Articles Tagged With:
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Long-Term Outcome in Patients with Intracerebral and Intraventricular Hemorrhage
Intracerebral hemorrhage continues to be a major cause of mortality and long-term disability. Early in the course of this severe disease prognosis is based on early characteristics, and care may be withdrawn at an early stage. The natural history and long-term recovery of survivors is uncertain because of withdrawal of care at an early time, resulting in a “self-fulfilling prophecy.”
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Should Endovascular Thrombectomy Be Performed With or Without Intravenous Alteplase?
With the widespread adoption of endovascular thrombectomy for the treatment of acute ischemic stroke caused by large vessel occlusion, a debate has raged about the role of intravenous thrombolysis. None of the clinical trials published to date have given us a clear evidence-based answer regarding the relative risks and benefits of this approach.
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A Guide to Change: Modifying Unhealthy Behaviors in Patients
Motivational interviewing is an evidence-based, empathic approach to the patient interview incorporating techniques that encourage patients to self-reflect and voice reasons for change, while recognizing underlying ambivalence. This article presents approaches recommended for use in a primary care office when the clinical interview indicates a need for behavioral change.
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Updates on Syncope
Syncope is a common ED chief complaint that often results in over-ordering of tests and unnecessary admission to the hospital, with significant economic impact. The main focus of the emergency medicine physician is to risk stratify the patient based on the history and physical exam.
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Nurses at Rural Facilities Explain Barriers to End-of-Life Care
Family members often disagree with one another and misunderstand the meaning of “lifesaving measures.”
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Drug-Resistant Pathogens Surging in Hospitals
Already classified as a high priority, “urgent” threat in 2019, Candida auris infections increased 60% in 2020 as the chaos of the pandemic derailed infection prevention and antimicrobial stewardship efforts, the Centers for Disease Control and Prevention reports.
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Lessons Learned, Initiatives to Support
Conceding that the pandemic has undone much of the nation’s progress on preventing the rise of antimicrobial resistance, especially in hospitals, the Centers for Disease Control and Prevention urged support and funding for key initiatives.
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CDC Struggles to Regain Public Health Footing
Once widely considered the greatest public health institution in the world, the Centers for Disease Control and Prevention has admitted it mishandled the COVID-19 pandemic response and has begun an ambitious rebuild.
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Mortality Projections Spur CDC Booster Approval
Clinicians and public health epidemiologists are loath to make bold moves with a dearth of data, but one dire projection recently swayed clearly uncomfortable members of the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.
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Fear of a Polio Outbreak Brewing in New York
The Centers for Disease Control and Prevention is investigating a case of paralytic polio in an unvaccinated, immune-competent young patient who presented to an emergency room in Rockland County, NY, with lower limb weakness and fever.