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In a previous study involving patients in a surgical ICU1, Van den Berghe and associates at the Catholic University of Leuven, Belgium, showed that tight control of serum glucose levels by means of a strict insulin infusion protocol decreased both morbidity and mortality.
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This study examined the effect of variations in ICU staffing, defined in terms of intensivist-to-ICU bed ratio, on ICU length-of-stay (LOS) and ICU and hospital mortality. The study was conducted at the Mayo Clinic in Rochester, MN over a 9-month period when the medical ICU underwent a series of planned changes which resulted in its capacity increasing from 15 to 24 beds.
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The Institute of Medicine has documented that the hospitaland the ICU in particularis an environment in which errors are all too frequent.
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Long-Term Effects of Warfarin Use; Statins Multiple Benefits; FDA Actions
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North Carolina investigators came across a very unusual HIV case that raised the question of how long it takes for people infected with HIV to experience seroconversion.
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A better clinical strategy with HIV care would be to begin treatment soon after infection, an HIV researcher suggests.
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Investigators have found that HIV-infected patients who use an avoidance-oriented coping strategy and who have poor social support and a generally negative mood have poorer medication adherence.
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A recent study that compares non-protease inhibitor regimens found that patients taking a triple nucleoside reverse transcriptase inhibitor (NRTI) regimen do not achieve as effective viral suppression as those taking a regimen containing two NRTIs and one non-nucleoside reverse transcriptase inhibitor (NNRTI).
