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Digitized by the Internet Archive in 2016 with funding from The National Endowment for the Humanities and the Arcadia Fund https://archive.org/details/westvirginiamedi8711west MEDICAL lOURNALISM SPECIAL AWARD f / MCALTH SCIENOeS UBRABT UNIVEB61TY OF MARYLAND bactimore JAN21 1991 KOI 10 CIRC. University of Maryland Hlth. Sciences Library-Acq South Greene Street 1 1 1 Baltimore, MO 2120; ^BPy 2?^ 3^WK%' Healthcare Financial Services, Inc. -CTORS 1204 Kanawha Boulevard, East fdllki u O Post Office Box 3882 z Ul p Charleston, West Virginia 25338 ‘‘Your Medical Collection Service^'^ Affiliated with Charleston Area Medical Center, Inc. We are proud to be the largest and most sophisticated collection service in West Virginia. Our emphasis is service and client image and our services are marketed exclusively to health care providers. Please call today for a review of our services and what we can do to assist your cash flow position. Bruce Dunlap Thomas Harris J. Director of Operations Marketing Supervisor 304-345-4371 InWV 1-800-344-5150 FAX 304-345-4323 HOW DO YOU SPELL RELIEF? C-P-A For many professionals, the letters C-P-A bring one word to mind: taxes. Yes, we can certainly provide expert tax counsel to your medical practice, but did you know that we can advise and assist in many other areas? Here are a few of the many ways we can help you and your practice... Assessing and improving overall office management Managing receivables Evaluate participation in Medicare, HMOs and PPOs, and other insurance plans Develop effective staffing and compensation plans Pension and profit sharing plans Estate and retirement planning Cash management evaluation Tax planning and preparation We would like to send you a free subscription of our newsletter published for the medical professional to help you manage your practice more effectively. Please complete and return the form below. W T & Trainer, Wright Paterno & p Certified Public Accountants 700KANAWHAVALLEYBUILDING 218THIRTEENTHSTREET CHARLESTON,WV 25301 HUNTINGTON,WV 25701 (304)343-5511 (304) 697-7083 PROFESSIONALBUILDING TRIANGLEADDITION LOGAN,WV 25601 (304)752-4721 Yes, please send me thefreesubscription to the "Advantage for Health Care Providers" newsletter. Name Company Address City State Zip Code PleaseclipandreturntoTrainer,Wright&Paterno,P. O.Box2608,Huntington, WestVirginia 25726. may be bronchitis ..there "Recent research has delineated early, more subtle changes in lung and immune functions, alterations directly Established therapy predispose smokers to fortoday’s patients respiratory tract infection.” Forrespiratorytractinfectionsdueto AmFamPhys1987;36:133-140 susceptibiestrainsofindicatedorganisms CBorRM$dStsRtitfeflpaarcy.k*9*liteiittreforonscrlitasMomutiK. AdvTehrersaepyR-eraeclbaotneds:ad(vpeerrsceenrteaagcetioofnpsaatireentusn)common. amnadyatnaephmyolraexiscohamvmeobneeinnrpeaptoiretnetdsrwarietlhy.aAnhaipshtyolrayxiosf HIpnnmOelmucamitoAlnoUiflau;,sLcotawnuensrmezdraeebs,ypiraSanttdroerSpyttroiecniotHecocccluoisconcpsuns.eiiutpmr/ocolnguiedanieenso, T•1h,Hot5sm%eerosrfeenispinatbeievdnittiysncrlaeunaddce.boinncslhuadveemboerebinlrleifpoorrmtederhiupabboonuts p•»enGSiaycsmtbiplotihnoimtaleslseborfgnya,plse(umdoosrttltyemdibarratnhresai);s2co.l5l%bsmayaptoar (CWgnartrorauatpMaAigcspa:-thteCmoEostC:yLtKOlncRoswtSnrHeapOliloUecLrogcDycit)Bo,EceApbDaMlIosNpIorSfTnEs.RED (to1festsisnere1ua0mc0-h)s.foccPkcrnuuerristisun-sHl,ekseusrbrtcehaaarcnitait,onhasin2hd0av0peopsabitebieevnentsCr.eoCpooamrsbtesesd' e^•iA1b^tser,wditutritirnasgnosoimrteeaift(tmehnrmitcaianltblitibinissobaacnndtdrescahobonmleeenstto.atthiecrjcaeupmhaSlcoe- CPCAERUNOTISICSOI-ULASULiNLySEARTGNOEDNPCIEECNPIIHTCAYILL.LOISPNPO-OSSRSEININSBISLTESIVHREOEWPAACPTATIRIETONITNASSL. wfmiiantndhiifnetgshsteaotfuiseoernsyotKfhceoCmemacplmaoutnl.ibfeTodhrebmsyee,arrbaawrSietteicssh,/aaarrtnahcdttaoelbrgitiezar,edswkibhtyih h(•txaeRmveafenrteritlesyekp.emwnr,teerhvdyeep.freusrttWeoednihraya,preedrliaycz.tziivnietsys,,taiimsvlosuosinmmsosi,etoacseomhnaiaw, INCAPUdselmuOMdEsotAmeNerAmbPcarHuaYtnLiooAuuXssIlySc.otloitailslehragiscbpeateinenrtesp.ortedwith oahirntdwhiapttrhootthueetirnleuerviiesar,I,nnafronedqcuiderinfctfuellryatfairsnosgmocicimlamatsuesndieclyscmoepmrphulamedxseeirscK,k^ntaehnsysd lienOsttsetrteshrba:bnael1osn%i^ndatitereth,tillrsta.ar,^2.%t;hrgoetntietoaclytptreuoridtausaiodrrvaeghviiatt^s. virtuallyallbroad-spectrumantibiotics.Itmustbecon- noevidencetodateofsequelaeofthereaction.While Atearinaiitlesinlaboratervresultsofuncertainetiology. sdiidarerrheedaI.ndCioffleornentfilaolradiaisgnaolstiesroefdanbtyibbiroobacd-a-ssspteKcitartuemd frueratchberonisnavepspteiagratboonbeIsduoengtooihnygp,ersseenrsuimt-ivsiltcyksaensdsm-onrtee ••STlriaondistieenltevalbyomnpshoicnythotseissb,cleenuzkwonpeesn.ia,and, rarely, antibiotic treatment, possibly resulting in anObiotic- oftenoccurduringorfollowingasecrmti(orsubsequent) hemolyticanemiaandrevwsibieneutropenia, associatedcolitis. courseofbterapywithCeclor,Suchreacbonshavebeen •Rarer^mrtsofIncreasedprothnmiblntimewithor PiKaHtkm; reportedmorefrequemiyinchildrenthanhiadultswith withoutciinicaiUeedinginpatientsrecehtegCector •DiscontinueCeclorIntheeventofallergicreacthmstoit, anoveralloccurrencerangingfrom1 in200(0,5%)In ateCoumtehicoicomltzBitly. •Prolonged use may result in overgrowth of non- onefocused trial to 2 In 8,346(0.024%) hi overall •Abnormal urinalysis; elevationsinBUN orserum suscepbUeorganisms. clinicalbials(withanincidencehichildreninclhitcal creabntne, •PosrtlvedirectCoombs'testshavebeenreported trials of0.055%) to 1 hi 38,000(0.003%) in spon- •ftesibvedifectCoontes'test duringtreatmentwhhcephalosportns. taneous event re^s. Signs and sytitetons usually •False-potelveteststeurinaryglucoseWitttewrficfs •Ceclor should be administered wibi caubon In the cmcurafewdaysafterhiltlabonofthmapyandsubside orFehlirm'SMlutionandCHnite^tabtetsIwtnotwitt mdImeopssaaeignrecmeenaotdfjmaurasertkmeuesdnultaysllIymipnaniomrtoeddreerrgeuanitarleedf,utnocctasiroeenfv.uelrAelctlhirnoeiuncgaalhl waulisltuyhailtnlhyaeostfeeswhroedraatcytdsiuoranfastteihroancve(esmesrdaeibsauonlntheoodfsptIinhtaehloiwz^,attaioloclncz=aasbltoownio,- ATWdeds8i-7tT9ia1opneAa*lMP(ignlfuocromsaeteinoznymaavtaiiclatbelsetsttoript,beLHl(pyir).^o4f9e0slskMm) observation and laboratory studies should be made. tothreedays,basedonpostmarketingsurveillance on regimstfromEHLillyandCompany. HttUanapcHls, <Broad-spectrumanbblobcsshouldbeprescribedwith studies). Inthose requiringhospitalizabon,thesymp- Indiana46285. c(p•abrSusetegaianMosaneny,ciyanp,naIrdnltdaieiccfvutfilaeadbcruotlaniyl,vsceoawnlnieitdtsihssi.ahnafhavinesttsnoorltyebsosefetgnhaasdntertooeinrnemtiemnsoeUndntaIhln ttainoodmmceishnsihlshdaiarnovecnnee.wriAratmenhisghoemlldousrbtfeoarnmoolmfonftemhsitelhadesnestdvole^grsileesuvcraoeecnraoedcrbtasiotycnmotspihtdeosoctmcaiuspmr.preeiNanoorgf ECAInaHdrSioLualbOnisanyipado,MilaeiPrssu,ytwroItifnodeBisR1a,incLaIHonl4c0y60a2n86d5%Coiteany old.Ceclorpenetratesmother'smilk.Exercisecaubon serioussequelaehavebeenreported. Inprescribingtorthesepatients. •Stevens%lohnsonsyndrome,toxicepMermalnecrolysis. CfH)528-B-0«333 ©1990,BJUaYANDCOMPANY