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The prevailing theory of clostridium difficile transmission is that most cases occur after recent exposure to symptomatic patients in health care settings. Infected patients are known to shed large numbers of C. difficile spores and current infection control recommendations focus on preventing spore transmission from the environment through contact precautions and decontamination of surfaces and equipment. However, the rate of C. difficile infection (CDI) continues to increase, bringing into question the effectiveness of these methods.
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Periictal headaches are frequent, severe, and undertreated, and can be predicted by younger age at epilepsy onset, drug polytherapy, and tonic-clonic generalized seizures.
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Obesity in the United States is an epidemic affecting approximately 72 million Americans. Individuals with body mass index (BMI) > 30 kg/m2 have nearly a 100% increased risk of premature death as well as increased risk of developing more than 40 obesity-related diseases. With the recent recognition by the American Medical Association that obesity is a disease, it is incumbent upon primary care physicians to address our obese patients in a disease-model.
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Nurse practitioners (NP) have been involved in the care of critically ill patients since the late 1980s. Today, multiple universities and colleges offer NP preparation with specialization in a variety of areas.
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Utilization of continuous EEG monitoring in mechanically ventilated patients in the ICU was associated with a reduction in hospital mortality without sigificantly affecting hospital costs or length of stay.
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This study provides clinicians with valuable guidance on a technique by which insulin therapy may be intitiated and intensified using a safe, timely, and rational therapeutic approach.
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The American College of Cardiology and the American Heart Association released new guidelines for preventing heart disease and stroke. Dr. Crawford provides expert opinion and commentary on why these new guidelines are so important.