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In this article, Adams and Nelson integrate results from several disparate fields to advance the concept that autoimmune conditions resemble host vs graft disease and that the graft in many cases may be fetal or maternal cells that lodge in the host, namely the mother or fetus, respectively.
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Changes in screening, endocervical sampling, nomenclature, and improvements in treatment likely explain the increased in situ cervical SCC incidence in white and black women. Increasing AIS incidence over the past 20 years in white women has not yet translated into a decrease in invasive AC incidence.
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Hormonal replacement therapy after breast canceris It Safe? (HABITS) began in May 1997, to compare breast cancer survivors treated for at least 2 years with hormone therapy with treatment other than hormones. By September 2003, a total of 434 women had been randomized and, in December 2003, the steering committee of the HABITS study made the decision to stop the trial because there were 26 women in the treated group and 7 in the non-treated group with new breast cancer diagnoses.
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From October 2003 to Jan. 9, 2004, the Centers for Disease Control and Prevention received reports of 93 influenza-associated deaths among children younger than 18 years. The demands the annual flu season places on emergency department and urgent care facilities and the voracity of the current years epidemic have overwhelmed many physicians.
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In a case watched closely as a harbinger of what can happen when a health care provider undertreats pain, two doctors and two health care facilities reached settlements just before the case was scheduled for trial.
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Home care providers and patients remain concerned about the decisions that managed care organizations (MCOs) and other payers make about whether to pay for care. Both groups often perceive that the true decision-makers about treatment may be payers, not providers. This perception has resulted in a number of lawsuits against payers related to payment denials.
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Palliative care consultations can lead to improved patient outcomes, including relief of dyspnea, anxiety, and sleeplessness, and may reduce the number of times patients must seek primary or urgent care, according to a new study.
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While the debate over Medicare reform swirled around how to provide relief to senior citizens burdened by the high cost of prescription drugs, care for the dying was quietly improved. Once the massive Medicare reform bill was signed into law Dec. 8, hospices became the recipients of changes that industry experts say will help increase access to hospice care.
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The Centers for Disease Control and Prevention note that fractures were the fourth-leading cause of injury-related emergency department visits in 2000, accounting for 3.8 million visits. Patients may develop serious and life-threatening complications of orthopedic trauma. Because signs and symptoms of these complications may not be readily apparent when patients present, emergency physicians and nurses need to be cognizant of high-risk presentations. This months issue focuses on these high-risk presentations, including open fractures, compartment syndromes, malignancies, and septic joints.
