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Even as tuberculosis threatens to take an insidious new appearance in the United States, draft federal guidelines for TB control in health care settings remain mired in controversy and bureaucratic limbo.
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Synopsis: In a meta-analysis of studies assessing methodologies for the diagnosis of intravascular device-related bloodstream infections, paired quantitative blood cultures drawn from the catheter and a peripheral site are the most accurate. However, numerous other methods, including quantitative catheter culture, semiquantitative catheter culture, and differential time to blood culture positivity have sufficient sensitivity and specificity to be clinically useful.
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This single-center, prospective, observational study of resuscitation for in-hospital cardiac arrest reveals that the performance of cardiopulmonary resuscitation is inconsistent with current guidelines.
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In this multicenter clinical trial of patients with severe community-acquired pneumonia, a 7-day course of low-dose hydrocortisone infusion was associated with decreased signs of inflammation and significant reductions in duration of mechanical ventilation, hospital length of stay, and in-hospital mortality.
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This meta-analysis of published trials comparing HMEs and heated humidifiers found a significant reduction in VAP when they were used, particularly among patients who required more than 7 days in the ICU.
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Once intensive care practices have been well standardized, patient safety becomes one of the biggest issues in the ICU in terms of management of health care quality (affecting the outcomes of patients admitted to the ICUs). The acquisition of nosocomial infections in the ICU is known to significantly affect patient outcomes such as ICU and hospital mortality and length of ICU and hospital stays.
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Neuropsychiatric Symptoms of Dementia, FDA Actions.
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