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It is a well-known fact in the health care community that there are diabetes disparities among ethnic groups. Diabetes is a problem throughout the United States. An estimated 18 million people suffer from the chronic disease, and people of color are more likely to develop Type 2 diabetes.
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An intensive face-to-face care management program for severely ill Medicare patients with advanced congestive heart failure and/or complex diabetes has paid off for XLHealth, a Baltimore-based disease management firm. The company has reduced spending by as much as 26% after 24 months of intervention for private HMO patients and has reduced lower limb amputations by more than 60%.
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Achilles (calcaneal) tendon rupture is a condition that predominantly affects middle-aged men who sporadically participate in recreational sports.
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Regulators have indicated they are serious about patients right to freedom of choice of providers. Specifically, the Office of the Inspector General of the U.S. Department of Health and Human Services published draft supplemental compliance guidance for hospitals.
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Many elderly Americans still are being prescribed potentially inappropriate medications, according to a study published in the August issue of the Archives of Internal Medicine.
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The severe nationwide shortage of killed flu vaccine has put a stop, at least temporarily, to initiatives in some places that would force health care workers to be vaccinated or risk their jobs, but some health care experts warn that the solution advocated by at least one state that health care workers forego the vaccine entirely so that more is available for higher-risk groups could be dangerous to the very people it aims to protect.
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For the emergency physician, sexual assault represents the most common presenting complaint associated with the potential for an unintended pregnancy. Annually, approximately 40,000 people in the United States visit EDs after sexual assault. Pregnancy is estimated to occur in approximately 5% of sexual assaults. Thus, pregnancy prevention is an important part of the care for these patients. For the emergency physician, EC represents the most viable treatment option. However, while highly effective when used properly, it is associated with a number of issues that make it much less commonly used.
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