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Standard therapy for bacterial meningitis in children is probably overkill but it is risky to cut back in resource-rich countries.
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This randomized study of low-tidal-volume ventilation during and after cardiac surgery, in comparison to ventilation with tidal volumes of 10 mL/kg predicted body weight, showed no differences in median ventilation time but higher rates of extubation by 6 and 8 hours postoperatively and fewer reintubations in the low-tidal-volume group.
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Using an algorithm based on score and chest X-ray when appropriate, the overall sensitivity for the detection of aortic dissection was 96%.
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In recent months, Escherichia coli O104:H4 has infected more than 4,000 people and caused 880 cases of hemolytic uremic syndrome (HUS) in Europe, with the majority of cases reported in Germany and with more recent outbreaks in France and Switzerland. Travelers should implement food hygiene precautions to prevent infection when visiting Europe.
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Hospices serving people with Medicare will see a 2.5% increase in their Medicare payments for fiscal year (FY) 2012, according to a final regulation released July 29, 2011, by the Centers for Medicare & Medicaid Services (CMS). Hospices also are called upon to begin reporting on the quality of care received by Medicare patients as a result of this final regulation.
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This is the second of a two-part series that looks at communicating with patients who have difficulty communicating. Last month, we looked at innovative and proven strategies to communicate with patients who have dementia. This month, tips and strategies for communicating with pediatric patients, and their families, are offered.
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It would be fair to say that nearly all formal clinical research begins before it is even recognized as such. Observant clinicians note patterns, or what appear to be patterns, in those they treat.
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Death by suicide is a significant occupational hazard for physicians. This is strongly associated with professional burnout, which is characterized by a loss of emotional, mental, and physical energy due to continued job-related stress. Studies have identified three factors that are independently associated with burnout for both surgeons and internal medicine physicians hours worked per week, experiencing a work/home conflict within the last three weeks, and how the most recent work/home conflict was resolved.