Internal Medicine
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HPV Vaccines: Why Are We Failing to Vaccinate so Many of Our Adolescents?
Barriers to HPV vaccination are multiple.
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Raccoon Roundworm Infection Associated with Central Nervous System and Ocular Disease
During a two-year period, six cases of neural Baylisascaris larva migrans and one case of ocular larva migrans were identified by case report forms and serologic testing submitted to the Centers for Disease Control and Prevention. All patients survived, but some were left with severe neurologic sequelae.
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Reported Beta-lactam Allergy Is Associated with More Adverse Events Among Inpatients
A prospective cohort study from three hospitals determined that patients who did not receive a preferred beta-lactam antibiotic were at greater risk for an adverse event (adjusted odds ratio, 3.1; 95% confidence interval, 1.28-7.89) compared to controls without a beta-lactam allergy.
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Adding Azithromycin to Standard Prophylaxis in Non-Elective Cesarean Sections?
Adding intravenous azithromycin to “routine” cephalosporin prophylaxis prior to non-elective cesarean section delivery significantly reduces the risk of postpartum endometritis and wound infection.
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Vasopressin as a Single Vasopressor Agent in Patients with Septic Shock
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What Influences ICU Admission?
High ICU utilization hospitals were more likely to use invasive procedures and incur higher costs than low ICU hospitals with no difference in mortality.
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Airway Management in the Critically Ill: Challenges, Advances, and Controversies
Recent evidence and guidelines help inform best airway practice in the ICU, but challenges and controversies remain.
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Clinical Briefs
In this section: improving CPAP adherence; drug therapy for type 2 diabetes; and correcting inhaler techniques.
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Aspirin and Omeprazole Delayed-release Tablets (Yosprala)
The combination is indicated for patients who require aspirin for secondary prevention of cardiovascular and cerebrovascular events and who are at risk of aspirin-associated gastric ulcers.
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Headaches in the Elderly: A Non-specific Marker for Stroke Risk
Non-migrainous headaches, for which there are many causes, appear to be a risk factor for stroke in an elderly population, but the mechanism is uncertain.