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This issue is the second installment in a two-part series on breast cancer. The first part covered epidemiology, histologic types of breast cancer, screening, diagnosis, principles of treatment, and surgical management. This issue will cover chemotherapy, radiation therapy, endocrine therapy, metastatic breast cancer, and primary care for the breast cancer survivor.
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Comparing blood pressure medications, determining optimal length of androgen-deprivation therapy, red yeast rice for LDL reduction, and FDA Actions.
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With more hospitals in recent years considering mandatory seasonal flu immunizations for health care workers, the rise and highly anticipated seasonal resurgence of H1N1 influenza A raises a compelling question: Will the first pandemic in 41 years add momentum to increasing calls to make flu immunization a condition of health care employment?
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Timsit et al conducted a 2x2 randomized, controlled trial comparing chlorhexidine-impregnated sponges in the dressing of vascular catheters with control dressings.
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In reviewing the risk of seasonal influenza and the controversial question of health care worker immunization, Thomas Talbot, MD, MPH, paused on a mysterious case study an 'N of 1," if you will, that suggests patients come into hospitals and die of influenza contracted during treatment.
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Infection preventionists and their employee health colleagues undertaking a mandated program to immunize health care workers against flu invariably will run into four groups of people:
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Some infection preventionists have raised concerns about the unintended consequences of contact isolation in hospitals, which are often tied to active screening cultures to detect particular pathogens such as methicillin-resistant Staphylococcus aureus(MRSA).
