Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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The purpose of the study was to investigate the prevalence of smoking among health care workers (HCWs) at King Hussein Medical Center (KHMC), the biggest tertiary-care center in Jordan. ⋯ Our results showed a very high percentage of cigarette smoking among HCWs at KHMC. Smoking cessation programs should be introduced among Jordanian physicians.
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Specialist care has been shown to improve outcomes for several complex medical conditions. For patients with ischemic stroke, prior studies have suggested that admission to the care of neurologists is associated with better outcomes, but these studies may have incompletely controlled for confounding prognostic differences. ⋯ Differences in ischemic stroke outcomes between neurologists and generalists may be a result of differences in initial prognosis because outcomes are no better at hospitals that admit patients to the care of neurologists more frequently.
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Comparative Study
Use of dexmedetomidine for sedation of children hospitalized in the intensive care unit.
Dexmedetomidine is a potentially useful sedative for hospitalized children, but there is little published data regarding its safety, dosage, or efficacy. ⋯ In this cohort of children hospitalized in the ICU, dexmedetomidine appeared to be effective and to have few adverse effects. Dexmedetomidine may have a potentially useful role to play in sedating hospitalized children.
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Randomized Controlled Trial
Effect of a hospitalist-care coordinator team on a nonteaching hospitalist service.
Although many hospitalists work with clinical coordinators, few studies have evaluated their impact. ⋯ Hospitalists working in a team approach with an HCC reported improved efficiency and job satisfaction compared with hospitalists working independently. These findings are important in light of growing concerns about hospitalist workload and job satisfaction.