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Death rates from influenza are rising with the aging of the U.S. population, and the virus now kills an average of 36,000 people a year, according to the Centers for Disease Control and Prevention (CDC). The new data underscore the need to protect vulnerable patients from nosocomial spread by vaccinating health care workers, public health experts say.
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When needlestick injuries occur, work practices often are a contributing factor. Training is an essential component of maintaining safe practices. And while bloodborne pathogen training may focus on specific protective devices, it also needs to address and correct some common misconceptions.
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How great is the risk of a smallpox attack? That question underlies the current campaign to vaccinate health care workers and military personnel and to offer the vaccinia vaccine to those who want it in the general public. The benefit of those vaccines cant be calculated without an estimate of the risk both of smallpox and of vaccine-related adverse events. Researchers at the RAND Corp. in Santa Monica, CA, have attempted to do just that.
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While arthroscopic rotator cuff repair techniques have received increasing attention over the past decade, there are many options for the surgeon who treats rotator cuff disease. Open repair remains the gold standard, but combined arthroscopic and mini-open techniques bridge the gap between purely open and purely arthroscopic techniques. There are many variables, involving both patient and surgeon, to consider when discussing any technique for repairing a torn rotator cuff.
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Is it time to recommend arthroscopic shoulder reconstruction for every patient? Arthroscopic techniques have improved significantly and gained in popularity over the past few years, but does the literature support abandoning open reconstruction?
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Although shoulder arthroscopy has become very popular and has been advocated for instability, there is often no substitute for an open procedure.
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he 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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With improved understanding of rotator cuff pathology and the availability of arthroscopic instrumentation specifically designed for soft tissue repair techniques, rotator cuff repairs have evolved from a classic open approach to a mini-open (or deltoid-sparing) approach, and finally to an all-arthroscopic technique.
