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Contraindications to Home Birth
A new study of neonatal death rates over a four-year period in the United States has identified two new contraindications to home birth.
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Pelvic Floor Changes in First Pregnancy: How Do They Affect Quality of Life?
Nulliparous women experience worsening urinary incontinence, fecal incontinence, and perineal pain in pregnancy. Urinary incontinence symptoms are associated with a negative effect on quality of life.
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Hot Flashes: A Marker of Increased Cardiovascular Risk?
Among otherwise healthy midlife women, the presence of frequent hot flashes was associated with impaired endothelial function, a risk factor for cardiovascular disease.
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Infantile Vomiting
Every viral season, something gets missed. All vomiting is not acute gastroenteritis! The clinician needs to have a thorough understanding of the process of vomiting to formulate a complete differential accurately and in a timely manner. A complete history, physical exam, and targeted diagnostic testing are used to ensure an accurate diagnosis with effective management is instituted.
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Studying Surrogate Responses Can Improve Communication in Chronic Critical Illness
Qualitative analysis of audio-recorded structured meetings for patients with chronic critical illness revealed six categories of responses that clinicians can use to guide communication.
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Muscle Weakness and Acute Respiratory Distress Syndrome: What Happens After the ICU?
Although increased strength at hospital discharge is associated with improved five-year survival in acute respiratory distress syndrome survivors, weakness at discharge, whether resolving or persistent, is associated with worse subsequent survival.
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Study: Research Misconduct Rarely Reported by Authors of Systematic Reviews
Research misconduct — not publishing completed research, duplicate publications, or selective reporting of outcomes — sometimes is identified by authors of systematic reviews, but is rarely reported, found a recent study.
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2016 Surviving Sepsis Guidelines Update
All ICU clinicians need to review these guidelines, compare them with their current practices, and develop plans for implementation in the near future.
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Questions From UW Madison’s QI Program Evaluation Tool
The University of Wisconsin-Madison IRB developed an online quality improvement/program evaluation self-certification tool that helps project leaders determine whether their projects qualify as research.
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Self-certification Tool Formalizes Process to Decide Between QI and Research
IRB officials at the University of Wisconsin-Madison realized seven years ago that the IRB was receiving too many requests for review of quality improvement or other projects that did not meet the Common Rule’s definition of human subjects research.