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Prevalence and demographics of methicillin resistant staphylococcus aureus in culturable skin and soft tissue infections in an urban emergency department

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afghanartist: Background: The rising incidence of methicillin resistant Staph. aureus (MRSA) infections is a concern for emergency practitioners. While studies have examined MRSA in inpatients, few have focused on emergency department populations. We sought...

Comparison of a nurse initiated insulin infusion protocol for intensive insulin therapy between adult surgical trauma, medical and coronary care intensive care patients

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afghanartist: Background: Sustained hyperglycemia is a known risk factor for adverse outcomes in critically ill patients. The specific aim was to determine if a nurse initiated insulin infusion protocol (IIP) was effective in maintaining blood glucose values...

Ocular injuries in survivors of improvised explosive devices (IED) in commuter trains

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afghanartist: Background: Ocular injuries are common in survivors of terror incidents that involve the use of explosive materials. These explosives are commonly of a High Explosive type (HE) and may be fashioned into improvised explosive devices (IED) that...

Prehospital score for acute disease: a community-based observational study in Japan

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afghanartist: Background: Ambulance usage in Japan has increased consistently because it is free under the national health insurance system. The introduction of refusal for ambulance transfer is being debated nationally. The purpose of the present study was...

Quitline referral vs. self-help manual for tobacco use cessation in the Emergency Department: a feasibility study

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afghanartist: Background: Tobacco use counseling interventions delivered in the primary care setting are efficacious, but limited evidence exists regarding their feasibility or efficacy in the Emergency Department (ED). ED randomized controlled trials evaluating...

A new implicit review instrument for measuring quality of care delivered to pediatric patients in the emergency department

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afghanartist: Background: There are few outcomes experienced by children receiving care in the Emergency Department (ED) that are amenable to measuring for the purposes of assessing of quality of care. The purpose of this study was to develop, test, and validate...

Preparedness of emergency departments in north west England for managing chemical incidents: a structured interview survey

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afghanartist: Background: A number of significant chemical incidents occur in the UK each year and may require Emergency Departments (EDs) to receive and manage contaminated casualties. Previously UK EDs have been found to be under-prepared for this, but...

Success of microvascular surgery; repair mesenteric injury and prevent short bowel syndrome: a case report

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afghanartist: Background: Superior mesenteric injury is a rare entity but when it occurs, short bowel syndrome is one of the uninvited results of the emergency surgical procedures.Case presentationWe present a 19-year-old boy with blunt abdominal trauma which...

Failure of psychiatric referrals from the pediatric emergency department

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afghanartist: Background: Recognition of mental illness in the pediatric emergency department (PED) followed by brief, problem oriented interventions may improve health-care seeking behavior and quality of life. The objective of this study was to compare...

Cost-efficiency assessment of Advanced Life Support (ALS) courses based on the comparison of advanced simulators with conventional manikins

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afghanartist: Background: Simulation is an essential tool in modern medical education. The object of this study was to assess, in cost-effective measures, the introduction of new generation simulators in an adult life support (ALS) education program. Methods: Two...

Sarajevo, Bosnia and Herzegovina - Hey from bosnia!

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afghanartist: Hi guys, time to fill you in on the next part of our trip! Well Christmas dinner was fun, ended up having dinner with about 7 ppl in the hostel wearing funny christmas and st pats hats. Enjoyed trying some vodka shots given by the hostel called...

Risk of HIV, West Nile Virus, E Coli Transmission May be Reduced Through Improved Blood Screening Methods (Centre Daily Times)

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afghanartist: The blood transfusion community should consider pathogen inactivation methods as an alternative way to assure the safety and availability of the nation’s blood supply, a pathologist wrote in the December issue of the American Journal of...

Chennai, India - Arrival and recovery

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afghanartist: Hi All Well, we are here! Day 2 in Chennai. We arrived yesterday after what felt like the longest day in history. Having lest home in Gnosall at 7.30 am on 27th, we arrived at the airport in Chennai at 8.30 am local time on 28th. We were picked...

Machu Picchu, Peru - Bewölkt-sonnig-regen, 20-25-15°C

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afghanartist: Auf den Spuren der Inkas Teil 1 Mit einem Kleinbus starten wir zusammen mit je einem deutschen und einem holländischen Pärchen unsere Tour zum Machu Picchu. Nach dem Sacret Valley kämpft sich der Bus über einen 4300m hohen Pass wo es zu...

Cusco, Peru - Sonnig, 25°C

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afghanartist: Erste Schritte in Cusco Früh am morgen erreichen wir mit dem Nachtbus Cusco und steigen im Hostal Home Sweet Home ab. Von da haben wir eine tolle Aussicht über die Stadt. Zu Fuss erkunden wir das Zentrum rund um den Plaza de Armas und den...

Cusco, Peru - Sonnig, 27°C

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afghanartist: 2. Tag in Cusco Nach einer erholsamen Nacht gehen wir in die Stadt und kaufen uns das Boleto Touristico, mit dem wir verschiedene Sehenswürdigkeiten in und um Cusco besichtigen können und schauen uns gleich die ersten Touristenmagneten an....

Arequipa, Peru - 400 year old monasteries and earth tremors.. not a good combo

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afghanartist: We had one last day in Cuzco after the Inca Trail to fix our sore bodies and catch up on rest. We both got 90 minute massages (cost $10AU!) to help with the soreness in our legs. We walked around Cuzco for the afternoon in the glorious sunshine,...

Arica, Chile - When a beach town doesnt excite you, it's time to move on

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afghanartist: ÁFter a long boring bus trip, we noticed the scenery change dramatically. The closer we got to Chile, the drier and more depressing the view got. It was literally hours of driving through dirt piles (maybe dirty sand, Im not sure), and rubbish...

Rota, Northern Mariana Isl. - Merry Christmas

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afghanartist: I hope everyone had a great holiday season and will celebrate the New Year with a blast. Things around here have been surprisingly busy over the last few weeks. Thanksgiving was filled with turkey and pumpkin pie as we ate at the high school...