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Clinical Highlights

Strokes raise risk of hip, femur fractures

September 1, 2009

The journal Stroke reported that patients who had suffered recent strokes ran double the risk of fracturing their hips or femurs. Fall prevention programs and monitoring/medication of bone density may counteract this trend.

Non-invasive ventilation after extubation can cut risk of respiratory failure

September 1, 2009

A recent study showed that non-invasive oxygen ventilation reduced rates of respiratory failure and reintubation in recently extubated, at-risk patients more effectively than convention oxygen therapy.

New technique for stroke patients with a-fib offers warfarin alternative

September 1, 2009

A study of patients with atrial fibrillation and one or more comorbidities showed that using left atrial appendage closure reduced rates of stroke, cardiovascular death, and systemic embolism more effectively than warfarin therapy.

Infant TV viewing may inhibit language development

August 1, 2009

The American Academy of Pediatrics has advised that parents not let children under age 2 watch television, due to the reduced parental interaction and word exchange when families watch shows.

Texting teen transplant recipients cuts organ rejection

August 1, 2009

Teenaged liver transplant recipients complied more successfully with immunosuppressant medication regimens when clinicians sent them text-message reminders to take their drugs.

Pulse oximetry may detect infant critical congenital heart disease early

August 1, 2009

The American Heart Association and American Academy of Pediatrics have stated that measuring infants' pulse oximetry after their first 24 hours can detect certain types of critical congenital heart disease.

Four-layer bandages offer greater healing potential than short-stretch bandages

July 1, 2009

A meta-analysis of past trials revealed that patients with venous leg ulcers whose wound sites were wrapped with four-layer bandages had a 30% greater chance of healing than those who received short-stretch bandages.

Stethoscopes shown to retain and breed pathogens

July 1, 2009

Microbiologists determined that the stethoscopes of both bedside and nonmedical personnel can harbor and breed potentially pathogenic bacteria. Bedside nurses were shown to clean their stethoscopes less frequently than nonmedical personnel, but bacteria survived even regular cleaning efforts.

HbA1C assay proposed as more accurate diabetes test than traditional exams

July 1, 2009

Three international diabetes organizations advise that the hemoglobin A1C assay replace the fasting blood-glucose level exam and the oral glucose tolerance test as a more accurate marker of diabetes.

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