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November 2015 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 November 2015. This roundup includes the...
For patients without diabetes with ST-segment myocardial infarction treated with primary percutaneous coronary intervention

Nonalcoholic Fatty Liver Disease Predicts MACE in STEMI

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Patients with moderate to severe fatty liver disease more likely to have impaired myocardial infusion
Patients in private hospital rooms are less likely to develop infections

Cost of Private Rooms Less Than That Associated With Infections

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Increased cost of building them is offset by decreases in additional medical care, research shows
Patients at VA hospitals who contracted Clostridium difficile following surgery were five times more likely to die and 12 times more likely to suffer postoperative morbidity

C. Difficile Infection Tied to Higher Risk of Post-Op Mortality

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Postoperative complications also increased in this patient population
Physicians should prescribe generic medications whenever possible

ACP: Physicians Should Prescribe Generic Meds If Possible

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Brand name medications not superior to molecularly identical generic medications
For one physician

Music Can Help Doctors Develop Relationships With Patients

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Cardiologist describes how showing her vulnerability through music has made her a better doctor
Young women who survive a myocardial infarction (MI) or ischemic stroke continue to face an increased mortality risk -- or another MI or stroke

Risk of Second Event High for Young Women After MI, Stroke

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Odds of another event and mortality are significantly increased, researchers say
Terlipressin therapy can induce hyponatremia

Terlipressin Therapy Can Induce Hyponatremia

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Case report describes 41-year-old man with variceal rebleeding treated with terlipressin
Electronic portfolios are being used to transform medical students' assessments and track progress as students advance through medical training

E-Portfolio Developed to Assess Millennial Med Students

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Vanderbilt University School of Medicine has developed complex system to chart performance
A small but promised Medicare pay increase has effectively been reduced to zero for all physician specialties

AAFP: Expected 0.5 Percent Pay Increase Reduced to Zero

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Medicare physician fee schedule shows expected Medicare pay increase reduced for all specialties