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Protect your adventures for as little as just $125/year** $94.40 Female physicians continue to face myriad challenges in medicine ranging from implicit bias to gaps in payment and promotion to sexual harassment. It is accordingly not surprising (although still appalling) that although equal numbers of males and females currently graduate from medical school, only a small fraction of female physicians become medical leaders. The numbers point to a clear need for better representation of female physicians among the ranks of medical leadership. How exactly to achieve this given the many barriers cited has been harder to identify. Yet bright spots have emerged, both in healthcare and in other industries asking themselves a similar question. Four moves may help: quantification, rethinking awards and promotions, engaging broadly, and creating opportunities for development and sponsorship. 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A narrative review was conducted to assess the role of mid-regional pro-adrenomedullin (MR-proADM) as a biomarker for sepsis and septic shock. Relevant studies were collected via an electronic PubMed, Web of Science, and The Cochrane Library search. The review focused on both diagnosis and prognosis in patients with sepsis and septic shock and specifically in subpopulations of patients with sepsis and septic shock with burns or malignant tumors. No exclusion criteria regarding age, sex, intensive care unit admission, follow-up duration, or co morbidities were used so as to maximize sensitivity and due to lack of randomized controlled trials, opinion paper and reviews were also included in this review. A total of 22 studies, one opinion paper, and one review paper were investigated. MR-proADM levels were found to be useful in assessing patients’ initial evolution and become even more useful during follow-up with increased area under curve values in the mortality prognosis by exceeding values of 0.8 in the data shown in several studies. These results also improve along with other biomarkers or severity scores and especially correlate with the organ failure degree. The results of this study indicate that MR-proADM is a good biomarker for the diagnosis and prognosis of sepsis and septic shock patients as well as for organ failure. Although several publications have discussed its role as a biomarker for pneumonia, its value as a biomarker for sepsis and septic shock should now be assessed in randomized controlled trials and more collaborative prospective studies with larger patient samples. Full article Support Groups 8. 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When evaluating offers, please review the financial institution’s Terms and Conditions. Pre-qualified offers are not binding. If you find discrepancies with your credit score or information from your credit report, please contact TransUnion® directly. A tip: The cheapest dental plans don’t offer much value, but don’t just go with an expensive plan -- do some careful research. “If you know you’re going to be spending some time in the dentist’s chair soon -- and especially if you require an expensive dental procedure immediately -- the right discount plan could save you hundreds of dollars,” PolicyGenius writes. search Annual program participation is $33. Special activities, events and conferences may cost more and would be determined by the local Explorer post or club. Individual programs may request an additional program fee and would be determined by the local Explorer post or club. 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