Internal Medicine
RSSArticles
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RESCUEicp: A Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension
Decompressive craniectomy for the treatment of refractory intracranial hypertension in patients with severe traumatic brain injury reduced mortality but increased rates of vegetative states, lower severe disability, and upper severe disability compared to continued medical management.
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Infectious Disease Alert Updates
Staphylococcus aureus Bacteremia Increased in Families; Atypical Mycobacterial Infection in Cardiac Surgery Patients
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FDA Is Approving New Antibiotics — But Is the Result Just Higher Prices for More of the Same?
Eight new antibiotics received FDA approval from 2010-2015.
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Warning: Reactivation of Hepatitis B Virus Coinfection During Treatment of Chronic Hepatitis C Virus Infection
Prior to initiation of hepatitis C virus treatment with direct-acting antivirals, patients should be screened for hepatitis B virus coinfection. Those who are hepatitis B virus-infected should receive ongoing monitoring for flares and reactivation of hepatitis B.
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HPV Vaccines: Why Are We Failing to Vaccinate so Many of Our Adolescents?
Barriers to HPV vaccination are multiple.
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Raccoon Roundworm Infection Associated with Central Nervous System and Ocular Disease
During a two-year period, six cases of neural Baylisascaris larva migrans and one case of ocular larva migrans were identified by case report forms and serologic testing submitted to the Centers for Disease Control and Prevention. All patients survived, but some were left with severe neurologic sequelae.
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Reported Beta-lactam Allergy Is Associated with More Adverse Events Among Inpatients
A prospective cohort study from three hospitals determined that patients who did not receive a preferred beta-lactam antibiotic were at greater risk for an adverse event (adjusted odds ratio, 3.1; 95% confidence interval, 1.28-7.89) compared to controls without a beta-lactam allergy.
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Adding Azithromycin to Standard Prophylaxis in Non-Elective Cesarean Sections?
Adding intravenous azithromycin to “routine” cephalosporin prophylaxis prior to non-elective cesarean section delivery significantly reduces the risk of postpartum endometritis and wound infection.
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Vasopressin as a Single Vasopressor Agent in Patients with Septic Shock
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What Influences ICU Admission?
High ICU utilization hospitals were more likely to use invasive procedures and incur higher costs than low ICU hospitals with no difference in mortality.