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A child comes in for an injury in a traffic accident in which others were hurt and killed. The ED clinicians take care of the physical injuries, and the patient is discharged. Still, the staff members feel uneasy about the impact of the accident on the childs mental health.
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A comprehensive asthma management program has paid off for Care Choices HMO of Farmington Hills, MI.
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The publicly insured members covered by Horizon-Mercy often have psychological and social needs along with their medical conditions. To better serve these needs, the Trenton, NJ, health plan for the publicly insured started a social work program in May 1997.
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Involving members in goal setting and getting them to take personal responsibility for their own health are keys to the success of Harvard Pilgrim Health Cares Health Advance Care Management system, according to Liz Estabrook, RN, manager of care management for the Wellesley, MA-based health plan.
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Since Harvard Pilgrim Health Care, based in Wellesley, MA, started its Health Advance care management system to intervene with at-risk members before they require intensive medical services, the hospitalization rate for members in the program has been cut in half.
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Through a team approach that involves case managers, vocational rehabilitation counselors, and on-site job coaches, CIGNA Group Insurance has developed a successful return-to-work program for members who are severely injured or experience debilitating illnesses.
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A generic form of paroxetine (PaxilGlaxoSmithKline) will soon be on the market. The drug marks the second SSRI antidepressant to go generic after fluoxetine (Prozac) last year.
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The 12-lead ECG and accompanying lead II rhythm strip in the Figure were obtained from a 74-year-old man with sever pulmonary disease. The computer interpreted this tracing as showing normal sinus rhythm. Do you agree?