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Current guidelines recommend cardiac rehabilitation using moderate exercise programs for most ischemic heart disease (IHD) patients. Also, studies have shown that the intensity of exercise is directly related to the cardioprotective effects. However, there is concern that high-intensity exercise may be dangerous in IHD patients.
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This systematic review and meta-analysis finds that the implementation of multidisciplinary tracheostomy teams leads to significant improvements in time to decannulation and in speaking valve use but not in ICU or hospital length of stay. The quality of the evidence was low.
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An investigation initiated after a clinician reported to the Tennessee Department of Health on Sept. 18, 2012, the case of a patient who developed meningitis due to Aspergillus fumigatus after having received an epidural corticosteroid injection at an ambulatory surgical center quickly identified a number of other suspect cases.1
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In a nursing home-eligible population with a mean age of 80, those with a HbA1c between 8% and 8.9% had less functional decline than those with a HbA1c of 7% to 7.9%.
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Three patients with multiple recurrences of C. difficile infection who were on prolonged maintenance therapy with low-dose vancomycin were treated with a standard course of fidaxomicin. Two had no further recurrences, and one recurred three months later following a course of levofloxacin.
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In a large cohort of patients admitted to New York hospitals with diabetic ketoacidosis, about half were admitted to the ICU, with a range of 2% to 88% among individual hospitals. This large practice variation was unassociated with mortality or length of stay, and more than half of it remained unaccounted for after extensive adjustments for patient and institutional characteristics.
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Nasal swabs identified only two-thirds of MRSA carriers.
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Side effects of statins; effects of cannabis use; antihypertensives and lip cancer; and FDA actions.
