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Among persons who inject drugs

Nine Cases of Wound Botulism ID’d in Injection Drug Users

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All patients used injection drugs; seven reported using black tar heroin and six practiced skin popping
Children receiving invasive mechanical ventilation for ≥48 hours often experience muscle atrophy

Muscle Atrophy Occurs Rapidly in Critically Ill, Ventilated Children

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47 percent of cohort experienced ≥11 percent decrease in diaphragm thickness after six days
Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains

ACA Coverage Gains Could Erode Without Individual Mandate

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However, individual market in California not expected to destabilize because of mandate penalty
For extremely preterm infants

Single-Family Rooms May Benefit Very Preterm Infants

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Reduced sepsis, increased breastfeeding rates observed; no difference in neurodevelopment vs. open bay units
For patients with chronic obstructive pulmonary disease hospitalization

Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

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Flu-positive patients have higher crude mortality and critical illness versus flu-negative patients
The global incidence of child pneumonia and related mortality decreased substantially from 2000 to 2015

Child Pneumonia Rate Dropped Globally From 2000 to 2015

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Number of clinical pneumonia episodes in children <5 years reduced 22 percent in developing countries
The incidence of phlebitis caused by peripheral intravenous cannula insertions may be higher among patients with certain risk factors

Study Reveals High Rate of Phlebitis Caused by IV Cannulas

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Rates of other complications similar to those in previously published reports
The self-report version of the Healthy Aging Brain Care Monitor is valid for assessing post-intensive care syndrome

Clinical Tool Rapidly Assesses Post-Intensive Care Syndrome

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27-item questionnaire found to be valid clinical tool for assessing PICS

December 2018 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for December 2018. This roundup includes the...
The American Society of Hematology has developed new guidelines for the treatment of venous thromboembolism; the clinical practice guidelines were recently published in Blood Advances.

ASH Develops Practice Guidelines for Venous Thromboembolism

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Clinical practice guidelines presented for diagnosis, treatment, pediatric and pregnancy-linked VTE