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A U.S. Ebola outbreak characterized more by fear than science marked by distrust, rumor and false assumptions may yet yield something positive: A rededication to basic infection control practices in the nations hospitals and increased support for infection prevention programs and public health.
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After the index case of Ebola in the U.S. died and two nurses who treated him in a Dallas hospital became infected, there was an outbreak of irrationality that spread as rapidly as any epidemic.
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An issue that has caused considerable confusion and fear during the Ebola outbreak is the difference between airborne, aerosol and droplet transmission. There are clear differences, but they werent elucidated particularly well at the onset of Ebola cases in the U.S., leaving the public uninformed and then panicked when some reputable scientists warned that there was a small chance the Ebola virus could mutate and spread like a truly airborne pathogen such as measles.
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Sometimes despite best efforts on the part of the clinician and the type 2 diabetes patient, A1c goals are not met. Although in some circumstances the underlying limitation to goal attainment is readily discernible (hypoglycemic episodes, non-compliance, medication misadministration, excessive weight gain, other adverse effects), it is not always so clear.
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The ECG in the Figure was obtained from a patient with new-onset chest pain. What is the likely culprit artery? Is this patient a good candidate for acute reperfusion?
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The first fixed-dose combination drug product has been approved for the treatment of chronic hepatitis C virus (HCV) genotype 1 infection. The combination contains a previously approved HCV nucleotide analog NS5B polymerase inhibitor, sofosbuvir (SOF), and a NS5A inhibitor, ledipasvir (LDV). This represents the first treatment option for HCV genotype 1 that does not require ribavirin or interferon.
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In a study of young adults, attempted physician deception to obtain a pharmaceutical drug was found to exist in a limited manner along with general characteristics of those patients who may divert medications.
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In this randomized controlled trial, those sleep apnea patients who received a brief (< 1 hour, total) motivational education program had substantially better continuous positive airway pressure adherence in a short-term follow-up.
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