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Clinical
Contributions
Vohs
Award Winner: Southern California West Los Angeles Sickle Cell Medical
Care Program. By
Amy
J Brotzman, MHA, RD; Osbourne
A Blake, MD; Manuel
L Myers, MD; Kimberly
C Reece, MD; Nancy
A Shinno, MD, MPH; Elaine
M Smith, MD, FAAP; and Joseph
L Whittaker Jr, MPH
Now
that most sickle cell disease victims survive into adulthood, guidelines
are needed for optimal management of the condition throughout adulthood.
This article describes such a program, extrapolated from management
plans for children. Favorable outcome data are presented.
to article >> | pdf
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Vohs Honorable
Mention: The Kaiser Permanente Therapy Management Strategy. By
Beth A Martin, RN, MBA; Reg Warren, PhD; Carol Barnes, MS, PT, GCS; Glenn
Gade, MD; Paul Barrett, MD; and Robin Gunning, MD
Because
of perceived inconsistency in several aspects of care in skilled nursing
facilities and in other long-term care institutions, measures of function
and quality were applied to patients in a number of these facilities.
Outcome measures showed improved quality with no increase in amount
of care.
to article >> | pdf
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Sleep-Eating
and The Dynamics of Morbid Obesity, Weight Loss, and Regain of Weight
in Five Patients. By Vincent
J Felitti, MD
Starting
with five vivid case histories, the underlying psychodynamics of this
uncommon, fascinating phenomenon are explored. Practical implications
for management of morbid obesity are discussed.
to article >> | pdf
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Patients
Prefer Simple, Visual Asthma Self-Management Plan Forms.
By
Harold
J Farber MD; Karen
Smith-Wong, RN, NP; Lynn
Nichols, RRT; and Barbara
Langham, RN
Written
management protocols are an established component of childhood asthma
self-management. The authors explored various formats in terms of patient
and parent comprehension and preference, concluding that pictures, color,
and ease of reading were important components of preference.
to
article >> | pdf
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The Five
Choices: State-of-the-Art Choices in Medical Therapy.
By Ronald
R Louie, MD
A
personal, practical approach to advising patients is described. The
choices range from "standard" (closest to evidence-based)
choices through "alternative" and strictly "palliative"
treatment. Derived from experience with cancer patients, the approach
has universal applicability.
to article >> | pdf
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