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Articles

  • 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.
  • Full February 9, 2004, Issue in PDF

  • Swedish HABITS Is Cancelled

    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.
  • Cervical Adenocarcinoma and Squamous Cell Carcinoma Incidence Trends Among White 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 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.
  • Microchimerism: An Investigative Frontier in Autoimmunity and Transplantation

    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.
  • New approaches to pain ease discomfort, distress

    A growing number of ED managers are coming to realize pain is much more than a physical symptom and taking a more holistic approach to pain can not only ease patient discomfort, but improve satisfaction.
  • Journal Review

    Schull MJ, Vermeulen M, Slaughter G, et al. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med; in press.