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Steroids for Severe Community-Acquired Pneumonia: More Evidence or More Uncertainty?
Community-acquired pneumonia (CAP) is the leading cause of mortality from infection in industrialized countries, and treatment failure occurs in 10-20% of cases despite appropriate antibiotic therapy. Thus, effective treatment strategies that reduce the burden of CAP would have a major impact on public health. Several previous studies that investigated the role of corticosteroids in CAP produced mixed results. Torres and colleagues hypothesized that corticosteroids modulate the immune response in severe CAP, thereby decreasing treatment failure.
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Effects of Lifestyle Modifications on the Coronary and Carotid Atherosclerotic Burden
A look at how lifestyle changes, including dietary modifications and regular exercise, impact therapy for atherosclerotic cardiovascular disease.
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Diet Sodas: Are They Really Diet?
Over the past several decades, concerns about increased sugar consumption has led some experts to recommend the use of non-nutritive sweeteners (NNSs).1
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TJC: HCOs need to be on alert for HIT problems related to sociotechnical factors, take steps to improve safety culture, process, and leadership
It’s no secret that for all of the efficiencies that health information technology (HIT) brings to the table, there are also immense challenges that go along with safely using tools that, in many cases, alter workflow, documentation, and the way providers interact with patients. Of particular concern is the potential for patient harm that can result when systems are poorly designed or implemented, raising the possibility that information will be miscommunicated or entered incorrectly.
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Clean up coding practices to maximize revenue, minimize compliance issues, and be optimally prepared for ICD-10
ICD-10 implementation is priority No.1 for nearly every hospital.
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Study: Emergency providers often lack consensus on what patients intend when end-of-life forms come into play
A new study suggests there is a lack of consensus or understanding about what patients intend when they fill out Physicians Orders for Life Sustaining Treatment forms, and that this likely leads to patients either receiving or not receiving treatment contrary to their wishes.
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ED-based interventions to break cycle among patients presenting with violence-related injuries
Emergency providers have so much to do it is hard to justify adding one more task to their already full plates. However, when the right resources are in place, there is increasing evidence that EDs can play a pivotal role in preventing victims of violence from becoming enmeshed in a cycle that brings them or associates back to the ED with similar injuries again and again.
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No Link Between MMR and Autism
In this issue: Prevention of Type 1 Diabetes in Children; Early Initiation of HPV Vaccine; Effects of Antibiotic Exposure Early in Life; ED-initiated Buprenorphine for Opioid-dependent Patients; and FDA Actions.
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Roflumilast for Acute Exacerbations in COPD
Acute exacerbations of COPD are potentially highly consequential: in-hospital mortality is approximately 10%, and up to 25% of patients admitted to the ICU die.
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Clindamycin vs TMP-SMX for Skin Infections
The treatment of cellulitis, with or without a local abscess, has become more complicated since MRSA has assumed the causal role of “guilty until proven otherwise” in such settings.