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Put Reprocessing Compliance on This Year’s To-do List
Surgery centers that fail to pay close attention to their reprocessing processes could end up causing dangerous — even fatal — infections. Although the rate of infection from endoscopy is low, it’s likely that some infections related to reprocessing problems are not reported because patients do not attribute their illness to a procedure they might have undergone several weeks earlier. Experts recommend creating site-specific reprocessing guidelines based on federal and/or other expert recommendations.
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What Can Be Said With LBBB?
The ECG in the figure was obtained from a patient with new-onset chest pain. It was interpreted as showing complete left bundle branch block (LBBB). Thus, the provider reasoned that “it is impossible to tell if anything acute is going on because there is LBBB.” Do you agree with that assessment?
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Clinical Briefs
In this section: Managing postprandial glucose excursions in diabetic patients, strategies for improving long-term outcomes for obesity patients, and effectively treating Crohn's disease.
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Vancomycin HCl for Oral Solution (Firvanq)
Vancomycin oral solution is indicated for adults and pediatric patients < 18 years of age for Clostridium difficile-associated diarrhea and enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains).
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Aerobic Exercise and Cognitive Impairment
Progressive aerobic exercise training appears to be a low-risk and effective intervention for improving cognitive function in community-dwelling adults with mild subcortical ischemic vascular cognitive impairment.
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Type 2 Diabetes Is Reversible
Type 2 diabetes is reversible (or can be put in remission) in a primary care practice through an intense low-carbohydrate weight management program.
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Late-breaking News
Breaking news regarding the Zika outbreak in Puerto Rico. -
Proposed ‘Conscience’ Rule Could Interfere With Patient Care
In mid-January 2018, the Trump administration took two steps to expand and enforce federal “conscience” protections, which allow individuals and organizations in the healthcare field to refuse to provide or be involved with services, information, and referrals to which they have religious or moral objections.
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Be Vigilant for Zika Infection
Clinicians are urged to maintain vigilance regarding the Zika virus in women of reproductive age.
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More Women Opting for Outpatient Laparoscopy for Hysterectomies
Hysterectomy is the second most common procedure performed for women in the United States. Laparotomy followed by inpatient hospitalization has been the traditional surgical approach. A recent report suggests that fewer women are opting for traditional procedures.