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In this prospective study carried out in a 13-bed French medical ICU, Thille and associates sought to determine the clinical characteristics and outcomes of patients who experienced extubation failure the requirement for reintubation within 72 hours of either planned or unplanned extubation.
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In Part 1 of this two-part series on Pregnancy and Critical Care Medicine (see Critical Care Alert, March 2011, p. 89-93), we reviewed the normal physiologic changes that occur during pregnancy, examining changes occurring across multiple organ systems that affect our management of these patients as well as the ability of the pregnant woman to respond to various forms of stress, such as acute hemorrhage.
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In this issue: Apixaban could soon join the anticoagulation market; Chinese herbs for flu; chronic medication and discontinuation after hospitalization; and FDA actions.
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The flu vaccine is very effective for older children and adults, aged 10 to 49 years, but may be less effective than believed for the population overall, according to two recent studies.
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Companies looking to cut costs may take one look at an occupational health program that isn't getting results and decide to cut their losses. Before things get to that point, get some feedback from employees about the program.
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Hospitals geared up for their annual influenza immunization campaigns this fall with a greater emphasis on mandatory policies to achieve the highest possible coverage of employees. An advisory from the American Hospital Association gave a push toward mandatory vaccination of health care workers.
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More and more hospitals are adopting a policy that mandates influenza immunization for their employees with patient safety as the primary rationale. But some ethical questions linger:
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In 2007, Omaha, NE-based Union Pacific conducted a retrospective analysis to examine the relationship between employees' health status and injury occurrences. Data were matched for employees in various departments who completed a voluntary health risk appraisal and experienced an injury during a defined period of time.