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Harry Geller, MBA, administrator of Othello (WA) Community Hospital, lies down to sleep, a smile on his face as he begins to dream about a sure-fire way to solve patient-handling dilemmas. Moments later, he turns into Superman, flying down the hall and running into a patient room to help staff before they're injured. But on his third feat, Geller faces a "heavy" patient and tumbles to the floor.
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In the nation's biggest tobacco-producing state, no one can smoke or use tobacco on any campus of its 125 acute care hospitals or that of many of its psychiatric hospitals.
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Smokers need not apply. That is the new policy of Memorial Health Care System in Chattanooga, TN.
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Is it safe to vaccinate a patient with a prior history of guillain-Barré syndrome (GBS) or chronic inflammatory demyelinating polyneuropathy (CIDP)? What is the likelihood of recurrence of GBS even in the absence of vaccination, and what are the long-term consequences of inflammatory demyelinating polyneuropathy?
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An increasing number of HIV-positive immigrants and refugees, many from Africa, are cared for in the United States. The standard battery of HIV-related blood studies does not include screening studies for strongyloides and schistosomiasis.
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The revised ACIP adult vaccination schedule, published January 5, 2010, includes the following changes (documented in full at www.cdc.gov/vaccines/recs/ACIP/default.htm):
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In a study of hiv transmission, 3,408 hiv-1 serodiscordant couples were enrolled at 14 sites in Africa. All patients had CD4+ lymphocyte counts ¡Ý 250/uL, were also infected with HSV-2, and were not receiving antiretroviral therapy (ARVs).
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In this issue: Examining the three arms of the ACCORD trial; and FDA Actions: clopidogrel, dexlansoprazole, and tamsulosin.
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Endotracheal tubes (ETTs) coated with antimicrobial substances can reduce bacterial adhesion on the tube, block biofilm formation, and reduce bacterial burden in tracheal secretions. Various antimicrobial agents have been employed for this purpose.
