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In a growing number of states, including Florida, Georgia, Texas and South Carolina, Utah, Arizona, Michigan, Minnesota, and North Carolina, legislation is being introduced to give emergency department (ED) physicians added protections against malpractice lawsuits.
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A 50-year-old female called emergency medical services (EMS) because she is short of breath. She has a recent history of pneumonia and received outpatient treatment. The paramedics arrive and find the patient in moderate respiratory distress. The patient states she wants to be transported to Our Lady of the Financially Secure Hospital (Hospital A) because this is where her health maintenance organization (HMO) is; the estimated time of arrival (ETA) would be 15 minutes.
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Tom Scaletta, MD, medical director of a high-volume community hospital in a Chicago suburb, says that his interest in calling back emergency medicine patients began a decade ago when he created and implemented programs in two high-volume EDs that he directed. "I staffed the position with dedicated clerks who attempted to reach every discharged patient," he says.
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During past medical malpractice crises, many states established "patient compensation funds" to provide accessible and affordable medical liability insurance to health care providers.
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Chromosome banding analysis (CBA) of marrow metaphase cells is the standard method to assess response in CML. The authors compared CBA to interphase fluorescence in situ hybridization (I-FISH) in 664 samples where both methods were performed.
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A long-term longitudinal assessment of quality of life among patients treated for early-stage Hodgkin's lymphoma reveals that, with the exception of fatigue, there is general improvement over time. Factors that influence the rate of improvement include age and sex, but do not include the type of treatment received (radiation vs. chemotherapy).
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In a large population-based, prospective cohort study, it was found that spending less than 50% of the day in a sedentary position, and increasing amounts of physical activity (e.g., walking or bicycling) appear to be associated with reduced rates of prostate-cancer development.
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This meta-analysis revealed overall increased mortality of up to 25% in patients experiencing depressive symptoms after cancer diagnosis, and a 39% higher risk in patients diagnosed with major or minor depression after cancer diagnosis, based upon 25 independent studies. Given the low number of studies available to date, the effect of depressive symptoms on cancer recurrence did not reach a level of statistical significance.
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