Internal Medicine
RSSArticles
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Nasal High-Flow Oxygen Lowers Reintubation Rate
SYNOPSIS: Use of nasal high-flow oxygen was associated with better comfort, fewer desaturations and interface displacements, and a lower reintubation rate.
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Can We Reduce Unnecessary Head CT Scans in Patients with Delirium?
This study was a retrospective review of medical records of hospitalized general medicine patients with head CT imaging performed for the evaluation of delirium. -
Health Care Utilization in the Aftermath of Severe Sepsis
SYNOPSIS: This observational cohort study of survivors of severe sepsis found that the post-discharge needs of this population are substantial. Severe sepsis survivors spent more days admitted to facilities after their acute hospitalization than prior and had greater mortality, a steeper decline in days at home, and a greater increase in proportion of days alive in a facility compared to survivors of non-sepsis hospitalizations.
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Peri-procedural Management of New Oral Anticoagulants
Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging. These investigators from Germany analyzed the Dresden NOAC registry data to assess peri-procedural NOAC management and safety until 30 days post-procedure. -
Corticosteroids and Adult Meningitis
Adjunctive therapy with dexamethosone, initiated immediately before or with the first dose of antibiotic, significantly improved outcomes in adults with pneumococcal meningitis. -
Atopic Dermatitis: No Defensins Against S aureus
Skin affected by atopic dermatitis fails to express antimicrobial peptides, possibly accounting for the almost universal presence of S aureus in these lesions. -
Helicobacter pylori Infection
Helicobacter pylori is an exceedingly common inhabitant of the human stomach. The discovery of its role in the pathogenesis of peptic ulcer disease was revolutionary, but many questions remain about this organism and an appropriate medical approach to its presence. -
Full December 15, 2002, Issue in PDF
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Group A Streptococcal Infection: An Occupational Hazard for Health Care Workers
A patient with group A streptococcal respiratory and soft tissue infection was the source of an outbreak involving 24 health care workers. -
MRSA & PVL: A Nasty Package
A clonally related strain of S aureus that produces the Panton-Valentine leukocidin associated with severe cutaneous and pulmonary infections has been detected in a number of regions of France.