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More education for physicians and research into pain management strategies appropriate to the emergency setting are needed to ensure appropriate care in the emergency department (ED), new research indicates. Two upcoming studies published in the April issue of the Annals of Emergency Medicine reveal that ED physicians prescribing practices vary widely even when the clinical scenarios are the same.
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Part I of this two-part series on respiratory diseases covered two viral infections, severe acute respiratory syndrome and influenza. Part II focuses on a bacterial infection, community-acquired pneumonia.
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Emergency Medicine Reports received a 2004 First Place award in the Best Single-Topic Newsletter category from the Newsletter and Electronic Publishers Foundation for the two-part article on immigrant medicine published Feb. 10 and Feb. 24, 2003. The authors of the winning article are Mary Meyer, MD, Danica Barron, MD, and Carter Clements, MD. The article was edited by Gideon Bosker, MD, and Shelly Morrow Mark.
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Since acute pain management is protean in nature, the focus of this report consciously will be to avoid such topics as procedural sedation, alternative nonpharmacologic adjuncts, medication pharmacokinetics, sickle cell pain crisis management, cancer pain management, and physician liability in withholding analgesic treatment.
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Seniors saving big on states drug plan; Oregon Health Plan to drop some copays; Medicaid premiums for children delayed
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Families USA has a different view of the uninsured than the federal government. The group says that while the Census Bureaus Current Population Survey estimated there were 43.6 million uninsured people in the United States in 2002, 14.6% more than in 2001, the reality is that 81.8 million people or one out of three Americans younger than 65 were without health insurance for all or part of 2002 or 2003.
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The question about the single most important change to recommend for Medicaid was one of several posed by moderator Diane Rowland, executive director of the Kaiser Commission on Medicaid and the Uninsured, to a panel of experts convened for a symposium on the future of Medicaid at the University of the Sciences in Philadelphia.
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Many Medicaid reports from national organizations discuss concerns with the program by using national averages. But an FY 2005 Medicaid report from the Rhode Island Public Expenditure Council shows the impact the program has in the state that ranks second in the nation in per-capita spending on Medicaid and gives recommendations for increased efficiencies that may be of assistance to other states.
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