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Patients with burn injuries are at high risk for major infections, given their impaired humoral and cellular immunity. Moreover, this patient population displays numerous physiologic alterations affecting organ function and drug metabolism.
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The yearly update of recommendations for prevention and control of influenza is available. There have been only few changes from last year. The following focuses on areas of particular interest, including those which seem to generate the most questions. Changes for this year are indicated by their italicization.
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Access to Palliative Care in Critical Care Settings: A Call to Action
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The National Hospice & Palliative Care Organization (NHPCO) has issued a "call to action" and position statement outlining that organizations expectation that palliative care will become available to all patients in critical care settings.
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From a bioethical perspective, payments to research participants are complicated, an expert says.
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Considering the question of whether there are new challenges, new laws, or new ways of looking at ethical decisions for institutional review boards, one major organization chair responsible for IRBs, responds: "I think its kind of ratcheted up over the years, thats for sure."
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The National Surgical Quality Improvement Program (NSQIP) began in 1994 in response to concern over the quality of care, specifically operative mortality rates, in VA hospitals. Since then it has expanded to all hospital settings and come under the auspices of the American College of Surgeons (ACS).