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  • Full April 2004 Issue in PDF

  • Clinical Briefs in Primary Care

    Risk of Adenocarcinoma in Barretts Esophagus; Long-Term Effect of Doxazosin, Finasteride, and Combination for BPH; Once Daily Valacyclovir to Reduce Herpes Transmission; Use of B-Type Natriuretic Peptide in the Evaluation and Management of Acute Dyspnea; Association Between C-reactive Protein and Age-related Macular Degeneration; VZV Reactivation in Astronauts
  • EMTALA Q&A

    Question: The Centers for Medicare & Medicaid Services (CMS) recently issued guidance to surveyors on interpreting the final EMTALA rule, and one of the points stated that EMTALA no longer applies when the physician determines that no emergency exists. Does this mean that EMTALA no longer applies once the patient has been treated for the presenting emergency and that emergency no longer exists, but then another condition arises or the patient complains of something new?
  • A few simple rules ensure data sharing compliance

    The National Institutes of Health (NIH) wants all research supported with NIH funds to be shared with other investigators and made available to the public, but how can this philosophy be reconciled with privacy laws and concerns?
  • Clarification of a March 2004 ED Management article

  • Better cardiac monitoring boosts patient outcomes

    A new strategy for hastening treatment for heart attack victims is being tested in a mountainous California county where drive times to hospitals often are long, and the lead researcher says it could become a way for EDs to be their communitys leader in cardiac care.
  • Blood substitute study raises consent questions

    In emergency medicine and critical care, clinical trials are difficult to conduct. The unpredictable and time-sensitive nature of these specialties means that controlled, randomized, clinical trials are difficult, sometimes impossible to design.
  • Telehealth starting to make inroads in occ-health; future is virtually limitless

    According to occ-health experts, however, their field is just starting to reap the benefits of telehealth and telemedicine, which NASA defines on its web site as the integration of telecommunications, computer, and medical technologies.
  • New ACOEM guidelines have significant changes

    Many second editions of lengthy publications are little more than minor rewrites and an updating of a smattering of facts here and there, but that hardly is the case with the American College of Occupational and Environmental Medicines second edition of Occupational Medicine Practice Guidelines a comprehensive guide that is the gold standard in effective treatment of workplace injuries and diseases.
  • Study calls DM a ‘leap of faith’ to improvement

    While disease management programs have steadily gained popularity in recent years, there is a relative lack of evidence that they improve quality and save money, according to a report from the Washington, DC-based Center for Studying Health System Change.