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The Toll of Pandemic Influenza
The first phase 6 global pandemic of the century filled intensive care units around the world.
Experts And Viewpoints, March 19, 2010
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Physicians Are Talking About: The Culture of Defensive Medicine
Just how widespread is defensive medicine?
Experts And Viewpoints, March 19, 2010
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Funding CME -- As Pharma Retreats Who Pays the Price?
The primary care roundtable battles over CME funding and if industry is backing out, who should pay for it?
Article, March 18, 2010
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How Events in Your Personal Life Can Jeopardize Your Practice
A DUI, steamy affairs, bad behavior, domestic violence, drug conviction, and other events could ultimately cause serious harm to your practice.
Article, March 18, 2010
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Intensive Insulin and Corticosteroids for Septic Shock
Is there any benefit to tighter glucose control in critically ill patients with septic shock and corticosteroid-induced hyperglycemia?
Experts And Viewpoints, March 18, 2010
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To Err Is Human, to Forgive Is Statistical
Dr. Andrew Vickers explains why the results of flawed studies don't necessarily need to be discarded.
Article, March 18, 2010
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Differences in Complexity of Glycemic Profile in Survivors and Nonsurvivors in an Intensive Care Unit: A Pilot Study
Glucoregulatory processes are examined with more detailed methods than conventional glucose variability measures.
Journal Article, March 18, 2010
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End-of-Life Care in the Setting of Cancer: Withdrawing Nutrition and Hydration
Decisions about artificial hydration and nutrition near the end of life challenge clinicians to be excellent communicators with patients and families. Learn more here.
Clinical Review, March 17, 2010
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When Saying "I'm Sorry" Is the Worst Thing That You Can Do
Saying "I'm sorry" can strengthen the case against you, increase your malpractice premiums, and have other negative effects. There's no evidence that it lowers the number of lawsuits.
Article, March 17, 2010
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Dyspnea and Dysentery: A Case Report of Pleuropulmonary Amebiasis
Amebic dysentery can sometimes manifest with pleuropulmonary involvement, but diagnosis can prove to be difficult.
Journal Article, March 17, 2010
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Sepsis Resuscitation Protocols: Lactate Clearance vs Central Venous Oxygen Saturation
In this video blog, Dr. Andy Shorr discusses a study comparing lactate clearance and central venous oxygen saturation as goals of early sepsis therapy. Did mortality differ between protocols used?
Experts And Viewpoints, March 16, 2010
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Is Hospitalization Associated With Cognitive Decline in Older Adults?
In this video commentary, Andrew Shorr, MD, explores the findings of a recent study that suggest cognitive decline may be more likely in older adults hospitalized for critical illness.
Experts And Viewpoints, March 16, 2010
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Should we use Closed or Open Infusion Containers for Prevention of Bloodstream Infections?
What effect do closed infusion containers have on the risk of central-line associated bloodstream infections in critical care settings?
Journal Article, March 16, 2010
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Glucose Variability is Associated With Intensive Care Unit Mortality
Tighter glycemic control in ICU settings can improve patient outcomes.
Journal Article, March 12, 2010
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Afraid in the Hospital: Parental Concern for Errors during a Childs Hospitalization
A child in the hospital brings anxiety to any parent. This study examines how a parent's self-efficacy in interacting with the physician influences concern over medical errors in their child's care.
Journal Article, March 12, 2010
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Opioid Drug Overdoses: A Prescription for Harm and Potential for Prevention
Project Lazarus, a community-based program in North Carolina, takes an unconventional approach to the prevention of accidental poisoning from opioid overdose.
Journal Article, March 11, 2010
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What has Social Injustice to do With Medicine?
While healthcare costs continue to grow, so too does the health gap between rich and poor. Are physicians powerless to stem this tide?
Journal Article, March 11, 2010
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CDC Commentary: Healthcare-Associated Infections -- A Continuing Threat to Public Health
In this video commentary from the CDC, Denise Cardo, MD, describes how evidence-based guidelines must be translated into practice to eliminate HAIs.
Experts And Viewpoints, March 11, 2010
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Basic Invasive Mechanical Ventilation
A great refresher about the modes of ventilation possible with today's ventilators.
Journal Article, March 10, 2010
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Medicare Cuts? Bah! No Need to Panic
A 21.2% Medicare reimbursement cut would be disastrous, but this practice management expert believes it won't happen because of the catastrophic fallout.
Article, March 10, 2010