Infectious Disease
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Rural Hospitals Struggle Amid Budgetary Constraints, Reporting Requirements
The COVID-19 pandemic response has pushed many rural hospitals to the brink, placing added strains on skeletal workforces that have long struggled to meet the healthcare needs of their communities. While some smaller facilities are pitching in to help larger, urban centers manage capacity, others have seen their patient volumes dwindle as fear keeps patients from accessing needed care. Most conclude the pandemic is highlighting the need for change in the way healthcare is delivered to rural communities.
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What Kind of AV Block?
The ECG in the figure was obtained from a young adult who presented to the emergency department with dizziness, a near syncopal episode, and chest discomfort. Does this ECG suggest AV block is the cause of his symptoms?
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Oliceridine Injection (Olinvyk)
Oliceridine should be prescribed to adults to manage acute pain severe enough to require intravenous opioid analgesic and for whom alternative treatment has not worked.
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Preventing Recurrent Stroke or Death After Ischemic Stroke, TIAs
The combination of ticagrelor and aspirin compared to aspirin alone was superior in reducing the risk of stroke or death within 30 days of an acute ischemic stroke or transient ischemic attack.
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Cilostazol Appears Effective for Long-Term Secondary Stroke Prevention
More trials in Western countries should be initiated to assess the effects of cilostazol treatment on cognitive decline and functional outcomes, as well as on the progression of small vessel disease in the brain. Studies from Asia suggest it is a promising treatment, but it has not been studied sufficiently in clinical trials.
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2020 Updated LTBI Treatment Guidelines
A committee recommended three rifamycin-based regimens and two alternate six- or nine-month isoniazid monotherapy regimens for latent tuberculosis infection treatment. They gave priority to shorter-course regimens with similar efficacy, higher rates of completion, and favorable tolerability compared with the former standard nine-month regimen of isoniazid.
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Diet Modification in Older Women with Fecal Incontinence
This study highlights the need for everyone to inquire and start conversations about fecal incontinence symptoms with patients and empowers clinicians to discuss simple lifestyle modifications that may be of great benefit.
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Lack of Health Literacy Tied to Higher Risk for Postoperative Infections
Limited knowledge is common in the United States, which is attributed to various factors.
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Confusion, Skepticism Abound Regarding Convalescent Plasma as a COVID-19 Therapeutic
From collection to analysis to reporting, it seems everyone registered a complaint about the entire process.
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OSHA Enforcement Prioritizing Hazards Related to COVID-19 Response
The Occupational Safety and Health Administration (OSHA) stated it will prioritize investigations of complaints, referrals, fatalities, and hospitalizations related to the COVID-19 pandemic. That means risk managers should prepare to respond effectively to employee complaints or OSHA queries.