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 Based on the cost analysis model, the least expensive treatment option for non genital warts were carbon dioxide laser therapy ($157) and Candida antigen injections ($190). The other treatment modalities examined ranged from $495 (bleomycin) to $1227 (interferon alpha). Although treatment with the carbon dioxide laser therapy is the least expensive, pain and post-procedure complications limit the use of this modality.IntroductionVerrucae or warts are benign epidermal tumors caused by the human papillomavirus (HPV). Non-genital warts in the immunocompetent patient are seldom more than a cosmetic disturbance, while the immunosuppressed patient may develop widely disseminated disease with the possible progression of individual verrucae to squamous cell carcinoma (1). The incidence of verrucae is staggering. In 1990, there was an estimated 79% lifetime risk of acquiring HPV with an annual incidence of 8% (2). A study of Australian schools showed that 22% of children have warts (3). This Note discusses the causes of recent growth in nursing home litigation and its effects on nursing home residents, providers and government. Specific attention is devoted to Florida for demographic and legislative reasons. Complementing its large elderly population, Florida has one of the broadest private rights of action for nursing home residents. Consequently, other states use Florida''s statute as a model.(11) Part II of this Note examines the national nursing home environment, reflecting on the status of the industry and relevant legislation. Part III explores current federal nursing home legislation and discusses recent reform efforts. Part IV examines Florida''s nursing home industry and raises concern about particular state legislation widening nursing home liability. Through its residents'' rights statute, Florida has witnessed a tremendous growth in nursing home litigation and corresponding jury verdicts. Part V describes the actual and potential effects of Florida''s rapid growth in nursing home litigation on providers and residents. Part VI discusses the state''s reform efforts and powerful political lobbies'' countermeasures. Finally, Part VII suggests possible state regulation reforms to preserve the industry before excessive private litigation reaches devastating levels. Immunotherapy utilizing Candida antigen is a relatively new option for the treatment of non genital warts. Recent studies identified in our search demonstrated 70% complete wart clearance after an average of three injections (12,13). Although the time to achieve complete clearance was not markedly different than any of the other therapies investigated, the minimal medication costs and limited number of office visits make it an attractive treatment option. An added benefit for the use of Candida immunotherapy lies in the finding that 78% of patients with complete resolution of their treated wart also had resolution of untreated distant warts (12). For some individuals with extensive wart burdens, i.e. greater than seven warts, this line of therapy may be even more attractive since the treatment of a single wart may yield complete resolution of the entire wart burden. With Doctor-Finder.biz you can find and compare docotor's in your area! Check it out!
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