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Home > Hot Topics
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Current Hot Topics
Saturday, July 5, 2008
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Diagnosis of Pulmonary Embolis... Pediatric DKA...
EU Drug Development Slowdown... Shingles Vaccine for Adults 60...
Sleep Duration and Bad Outcome... High-performance Health System...
Communication in the ICU... Improving ED Call Coverage...
Clinical Briefs in Primary Care: Diagnosis of Pulmonary Embolism by Multidetector CT
 
Because the consequence of missed pulmonary embolism (PEM) is so grave, it is essential to continue our evolution of tools which maximize diagnostic sensitivity, offer clinical expedience, and minimize risk for the patient. Recently, the combination of clinical probability assessment (CPA) with d-dimer, venous compression ultrasound (v-US), and helical CT has enjoyed advocacy, but multislice CT (MSCT) provides even better vascular visualization down to the level of segmental and subsegmental vessels.
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EU Drug Development Slowdown Due to Biotech Complexity?
 
BRUSSELS, Belgium - There is a slowdown in the volume of useful new drugs on the European market, and biotech is in part to blame, according to the leading European pharmaceutical industry association.
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Everything in Moderation, Including Sleep
 
Both short (6 or fewer hours) and long (9 or more hours) habitual sleep durations predict an increased risk of weight gain in adults.
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How Effective is Communication in the ICU with the Use of Medical Interpreters?
 
This study examined the accuracy of translations provided by medical interpreters during intensive care unit (ICU) family conferences and found that a significant proportion of medical interpretation resulted in additions, omissions, substitutions and editorializations, some of which had potential negative effects including interference with the transfer of information and treatment decision making, which could potentially influence family member understanding and decision making about ICU patient care.
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Pediatric DKA: Fluids and Insulin, How Much and When?
 
Diabetic ketoacidosis (DKA) is a state of metabolic decompensation, secondary to insulin deficiency/resistance that is coupled with counter-regulatory hormone excess and results in varying degrees of hyperglycemia, ketoacidemia, hypertonic dehydration, and sometimes, alterations in mental status. DKA represents a spectrum of physiologic and biochemical aberrations ranging from minimal to severe disturbances in the degree of dehydration, ketoacidosis, and their physiologic consequences.
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Pharmacology Watch: CDC Adds Shingles Vaccine to List for Adults 60 Plus
 
The Centers for Disease Control and Prevention (CDC) have added shingles vaccine to the list of routine vaccines recommended for adults.
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States Building High-performance Health Systems, but Much More Can be Done
 
States are pursuing health system improvements across the full spectrum of their authority, including health care purchasing, provider regulation, performance data reporting, integration of public health with health care approaches, and improving the availability and affordability of health insurance. But for as much as states are doing, a National Academy for State Health Policy (NASHP) study finds there is room for states to do much more. It says ongoing efforts to track, study, and diffuse information on state activities could accelerate adoption of promising policies and practices.
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Work With Physicians to Improve ED Call Coverage, Avoid Shortages
 
It's a constant worry for risk managers: Do you have enough physicians taking emergency department (ED) call duty? Will those on call actually respond when summoned? Are they taking ED calls from other hospitals at the same time?
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