Arch Intern Med
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Although studies have revealed conflicting attitudes within the medical community regarding assisted death practices in the United States, the views of current resident physicians have not been described. ⋯ This study explores the uncertainty and differing views of residents from 3 fields about physician-assisted suicide practices. Study findings are considered within the larger literature on clinician attitudes toward assisted suicide and euthanasia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy of nefopam for the prevention and treatment of amphotericin B-induced shivering.
Shivering is experienced by up to 70% of patients undergoing amphotericin B therapy. Treatment with meperidine hydrochloride, currently the most widely used medication for controlling amphotericin B-induced shivering, was compared with nefopam hydrochloride, which has been successfully used to treat post-operative shivering. ⋯ Nefopam seems to be more effective than meperidine in preventing and quickly suppressing amphotericin B-induced shivering.
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There is controversy regarding the role of alcoholism as a prognostic factor in hospitalized patients with pneumonia. ⋯ Having an alcohol-related diagnosis is associated with more use of intensive care, longer inpatient stays, and higher hospital charges. To understand resource utilization in cases of pneumonia, alcohol abuse is a comorbid factor that must be considered.