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December 2008 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for December 2008. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

UK Pediatric Admission Higher in Deprived and South Asians

MONDAY, Dec. 29 (HealthDay News) -- Admission rates to pediatric intensive care units and mortality are higher in more-deprived children and in south Asian children in the United Kingdom, though less-deprived south Asian children have higher mortality, according to study findings published online Dec. 23 in the Archives of Disease in Childhood.

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Genetics Linked to Increased Lung Cancer Risk

FRIDAY, Dec. 26 (HealthDay News) -- Two common polymorphisms in the 3' untranslated regions of adenosine triphosphate-binding cassette B1 and C1 (ABCB1 and ABCC1) are linked to a greater risk of developing lung cancer, according to research published online Dec. 23 in Cancer.

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Socioeconomic Status Predicts Post-Heart Attack Lifestyle

FRIDAY, Dec. 26 (HealthDay News) -- Heart attack survivors with lower socioeconomic status are significantly less likely than those with higher socioeconomic status to make healthy lifestyle changes during the early convalescent period, according to study findings published in the Dec. 15 issue of the American Journal of Cardiology.

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Sleep Duration Linked to Coronary Artery Calcification

TUESDAY, Dec. 23 (HealthDay News) -- In middle-aged adults, longer sleep duration is independently associated with a decreased risk of coronary artery calcification, according to the results of a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

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Thromboembolic Prophylaxis Practices Vary by Surgeon

MONDAY, Dec. 22 (HealthDay News) -- Spinal surgeons vary widely in their practices for thromboembolic prophylaxis after high-risk surgery and often base their decisions on personal experience over scientific evidence, according to the results of a study published in the Dec. 15 issue of Spine.

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Surrogate Decision Makers Want Honest Discussions

WEDNESDAY, Dec. 17 (HealthDay News) -- Among the surrogates of critically ill patients, a large majority believe that withholding prognostic information is unacceptable and welcome honest discussions to help them emotionally prepare for the possibility of a loved one's death, according to an article published in the Dec. 16 issue of the Annals of Internal Medicine.

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Feeding Strategy Improves Nutrition in Intensive Care

TUESDAY, Dec. 16 (HealthDay News) -- Implementing a multi-faceted strategy to change feeding practices in intensive care units using evidence-based nutritional support guidelines can promote earlier feeding and improve nutritional adequacy, but there is no impact on clinical outcomes, according to the results of a study published in the Dec. 17 issue of the Journal of the American Medical Association.

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Editorial

Rapid Response Teams Do Not Reduce Code Rates

TUESDAY, Dec. 2 (HealthDay News) -- The introduction of a rapid response team may reduce the rate of cardiopulmonary arrests outside of intensive care, but the hospital-wide mortality and code rates remain unchanged, researchers report in the Dec. 3 issue of the Journal of the American Medical Association.

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