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Primary Care/Hospitalist

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  • Fever in Travelers After Visiting Malaria-endemic Areas

    Common specific causes of fever in Finnish returned travelers were Campylobacter, malaria, bacteremia, HIV, and influenza; they included a significant proportion of potentially life-threatening infections, and more than one diagnosis. Evaluation of such fevers should be systematic and thorough.
  • Insurance Status and ICU Outcomes

    In this study of a statewide administrative database, among 138,720 adult patients admitted to an ICU, uninsured patients had a 25% higher likelihood of death within 30 days compared with privately insured patients, differences that persisted after multiple adjustments for demographics, severity of illness, and site of care. Uninsured patients received central venous catheterization, acute hemodialysis, and tracheostomy significantly less often than insured patients.
  • Hospital Medicine Alert - Full February 2012 Issue in PDF

  • B-lactam/B-lactamase Inhibitors for Treatment of Bacteremia due to ESBL-producing E.coli

    A post hoc analysis of patients with bacteremia due to ESBL-producing E.coli (ESBL-EC) from 6 published cohorts was performed. Treatment with B-lactam/B-lactamase inhibitors (BLBI) vs. carbapenems did not show any difference in mortality or length of hospital stay.
  • The HCG Diet: Does It Work?

    Welcome to the time of the new year's resolution. top of the list? Finally drop that 10-15 pounds and get back to the desired high school weight, or at least make an inroad into that recalcitrant body mass index (BMI) and associated health conditions such as hypertension, metabolic syndrome, or non-insulin-dependent diabetes
  • Alternative Medicine Alert - Full February 2012 Issue in PDF

  • Sweat Your Heart? Sauna for CHF

    The prevalence of chronic heart failure has steadily increased with improvements in survival rates for cardiac patients; however, heart failure remains a disorder whose typically progressive course worsens quality of life, and thus far has defied most conventional medical approaches. New ideas leading to new treatments are needed. The researchers behind this small intervention trial examined the effect of repeated sauna therapy on exercise tolerance in people with congestive heart failure and found significant benefits.
  • Creatine and Age-Related Loss of Muscle Mass and Strength

    Creatine remains one of the most popular supplements for athletes, especially to enhance power and speed. A large body of research evidence supports claims that creatine enhances power output during short maximal bursts of exercise, such as power lifting or sprinting.
  • The Portfolio Diet: A Menu for Hyperlipidemia Treatment

    The cholesterol-lowering foods specified in the portfiolo diet of Jenkins et al are effective treatments for elevated LDL-C levels under real world living conditions. Not surprisingly, overall compliance with dietary instructions regarding portions of the four principal portfolio diet components (tree nuts, soy protein, soluble fiber, and plant sterols and stanols) was significantly associated with percentage reduction of LDL-C in participants completing the study.
  • Hospital Medicine Alert - Full January 2012 Issue in PDF