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Waste of time, seems also that the film is releasing on Vudu and Amazon as well this week.Radiocontrast media and risk of acute kidney injury in hospitalized patients receiving coronary angiography: a nationwide cohort study.
To determine the risk of acute kidney injury (AKI) and contrast-induced nephropathy (CIN) among patients receiving coronary angiography in the present era of suboptimal use of radiocontrast media. Using the National Health Insurance Research Database of Taiwan, a retrospective cohort study design was applied to determine the association of iodinated radiocontrast media use with AKI and CIN risk in hospitalized patients undergoing coronary angiography between 2001 and 2010 (n = 55978). The cumulative dose of radiocontrast media was calculated as the sum of all exposure days. The association of cumulative radiocontrast media dose with AKI and CIN was determined using univariate and multivariate analyses after adjustment for important confounders and propensity score. In the study cohort, the incidences of AKI and CIN were 3.6% and 1.3%, respectively. The multivariate logistic regression analysis indicated that receiving the greatest cumulative dose of radiocontrast media was significantly associated with the risk of AKI (odds ratio [OR] = 4.02, 95% confidence interval [CI]: 3.52-4.60) and CIN (OR = 1.95, 95% CI: 1.65-2.31) independently after adjustment for important confounders and propensity score. Subgroup analysis indicated that CIN risk was higher among patients receiving radiocontrast media with iso-osmolarities of ≤ 731 mOsm/L (OR = 2.82, 95% CI: 1.82-4.38). In the present era of suboptimal use of radiocontrast media, the cumulative dose of radiocontrast media has a substantial independent and dose-dependent association with an increased risk of AKI and CIN.About half of residents in an area struck by a massive wildfire are refusing to receive evacuations orders, citing concerns about leaving their homes or feeling well enough to leave, authorities said Thursday.

Forty of the nearly 100 residents from the Fort McMurray area reached by phone did not want to leave, said Shari Zekauskas, a spokeswoman for Alberta’s Regional Emergency Operations Centre.

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