Hematology/Oncology
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Occult Axillary Node Metastasis in Early-stage Breast Cancer: Important or Not?
In a retrospective review of 267 patients evaluated at M.D. Anderson Cancer Center with apparent early-stage, node-negative breast cancer, 15% were found to harbor "occult" metastases upon more intensive scrutiny of the axillary node specimens. In this series, long-term follow-up indicates that such discovery was not associated with a greater frequency of recurrence or poorer survival. -
Critical Care Alert January 2013 Issue in PDF
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Multidisciplinary Tracheostomy Teams Shorten Time to Decannulation and Increase Speaking Valve Use
This systematic review and meta-analysis reviewed studies evaluating the implementation of multidisciplinary tracheostomy teams in acute care hospitals. -
Clinical Briefs in Primary Care supplement
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Can Wearing Earplugs at Night Improve Sleep and Decrease Risk for Confusion?
The purpose of this study conducted in the intensive care department of the Antwerp University Hospital in Antwerp, Belgium, was to determine if the application of earplugs to reduce sound (noise) in the ICU during the night could be beneficial in the prevention of delirium. -
Recognizing Underuse of Lung-Protective Ventilation in Acute Lung Injury: What Can We Do Differently?
Although lung-protective ventilation (LPV) is widely acknowledged as one of the few interventions currently available that improves survival in patients with acute lung injury (ALI), it is poorly adopted in practice. -
Pharmacology Watch: Do Benzodiazepines Cause Dementia in the Elderly?
In this issue: Dementia and benzodiazepines; effectiveness of omega-3 fatty acid and Ginkgo biloba supplements; and FDA actions. -
Critical Care Alert November 2012 Issue in PDF
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Successful Implementation of an Early Mobility Protocol in Critical Care
Patients who survive admission to the ICU often are left with long-term disabilities resulting both from their presenting illness and from the care they receive while there. -
Hospital Infection Control & Prevention January 2013 Issue in PDF