Maxillary Pain of One Year’s Duration in a Young Man: Complex odontoma? Regional odontodysplasia? Amelogenesis imperfecta?May 5th 2012
A 16-year-old boy was complaining of pain in the maxillary left incisor/cuspid region. He had been experiencing discomfort for 1 year. He was otherwise healthy and a review of his other systems was unremarkable.
Cephalic Tetanus Associated With Dental Caries and Root CanalFebruary 28th 2012
A 47-year-old man in no apparent distress presented with intermittent facial pain, involuntary right facial muscle contractions, bilateral muscle spasms, trismus, involuntary tongue protrusions, tongue trauma, and an excessive gag reflex. He had taped a pacifier to his face to prevent tongue damage during involuntary clenching.
Physicians Being Under-Paid for VaccinationsOctober 14th 2011
Physicians are being under-reimbursed for vaccinations nearly half the time, according to new data released by athenahealth. Most physicians are properly reimbursed for the cost of the vaccine itself, but getting paid for administration of the vaccine is another matter.
Some Pediatricians Turn Away Unvaccinated ChildrenSeptember 27th 2011
Some physicians feels so strongly about vaccinations and are so weary of negotiating with parents worried about vaccine risks, they are closing their practice to patients who are not vaccinated, according to a trend story by Kaiser Health News.
Our Thanks to Reviewers in 2010December 14th 2010
At Consultant, our goal is to provide the practical, authoritative information you need to best serve your patients. That is why we "pre-test" article ideas (before we invite articles on those topics) to be sure they are of real interest to you and your colleagues. It is also why we take great care in checking facts, creating useful tables and figures, and choosing illustrations and photographs to enhance teaching messages.
Middle-Aged Woman With Bilateral Staghorn CalculiOctober 6th 2010
A 48-year-old woman sought medical attention after an episode of gross hematuria associated with mild right-sided loin discomfort. She did not have urinary frequency, urgency, or dysuria. Her history included 3 urinary tract infections; a Proteus species was cultured on each occasion. The family history was unremarkable. Other than mild loin tenderness, physical findings were normal.
Biologic Switching and Discontinuation in Patients With Rheumatoid ArthritisJune 7th 2010
More than half of patients with rheumatoid arthritis who were treated with a biologic discontinued treatment, and another 12% switched to at least 1 other biologic within a 2-year treatment period, according to a study led by Chureen Carter, PharmD, of Centocor Ortho Biotech Services.
High Health Care Utilization and Costs in Patients With FibromyalgiaJune 7th 2010
A study of Humana members enrolled in commercial and Medicare Advantage plans showed that patients with fibromyalgia have higher health care utilization and costs than those without the disease.1 This is because of higher use of office visits, testing, and procedures as well as pain-related medications.
Health Care Reform and the Role of Managed Care PharmacistsJune 7th 2010
Managed care pharmacists will play a key role in reforming the current health care system by continuing to develop innovative programs that reduce costs and improve quality of care, said Mark McClellan, MD, PhD, director of the Engelberg Center for Health Care Reform at the Brookings Institution in Washington, DC. He discussed the effects of the recent health care reform legislation in a presentation at the Academy of Managed Care Pharmacy meeting.
Electronic Prescribing Increases Generic and Formulary Drug UseJune 7th 2010
Electronic prescribing resulted in greater generic and formulary drug use, according to Crystal Chang, PharmD, and colleagues at Blue Shield of California, San Francisco. It also led to an average cost savings of 17.3% for both the member and the payer.
Medication Nonadherence and the Risks of Hospitalization, Emergency Department Visits, and Death Among Medicare Part D Enrollees With DiabetesDecember 24th 2009
The authors are affiliated with the University of Mississippi School of Pharmacy, in University, Miss. Dr Yang is assistant professor in the department of pharmacy administration.
Our Thanks to Reviewers in 2009December 4th 2009
At Consultant, our goal is to provide the practical, authoritative information you need to best serve your patients. That is why we “pre-test” article ideas (before we invite articles on those topics) to be sure they are of real interest to you and your colleagues. It is also why we take great care in checking facts, creating useful tables and figures, and choosing illustrations and photographs to enhance teaching messages.
Medicaid Pharmacy Cost-Containment Policy Actions and Access to Prescription Drugs and MedicalNovember 9th 2009
We assessed the association between pharmacy cost-containment policy actions by states’ Medicaid programs and access to prescription drug and medical care, controlling for nonpharmacy cost-containment policy actions and socio-environmental differences among states.
An all-terrain vehicle-ATV-is described by the American National Standards Institute as one that "travels on low pressure tires, with a seat that is straddled by the operator, and with handlebars to be used for steering."1 By this definition, an ATV is designed for interactive riding by a single operator. Drivers are able to shift their weight freely in all directions depending on the situation and terrain. According to ATV safety standards and recommendations, children younger than 6 years are never to be on an ATV of any size-alone or with someone else.
Medication Persistence and Health Care Expenditures in a Managed Medicaid Population With AsthmaApril 17th 2009
A retrospective review of administrative claims data was conducted to identify health plan members with asthma who were persistent with their controller medications and those who were not persistent. Utilization of health care services and associated costs were measured for both groups. Non-persistent use of controller medications resulted in more asthma-related emergency department visits and home health services whereas persistent controller use was associated with more physician office and outpatient visits. Mean asthma-related medical costs per member were greater in the non-persistent cohort ($577.62) than in the persistent cohort ($323.03). These findings support the need for targeted interventions to address non-persistence in a managed Medicaid population.(Drug Benefit Trends. 2009;21:112-118)