Articles Tagged With:
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The Who, Where, and How of Rounding Makes a Big Difference
The biggest challenge in establishing multidisciplinary rounds is getting everybody on the team to participate.
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Interdisciplinary Rounds Must be Short and Well Organized
Interdisciplinary rounds must be quick and orderly — otherwise, key members of the team won’t join in.
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Does Discharging a Patient Make You Feel Like You’re Herding Cats?
Multidisciplinary rounds that bring together the entire treatment team and, often, patients and family members, are a key in relieving the chaos that often occurs on the day of discharge.
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America’s Insatiable Sweet Tooth
Despite the negative health effects, Americans of all ages are struggling to break their sugary drinks habit.
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Cardiac Care Advances, But Overall Heart Health Remains a Problem
Two new reports show that although patients are receiving better care, much work remains in battling cardiovascular diseases.
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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Migraine: Differences Between Males and Females
Hormonal and genetic differences factor into a greater prevalence and disability burden of migraine in teenaged girls and women; however, migraine is underdiagnosed and inadequately treated in boys and men.
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Ambulatory Autonomic Testing in Multiple System Atrophy and Parkinson’s Disease
A comparison of ambulatory blood pressure monitoring with tilt-table testing in 23 patients with multiple system atrophy, 18 with Parkinson’s disease and autonomic dysfunction, and 33 with Parkinson’s disease alone demonstrated 82% sensitivity and 100% specificity in detecting orthostatic hypotension. This suggests ambulatory monitoring provides valuable information on these patients’ function.
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Does Therapeutic Hypothermia Improve Functional Outcomes After Convulsive Status Epilepticus?
In a multicenter trial in France, patients admitted to the ICU from 2011-2015 for convulsive status epilepticus were randomly assigned to receive standard therapy (control group) or hypothermia plus standard therapy (treatment group). The primary outcome measure was an absence of functional impairment at 90 days after seizure onset, as measured by the Glasgow Outcome Scale (score of 5). There was no significant difference in outcomes between the two groups.
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Imaging of Glial Cell Activation in the Brains of Professional Football Players
In this case-controlled study, PET scanning reflective of microglial activation and diffusion-tensor imaging assessing white matter integrity was performed on 14 National Football League players (four current, 10 retired) and compared to 16 matched controls, suggesting significant ongoing localized brain injury and repair along with subtle white matter changes in professional football players.