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Monthly Archives: October 2017

Guidelines have been updated for infection prevention and control in pediatric ambulatory settings

Guidelines Updated for Infection Prevention in Pediatrics

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Update focused on key principles of infection prevention, control relevant to ambulatory patients
From 2003 to 2014

2003 to 2014 Saw Drop in Urinary Arsenic in Public Water Users

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Reduction occurred after implementation of EPA's maximum contaminant level for arsenic
The strongest evidence for benefit of cannabinoids in children is for chemotherapy-induced nausea and vomiting

Limited Evidence of Benefit for Medical Cannabinoids in Children

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Strongest evidence for benefit in chemo-induced nausea, vomiting; other uses need more evidence
Sub-anesthetic ketamine infusions are associated with improved short-term pain relief for migraine and other intractable headache

ASA: Ketamine Infusions May Relieve Pain in Migraine

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Least pain on day 4, achieved at mean ketamine rates of 30.8±3.6 mg/hr less than maximum dose
For patients undergoing total knee or hip arthroplasty

ASA: Fewer Opioids Being Used for Post-Op Pain After TKA, THA

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Increase in proportion of patients receiving one, two, more than two analgesic modes
A brief psychosocial intervention in which physicians ask inpatients about their current situation and respond empathetically appears to improve the hospitalization experience

Psychosocial Intervention May Boost Hospitalization Satisfaction

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Brief intervention involves physicians empathizing with patients during a daily check-in
After hematopoietic stem cell transplantation for acute leukemia

Leukemia Patients Who Survive Severe GVHD Often Fare Worse

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Those who develop severe acute graft-versus-host after stem cell transplant have higher mortality
For patients with progressive multifocal leukoencephalopathy

Caution for PLEX in Progressive Multifocal Leukoencephalopathy

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Plasma exchange not linked to PML immune reconstitution inflammatory syndrome latency
Interactions between genes and physical activity and genes and sedentary behavior may play a role in the development of obesity

Less Sedentary Time May Attenuate Genetic Role in Obesity

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U.S. Hispanics/Latinos in lowest tertile of physical activity have strongest genetic association with BMI
Mislabeling of herbal and dietary supplements is common

Herbal and Dietary Supplements Are Commonly Mislabeled

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Bodybuilding products have highest mislabeling rate; many mislabeled products tied to liver injury