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DOSE OPTIMIZATION & QUANTITY LIMITS The Blue Cross Blue Shield of Michigan DOSE Program encourages appropriate prescribing of medications intended for once-daily administration. BCBSM works closely with physicians and community pharmacists to achieve this goal, which promotes patient compliance and more-cost-effective therapy. Blue Care Network's Dose Optimization program encourages optimum use of medications intended for once-daily administration. Quantities of medications intended for once-daily dosing are limited to single daily doses of appropriate strengths. BCN's Dose Optimization Program helps improve patient compliance while decreasing overall drug costs. The drugs include certain cholesterol-lowering, diabetic, antidepressants and antihypertensive medications. Quantity limits also apply to both BCBSM and BCN for other medications, based on manufacturer recommendations, available package size or other criteria. These drugs are identified with a Quantity Limit " # ; " indicator. A complete list of medications that are subject to a quantity limit is available at: bcbsm providers physicians physicians rx.shtml. How Can You Cope With Homesickness? Perhaps the most important thing to remember is that homesickness isn't a sickness per se, but represents part of our normal psychological process to adjusting to a new environment. For most students, homesickness will be a short-lived, however, homesickness can become more serious. Here are some examples of ways you might cope with homesickness: Acknowledge the feelings of homesickness and recognize that they are a natural response to your situation Remember that other students are feeling the same way, even if they aren't talking about it Talk about the situation with others, particularly those who have gone successfully through a similar situation themselves Bring selected items with you from home to give you a sense of comfort and continuity Familiarize yourself with your new surroundings so they don't feel so "foreign" Try to balance studying with social activities and physical exercise Ensure you get adequate sleep and nutrition Explore student organizations or groups in which you might become involved to create a sense of "community" for yourself Keep in touch with people at home but do not overdo it, since over dependence can actually increase homesickness Use e-mail and letters more than the telephone when contacting people back home since these methods are less likely to foster over dependence Plan trips back home well in advance, and organize yourself around these dates, which will minimize the impulse to return home when difficulties arise Try to maintain perspective it took you a lifetime to learn how to successfully function in your home environment, so you can't expect to be an instant expert and function at the same level in your new environment Be active, engaged, and adventurous you sought out this new experience, now do your best to make the most of it! Give yourself some time to adjust, but if homesickness or other problems persist, find out about professional help from a counselor or a health care facility associated with your place of study and clavulanate.

For the current section - home my at& t e-mail features search tools shop anywho member services help health home health news health news health videos health a-z health encyclopedia health store alternative medicine better living diet center fitness center healthy recipes nutrition center parenting center pregnancy center sexual health all channels diseases & conditions asthma news - asthma drug may be deadlier for blacks updated 1 13 2006 by salynn boyles jan.

For example, tuberculosis cases in britain, numbering around 117, 000 in 1913, had fallen to around 5, 000 in 1987, but cases rose again, reaching 6, 300 in 2000 and 7, 600 cases in 200 due to the elimination of public health facilities in new york and the emergence of hiv, there was a resurgence in the late 1980s and ampicillin. All of which may combine to leave family planning providers without significant new resources in the near term. Yet the mandate to offer a broad range of contraceptive choices, as well as high-quality diagnostic serthe needs assessment project, runs even deeper. It vices, remains as urgent as ever. Having a choice of conincludes everything from intake forms to clinic signage traceptive methods is critical because individual women to staff at all levels--from the front desk and intake staff are more likely to use some methods more consistently to the clinicians themselves. than others. And a recent analysis by Child Trends of data from the 1995 National Survey of Family Growth The other issue raised over and over by providers is the suggests that use of highly effective contraceptive methincreased cost of staffing. The problem seems to vary ods does not compensate for inconsistent use among sexgreatly depending on the medical marketplace in each ually active teens. As a result, it is vital that clinics are area. In some locations, the biggest competition for qual- able to offer a broad range of choices to clients, including ity staff, and thus the biggest cost pressure, is for medical the newer methods that are more expensive to provide, personnel, especially nurses. Title X projects frequently so that an individual client can choose the method that indicated that hospitals and other medical providers are she and her partner are most likely to use consistently able to lure nurses with higher salaries than can be and successfully to prevent unintended pregnancy. afforded by public-sector clinics. One large Title X project in the northeast recently increased nurses' salaries Family planning clinics see clients when they are young by 20% because of competition from hospitals. and unmarried, and at the point in their lives when they are particularly likely to need screening and testing for Other Title X projects reported that their biggest staff STDs. As a result, family planning clinics must be able to dilemma is keeping more entry-level positions, particu- continue to be in the forefront of the effort to provide larly front desk staff. Because these people often come early diagnosis and treatment for STDs, the importance with little experience, and are relied upon to perform a of which is stressed in Healthy People 2010, key public variety of critical functions such as scheduling and inihealth goals set by the Office of the U.S. Surgeon tial client intake, they receive significant training, General. Each year, one in three women of reproductive which costs the agency dearly--up to , 000 accordage who obtains testing or treatment for STDs does so at ing to the CEO of one large Title X project. However, a family planning clinic, as does one in seven who obtain the training makes them very attractive to other a Pap test "Family Planning Clinics and STD Services, " providers, such as private physicians. TGR, August 2002, page 8 ; . To continue this critical role, family planning clinics must be able to keep pace with ongoing technological developments in this arena Any Relief in Sight? as well, but this, too, has associated costs. Even as the cost of doing business for Title X projects has risen steadily over the past period, increases in This article and the research on which it is based were supported in appropriations in the late 1990s have done little more part by the U.S. Department of Health and Human Services under than keep up with inflation. Moreover, the Bush admin- grant FPR00072. The conclusions and opinions expressed in this article, however, are those of the author and AGI. The author thanks istration sought no funding increase for FY 2003, and Jennifer Frost, senior research associate at AGI, for her assistance. COMMITTEE 2003 - 2004 BLAND Franois Conseil de la sant et du bien-tre Conseil consultatif de l'Institut canadien de recherche sur la sant des hommes et des femmes Conseil d'administration du Centre hospitalier Jacques-Viger Conseil consultatif de grontologie, ministre des Anciens combattants Comit consultatif sur la politique sociale de la Direction gnrale de la politique, de la planification et de l'information du ministre de la Sant et du Bien-tre social du Canada, Ottawa, Comit consultatif de la Commission administrative des services d'hbergement et de soins prolongs; Conseil de la sant et des services sociaux de Montral mtropolitain BERGMAN Howard McGill University Department of Family Medicine Chairperson, Health Care for the Elderly Committee and coordinator, Geriatric Education. Department of Medicine Executive Committee, McGill Division of Geriatric Medicine Education Committee, McGill Division of Geriatric Medicine Sir Mortimer B. Davis Jewish General Hospital Department of Medicine Policy Committee, Jewish General Hospital Department of Medicine Hospital committees Medical Advisory Committee 35 1987-present 1990-present and anastrozole.

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