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  • Cervical Adenocarcinoma and Squamous Cell Carcinoma Incidence Trends Among White Women and Black Women in the United States

    Changes in screening, endocervical sampling, nomenclature, and improvements in treatment likely explain the increased in situ cervical SCC incidence in white women 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.
  • Clinical Briefs in Primary Care Supplement

  • Supervisors play key role in return to work

    Occupational health professionals seem to paying an ever-increasing amount of attention to return-to-work efforts, and yet, argue some experts, they and their employers are often overlooking the most important piece of the return-to-work puzzle: the first-line supervisor.
  • UV lamps in offices may help millions of workers

    New research indicates that installing ultra-violet lamps in ventilation systems could significantly reduce sickness among office workers.
  • A bad break: Preventing potential orthopedic litigation

    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.
  • Hospice status survives and advances in Medicare reform legislation

    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.
  • Palliative consultations improve outcomes — study

    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.
  • Guest Column: Providers have recourse when MCOs don’t pay

    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.
  • Pain cases settled: Nursing home fined

    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.
  • Pediatric Influenza Update

    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.