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The Consumers Union, publishers of Consumer Reports, is urging people to write their government representatives and demand open records on hospital infection rates.
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In a battle that is expected to unfold in an increasing number of states, infection control professionals in Pennsylvania are facing a demand for public disclosure of infection rates.
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Noninvasive positive-pressure ventilation (NPPV) was assessed in 105 patients with severe acute hypoxemic respiratory failure. The use of noninvasive positive pressure ventilation (NPPV) is effective to reduce intubation and mortality in patients with acute hypoxemic respiratory failure.
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No CT variables predicted severe in-hospital morbidity and mortality (death from pulmonary embolism, death from any cause, or cardiac arrest) in patients with PE. However, ventricular septal bowing and increased RV/LV diameter ratio were both strongly predictive of less severe morbidity, namely, subsequent ICU admission, and oligemia was associated with subsequent intubation and vasopressor use.
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Leapfrog Groups standards for critical care are not grounded sufficiently in evidence to mandate their stringent and universal implementation. Rather, most of the guidelines are grounded in common sense and rational extrapolation of the data. As such, they are a reasonable starting point for debate by physicians and policymakers about optimal methods of achieving intensivist-guided care of critically ill patients.
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Synopsis: As determined by process of care measurement, adverse event occurrence, and patient satisfaction, quality of care is compromised by infection control procedures.
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Heres one for the strange-but-true case file: A 48-year-old woman under home therapy for continuous ambulatory peritoneal dialysis (CAPD) presented to the emergency department with a one-day history of fever and chills accompanied by general abdominal discomfort without nausea or vomiting.
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In a multicenter study of occupational HIV exposures, 38% of source patients had genotype mutations associated with resistance to anti-retroviral drugs. Recent antiretroviral treatment history was highly associated with resistance.
