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In a cohort of 91 ICU patients without known causes for hemoglobin decline other than blood draws and critical illness, serum hemoglobin levels declined by an average of 0.52 g/dL/d. The decline was more rapid during the first 3 days in the ICU and among patients who were septic.
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Of 100 keyboards in 29 clinical areas tested for bacterial contamination, 95% were positive for microorganisms, including one with vancomycin-resistant Enterococcus.
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Providing a universal consent form to patients, proxies, and staff increased the frequency with which consent was obtained without compromising understanding of the process.
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Jaber and colleagues report a series of 112 intubations of patients in their multidisciplinary ICU in Montpellier, France, during a 14-month period. Every ventilated patient underwent a cuff-leak test prior to extubation, and the incidence of post-extubation stridor was determined.
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Strep pneumo vaccine for cochlear implants urged
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With approximately 95% of all new HIV infections now occurring in developing countries, the search for a global AIDS vaccine is increasingly critical. Some barriers have fallen, but the virus is an elusive target, said Gary J. Nabel, MD, PhD, director of the vaccine research center at the National Institutes of Health.
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Increased reimbursement, a new nasal delivery system, and the lingering shadow of severe acute respiratory syndrome (SARS) should combine to make for a memorable 2003-2004 flu vaccination season.