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West Nile Virus (WNV) infection is a growing epidemic that impacts more persons and more aspects of our health care system yearly. A significant percentage of affected patients require admission to and care in an intensive care unit (ICU).
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Borges and colleagues in Sao Palo, Brazil, studied 26 patients with acute lung injury or the acute respiratory distress syndrome (ARDS) to determine whether atelectatic lung areas could be fully recruited and oxygenation improved using a protocol employing progressively higher levels of positive end-expiratory pressure (PEEP).
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This study reports findings from a sample of 393 nurses who completed a daily log book for 28 days by recording information about work hours, sleep/wake patterns, perceptions of fatigue and stress, and errors or near errors during work shifts.
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Segers and colleagues of the University of Amsterdam conducted this randomized, double-blind clinical trial at a 480-bed community hospital that performs 1200 cardiac surgical procedures annually.
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In this analysis of an administrative dataset, Combes and colleagues wanted to find out the effect of source of admission, especially for patients whose initial care was provided at another hospital, on the outcome.
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This review from a group of investigators with extensive experience in the management of fever in neutropenic patients provides a concise update on recent trends in the etiologies and outcomes of this condition, and discusses methods for risk stratification based on the most recent multicenter studies.