Hematology/Oncology
RSSArticles
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Clostridium difficile Infection — Back to the Future
SYNOPSIS: This study provides strong evidence that the diagnosis of Clostridium difficile infection (as opposed to colonization) should be made on the basis of evidence of toxin production, not the mere presence of the organism as detected by glutamate dehydrogenase testing or the presence of toxin genes.
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Efficacy and Safety of Very Early Mobilization After Onset of Acute Stroke
SYNOPSIS: The higher dose, very early (within 24 hours) mobilization protocol was associated with a reduction in the odds of a favorable outcome at 3 months after stroke occurrence. -
To Cut Or Not To Cut
ABSTRACT & COMMENTARY: Here are the benefits and the downsides of doing an early cholecystectomy.
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Valve Disease and Thromboembolic Risk
The CHA2DS2-VASc score for the prediction of stroke and other thromboembolism risk in patients with atrial fibrillation has been validated in patients with non-valvular atrial fibrillation.
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Using Procalcitonin to Differentiate Bacterial from Viral Meningitis
SYNOPSIS: A meta-analysis based on nine studies found an elevated serum procalcitonin to be an accurate test for differentiating bacterial from viral meningitis in adults.
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Could High-flow Oxygen Therapy Impact Acute Respiratory Failure Management?
SYNOPSIS: Managing acute hypoxemic respiratory failure with high-flow nasal cannula (HFNC) significantly reduced intubation rates compared to standard oxygen (O2) mask delivery and non-invasive ventilation among patients whose arterial O2 tension to inspired O2 fraction ratio (PaO2/FiO2) was < 200. Among all study patients, hospital mortality was lower in the HFNC group.
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Role of Transthoracic Echo in Staph Bacteremia
In patients without community-acquired Staph bacteremia, a high-risk cardiac condition, or IV drug use, a negative transthoracic echo excluded infective endocarditis.
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The Pros and Cons of Central Venous Catheterization Sites
ABSTRACT AND COMMENTARY: Improper placement can lead to a deep vein thrombosis or a blood stream infection. Here's guidance on doing it right.
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Serum Chloride Level Predicts Mortality in Acute Heart Failure
The association between serum sodium level and outcomes in acute decompensated heart failure is well-established.
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Community-acquired Pneumonia Requiring Hospitalization in Adults
An active population-based surveillance of community-acquired pneumonia requiring hospitalization in adults 18 years of age and older was conducted in five hospitals in Chicago and Nashville.