Setting the standard for community-based care & creating a comprehensive continuum of care.

Home health and adult day services providers are natural collaborators, as both institutions seek to allow chronically ill patients to receive care at home. Well-formed partnerships between these two types of providers can result in better patient care that is more economical under the prospective payment system, and open up joint marketing opportunities. The authors review the benefits of home health-adult day services collaboration, as well as some considerations for home health agencies entering into an agreement with an adult day services provider.

The influence of maxillary sinus augmentation on the success of dental implants through second-stage surgery.

An interim evaluation of the status of 102 implants placed in 42 augmented sinuses in 27 patients involved in an alternate category of the Dental Implant Clinical Research Group's long-term, randomized, prospective clinical investigation is presented. Autogeneic, allogeneic, and alloplastic sinus grafts were used, individually or mixed. Through second-stage surgery, 101 implants were found to be integrated.

The influence of preoperative antibiotics on success of endosseous implants up to and including stage II surgery: a study of 2,641 implants.

According to the American College of Surgeons, complex oral surgical procedures, including the transoral placement of endosseous implants, are of the type that may require prophylactic antibiotics. However, the routine use of prophylactic antibiotics in the field of dental implantology continues to be controversial, and their utilization varies widely. No data from a randomized prospective clinical study of the prophylactic use of antibiotics in implant surgery have been previously published.

Adult day services--the next frontier.

Even within the home care industry, the benefits of adult day care services may not be recognized. Yet the market in the changing health care system is ripe for their expansion. For home care, adult day care represents a logical addition to services as well as a good business opportunity.

Multiple oral petechiae and ecchymoses in a patient with osteoarthritis.

Ibuprofen is a frequently used medication, and possible drug reactions should be familiar to the clinician. Because oral manifestations of thrombocytopenia are often the initial finding and possibly represent the only clinical evidence of this disease, the dentist should be able to recognize the significance of these lesions and refer the patient for appropriate evaluation and therapy.

Multiple linear ulcers on the dorsum of the tongue in a patient with Waldenstrom's macroglobulinemia.

An unusual clinical presentation of an eosinophilic ulcer of the tongue has been described. This lesion is seen most often in the fourth to sixth decades of life and has been shown to have a strong predilection for males. The etiology is unknown although trauma has been implicated by several investigators.

Case report. Disseminated sporotrichosis presenting as sarcoidosis: electron microscopic and immunologic studies.

A 50-year-old black man with constitutional symptoms, cutaneous nodules, and bilateral hilar adenopathy was found to have non-caseating granulomata on bronchial biopsy. He was treated with corticosteroids for sarcoidosis. Within five months he was found to have disseminated sporotrichosis.

Henoch-Schönlein purpura: report of case.

A case of Henoch-Schönlein purpura in a man has been presented. The patient was a typical candidate for the disease, with a history of major allergies and antecedent events of an upper respiratory infection and ingestion of at least two drugs previously implicated as etiologic agents. However, no specific allergen was identified and tests to verify it as an example of a circulating immune complex disease were not successful.