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Prolapse occurs along a spectrum from early and asymptomatic to advanced and symptomatic. The authors define anatomic cutoffs that are likely to result in symptomatic and clinically significant prolapse.
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This is an eight-week, cluster-randomized, controlled trial at a single institution study (Stanford Hospital) comparing a traditional one-way paging system to the use of a HIPAA-compliant group messaging (HCGM) application for smartphones.
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The authors present an updated review of the use of tissue plasminogen activator in patients with acute ischemic stroke.
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In this retrospective study of extubation outcomes in five ICUs at a single medical center, patients extubated at night had no increase in adverse events and their mortality rates and lengths of ICU stay were lower. However, these results were likely affected by the high proportion of post-cardiac-surgery patients in the nighttime extubation group.
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This observational cohort study found that reduced ICU bed availability is associated with increased rates of ICU readmission as well as ward cardiac arrest if medical ICU beds were on shortage.
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This study completes the Imazio et al trilogy on the treatment of pericarditis and suggests that colchicine is the drug of first choice for acute pericarditis, first recurrences, and multiple recurrences.
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The Centers for Disease Control and Prevention has updated its Ebola infection control guidelines to include a new section on cleaning and disinfection of the patient environment. (See Hospital Infection Control & Prevention Sept. 2014 issue.)
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In an urgent addition to the Ebola situation, federal public health officials have issued a checklist for hospitals to prepare for incoming cases from the expanding outbreak in West Africa. The six-page detailed checklist issued by the Department of Health and Human Services, the Centers for Disease Control and Prevention and the office of the Assistant Secretary for Preparedness and Response is available at: http://1.usa.gov/1qjDiC9.
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In an August 30, 2014 blog post, Rick Sacra, MD, worried about the many people in Liberia who are at risk because of the Ebola tsunami that swept through an already fragile healthcare system.
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After expanding a successful initiative to cut catheter-associated urinary tract infections (CAUTI) rates, a New Jersey hospitals catheter days and CAUTIs were cut in half.