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In this study of 51 adult ICUs, units with higher nurse staffing had a lower incidence of central line-associated bloodstream infections, ventilator-associated pneumonia, and decubiti.
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Daily use of SSRIs is associated with a 2-fold increase in the risk of fractures.
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Asymptomatic individuals with systolic left ventricular (LV) dysfunction have an increased mortality. Angiotensin converting enzymes inhibitors (ACEI) and angiotensin receptor blockers (ARB) favorably affect such patients, but little is known abut the effect of beta-blockers in this group.
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Older women taking SSRIs had higher rates of hip bone loss compared to both nonusers and TCA users, when measured twice over an average of 5 years.
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Treatment of the first episode of pyelonephritis in children with oral antibiotics alone for 10 days is not inferior to parenteral therapy for 3 days followed by oral therapy for 7 days.
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In this study of surgical ICU patients in whom chest tubes were placed percutaneously for pneumothorax or sterile pleural effusion, 21% of the tubes were found on chest CT to be in a fissure, and another 9% were intraparenchymal. Only a minority of the malpositions were described in the official radiology reports.
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With better immunosuppressive therapy and ICU care, invasive aspergillosis is being encountered more often. Making the diagnosis is challenging, especially in lower-risk patients such as those with COPD and cirrhosis.
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Stopping statins, even briefly, after stroke or cardiovascular surgery increases vascular complications according to 3 new studies.