For California legislators and specialized Medicaid operations like Molina, shifting ABDs to managed care makes sense. Highrisk Medicaid beneficiaries need the small army of nurses, providers, and case workers that a plan like Molina deploys to help coordinate care and eliminate ER visits, readmissions, and other costly and avoidable interventions. Even though the state pays plans a higher per-...

BACKGROUND Studies have explored ozone's connection to asthma and total respiratory emergency department visits (EDVs) but have neglected other specific respiratory diagnoses despite hypotheses relating ozone to respiratory infections and allergic responses. OBJECTIVE We examined relationships between ozone and EDVs for respiratory visits, including specifically acute respiratory infections (...

The dynamic stability of a composite plate with external electrorheological (ER) damper subjected to an axial periodic load is investigated. Electrorheological fluids are a class of smart materials, which exhibit reversible changes in mechanical properties when subjected to an electric field. As a result, the dynamic behavior of the structure is changed. The ER damper is used for suppressing th...

In a large Denver HMO, a retrospective study of asthma management was reviewed. Seventy moderate to severe asthmatic patients' charts were reviewed through April 1994. All patients admitted to the study had to be followed for at least 1 year by a primary care physician before the allergy evaluation (AE) and for at least one year of followup (F/U) after the AE. All patients had at least two acut...

To cite: Ghosh RK, Fatima K, Ravakhah K, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-213888 DESCRIPTION Chest pain is one of the leading causes of emergency room (ER) visits in the USA, resulting in more than 6 million annual visits. Often, rare causes of chest pain that initially look deceptive get missed in ER. Para-oesophageal hernia is charact...

Objective(s): This paper describes synthesisPolyvinyl Alcohol/CaF2:Er nanofibers because of  its  photoluminescence properties.Materials and Methods:  First, CaF2:Er nanocomposite synthesized with co-precipitation method. In order to prepare polyvinyl alcohol (PVA)/CaF2:Er nanofibers, CaF2:Er nanocomposites were added to the polyvinyl alcohol (PVA) polymer. PVA/CaF2:Er composite nanofibers were...

Objectives Historically at a multi-hospital residency program, there was an unexpected number of non-urgent consults from the county hospital emergency room (ER) that caused residents to make more trips between hospitals and come closer to violating duty hours. Moreover, there was also a poor follow-up rate for these patients. An alternate pathway to redirect such consults to the Otorhinolaryng...