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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Latest proposed cut—2.8%—shows need for Medicare pay reform

Author: Kevin B. O’Reilly, AMA Senior News Editor AMA Health Care Pulse Report What’s the news: Physicians are facing a 2.8% cut in pay under the proposed 2025 Medicare physician payment schedule published yesterday. The proposal from the Centers for Medicare & Medicaid Services (CMS) reinforces the clear need for systemic changes and follows a […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Serial Assessment of Hemodynamic and Cerebrovascular Changes After Administration of Mannitol in Postoperative Neurosurgical Patients in the Intensive Care Unit

Authors: Madhusudan S, Vimala S, S M, et al. Cureus 16(7): e64448. doi:10.7759/cureus.64448 Abstract Introduction: Mannitol is widely used in neurosurgical units to mitigate raised intracranial pressure and cerebral edema, crucial in postoperative management. Its hyperosmolar properties reduce brain extracellular fluid, thereby altering cerebral perfusion and cardiac dynamics. However, the temporal and combined effects of […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Dyspnea Due to Laryngeal Cicatricial Pemphigoid: A Case Report

 Authors: Pazardzhikliev D, Konsulov S, Milkov D, et al. Cureus 16(7): e64495. doi:10.7759/cureus.64495 Abstract Cicatricial pemphigoid (CP) is a rare, chronic, vesiculobullous disease characteristically affecting the mucous membranes and healing with cicatrization. Laryngeal involvement is rare and leads to airway stenosis. We present a 74-year-old Caucasian woman with CP, affecting the oral cavity, esophagus, lower […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Comparison Between Early and Late Tracheostomy in ICU Patients Including COVID-19 and Non-COVID-19 Patients

Authors: Al Balushi Y, Burad J Cureus 16(7): e64481. doi:10.7759/cureus.64481 Background Tracheostomy is a common intervention for intensive care unit (ICU) patients for various reasons. The superiority of early versus late tracheostomy is still unfounded for non-COVID-19 cases. The COVID-19 pandemic complicated the matter, as little literature was available on the ideal timing of tracheostomy […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Dexamethasone for Cardiac Surgery

Autors: Paul S. Myles, M.B.,B.S., M.P.H., M.D., D.Sc., F.C.A.I., F.A.N.Z.C.A., F.A.H.M.S. et al Anesthesiology June 2024. Background High-dose corticosteroids have been used to attenuate the inflammatory response to cardiac surgery and cardiopulmonary bypass, but patient outcome benefits remain unclear. Our primary aim was to determine whether using dexamethasone was superior to not using dexamethasone to […]

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