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Register today for The EMTALA Challenge: Are You in Compliance? audio conference.

Click here to listen to Robert A. Bitterman, MD, JD, FACEP, and Sue Dill, RN, MSN, JD provide you and your staff with the latest updates and practical advice on the troubling questions that have surfaced about how to meet the difficult challenges of EMTALA implementation. The audio conference is scheduled for Thursday, November 2, 2006 from 2:30 to 3:45 EST. Click here or call 1-800-688-2421 to educate your entire staff on the important developments that have happened since the final EMTALA rule was released. The fee of just $249 allows you to invite as many listeners from your facility as you can accommodate around your conference telephone. The fee also includes continuing education. Plus, you and your staff will benefit from the interactive question-and-answer segment immediately following the presenter's prepared remarks.

Estrogen, Testosterone, and Breast Cancer in the Nurses' Health Study

The nurses' health study reported the risk of invasive breast cancer associated with the use of combined estrogen and testosterone. At the beginning of this cohort study, only 33 women reported testosterone use, but over the next 10 years this number increased to 550. Compared to never users and after adjusting for multiple risk factors, users of estrogen plus testosterone had an increased relative risk of invasive breast cancer (1.77; CI = 1.22-2.56). This risk was greater than that reported by the Nurses' Health Study for users of estrogen alone and for users of estrogen-progestin. There was no increase in past users.

from OB/GYN Clinical Alert

Health Legacy of 9/11: Respiratory, Emotional Complaints Persist Among Those Exposed

The question, "Were you exposed to the World Trade Center disaster?" is probably not what you typically ask when conducting a risk assessment or patient history. But if the person you are interviewing complains of respiratory symptoms or reflux disease, or if mental health problems or substance abuse disorders are present, and the person might have been living or working in New York on Sept. 11, 2001, it is a question you should add to the list.

from Occupational Health Management

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Nephrolithiasis: Imaging Options and Controversies

Flank pain is a common complaint of patients presenting to the emergency department (ED). Despite the tendency to immediately hone in on ureterolithiasis as the etiology of this pain, emergency physicians (EPs) must rule out other serious causes of flank pain (e.g., abdominal aortic aneurysm, appendicitis, pyelonephritis, ovarian torsion, ectopic pregnancy, and tubo-ovarian abscess).

from Practical Summaries in Acute Care

ProStrakan's Agreement With Novartis Could Reach $140M

LONDON - ProStrakan Group plc sealed a deal with a headline value of $140 million under which Novartis AG will develop antibody treatments for bone-related diseases using a ProStrakan target.

from  BioWorld International

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The Biggest Liability Risks in the ED During Disasters

To avoid legal problems for your ED during disasters, it's not enough to have a good plan in place—you must ensure that staff are familiar with procedures and follow them.

from ED Legal Letter

The Role of Diet in the Mitigation of Alzheimer's Dementia

Risk factors, both genetic and environmental, have been identified for Alzheimer's disease (AD). Epidemiologic studies of dementia and cardiovascular disease show that both of these conditions are prevalent in elderly people and often co-exist. It is possible, then, that lifestyle modifications—such as specific dietary and exercise interventions that have been found to improve cardiovascular risk factors such as hypertension, hyperlipidemia, diabetes, and inflammation (also common risk factors for AD)—may also be useful in mitigating the clinical expression of AD, especially when initiated in mid-life or earlier.

from Alternative Medicine Alert

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Thompson Wants Feds to Take More Responsibility for Long-Term Care

As the nation heads toward the midterm elections of 2006 and what could be two lame-duck years for the Bush administration, major health system and Medicaid reform proposals have surfaced. A Medicaid Makeover plan proposed by former Health and Human Services secretary Tommy Thompson calls for the feds to take increased responsibility for planning, delivering, and paying for services to the elderly, especially long-term care services, while states take greater responsibility for caring for those younger than age 65.

from State Health Watch

U.S. Newborn Death Rate High but Early Education Could Reduce Infant Mortality

Health education aimed at healthy babies should begin long before conception, before even the thought of conception. According to a report issued by the Centers for Disease Control and Prevention, the majority of U.S. adults do not know how unhealthy lifestyle choices, such as smoking, obesity, or misuse of alcohol, influence reproductive health and childbearing. To improve preconception health, the report says, "Changes in the knowledge and attitudes and behaviors related to reproductive health among both men and women need to be made."

from Patient Education Management

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