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n this study of physicians working in French adult ICUs, evidence of burnout was present in nearly half. Burnout was more likely in female physicians, in those who were not married, and among those who reported strained relationships with colleagues and staff nurses.
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A combination of topical and systemic therapies was associated with successful MRSA decolonization.
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Delirium occurred in about one-third of patients in this study of a mixed medical-surgical ICU population. It was more frequent in more seriously ill patients, and also in those with hypertension, alcoholism, and the effects of sedative and analgesic drugs.
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Vancomycin was inferior to cefazolin in the treatment of MSSA bacteremia in chronic hemodialysis patients in a retrospective study.
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Aspirin can be life saving in patients with acute coronary events, but its use in patients with cancer, particularly in those with thrombocytopenia, is often avoided, presumably for fear of hemorrhagic complications.
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Status epilepticus, in the setting of cancer, is treatable and does not appear to increase mortality above the risk of the underlying disease.
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Review the number of patients who were screened and treated for chlamydia at your facility in the last two weeks. What if their infection could have been prevented by vaccine?
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If your practice includes women ages 50 and older, be sure to remind them to be screened for colorectal cancer, advises the American College of Obstetricians and Gynecologists (ACOG).
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Good news on the research front: Results from a major study indicate that treating genital herpes may help keep the AIDS virus under control in women with both infections and may reduce the spread of HIV as well.
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When you prescribe the contraceptive vaginal ring (NuvaRing, Organon; West Orange, NJ), you instruct the patient that the ring is worn for three weeks, then is removed for a one-week ring-free period. When the ring-free period is completed, a new ring must be used. But what if there was a ring that could be used for more than a three-week period?