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Tenofovir effectively reduces HBV replication over 24 weeks of therapy in HIV-coinfected patients.
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The French use antibiotics quite differently from the Germans, for a variety of reasons, including cultural factors and regulations, in addition to physician habits and patient expectations.
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Metronidazole, piperacillin/tazobactam, and the carbapenems remain the most reliably active against B fragilis group organisms.
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This is the final installment of a series on understanding the family dynamic and addressing its challenges.
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A culturally insensitive remark to the grandchild of a patient not only resulted in the home care nurse being thrown out of the home, but also resulted in a major change in the way the home care and hospice program of Catholic Health Service (CHS) of Long Island addressed cultural differences between patients and employees.
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For the past 20 years, hospices have operated under the Hospice Medicare Benefit model people get sick and exhaust their curative options, and a hospice is there waiting to take care of them. The future of hospice is shaping up to be quite different from a static point on a line that patients travel while moving from one provider type to the next.
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Twenty years ago, hospices broke into the Medicare market with the Hospice Medicare benefit, a bold move by many hospices to elect a per diem payment for care of a patient whose cost of care could exceed the total of per diem payments. Today hospice must consider another risky proposition.
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A report issued late last year by the Robert Wood Johnson Foundations Promoting Excellence national program office in Missoula, MT, highlights some provocative new directions for end-of-life care policy and financing. One of its most provocative themes is a concept called simultaneous care.
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