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This study shows that adverse effects of endotracheal suctioning, particularly oxygen desaturation and hemorrhagic secretions, are frequent in mechanically ventilated patients, and can be reduced by the implementation of practice guidelines.
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The Surviving Sepsis Campaign recently published a revised International Guidelines for the Management of Severe Sepsis and Septic Shock, updating its 2008 guidelines.
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Camels may play an important role as an intermediate or bridge host for Middle East Respiratory Syndrome (MERS) coronavirus.
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While a number of mild cases are likely going unrecognized the bottom of the iceberg if you will the serious MERS infections that are being detected are striking people with underlying medical conditions and killing more than half of them.
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The rapid transmission and high attack rate of Middle East Respiratory Syndrome (MERS) coronavirus in a hospital dialysis unit in Al-Hufuf, Saudi Arabia raises substantial concerns about the risk of health careassociated transmission of this virus, a team of researchers recently reported.
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With the approaching flu season complicated by possible introductions of an emerging coronavirus in the Middle East and a novel H7N9 flu strain in China, clinicians in U.S. hospitals may need to rely more on gumshoe epidemiology than available diagnostics.
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In a single institutional study (M.D. Anderson), 60 older patients with chronic lymphocytic leukemia were treated with lenalidomide. Thirty-five of the 60 patients had a response lasting > 36 months, and compared with those who did not have such a durable response, those who did had lower pretreatment ß-2 microglobulin levels and were more likely to have favorable cytogenetics. Lenalidomide treatment was associated with improvement in circulating immunoglobulin levels and T-lymphocyte numbers.
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Evidence-based updates in primary care medicine By Louis Kuritzky, MD