Articles Tagged With:
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Caring for Unaccompanied Central American Immigrant Children
Physicians can improve the health of unaccompanied Central American immigrant children by ensuring appropriate vaccination, by identifying culturally and linguistically appropriate community resources, and by becoming involved in patient advocacy.
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Pneumonia in U.S. Children Requiring Hospitalization
Two thousand six hundred thirty-eight children with a clinical diagnosis of community-acquired pneumonia (CAP) were enrolled in a prospective surveillance study. Eighty-nine percent had radiographic evidence of pneumonia. The median age of children hospitalized was 2 years, with the highest rates seen in children younger than 2 years. Respiratory viruses were the most commonly detected pathogens.
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Typhoid Vaccination
Vaccination against typhoid continues to be important for many travelers to at-risk countries in Asia, Africa, and Latin America.
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Rectal Colonizing E. coli Cause Most Infections Following Transrectal Biopsy of the Prostate
An observational cohort study found that rectal colonizing strains of E. coli are the source for most fluoroquinolone-resistant post-transrectal prostate biopsy infections. Pre-procedure screening cultures should be considered.
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The Response to Ebola in the United States — Current Status and Lessons Learned
Much was learned in the United States in dealing with the fear of Ebola virus infection — but can we avoid wasteful panic with the next outbreak of a novel pathogen?
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Clindamycin vs. Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Infections
Five hundred twenty-four children and adults with either cellulitis or abscesses larger than 5 cm (smaller for children) were enrolled in a multisite prospective study of clindamycin vs. trimethoprim-sulfamethoxazole dosed for 10 days. Cure rates did not differ between the treatments, and rates of adverse events were similar in the two groups.
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ED Push - April 2015 Second Issue
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Complications post-thyroid surgery lead to patient death, $1.3 million verdict
News: A patient undergoing thyroid surgery was accompanied to the hospital by her sister and daughter. After surgery, the patient began to struggle with her breathing. The patient’s sister and daughter observed the surgeon and nurses work on the patient for more than 30 minutes, during which time the patient’s condition deteriorated until the patient stopped breathing and lost her pulse, which led to permanent brain injury. The patient died 10 days later.
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Failure to diagnose cauda equina syndrome results in $2.5 million verdict from jury
News: A 19-year-old woman sought treatment at a local hospital ED for severe lower back pain and pelvic numbness. A nurse practitioner quickly discharged her and attributed the symptoms to common back pain. The ED physician failed to consult with the patient, but subsequently approved the nurse’s actions. Two days later, the patient was diagnosed with cauda equine syndrome but had suffered serious and permanent injuries.
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Clinical Briefs
Clinical Briefs on topics such as: Chronobiology and Insulin Glargine, Dual Add-on Therapy for Type 2 Diabetes When Metformin is Not Enough, and Might Long-term Dual Antiplatelet Therapy Be Better? Not