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The great majority of typhoid fever cases diagnosed in the United States occur in patients who have visited friends and relatives overseas, especially travelers returning from South-central and Southeast Asia, including short-term travelers. Among other precautions, typhoid fever vaccine should be recommended to these high-risk travelers.
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The evaluation of a febrile child is an extremely common scenario in most emergency departments. Emergency physicians must decide which children require a work-up, the nature of that work-up, and the need for antibiotics with or without hospitalization. This process often is in the context of evaluating many febrile children, with only subtle clues as to which child truly may be ill. Unfortunately, it is common for inadvertent errors in judgment to end up in the courtroom as a subject of malpractice lawsuits. This months issue focuses on some of the risks and controversies in the evaluation of the febrile child.
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It has been a long, hard struggle for wellness proponents to prove the ultimate value of health promotion programming in terms of employee health and well-being. As the 90s unfolded, more evidence came forward demonstrating that wellness did, in fact, contribute to a reduction in health insurance costs/claims, helping to move wellness into the need to have category for a growing number of companies.
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An innovative cultural competency program has helped Molina Healthcare serve a highly diverse membership covered under Medicaid and other government-sponsored health care programs.
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Keystone Mercy Health Plan, Pennsylvanias largest Medicaid managed care plan, takes a proactive approach to preventing and managing illnesses, injuries, and utilization among its 285,000 members by providing targeted case management and outreach to members with chronic conditions.
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Planning is something Americans do on a regular basis. They plan their vacations. They plan for the birth of a new baby. They plan for retirement. And they even plan for death. Yet few plan for the aging process.
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A new study by Philadelphia-based CIGNA confirms what a number of health care professionals have been asserting: the integration of disability and health care programs can help return disabled employees to work more quickly, or even prevent absences, and also can lower total benefit costs.