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The CDC has published a new set of recommendations aimed at preventing health care-associated infections by optimizing hand hygiene in health care personnel. The following is a summary of some of those recommendations, selected because of their strength and/or novelty.
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Any change model that can transform a government agency successfully must be powerful stuff indeed, and it seems that the High Performance Development Model (HPDM) at the Department of Veterans Affairs/Veterans Health Administration (VHA), in Washington, DC, has done just that.
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Two recent publications cover common issues pertinent to travelers. There is a new way to expedite the diagnosis and treatment of myiasis, which is reviewed here. Included is also a synopsis of an illustrative article to make available to those who give advice to travelers regarding health care abroad.
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Does a pay-for-performance (P4P) approach to quality improvement really work? A new study in the June 6 issue of JAMA raises some serious questions as to whether it provides a superior incentive for hospitals to improve their performance.
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Robert Hatcher, MD, MPH, professor of obstetrics and gynecology at Atlanta's Emory University and chairman of the editorial board for Contraceptive Technology Update, is the 2007 recipient of the Kenneth J. Ryan, MD, Physician Leadership Award.
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When it comes to initiating oral contraceptives (OCs), new research indicates that immediate initiation before start of the next menses improves short-term continuation of pill use.
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MRI is more sensitive than CT for detecting acute ischemia and can detect acute hemorrhage with equal sensitivity to CT.
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A meta-analysis of 18 studies that have examined the usefulness of procalcitonin measurement in the diagnosis of sepsis finds that the diagnostic performance of this measurement is low and that the test cannot reliably distinguish sepsis from other causes of the systemic inflammatory response syndrome.
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Aspirin, Higher Doses No More Effective, Risky; Subclinical Hypothyroidism Treatment Benefits; FDA approvals