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The Centers for Disease Control and Prevention published Smallpox Vaccination and Adverse ReactionsGuidance for Clinicians in the Jan. 24th edition of Morbidity and Mortality Weekly Report. The guidance is a thorough review of the smallpox vaccine with a well-illustrated compendium of complications.
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The purpose of this pre- and postintervention observation study was to evaluate the effect of an educational initiative on ventilator-associated pneumonia (VAP) rate. The educational program was directed towards respiratory therapists and critical care nurses.
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Synopsis: This carefully done systematic review of the existing literature shows that overall mortality and ICU length of stay are better with increasing involvement of critical care physicians in patient care.
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The fatality rates for hospital-associated pneumonia in general, and of ventilator-associated pneumonia (VAP) in particular, are high. For hospital-associated pneumonia, attributable mortality rates of 20% to 33% have been reported, according to the draft pneumonia prevention guideline by the Centers for Disease Control and Prevention (CDC).
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Ventilator-related deaths and injuries often are caused by multiple system failures, especially in the ICU, according to a recent report from the Joint Commission on Accreditation of Healthcare Organizations.
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Barrett E-P. St. John's wort for the treatment of depression: An update. Altern Med Alert 2003;6(3):25-30.
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Herb-drug interactions: How to identify one and what to do. Altern Med Alert 2003;6(3 suppl):S1-S2.
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