The American journal of medicine
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Comment Letter Case Reports
Iron overload due to X-linked sideroblastic anemia in an African American man.
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Editorial Comment
Health care lobbying: time to make patients the special interest.
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Comparative Study
Diagnostic value of B-Type natriuretic peptide and chest radiographic findings in patients with acute dyspnea.
To compare chest radiographic findings and circulating B-type natriuretic peptide (BNP) levels as an adjunct to clinical findings in the diagnosis of heart failure in patients presenting with acute dyspnea. ⋯ In patients presenting to the emergency department with acute dyspnea, BNP levels and chest radiographs provide complementary diagnostic information that may be useful in the early evaluation of heart failure.
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Randomized Controlled Trial Multicenter Study Clinical Trial
A controlled trial of including symptom data in computer-based care suggestions for managing patients with chronic heart failure.
Heart failure is common and associated with considerable morbidity and cost, yet physician adherence to treatment guidelines is suboptimal. We conducted a randomized controlled study to determine if adding symptom information to evidence-based, computer-generated care suggestions would affect treatment decisions among primary care physicians caring for outpatients with heart failure at two Veterans Affairs medical centers. ⋯ Adding symptom information to computer-generated care suggestions for patients with heart failure did not affect physician treatment decisions or improve patient outcomes.