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The Joint Commission has reiterated its standards require a clean hospital environment in light of comments and criticism at the Committee on Oversight and Government Reform's April 16th hearing on "Healthcare-Associated Infections (HAIs): A Preventable Epidemic."
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In this Issue: Pioglitazone and heart disease; ARBs manufacturers spend
millions to show the non-inferiority of their products compared to less
expensive, generic ACE inhibitors; some athletes turn to growth hormone
because it is difficult to detect; FDA Actions
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For 2 years beginning in February, 2005, every patient admitted to the Royal Infirmary of Edinburgh with community-acquired pneumonia (CAP) had blood levels of C-reactive protein (CRP) measured at the time of admission and (if still in the hospital) 4 days later. A standardized set of clinical and laboratory data was also acquired for each patient, per hospital routine.
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Starting 4 months after publication of the ARDS Network's landmark study showing improved outcomes in patients with acute lung injury (ALI) or the acute respiratory distress syndrome (ARDS) when low-tidal-volume, lung-protective ventilation (LPV) was used, investigators at the University of Pennsylvania prospectively identified 88 patients who met the accepted American-European Consensus Conference definition of ALI-ARDS.
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While only a minority of patients with asthma exacerbations require ICU admission, these patients are challenging to manage because they typically have already failed treatment in the outpatient and emergency department (ED) settings.
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A multicenter, randomized, double-blind, placebo-controlled trial of hydrocortisone replacement in patients with septic shock found no mortality benefit in those patients with inadequate baseline response to corticotropin stimulation.
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There is an increased risk of future cancer as a consequence of performing repeated CT scans, and the younger the patient at the time of scanning, the greater the subsequent risk.
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Exposure to small turtles has lead to a multistate outbreak of Salmonella paratyphi B var. Java infections. This MMWR report summarizes the epidemiologic and laboratory investigation conducted by CDC and state and local health departments since the first reported illness on 5/4/07.
