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Think You Don’t Smell?
Although showering with hot water and harsh soap daily may not be optimal, studies have shown that regular bathing with good soap and water reduces the risk of infection in individuals colonized with Staphylococcus aureus.
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2019 Community-Acquired Pneumonia in Adults Guideline: Not Much New Under the Sun
One can quibble over a number of the guideline recommendations, but they provide a valuable touchstone for clinical management of patients with community-acquired pneumonia, despite the fact that so many of the recommendations are based on low- or very low-quality evidence.
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Mortality and Vitamin D Supplementation: A Meta-Analysis
Researchers determined that when compared with placebo or no treatment, vitamin D supplementation alone was not associated with an increase in overall all-cause mortality, although there were some nuances based on vitamin D form and type of mortality.
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Iron Absorption in Iron Deficiency Anemia With Alternate-Day Dosing
In a cohort of 19 women with iron deficiency anemia, alternate-day doses of iron led to 40-50% more iron absorption compared to consecutive-day doses.
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Flu Vaccine May Help Heart Bypass Patients Heal Faster
Researchers found receiving the shot before surgery could reduce inflammation.
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Federal Court Vacates HHS ‘Conscience Rule’
Rule could have allowed healthcare workers to refuse to participate in or administer certain procedures on religious or moral grounds.
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Diagnosis and Management of Infants With Critical Congenital Heart Disease in the Emergency Department
Critical congenital heart disease (CCHD) is a significant cause of morbidity and mortality in children. When children with undiagnosed congenital heart disease (CHD) present acutely, the challenge of diagnosis and the importance of timely management can be daunting for any physician in an emergency setting. The children with the highest morbidity and mortality from critical congenital heart disease are infants younger than 1 year of age.
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Nurse Suicides Finally Coming to Light
Overcoming the historic dearth of data on a critical issue, the authors of a new study reported that nurses are at higher risk of suicide than the general population. Researchers reported that female nurse suicide rates in the United States were significantly higher than for women in general, with a rate of 11.9 per 100,000 nurses, compared to 7.5 suicides per 100,000 women in the population. Male nurse suicides are even higher, with a rate of 39.8 per 100,000, compared to 28.2 per 100,000 men in general.
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Hospital Improves Acute Care for Elders With Dedicated Unit
A Massachusetts-based health system is reporting positive results from an initiative designed to improve care for geriatric patients and increase the use of advance care planning. Baystate Health’s Acute Care for Elders model of care is a designated unit that includes staff trained on mobility, rationalizing, medication, early discharge planning, and early recognition and treatment of dementia.
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Health System’s Risk Analytics Find Patients in Most Need
Artificial intelligence and case management can help patients stay out of the hospital. An inpatient rehabilitation hospital system uses risk stratification data from electronic health records to identify patients with declining health who might need to be sent to an acute care hospital.