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In a retrospective analysis, medical ICU patients requiring mechanical ventilation for 2 days or more had lower ICU and hospital mortality (but more ventilator-associated pneumonia) if they were begun on enteral feeding during that time than if they were not.
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A prospective randomized trial carried out over a 6-year period of time enrolled 180 patients with ARDS of at least 7 days duration, and randomized them to receive either methylprednisolone or placebo. There was no significant difference noted in mortality at 60 days, though there was some improvement in ventilator-free and shock-free days during the first 28 days in patients treated with steroids. Steroids were also associated with an increased risk of death if started more than 2 weeks after the onset of ARDS.
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Methicillin-resistant Staphylococcus aureus (MRSA) in the community was the cause of the majority of skin and soft tissue infections, and was predominantly of one strain different from MRSA of hospital origin.
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Infants with an apparent life-threatening event (ALTE) present for medical attention because an acute and unexpected change in behavior has alarmed the caregivers.
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Annually, more than 16 million people suffer some form of hand injury with more than 4.8 million seen in emergency departments (EDs).
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Cleansing patients with chlorhexidine-saturated cloths reduced VRE contamination of patients' skin, the environment, and health care workers' hands, and also decreased VRE acquisition.
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A return to full normal activities, including work at 2 weeks, after AMI appears to be safe in patients who are stratified to a low-risk group. This should have significant medical and socioeconomic implications.