• Homect_img
  • Health Information

Health Library

January 2013 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for January 2013. 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.

Updated Guidelines Issued for Care of Acute Ischemic Stroke

THURSDAY, Jan. 31 (HealthDay News) -- For patients with acute ischemic stroke, the keys to limiting associated morbidity and mortality include the recognition of stroke, early diagnosis and treatment, and hospital care, according to updated guidelines published online Jan. 31 in Stroke.

Abstract (http://stroke.ahajournals.org/content/early/2013/01/31/STR.0b013e318284056a.abstract )Full Text (http://stroke.ahajournals.org/content/early/2013/01/31/STR.0b013e318284056a.full )

Antibiotics Improve Outcomes in Treatment of Malnutrition

THURSDAY, Jan. 31 (HealthDay News) -- For the treatment of severe, acute malnutrition in children, the addition of antibiotics to nutritional therapeutic regimens improves rates of recovery and reduces mortality, according to a study published in the Jan. 31 issue of the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1202851?query=featured_home )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1202851?query=featured_home#t=article )

Yoga Shown to Reduce Clinical Symptoms of Atrial Fibrillation

WEDNESDAY, Jan. 30 (HealthDay News) -- Yoga significantly reduces clinical symptoms and improves quality-of-life measures in patients with atrial fibrillation (AF), according to a study published online Jan. 30 in the Journal of the American College of Cardiology.

Abstract (http://content.onlinejacc.org/article.aspx?articleid=1567301#Abstract )Full Text (http://content.onlinejacc.org/article.aspx?articleid=1567301 )

Moxifloxacin Monotherapy Equivalent to Antibiotic Combo

WEDNESDAY, Jan. 30 (HealthDay News) -- Oral monotherapy with moxifloxacin is as efficacious and safe as combination therapy with ciprofloxacin plus amoxicillin/clavulanic acid for treatment of fever in adult patients with cancer and neutropenia who are at low risk of complications, according to a study published online Jan. 28 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/01/28/JCO.2012.45.8109.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/01/28/JCO.2012.45.8109.full.pdf+html )Editorial (http://jco.ascopubs.org/content/early/2013/01/28/JCO.2012.47.5905.full.pdf+html )

Mortality Risk Up for Patients Admitted on Public Holidays

WEDNESDAY, Jan. 30 (HealthDay News) -- Patients admitted to the hospital as emergencies on public holidays have significantly higher seven-day and 30-day mortality than patients admitted on non-holidays, according to a study published online Jan. 23 in the Journal of Emergency Medicine.

Abstract (http://emj.bmj.com/content/early/2013/01/08/emermed-2012-201881.short?g=w_emj_ahead_tab )Full Text (subscription or payment may be required) (http://emj.bmj.com/content/early/2013/01/08/emermed-2012-201881.full )

Majority of Patients Will Consider ICD Deactivation

WEDNESDAY, Jan. 30 (HealthDay News) -- The majority of patients with implantable cardioverter-defibrillators (ICDs) would want ICD deactivation in at least one scenario describing deteriorating health outcomes common in patients approaching the end of life, according to a study published online Jan. 28 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1566606 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1566608 )

In STEMI, Diabetes Linked to Worse Long-Term Outcomes

TUESDAY, Jan. 29 (HealthDay News) -- In patients undergoing primary angioplasty for ST-segment elevation myocardial infarction (STEMI), diabetes is associated with worse long-term outcomes, including mortality, reinfarction, stent thrombosis, and target vessel revascularization (TVR), according to research published online Dec. 28 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2012/12/19/dc12-1507.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2012/12/19/dc12-1507.full.pdf+html )

Physicians Commonly Report Unsafe Hospital Workloads

TUESDAY, Jan. 29 (HealthDay News) -- Physicians say they often face unsafe hospital workloads, according to a study published online Jan. 28 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1566604 )

Brain Scans Show Doctors Empathize With Patients

TUESDAY, Jan. 29 (HealthDay News) -- Physicians who empathize with a patient in pain and feel relief when the patient receives effective treatment show activity in brain regions associated with pain relief and reward, according to a study published online Jan. 29 in Molecular Psychiatry.

Abstract (http://www.nature.com/mp/journal/vaop/ncurrent/abs/mp2012195a.html )Full Text (subscription or payment may be required) (http://www.nature.com/mp/journal/vaop/ncurrent/full/mp2012195a.html )

Even Correctly-Administered NSAIDS Can Cause AKI in Kids

TUESDAY, Jan. 29 (HealthDay News) -- Nonsteroidal anti-inflammatory drug (NSAID)-associated acute kidney injury (AKI) accounts for almost 3 percent of pediatric AKI, according to a study published online Jan. 28 in The Journal of Pediatrics.

Abstract (http://www.jpeds.com/article/S0022-3476(12)01403-5/abstract )Full Text (subscription or payment may be required) (http://www.jpeds.com/article/S0022-3476(12)01403-5/fulltext )

Chlorhexidine Baths Cut Bacteremia in Critically Ill Kids

MONDAY, Jan. 28 (HealthDay News) -- For critically ill pediatric patients, daily bathing in chlorhexidine gluconate (CHG) is associated with reduced incidence of bacteremia, according to a study published online Jan. 28 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61687-0/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61687-0/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61996-5/fulltext )

Hyperbaric Oxygen Improves Function Long After Stroke

FRIDAY, Jan. 25 (HealthDay News) -- Hyperbaric oxygen therapy (HBOT) significantly improves neurological function and quality of life in people who had a stroke up to three years earlier, according to a study published online Jan. 15 in PLOS One.

Abstract (http://www.plosone.org/article/info:doi/10.1371/journal.pone.0053716#abstract0 )Full Text (http://www.plosone.org/article/info:doi/10.1371/journal.pone.0053716 )

Care Transition Initiative Decreases Rehospitalizations

WEDNESDAY, Jan. 23 (HealthDay News) -- Communities instituting quality improvement initiatives for care transitions see significant declines in the rate of 30-day rehospitalizations and hospitalizations, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1558278#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558278 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558260 )

Large Teaching Hospitals Face More Readmission Penalties

WEDNESDAY, Jan. 23 (HealthDay News) -- Large hospitals, teaching hospitals, and safety-net hospitals (SNHs) are more likely than other hospitals to be penalized under the Centers for Medicare & Medicaid Services' Hospital Readmissions Reduction Program (HRRP), according to a research letter published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558273 )

CPR Duration Inversely Tied to Child Cardiac Arrest Survival

WEDNESDAY, Jan. 23 (HealthDay News) -- For pediatric patients with in-hospital cardiac arrest (IHCA), the duration of cardiopulmonary resuscitation (CPR) is inversely linked to survival and favorable neurologic outcomes, according to a study published online Jan. 22 in Circulation.

Abstract (http://circ.ahajournals.org/content/early/2013/01/22/CIRCULATIONAHA.112.125625.abstract )Full Text (subscription or payment may be required) (http://circ.ahajournals.org/content/early/2013/01/22/CIRCULATIONAHA.112.125625.full.pdf+html )

Pediatric Hospitals Highly Variable in Readmission Rates

TUESDAY, Jan. 22 (HealthDay News) -- There is significant variability in readmission rates at pediatric hospitals based on condition treated and admitting hospital, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1558279#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558279 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558259 )

ER Visits Frequent Within 30-Days of Hospital Discharge

TUESDAY, Jan. 22 (HealthDay News) -- Emergency department visits account for almost 40 percent of post-discharge acute care encounters; and readmissions within 30-days occur in a considerable proportion of patients hospitalized with heart failure, acute myocardial infarction (MI), and pneumonia, according to two studies published in the Jan. 23/30 issue of the Journal of the American Medical Association.

Abstract - Vashi (http://jama.jamanetwork.com/article.aspx?articleid=1558277#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558277 )Abstract - Dharmarajan (http://jama.jamanetwork.com/article.aspx?articleid=1558276#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1558276 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1558260 )

Not All 'Surviving Sepsis' Intervention Recs Are Adopted

MONDAY, Jan. 21 (HealthDay News) -- Not all nursing interventions recommended in the Surviving Sepsis Campaign (SSC) are actually implemented in emergency departments, according to a review published in the January issue of the Journal of Emergency Nursing.

Abstract (http://www.jenonline.org/article/S0099-1767(11)00313-8/abstract )Full Text (http://www.jenonline.org/article/S0099-1767(11)00313-8/fulltext )

Most With C. difficile Receive Unnecessary Antimicrobials

MONDAY, Jan. 21 (HealthDay News) -- The majority of patients with current or recent Clostridium difficile infection (CDI) receive unnecessary antimicrobials, with 26 percent receiving only unnecessary antimicrobials, according to research published in the February issue of Infection Control and Hospital Epidemiology.

Abstract (http://www.jstor.org/discover/10.1086/669089?uid=3739560&uid=2129&uid=2134&uid=2&uid=70&uid=4&uid=3739256&sid=21101531933283 )Full Text (subscription or payment may be required) (http://www.jstor.org/discover/10.1086/669089?uid=3739560&uid=2129&uid=2&uid=70&uid=4&uid=3739256&sid=21101531933283 )

In STEMI, C-Reactive Protein at Presentation Predicts MI, Death

FRIDAY, Jan. 18 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI), high-sensitivity C-reactive protein (hsCRP) measurements at presentation predict subsequent nonfatal MI and cardiac death; and for patients with acute coronary syndromes (ACS), fetuin-A and CRP have prognostic value, according to two studies published in the Jan. 1 issue of The American Journal of Cardiology.

Abstract - Makrygiannis (http://www.ajconline.org/article/S0002-9149(12)02058-9/abstract )Full Text (http://www.ajconline.org/article/S0002-9149(12)02058-9/fulltext ) Abstract - Lim (http://www.ajconline.org/article/S0002-9149(12)02059-0/abstract )Full Text (http://www.ajconline.org/article/S0002-9149(12)02059-0/fulltext )

Alcohol Disinfection Cap Cuts Contamination of Central Lines

FRIDAY, Jan. 18 (HealthDay News) -- Continuous passive disinfection of central line catheter hubs using an alcohol-containing disinfection cap reduces line contamination, organism density, and the rate of central-line associated bloodstream infections (CLABSIs), according to a study published in the January issue of the American Journal of Infection Control.

Abstract (http://www.ajicjournal.org/article/S0196-6553(12)01023-1/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(12)01023-1/fulltext )

Features of Serious Pertussis Progression Identified

FRIDAY, Jan. 18 (HealthDay News) -- Rapidly rising white blood cell (WBC) counts and high heart rates and respiratory rates may indicate more serious pertussis progression in infants, according to research published online Jan. 10 in the Journal of the Pediatric Infectious Diseases Society.

Abstract (http://jpids.oxfordjournals.org/content/early/2013/01/04/jpids.pis105.abstract )Full Text (subscription or payment may be required) (http://jpids.oxfordjournals.org/content/early/2013/01/04/jpids.pis105.full )

Efforts Failed to Up Primary Care, Rural Resident Training

FRIDAY, Jan. 18 (HealthDay News) -- The 2005 redistribution of graduate medical education (GME) funds did little to train more residents in primary care and in rural areas, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/1/102.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/1/102.full )

Checklists Up Performance in Operating-Room Crises

WEDNESDAY, Jan. 16 (HealthDay News) -- Using checklists during operating-room crises can improve surgical care, according to a study published in the Jan. 17 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsa1204720 )Letter to the Editor (http://www.nejm.org/doi/full/10.1056/NEJMc1213329 )

Selective D-Dimer Testing Strategy Seems Safe, Effective

WEDNESDAY, Jan. 16 (HealthDay News) -- For patients with suspected deep venous thrombosis (DVT), selective D-dimer testing is a safe and a more efficient testing strategy than universal testing, according to a study published in the Jan. 15 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1556362 )

Family Docs Are Early Adopters of Electronic Health Records

WEDNESDAY, Jan. 16 (HealthDay News) -- Family practice physicians are adopting electronic health record (EHR) systems at a fast pace, with 68 percent using an EHR system by 2011, and 80 percent expected to be users by 2013, according to research published in the January/February issue of the Annals of Family Medicine.

Abstract (http://annfammed.org/content/11/1/14.abstract )Full Text (http://annfammed.org/content/11/1/14.full )

Even Brief Interruptions Dramatically Increase Errors

WEDNESDAY, Jan. 16 (HealthDay News) -- Even momentary interruptions of two to four seconds can significantly affect a person's ability to accurately complete a task requiring considerable thought, according to research published online Jan. 7 in the Journal of Experimental Psychology: General.

Abstract (http://psycnet.apa.org/psycinfo/2013-00033-001/ )Full Text (subscription or payment may be required) (http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-00033-001 )

No Gastric Volume Monitoring Is Not Inferior Strategy

TUESDAY, Jan. 15 (HealthDay News) -- For adults requiring invasive mechanical ventilation, enteral nutrition management without residual gastric volume monitoring is not inferior to a similar protocol which includes monitoring for protection against ventilator-associated pneumonia (VAP), according to a study published in the Jan. 16 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1557711#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1557711 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1557716 )

Certain Online Behaviors of Docs Warrant Investigation

MONDAY, Jan. 14 (HealthDay News) -- There is high consensus among state medical boards regarding the likelihood of probable investigations for certain online behaviors, according to a study published in the Jan. 15 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1556363 )

Top Five Issues for Docs and Patients Identified for 2013

MONDAY, Jan. 14 (HealthDay News) -- The top five issues that will impact physicians and patients in 2013 have been identified, according to a report published Dec. 10 by The Physicians Foundation.

More Information (http://www.physiciansfoundation.org/news/the-physicians-foundation-identifies-top-five-issues-to-impact-physicians-a/ )

National U.S. Health Care Spending Relatively Stable

FRIDAY, Jan. 11 (HealthDay News) -- The growth in national U.S. health care spending was relatively stable in 2011, but growth in personal health care spending accelerated, according to a study published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/1/87.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/1/87.full )

CDC: Rare Blood Disorder Found in Intravenous Drug Users

THURSDAY, Jan. 10 (HealthDay News) -- In 2012, 15 intravenous drug users within a relatively small geographic area developed thrombotic thrombocytopenic purpura (TTP), possibly due to reformulating and injecting an oral pain reliever, according to a report published in the Jan. 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6201a1.htm?s_cid=mm6201a1_w )

SPIRIT 2013 Clinical Trial Protocol Guidelines Issued

THURSDAY, Jan. 10 (HealthDay News) -- A panel of experts, including trial investigators, trial coordinators, and representatives from ethics and regulatory agencies, has developed the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 guidelines for the minimum content of a clinical trial, according to a statement published online Jan. 8 in the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1556168#Abstract )Full Text (http://annals.org/article.aspx?articleid=1556168 )

Americans Sicker, Die Younger Than Other Developed Nations

WEDNESDAY, Jan. 9 (HealthDay News) -- Americans have worse health than their peers in high-income countries, according to a report published Jan. 9 by the National Research Council and Institute of Medicine.

More Information (http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13497 )

Multiple Stressors Contribute to Readmission Within 30 Days

WEDNESDAY, Jan. 9 (HealthDay News) -- Nearly one-fifth of Medicare patients discharged from the hospital are readmitted within 30 days, which seems to arise from a combination of factors contributing to patient vulnerability, according to research published in the Jan. 9 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1212324 )

Health Care Use Dropped Among All During Recession

TUESDAY, Jan. 8 (HealthDay News) -- Health care use declined significantly among all races and ethnicities during the recession from 2007 to 2009, with the only ethnic disparity being fewer physician visits by Hispanics compared with whites, according to a study published online Jan. 7 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1555816 )

Low Rates of High Platelet Reactivity With Prasugrel Tx

MONDAY, Jan. 7 (HealthDay News) -- Treatment of patients with acute coronary syndromes (ACS) with percutaneous coronary intervention and a maintenance dose of prasugrel is associated with low rates of high platelet reactivity (HPR), ischemic events, and major bleeding in the first 30 days of treatment, according to research published in the Jan. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(12)02060-7/abstract )Full Text (http://www.ajconline.org/article/S0002-9149(12)02060-7/fulltext )

Shared Savings May Promote Care Coordination Entity Use

MONDAY, Jan. 7 (HealthDay News) -- Use of shared savings could encourage individuals who are dually eligible for Medicare and Medicaid to enroll in state-designed care coordination entities (CCEs), according to a perspective piece published online Jan. 2 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1214155 )

CDC: Influenza Activity Increasing Across the U.S.

FRIDAY, Jan. 4 (HealthDay News) -- Flu season descended on the United States early and hard this winter, with significant increases in flu activity observed over the past month, according to an update issued Jan. 4 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/flu/spotlights/flu-activity-picks-up.htm )

Improved Staffing Cuts Medicare Patient Readmissions

FRIDAY, Jan. 4 (HealthDay News) -- Hospital nurses with good work environments who are caring for fewer patients have significantly fewer elderly Medicare patients with heart failure, acute myocardial infarction (MI), and pneumonia who are readmitted to the hospital within the first 30 days, according to research published in the January issue of Medical Care.

Abstract (http://journals.lww.com/lww-medicalcare/Abstract/2013/01000/Hospital_Nursing_and_30_Day_Readmissions_Among.11.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/lww-medicalcare/Abstract/2013/01000/Hospital_Nursing_and_30_Day_Readmissions_Among.11.aspx )

Association Between Health Care Cost, Quality Inconsistent

THURSDAY, Jan. 3 (HealthDay News) -- The direction of the association between health care cost and quality is unclear, with inconsistent evidence indicating positive, negative, mixed, and indeterminate associations, according to a review published in the Jan. 1 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1487781 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1540566 )

Smoking Impairs Saphenous Vein Conduits in CABG Surgery

THURSDAY, Jan. 3 (HealthDay News) -- Patients undergoing heart bypass surgery using saphenous veins are more likely to have signs of graft failure if they are smokers, even if they quit smoking more than a year earlier, according to a study published in the January issue of the Annals of Thoracic Surgery.

Abstract (http://ats.ctsnetjournals.org/cgi/content/abstract/95/1/55 )Full Text (subscription or payment may be required) (http://ats.ctsnetjournals.org/cgi/content/full/95/1/55 )

TPN-Linked Hyperglycemia Ups Death for Non-Critically Ill

THURSDAY, Jan. 3 (HealthDay News) -- Non-critically ill hospitalized patients who develop hyperglycemia after total parenteral nutrition (TPN) are more than five times more likely to die in the hospital, according to research published online Dec. 6 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2012/12/05/dc12-1379.short?rss=1 )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2012/12/05/dc12-1379.full.pdf+html )

Prior Brain Injury Linked to Re-Injury Later in Life

THURSDAY, Jan. 3 (HealthDay News) -- Older adults with a history of traumatic brain injury (TBI) with loss of consciousness (LOC) have a 2.5- to almost four-fold higher risk of subsequent re-injury later in life, according to research published online Nov. 21 in the Journal of Neurology, Neurosurgery & Psychiatry.

Abstract (http://jnnp.bmj.com/content/early/2012/11/20/jnnp-2012-303938.abstract )Full Text (subscription or payment may be required) (http://jnnp.bmj.com/content/early/2012/11/20/jnnp-2012-303938.long )

Ban on Ambulance Diversions Doesn't Worsen ER Crowding

THURSDAY, Jan. 3 (HealthDay News) -- A 2009 ban on ambulance diversion in Massachusetts did not worsen crowding in emergency departments or ambulance turnaround times, according to research published online Dec. 21 in the Annals of Emergency Medicine.

Full Text (http://www.annemergmed.com/webfiles/images/journals/ymem/FA-lgburke.pdf )

Restrictive Transfusion Strategy Safe for Acute GI Bleeding

WEDNESDAY, Jan. 2 (HealthDay News) -- For patients with severe acute gastrointestinal bleeding, a restrictive transfusion approach is safe and effective compared with a liberal approach, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1211801?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1212009?query=featured_home )

House Joins Senate to Avert Medicare Cuts

WEDNESDAY, Jan. 2 (HealthDay News) -- The House of Representatives settled on an 11th-hour agreement late Tuesday night that has averted the widespread tax increases and spending cuts that would have gone into effect January 1. This agreement occurred 21 hours after the U.S. Senate did its part to steer the country clear of the "fiscal cliff."

More Information (http://www.whitehouse.gov/ )