Hematology/Oncology
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Aspirin for the Prevention of Recurrent Venous Thromboembolism
This article originally appeared in the November 29, 2014, issue of Internal Medicine Alert. It was edited by Stephen A. Brunton, MD, and peer reviewed by Gerald Roberts, MD. Dr. Brunton is Adjunct Clinical Professor, University of North Carolina, Chapel Hill, and Dr. Roberts is Senior Attending Physician, Long Island Jewish Medical Center, NS/LIJ Health Care System, New Hyde Park, NY. -
Updates and Future Direction on Medical Uses for Probiotics
The probiotic movement is rapidly growing and, although to date no probiotics have been approved by the FDA, they are actively marketed to the public as either foods or dietary supplements. It behooves the primary care physician to be familiar with the science, indications, and appropriate usage of probiotic therapies. -
Nurse Practitioners and Physician Assistants in the ICU
Using retrospective cohort data from a national survey of medical and mixed medical-surgical ICUs, this study found that nurse practitioner (NP)/physician assistant (PA) staffing was common and not associated with any differences in in-hospital mortality compared to ICUs without NP/PAs. -
Dehydration Is a Poor Prognostic Sign in Acute Ischemic Stroke Patients
Dehydration is an independent predictor of discharge outcome and admission cost in acute ischaemic stroke. -
Unplanned Extubations as a Quality-of-Care Issue
Reintubation following unplanned extubation in critically ill post-operative patients is associated with increased hospital mortality. -
After-Hours ICU Discharge: A Potentially Modifiable Cause of Increased Hospital Mortality
Examination of outcomes in 710,535 patients in relation to the timing of ICU discharge showed that being moved out to the ward between 1800 and 0600 hours was associated with increased risks of both in-hospital death and unplanned ICU readmission. -
Ebola Virus Disease and the ICU Clinician
As hospitals in the United States and other resource-intensive countries prepare for the care of patients with possible Ebola virus disease, the greatest impact on its clinical outcome and further spread will most likely come from the application of existing basic critical-care and infection-control principles. -
The New Guidelines Put C. difficile on the Run
SYNOPSIS: Patients have decreased disease recurrence and mortality when physicians follow the IDSA/Society for Healthcare Epidemiology of America guidelines for the treatment of C difficile infection.
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Nasal High-Flow Oxygen Lowers Reintubation Rate
SYNOPSIS: Use of nasal high-flow oxygen was associated with better comfort, fewer desaturations and interface displacements, and a lower reintubation rate.
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Can We Reduce Unnecessary Head CT Scans in Patients with Delirium?
This study was a retrospective review of medical records of hospitalized general medicine patients with head CT imaging performed for the evaluation of delirium.