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Studies on the effects of pomegranate juice on CYP-mediated drug metabolism have yielded inconsistent results, but this recently published case report raises the specter of interaction between the juice and warfarin, a drug whose narrow therapeutic window and potential for significant complications are well known.
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Rationing. Responsibility for immigrant health care. Socialism. Death panels. Individual responsibility. Single-payer option. Malpractice reform.
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The American Recovery and Reinvestment Act of 2009 (ARRA), signed into law earlier this year by President Obama, contained within it about a $20 billion allocation to increase provider utilization and networking of electronic medical records (EMR).
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Calling it "a significant turning point in American society's evolution to empower terminally ill patients with information and choices about how they will die," an article by the director of legal affairs for Compassion & Choices points to four medical professional and health policy organizations that have adopted policy to support physician-assisted suicide.
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In an increasingly diverse society, case managers must be aware of the cultural beliefs and practices of the people they serve in order to effectively coordinate their care and help patients or clients adhere to their treatment plan, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company.
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Increasingly, health plans and provider organizations are taking steps to understand the beliefs and values in the populations they serve and help gear their treatment plan to accommodate them.
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Eldery Mexican-Americans have higher rates of chronic illness than their non-Latino counterparts, but many don't receive the care they need because they and their caregivers resist home care services, says Janice Crist, RN, PhD, associate professor at the University of Arizona College of Nursing.
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Imaging procedures are an important source of exposure to ionizing radiation in the United States and can result in high cumulative effective doses of radiation.
