Connecticut medicine
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Connecticut medicine · Jan 2003
Case ReportsUse of activated protein C (drotrecogin alfa) in a patient with sepsis and respiratory failure on ultra high frequency jet ventilation.
Drotreocogin alfa is a recombinant form of human activated protein C that has recently been found to reduce mortality significantly when used in patients with severe sepsis. Bleeding is reported to be the most common adverse effect associated with the use of this drug. Patients with sepsis on Ultra High Frequency Jet Ventilator may develop necrotizing tracheobronchitis and may be at an increased risk of bleeding when treated with drotreocogin alfa. We describe a patient with sepsis and respiratory failure on Ultra High Frequency Jet Ventilator, who was started on drotrecogin alfa, without the development of any significant bleeding.
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To present opinions of recently bereaved persons regarding how they could have been made to feel more prepared for the death of a loved one. ⋯ Findings from this study can be used to enhance understanding of bereaved persons' views about health professionals' current practices for bereaved individuals, as well as the role of the family and the bereaved persons themselves in potentially effecting preparedness for the death of a loved one.
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Chronic kidney disease (CKD) is a growing health problem in the United States. Recognition of this chronic condition is crucial to facilitate the employment of measures that can slow progression to end-stage renal disease and reduce associated disease states. Furthermore, a system to classify stages of CKD is worthwhile to permit a logical approach to therapy in these patients. We herein review and summarize clinical practice guidelines put forward by the National Kidney Foundation Working Group to aid physicians in the diagnosis and management of CKD.
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Connecticut medicine · Oct 2002
Should disagreement about physician-assisted suicide discourage professional societies from engaging in public debate? A survey of 677 Connecticut internists.
To determine whether physicians within a state-level professional association who disagree about the ethics of physician-assisted suicide (PAS) also disagree about organized professional engagement in public discussions regarding PAS. ⋯ Internists in this state-level organization widely supported organized participation in public discussions regarding PAS despite disagreements about its legalization, and support for organized participation was not affected by differences in religious affiliation nor substantially attenuated by differences in attitudes toward PAS.