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- Herb-Drug Interactions: St. John's Wort and Prescription Medications
- The use of herbal medications has been steadily increasing. From 1990 to 1997, use of self-prescribed herbal medications increased from 2.5% to 12%, and people consulting herbal medicine practitioners increased from 10.2% to 15.1%. The article considers the case of St. John's wort which although has had multiple claims for...
- White papers
- Imaging Costs Sneak Up on Plans, But Can Be Managed
- Just when it looked like nothing could eclipse pharmaceutical costs, Harvard Pilgrim Health Plan found a new cost generator sneaking up - diagnostic imaging - which was increasing an average of 25% a year over the past few years. The paper informs that the rise in the number of freestanding,...
- White papers
- Ultrasound Clinics: Sonographic Clues to M?llerian Anomalies
- The article shows that mullerian anomalies usually come to light in women of reproductive age who are being worked up for recurrent pregnancy loss. In rare situations, they are found in very young girls who present with either primary amenorrhea or pain. Most of the ultrasound pictures shown have line...
- White papers
- How to Effectively Market Your Practice
- The paper outlines that the internal marketing done in the office is much more beneficial than external marketing, such as newspapers, television and radio spots, for enhancing a cosmetic surgery practice. Thus with internal marketing one provides a product in the office that speaks for itself. Patients leave the office...
- White papers
- New Mammoplasty Method Can Improve Outcome
- The article briefly discusses the vertical reduction mammoplasty with superior pedicle which is also sometimes referred to as the "lollipop" technique so as to distinguish it from an older method, the "anchor pattern" incision. The 'lollipop' goes around the areola and straight down the middle to the crease beneath the...
- White papers
- Newer Laser Technologies Broaden Application Success
- New uses for laser technology involve devices for resurfacing and LED treatments aimed at improving photodamage and acute sunburn. Perhaps the most exciting new laser is the Fraxel SR (Reliant Technologies), which recently became commercially available. It uses fractional photothermolysis, which is said to provide results on par with those...
- White papers
- Early PDL tx Improves Scar Appearance in Phototypes I-IV
- Early treatment with either a 585 nm or a 595 nm pulsed-dye laser (PDL) can safely and significantly improve the appearance of surgical scars in patients with skin phototypes I-IV, according to results of a controlled trial undertaken by researchers from the University of Miami's department of dermatology and cutaneous...
- White papers
- Financial Survey: Is Your Net Worth Keeping Pace?
- This article informs about a survey according to which the doctors' median net worth has grown over the past four yearsùfrom $700,000 in 2000 to $821,000 in 2004. Not surprisingly, doctors, like many Americans, are feeling more chipper about their financial outlook than they did in 2000ùthe last time we...
- White papers
- Faux Drugs: Can They Be Stopped?
- Every day millions of Americans have prescriptions filled at their pharmacies with confidence that the drugs they purchase for themselves or their loved ones are safe. That degree of assurance is understandable. The U.S. drug distribution system remains among the most secure and reliable in the world. However, there is...
- White papers
- Eliminating Medical Errors Is Part of Every Nurse's Job
- Flagging medical errors and near misses makes it possible to fix the problem that led to the mistake. The article displays how one hospital developed a system that works. It seems as though everyone's talking about the importance of reporting errors and near misses these days, but achieving that goal...
- White papers
- An Office-Based Approach to Mild Traumatic Brain Injury
- Primary care doctors are in an ideal position to provide follow-up care for patients who have had mild traumatic brain injury (MTBI), to identify those with undiagnosed brain injury, and to help patients quickly return to a high level of functioning. This article discusses MTBI in the primary care setting,...
- White papers
- Combination Drug Therapy for Alzheimer's Disease
- Although FDA-approved Alzheimer's disease (AD) treatment strategies (cholinesterase inhibitors and memantine) offer proven benefits, providers recognize unmet needs beyond what is currently available. This review highlights the urgent need to systematically test additional rational drug combinations and the need for future trials to enroll adequate sample sizes and utilize relevant...
- White papers
- Breaking Down Financial Barriers to Long-Term Drug Therapy
- Patients for whom the cost of drugs is a barrier to treatment for chronic conditions have a variety of optionsù from discount card plans tied to Medicare eligibility (soon to be replaced by the Medicare Part D prescription program) to drug-company-sponsored prescription assistance plans. Knowing the way these plans work...
- White papers
- Acute Abdominal Pain: What Not to Miss
- How can one be sure not to miss the clues for abdominal catastrophes such as ectopic pregnancy, MI, abdominal aortic aneurysm, and ischemic bowel? Diagnosing acute abdominal pain is fraught with difficulty. Patients rarely present with classic histories and physicals. Childbearing women, the elderly, and children have a complex differential...
- White papers
- Electronic Rx Monitoring Programs Gain Popularity
- A new patient enters a pharmacy with an Rx for OxyContin (oxycodone, Purdue). The patient seems nervous, the script is smudged, and there was a recent front-page news article about stolen Rx pads. What's the next step here? In a growing number of states, the next step is a quick...
- White papers
- Pain Management: Delivering Culturally Appropriate Care
- For many Americans, pain is the number one reason to visit their doctors. Until recently, healthcare providers had only the crudest understanding of the mystery of pain. But due to the innovations of genetic research, radiology, and neurology, dramatic advances are being made in determining its causes. Yet, while advances...
- White papers
- Practical Considerations Dog Biologics
- Biologic treatments for psoriasis appear to satisfy dermatologists' concerns for safety and efficacy, but using the drugs clinically introduces a host of other concerns that are slowly being addressed. Overall, biologics represent a new opportunity to provide a valuable service for patients, provided physicians can address nuts-and-bolts challenges including differences...
- White papers
- Unique Cataract Cases Call for Special Measures
- Special situations sometimes arise in cataract surgeries that call for the use of special measures. The article describes three such techniques: cryoanalgesia, pupil dilation with an injectable device for the presence or expectation of small pupils, and sealed capsule irrigation. It also explains with some examples regarding when these techniques...
- White papers
- The Changing Face of Locum Tenens Practice
- The paper reveals that weekly; thousands of physicians pack their bags and travel across the country to work on assignments lasting from a few days to several months, or longer. They provide coverage at hospitals, community clinics, managed care organizations, single- and multi-specialty practices, government medical facilities, and large healthcare...
- White papers
- Adolescent Patients and Their Confidentiality: Staying Within Legal Bounds
- Optimizing adolescent health Providers who care for adolescents must recognize and respond to issues that lie at the intersection of medicine, law, and ethics. Respecting an adolescent's right to privacy reduces one barrier to care. When a patient trusts a physician, they are likely to delay medical care and more...
- White papers
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