic catalyst for my metamorphosis as a physician and person. Let me explain. Until the cataclysmic event, I was an academic physician at an Ivy League institution who worshipped at the altar of evidence-based medicine and thought housestaff and students should […]

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Significant interstate variability exists in liver disease-related mortality. States' color and height represent liver disease mortality.

Geographic Variability in Liver Disease-Related Mortality Rates in the United States

Liver disease is an important cause of morbidity and mortality in the United States. Geographic variations in the burden of chronic liver disease may have significant impact on public health policies but have not been explored at the national level. The objective of this study is to examine interstate variability in liver disease mortality in […]

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Diabetes Mellitus and Cardiogenic Shock Complicating Acute Myocardial Infarction

Diabetes mellitus (diabetes) increases the risk of acute myocardial infarction, which can result in cardiogenic shock. Data on the relation of diabetes and the occurrence and prognosis of cardiogenic shock postacute myocardial infarction are scant. Methods Among the National Inpatient Sample patients aged ≥18 years and hospitalized for acute myocardial infarction during the 2012-2014 period, […]

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Myocardial Infarction

J. Heuser
19. June 2006

Clinical Features and Prognosis of Type 2 Myocardial Infarction in Acutely Decompensated Diabetic Patients (video)

After the introduction of the universal definition of myocardial infarction, the incidence and diagnosis of type 2 myocardial infarction have risen dramatically, yet there are no clear guidelines on clinical management. Diabetic patients are at high risk for developing type 2 myocardial infarction when admitted in a decompensated state, and they are also at high […]

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Samples of meat from the patient's freezer were analyzed by x-ray study to determine the presence of metal fragments. Two packages of ground deer meat (UL and UR) and one package of ground goat (LL) revealed a number of large metal fragments (black arrows) throughout the meat (Panel A). Each package of meat was approximately 1 kg. Upon further examination at higher resolution it became clear that there were smaller metal fragments throughout the samples (orange arrows). When selecting bullets, hunters have a choice of materials. Three of the common options are lead bullets, lead-core copper-jacketed bullets, or lead-free bullets (Panel B). All bullets shown are 165-grain, 30-caliber rifle bullets. Importantly, hunters may confuse the copper-jacketed lead bullets with bullets that are lead free, as they have a copper jacket covering most of the lead core.

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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