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Clinical Accuracy Spoken Here
Asthma: Predisposing Factors

Asthma in early childhood is frequently found in association with atopy, the genetic predisposition to produce IgE antibodies directed toward common environmental allergens. With the production of IgE antibodies, mast cells become sensitized and release histamine and leukotrienes when exposed to allergens in the sensitized patient. Atopy is frequently found in the absence of asthma. Nevertheless, it is one of the strongest predisposing factors in the development of asthma. Furthermore, allergy or family history of allergy is the factor that is most strongly associated with continuing asthma throughout childhood.

Asthma: Module A, Pathophysiology www.athenaforum.com

Wound Care: Use Science-based Guidelines

Hospitals are under review and facing curtailed reimbursement for stage III and IV pressure ulcers that fall into the hospital acquired condition (HAC) category and are being subject to recovery audit contractor (RAC) reviews for the treatment and documentation of treatment associated with ulcer debridement. The JC and others have been championing the efforts to reduce the presence of pressure ulcers. One of the interventions recommended is to consistently use science-based guidelines for pressure ulcer prevention.

Wound Care: Module B, Assessment and Complications
www.athenaforum.com
Excellence in Case Mgmnt
Hospital Revenue Cycle: Healthcare Pricing

Consumer knowledge of healthcare costs is changing. Consider John Rogers, an uninsured funeral-home owner who checked pricing on HealthcareBlueBook.com after a hospital told him it would charge $4,200 for his wife’s surgery. The website suggested a price of $1,300 based on what insurers paid facilities in his region. Mr. Rogers eventually found an outpatient surgery center that would only charge $900. Healthcare sites can’t typically give exact prices but consumers can get an idea of typical costs in their area, and that can help them choose providers and budget for medical costs.

[Reference: Hospital Revenue Cycle: Module A, Industry Cash Flow]

In the Headlines . . .
Translocations: Tumor-inducing DNA Changes

A novel technique that enables scientists to document tumor-inducing changes in DNA is providing new insight into the earliest events involved in the formation of some cancers and could lead to the discovery of ways to stop those events. Developed by a team of researchers the technology focuses on chromosomal rearrangements known as translocations that occur when a broken strand of DNA from one chromosome is erroneously joined with another chromosome. While sometimes beneficial, translocations can result in tumors. These findings are reported in the Sept. 30 issue of Cell. [NIH News, September 29, 2011]



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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
     Management
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  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
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  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
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  » Women’s Health

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HelpDesk

Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum

cathy.wright@athenaforum.com


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