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The optimal time to initiate antiretroviral therapy (ARV) in chronically-infected asymptomatic patients is now felt to be when the CD4+ lymphocyte count falls to approximately 350 cells/uL, based on the probability of developing an AIDS-defining illness within a relatively short period of time, as shown in a meta-analysis of cohort studies.
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From July through November 2003, a rapidly growing non-tuberculous Mycobacterium was recovered in culture from 11 of 15 women with wound infections after breast surgery all but one involving silicon gel implants. Thirteen of the procedures were performed by a single surgeon; infection developed in 12 of 42 (28.6%) patients operated on by this individual.
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A prospective study of the immunogenicity and reactogenicity of one vs 2 doses of 2004-2005 trivalent influenza vaccine (TIV), in 5 8-year-old children, was conducted among 280 children who had not received TIV. Of these, 222 received 2 doses of TIV and had 3 blood samples. An additional 10 received 2 doses of TIV and were included in the safety analyses. The mean age of the 222 children was 6.5 years; 57% were male.
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Each year in the United States, a few isolated cases of plague are reported. This year, possibly because of increased spring rains leading to an increase in the rodent population, an unprecedented 13 cases of plagues have occurred in 4 states (New Mexico, California, Colorado, and Texas).
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In this study, scala and colleagues compared the clinical outcomes of patients with acute respiratory failure due to COPD exacerbations and different degrees of altered levels of consciousness.
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Investigators at the university of amsterdam performed an extensive review of articles, retrieved via Medline, that reported ICU outcomes in very elderly patients.
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More than 20 years ago, case reports appeared in the literature describing a neuromuscular abnormality that developed as a consequence of critical illness.
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The results of this study underline the uncertainty regarding the risk/benefit ratio of rtPA treatment in acute stroke in patients older than 80 years of age.
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Treatment of GBS should not be only aimed at improving patients' disability but also at limiting the impact of the disease on their social life.
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Visual hallucinations, extrapyramidal motor signs, and visuoconstructional impairments at time of presentation are strongly suggestive of a diagnosis of dementia with Lewy bodies.
