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Sexually transmitted diseases (STDs) are frequently encountered in clinical medicine. According to the Centers for Disease Control, approximately 2.8 million infections with Chlamydia trachomatis and 700,000 infections with Neisseria gonorrhea occur annually in the United States.
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The ED is a common setting for the initial evaluation of emotional and behavioral disorders, including suicidal behavior or attempts. In the United States, approximately 2 million adolescents attempt suicide each year. As the number of visits by adolescents to the ED rises and the availability of outpatient mental health services diminishes, the ED physician must be not only able to stabilize the patient medically, but also should be comfortable with differentiating organic from psychiatric disease, performing a targeted psychosocial interview, initiating treatment, and arranging for disposition.
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Knowledge of pediatric-specific antimicrobial susceptibility data improves prescribing selections of empiric antibiotic treatment. Providers should advocate for availability of pediatric-specific antimicrobial susceptibility data wherever practical.
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Current guidelines recommend cardiac rehabilitation using moderate exercise programs for most ischemic heart disease (IHD) patients. Also, studies have shown that the intensity of exercise is directly related to the cardioprotective effects. However, there is concern that high-intensity exercise may be dangerous in IHD patients.
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This systematic review and meta-analysis finds that the implementation of multidisciplinary tracheostomy teams leads to significant improvements in time to decannulation and in speaking valve use but not in ICU or hospital length of stay. The quality of the evidence was low.
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An investigation initiated after a clinician reported to the Tennessee Department of Health on Sept. 18, 2012, the case of a patient who developed meningitis due to Aspergillus fumigatus after having received an epidural corticosteroid injection at an ambulatory surgical center quickly identified a number of other suspect cases.1
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In a nursing home-eligible population with a mean age of 80, those with a HbA1c between 8% and 8.9% had less functional decline than those with a HbA1c of 7% to 7.9%.
