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••Winter 2008/Vol. 12, No. 1



Original articlesClinical articlesReview ArticlesCase StudiesEditorial ComentsCommentaryPoetry, Art, Musings from Permanente clinicians
Narrative Medicine

 

 

 

 

 

 

 

 

 

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Improving Chronic Care: The “Guided Care” Model
Chad Boult, MD, MPH, MBA; Lya Karm, MD; Carol Groves, RN, MPA

In a new model now being tested by Kaiser Permanente in the Baltimore-Washington, DC area, a registered nurse works in a practice with several primary care physicians conducting eight clinical processes for 50-60 multimorbid patients.
to article >> | to pdf >>

The “Party Drug” Crystal Methamphetamine: Risk Factor for the Acquisition of HIV
Michael Allerton, MS; William Blake, MD

The use of methamphetamine is highly prevalent among populations at risk for acquiring HIV infection, especially men who have sex with men. A novel intervention tool--the “video doctor”--significantly reduced high-risk behaviors.
to article >> | to pdf >>

Corridor Consult
When Is a Computed Tomography Angiogram Necessary to Rule Out Pulmonary Embolus in the Emergency Department?
Joel Handler, MD

In two case examples, use of an evidenced-based diagnostic algorithm to rule out pulmonary embolus seeks to reduce the significant radiation exposure to a patient. A single CTA is equivalent to 400 chest x-rays.
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to full contents for TPJ Winter 08 >>


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