Michael Felker.

McNulty, M.S., Eric J. Velazquez, M.D., Jenny C. Ibarra, R.N., M.S.N., Alice M. Mascette, M.D., and Eugene Braunwald, M.D. For the Heart Failure Clinical Research Network: Ultrafiltration in Decompensated Center Failure with Cardiorenal Syndrome The acute cardiorenal syndrome is thought as worsening renal function in patients with acute decompensated heart failure.1 It takes place in 25 to 33 percent of individuals with acute decompensated heart failure and is associated with poor outcomes.1,2 Multiple processes contribute to the development of the acute cardiorenal syndrome, including extrarenal hemodynamic shifts, neurohormonal activation, intrarenal microvascular and cellular dysregulation, and oxidative stress.1 In some cases, intravenous diuretics, which are administered in patients with acute decompensated heart failure often, 3 may contribute to worsening renal function directly.1,4,5 The use of diuretics to treat persistent congestion after the onset of worsening renal function may lead to further kidney injury.The Associated Press/Washington Post: Still All Smiles: New Covered Who Became Latest Faces Of Health Overhaul Defend Their Choice It didn't take miss the friendly-looking young girl whose encounter was splashed across HealthCare.gov to spiral from smiling stock photo to laughingstock. Since it scrambles to correct problems with the site, the National government is now asking people who have effectively purchased medical health insurance to let their pictures be used instead . Related StoriesCancer medical diagnosis improvements in England: an interview with Lucy Elliss-BrookesRE.