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Anecdotal Failures in the Diagnosis of Serotonin Syndrome

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

Clinical Question: What is the validity of commonly held beliefs regarding serotonin syndrome (SS)? Background: SS is a potentially life-...

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Restrictive Blood Transfusion Strategies May Increase the Risk of Mortality, Morbidity for Elderly Patients Undergoing Orthopedic Surgery

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

Are there particular groups of patients in which lower transfusion thresholds (transfusion only at lower hemoglobin levels) may be harmful?

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Loss of Independence after Surgery and Subsequent Outcomes in Older Patients

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

What is the incidence of loss of independence (LOI) for older adults after surgery, and is there an association between LOI and readmission or...

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News

Euthanasia and Physician-Assisted Suicide Remain Rare and Primarily Involve Cancer Patients

Author:
Ryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

What data are available regarding the attitudes toward and the practice of euthanasia and physician-assisted suicide (PAS)?

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Goals of Care Infrequently Discussed among Hospitalized Long-Term Care Residents

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

How often are goals of care (GOC) discussed during hospitalization of long-term care residents, and what patient characteristics make this more...

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Hand Hygiene Improves Patient Safety

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

Does improving hand hygiene compliance from a high level to a very high level reduce healthcare-associated infections?

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Traditional Hand Hygiene Audits Can Lead to Inaccurate Conclusions about Physician Performance

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

Does direct observation underestimate physician compliance with hand hygiene (HH) compared to other professional groups due to the Hawthorne...

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Long-Term Mortality in Nondiabetic Patients Favors Coronary Artery Bypass Over Intervention with Drug-Eluting Stents

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

Is there a mortality difference in nondiabetic patients with multivessel coronary artery disease (CAD) treated with coronary artery bypass graft (...

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Prolonged Ceftaroline Exposure Associated with High Incidence of Neutropenia

Author:
Bryan J. Huang, MD, FHM
Michael E. Montazeri, MD
Reid A. Sasaki, MD
Beacher G. Schneider, MD
Meghan M. Sebasky, MD, FHM
Division OF

What is the incidence of neutropenia in patients treated with prolonged courses of ceftaroline?

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How Should a Hospitalized Patient with Newly Diagnosed Cirrhosis Be Evaluated and Managed?

Author:
Raj Sehgal, MD
Joshua Hanson, MD, MPH
Division OF

The Case A 50-year-old man with no known medical history presents with two months of increasing abdominal distension. Exam is notable for scleral...

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Disinfection Caps Reduce CLABSI, BCC in Hematology-Oncology Patients

Author:
Shirin A. Poonja, DO
Anar Mashruwala, MD, FACP
Amy Kim, MD
Agnes Libot, MD
Padmavathy Parthasarathy, MD
Sameer Qazi, MD
Division OF

Clinical question: Does the use of disinfection caps on catheter hubs on central venous catheters (CVCs) reduce central-line-associated...

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News

Isopropyl Alcohol Nasal Inhalation Effective Treatment for ED Nausea

Author:
Shirin A. Poonja, DO
Anar Mashruwala, MD, FACP
Amy Kim, MD
Agnes Libot, MD
Padmavathy Parthasarathy, MD
Sameer Qazi, MD
Division OF

Clinical question: Does inhaled isopropyl alcohol alleviate nausea as compared to inhaled saline solution among patients presenting to the ED with...

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News

Chronic Kidney Disease Risk with Proton Pump Inhibitors

Author:
Shirin A. Poonja, DO
Anar Mashruwala, MD, FACP
Amy Kim, MD
Agnes Libot, MD
Padmavathy Parthasarathy, MD
Sameer Qazi, MD
Division OF

Clinical question: What is the association between proton pump inhibitor (PPI) use and incident chronic kidney disease (CKD)? Background:...

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News

Risk Factors for Pseudomonas, MRSA in Healthcare-Associated Pneumonia

Author:
Shirin A. Poonja, DO
Anar Mashruwala, MD, FACP
Amy Kim, MD
Agnes Libot, MD
Padmavathy Parthasarathy, MD
Sameer Qazi, MD
Division OF

Clinical question: What risk factors could predict the likelihood of Pseudomonas and methicillin-resistant Staphylococcus aureus (MRSA) in...

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News

Updated CHEST Guidelines for Antithrombotic Therapy of VTE

Author:
Shirin A. Poonja, DO
Anar Mashruwala, MD, FACP
Amy Kim, MD
Agnes Libot, MD
Padmavathy Parthasarathy, MD
Sameer Qazi, MD
Division OF

Clinical question: What are the current recommendations for antithrombotic therapy in various venous thromboembolism (VTE) scenarios? Background...

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