MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Internal Medicine News' source. Mon, 30 Aug 2010 09:22:25 +0100 http://www.medworm.com/index.php?rid=3830407&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706545%2Fabstract%3Frss%3Dyes The American Board of Internal Medicine has sanctioned 139 physicians for sharing or seeking questions used on the certification exam. Depending on the extent of the physician's involvement in the scheme, the ABIM has revoked or suspended their board certification. Those who have yet to achieve certification will not be admitted to sit for a certification exam for at least 1 year. The board has filed suit against the five physicians it considers to be the most egregious offenders. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830407 Wed, 30 Jun 2010 23:00:00 +0100 3830407 http://www.medworm.com/index.php?rid=3830406&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706533%2Fabstract%3Frss%3Dyes DR. SKOLNIK is associate director of the family medicine residency program at Abington (Pa.) Memorial Hospital and professor of family and community medicine at Temple University, Philadelphia. DR. NOTTE is in private practice in Chalfont, Pa. They are partners in EHR Practice Consultants (www.ehrpc.com). (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830406 Wed, 30 Jun 2010 23:00:00 +0100 3830406 http://www.medworm.com/index.php?rid=3830405&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706521%2Fabstract%3Frss%3Dyes Saying that there is too much confusion between the requirements of the new health reform law and the not-yet-final mental health parity law regulations, a group of mental health behavioral care organizations has sued the federal government to delay the implementation of the rules. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830405 Wed, 30 Jun 2010 23:00:00 +0100 3830405 http://www.medworm.com/index.php?rid=3830404&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070651X%2Fabstract%3Frss%3Dyes Medicare officials have temporarily increased payments for performing dual-energy x-ray absorptiometry, but osteoporosis experts say the boost isn't likely to make much of a difference in the number of physicians offering the service. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830404 Wed, 30 Jun 2010 23:00:00 +0100 3830404 http://www.medworm.com/index.php?rid=3830403&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706508%2Fabstract%3Frss%3Dyes Internists and family physicians no longer account for most office visits by adolescents. New data reveal that between 2000 and 2006, the proportion of visits by adolescents (aged 11-17 years) to general pediatricians increased from 38% to 53% (J. Pediatr. 2010 [doi:10.1016/j.jpeds.2010.01.003]). (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830403 Wed, 30 Jun 2010 23:00:00 +0100 3830403 http://www.medworm.com/index.php?rid=3830402&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706491%2Fabstract%3Frss%3Dyes President Obama announced the recess appointment of Dr. Donald Berwick to be the Administrator of the Centers for Medicare and Medicaid Services (CMS), bypassing what looked like a lengthy fight to have the nominee confirmed by the Senate. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830402 Wed, 30 Jun 2010 23:00:00 +0100 3830402 http://www.medworm.com/index.php?rid=3830401&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070648X%2Fabstract%3Frss%3Dyes This article is meant to be educational and does not constitute medical, ethical, or legal advice. It is adapted from the author's book, “Medical Malpractice: Understanding the Law, Managing the Risk” (2006). For additional information, readers may contact the author at siang@hawaii.edu. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830401 Wed, 30 Jun 2010 23:00:00 +0100 3830401 http://www.medworm.com/index.php?rid=3830400&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706478%2Fabstract%3Frss%3Dyes One of the first provisions of the Patient Protection and Affordable Care Act to take effect is the $250 rebate for Medicare beneficiaries who fall into the Part D doughnut hole. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830400 Wed, 30 Jun 2010 23:00:00 +0100 3830400 http://www.medworm.com/index.php?rid=3830399&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706466%2Fabstract%3Frss%3Dyes Automated telephone reminders can increase colon cancer screening rates by 30%, according to a study from the Kaiser Permanente Center for Health Research. The study looked at nearly 6,000 patients who were overdue for screening. Half the patients received up to three reminder calls stressing the importance of screening. The phone calls also offered patients an in-home kit to detect blood in the stool. Within 6 months, more than 22% of people who received calls ordered and completed a stool card test, compared with only 16% of those who didn't receive the phone calls but may have been reminded of testing during a physician visit. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830399 Wed, 30 Jun 2010 23:00:00 +0100 3830399 http://www.medworm.com/index.php?rid=3830398&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706454%2Fabstract%3Frss%3Dyes Major Finding: Of patients with irritable bowel syndrome, 18% were using narcotic pain medications to relieve bowel pain. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830398 Wed, 30 Jun 2010 23:00:00 +0100 3830398 http://www.medworm.com/index.php?rid=3830397&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706442%2Fabstract%3Frss%3Dyes NEW ORLEANS — More than 50 genetic risk factors for ulcerative colitis have now been identified by the International Inflammatory Bowel Disease Genetics Consortium, John D. Rioux, Ph.D., said at the meeting. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830397 Wed, 30 Jun 2010 23:00:00 +0100 3830397 http://www.medworm.com/index.php?rid=3830396&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706430%2Fabstract%3Frss%3Dyes NEW ORLEANS — For eradication of Helicobacter pylori infection, a 14-day hybrid therapy that combines sequential and concomitant drug treatments improved the eradication rate, compared with 14-day standard sequential therapy, investigators reported. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830396 Wed, 30 Jun 2010 23:00:00 +0100 3830396 http://www.medworm.com/index.php?rid=3830395&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706429%2Fabstract%3Frss%3Dyes VIENNA — With no new blockbuster drug on the horizon for chronic hepatitis B, researchers are focusing on ways to boost the effectiveness of pegylated interferon, the current standard treatment for hepatitis B. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830395 Wed, 30 Jun 2010 23:00:00 +0100 3830395 http://www.medworm.com/index.php?rid=3830394&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706417%2Fabstract%3Frss%3Dyes Major Finding: Sacral nerve stimulation reduced the number of weekly episodes of fecal incontinence by at least half for 86% of 77 patients at 3 years. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830394 Wed, 30 Jun 2010 23:00:00 +0100 3830394 http://www.medworm.com/index.php?rid=3830393&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706405%2Fabstract%3Frss%3Dyes Major Finding: Of 151,996 patients with a cutaneous melanoma diagnosis, 16,591 went on to have a second documented primary malignancy. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830393 Wed, 30 Jun 2010 23:00:00 +0100 3830393 http://www.medworm.com/index.php?rid=3830392&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706399%2Fabstract%3Frss%3Dyes Major Finding: Percentage of participants doing skin self-exams at least monthly remained the same among those with a history of melanoma who were mutation carriers (73%) and doubled among unaffected mutation carriers (from 30% to 60%), but increased only slightly among noncarriers (from 38% to 44%). (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830392 Wed, 30 Jun 2010 23:00:00 +0100 3830392 http://www.medworm.com/index.php?rid=3830391&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706387%2Fabstract%3Frss%3Dyes MADRID — Solar UV radiation may protect against melanoma of the vulva, a new international study suggests. This and other studies have shown that UV radiation is a double-edged sword in melanoma, acting predictably as a well-established risk factor for cutaneous melanoma in susceptible individuals, while paradoxically decreasing the incidence of melanoma at non– sun-exposed sites, Dr. Isabel Longo said. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830391 Wed, 30 Jun 2010 23:00:00 +0100 3830391 http://www.medworm.com/index.php?rid=3830390&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706375%2Fabstract%3Frss%3Dyes BIRMINGHAM, ENGLAND — The use of complementary or alterative medicines in rheumatoid arthritis, osteoarthritis, and fibromyalgia is not supported by credible evidence, according to an expert review of available data. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830390 Wed, 30 Jun 2010 23:00:00 +0100 3830390 http://www.medworm.com/index.php?rid=3830389&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706363%2Fabstract%3Frss%3Dyes Major Finding: Musculoskeletal ultrasound of the wrist, as well as the metacarpophalangeal and metatarsophalangeal regions, showed the highest predictive value in very early arthritis patients. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830389 Wed, 30 Jun 2010 23:00:00 +0100 3830389 http://www.medworm.com/index.php?rid=3830388&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706351%2Fabstract%3Frss%3Dyes Major Finding: In a substudy of 15 adolescent girls with significant bone loss while using depot medroxyprogesterone acetate, only 1 participant had a “sufficient” serum vitamin D level of greater than 30 ng/mL. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830388 Wed, 30 Jun 2010 23:00:00 +0100 3830388 http://www.medworm.com/index.php?rid=3830387&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070634X%2Fabstract%3Frss%3Dyes TORONTO — Vitamin D supplementation needs to be considered in all adolescents, especially during the winter months, in higher latitudes, and when good sunscreen habits are enforced, according to Dr. Catherine M. Gordon. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830387 Wed, 30 Jun 2010 23:00:00 +0100 3830387 http://www.medworm.com/index.php?rid=3830386&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706338%2Fabstract%3Frss%3Dyes Major Finding: Fifty percent of American youths have no parks, community centers, or sidewalks in their neighborhoods. Only 17% of high school students are physically active. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830386 Wed, 30 Jun 2010 23:00:00 +0100 3830386 http://www.medworm.com/index.php?rid=3830385&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706326%2Fabstract%3Frss%3Dyes Major Finding: Nonalcoholic fatty liver disease in obese children, adolescents, and young adults was twice as high among males as females, with 27% vs. 13% having ALT levels above 40 IU/L. The NAFLD prevalence increased with age in males but decreased with age in females. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830385 Wed, 30 Jun 2010 23:00:00 +0100 3830385 http://www.medworm.com/index.php?rid=3830384&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706314%2Fabstract%3Frss%3Dyes Major Finding: The specificity of a new screening approach developed for postmenopausal women at average risk for ovarian cancer was 99.9%. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830384 Wed, 30 Jun 2010 23:00:00 +0100 3830384 http://www.medworm.com/index.php?rid=3830383&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706302%2Fabstract%3Frss%3Dyes SAN FRANCISCO — Fifty years after the introduction of oral contraceptives, physicians are looking to long-acting removable contraceptives to provide the next leap forward in preventing unintended pregnancy. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830383 Wed, 30 Jun 2010 23:00:00 +0100 3830383 http://www.medworm.com/index.php?rid=3830382&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706296%2Fabstract%3Frss%3Dyes Major Finding: Women who had menopause before the age of 46 were 2.1 times more likely to have a cardiovascular disease event later in life, compared with those who did not have early menopause. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830382 Wed, 30 Jun 2010 23:00:00 +0100 3830382 http://www.medworm.com/index.php?rid=3830381&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706284%2Fabstract%3Frss%3Dyes NEW ORLEANS — Proposed changes to the Diagnostic and Statistical Manual will likely put an end to separate diagnoses of substance “abuse” and “dependence,” distinctions that puzzled even addiction experts, members of the DSM-5 work group on substance-related disorders said at the meeting. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830381 Wed, 30 Jun 2010 23:00:00 +0100 3830381 http://www.medworm.com/index.php?rid=3830380&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706272%2Fabstract%3Frss%3Dyes Major Finding: Perceived burdensomeness was independently associated with suicidal ideation among patients with chronic pain, and a model including this measure correctly classified 95% of patients as to the presence or absence of suicide ideation. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830380 Wed, 30 Jun 2010 23:00:00 +0100 3830380 http://www.medworm.com/index.php?rid=3830379&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706260%2Fabstract%3Frss%3Dyes ORLANDO — A new Web-based toolkit provides guidance and information for primary care physicians in the screening, management, and referral of patients at risk of suicide. The overall aim of using the kit is to optimize interactions between physicians and at-risk patients. It includes advice on when and how to question patients about their risks, how to refer them to mental health specialists, and how to find community resources. It also emphasizes the importance of training all practice staff to recognize the relevant signs and risk factors for suicide. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830379 Wed, 30 Jun 2010 23:00:00 +0100 3830379 http://www.medworm.com/index.php?rid=3830378&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706259%2Fabstract%3Frss%3Dyes SAN ANTONIO — Chronic insomnia is an independent risk factor for all-cause mortality, conferring a threefold increased risk, according to data from the landmark Wisconsin Sleep Cohort Study. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830378 Wed, 30 Jun 2010 23:00:00 +0100 3830378 http://www.medworm.com/index.php?rid=3830377&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706247%2Fabstract%3Frss%3Dyes Selective serotonin reuptake inhibitor use may lead to an increased risk of cataract development, a study by Canadian researchers suggests. In a large nested case-control study, the researchers found that certain selective serotonin reuptake inhibitors (SSRIs) correlated with an increased likelihood of cataract diagnosis and cataract surgery. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830377 Wed, 30 Jun 2010 23:00:00 +0100 3830377 http://www.medworm.com/index.php?rid=3830376&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706235%2Fabstract%3Frss%3Dyes Once-weekly exenatide reduced hemoglobin A1c to a significantly greater degree than did either sitagliptin or pioglitazone in DURATION-2, a 26-week randomized, double-blind trial of 491 patients with type 2 diabetes who had baseline HbA1c levels of 8.5% or higher despite metformin treatment. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830376 Wed, 30 Jun 2010 23:00:00 +0100 3830376 http://www.medworm.com/index.php?rid=3830375&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706223%2Fabstract%3Frss%3Dyes ORLANDO — Intensive glycemic control did not reduce the risk for developing advanced measures of microvascular outcomes, although it did delay the onset of albuminuria and some measures of eye complications and neuropathy among patients with longstanding type 2 diabetes at high cardiovascular risk. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830375 Wed, 30 Jun 2010 23:00:00 +0100 3830375 http://www.medworm.com/index.php?rid=3830374&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706211%2Fabstract%3Frss%3Dyes Major Finding: A combination of 2 mg of rosiglitazone and 500 mg of metformin twice daily reduced the relative risk of developing type 2 diabetes in high-risk adults by 66%. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830374 Wed, 30 Jun 2010 23:00:00 +0100 3830374 http://www.medworm.com/index.php?rid=3830373&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070620X%2Fabstract%3Frss%3Dyes Major Finding: Nearly one-third of patients with diabetes who live in a hot climate (29%) did not initiate personal protective measures for self-management of their disease until temperatures reached 101°F, and 37% left their diabetes medications and supplies at home rather than risking them to heat exposure. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830373 Wed, 30 Jun 2010 23:00:00 +0100 3830373 http://www.medworm.com/index.php?rid=3830372&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706193%2Fabstract%3Frss%3Dyes BALTIMORE — The Wii video game system helped seniors burn calories and become more active in a pilot study of 24 adults aged 66-78 years. Group members burned 17-176 kcal during 30-minute games of Wii baseball, tennis, or team or individual bowling, Elizabeth Orsega-Smith, Ph.D., reported. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830372 Wed, 30 Jun 2010 23:00:00 +0100 3830372 http://www.medworm.com/index.php?rid=3830371&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706181%2Fabstract%3Frss%3Dyes ORLANDO — Physicians will see more elderly people with HIV, because of both more new infections among the population and prolonged survival of people with HIV, according to a physician epidemiologist. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830371 Wed, 30 Jun 2010 23:00:00 +0100 3830371 http://www.medworm.com/index.php?rid=3830370&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070617X%2Fabstract%3Frss%3Dyes LONG BEACH, CALIF. — Disease-specific tools for management of the most common reasons that patients move back and forth between such facilities and hospitals reduced short-term rehospitalizations among 3,255 residents of 10 skilled nursing facilities, according to the company that developed the tools. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830370 Wed, 30 Jun 2010 23:00:00 +0100 3830370 http://www.medworm.com/index.php?rid=3830369&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706168%2Fabstract%3Frss%3Dyes LONG BEACH, CALIF. — Using interdisciplinary teams in a systematic way can help nursing homes meet requirements that they stop excessive use of psychoactive medications in residents. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830369 Wed, 30 Jun 2010 23:00:00 +0100 3830369 http://www.medworm.com/index.php?rid=3830368&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706156%2Fabstract%3Frss%3Dyes MINNEAPOLIS — Geographic isolation was associated with increased 30-day mortality in patients hospitalized for chronic obstructive pulmonary disease, according to the findings of a Veterans Health Administration study. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830368 Wed, 30 Jun 2010 23:00:00 +0100 3830368 http://www.medworm.com/index.php?rid=3830367&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706144%2Fabstract%3Frss%3Dyes SAN ANTONIO — The days when continuous positive airway pressure was the only arrow in the quiver for physicians targeting obstructive sleep apnea are long gone. The single most popular session at the annual meeting of the Associated Professional Sleep Societies—the one whose overflow crowds brought out the fire marshals in full force—was devoted to alternatives to CPAP that have come of age: oral appliances; maxillofacial surgery; and weight loss through diet and exercise, bariatric surgery, or drugs. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830367 Wed, 30 Jun 2010 23:00:00 +0100 3830367 http://www.medworm.com/index.php?rid=3830366&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706132%2Fabstract%3Frss%3Dyes Major Finding: In the four trials totaling 475 high-risk patients, the rate of flu-related pneumonia, bronchitis, sinusitis, pharyngitis, and other complications was 8% in neuraminidase inhibitor–treated patients, compared with 25% with placebo. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830366 Wed, 30 Jun 2010 23:00:00 +0100 3830366 http://www.medworm.com/index.php?rid=3830365&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706120%2Fabstract%3Frss%3Dyes DR. EBBERT and DR. TANGALOS are with the Mayo Clinic in Rochester, Minn. They report having no conflicts of interest. To respond to this column or suggest topics for consideration, write to Dr. Ebbert and Dr. Tangalos at our editorial offices or e-mail them at imnews@elsevier.com. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830365 Wed, 30 Jun 2010 23:00:00 +0100 3830365 http://www.medworm.com/index.php?rid=3830364&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706119%2Fabstract%3Frss%3Dyes Major Finding: For every 1 million people who receive the pandemic influenza vaccine, about 1 additional person will develop Guillain-Barré syndrome. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830364 Wed, 30 Jun 2010 23:00:00 +0100 3830364 http://www.medworm.com/index.php?rid=3830363&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706107%2Fabstract%3Frss%3Dyes ATLANTA — Adults with diabetes are more likely than those without the disease to be infected with the hepatitis B virus, according to unpublished data from the Centers for Disease Control and Prevention. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830363 Wed, 30 Jun 2010 23:00:00 +0100 3830363 http://www.medworm.com/index.php?rid=3830362&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706090%2Fabstract%3Frss%3Dyes Strategies to control the spread of seasonal influenza outbreaks work to help curb influenza A(H1N1) outbreaks as well, suggest two studies conducted in Singapore and Hong Kong. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830362 Wed, 30 Jun 2010 23:00:00 +0100 3830362 http://www.medworm.com/index.php?rid=3830361&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706089%2Fabstract%3Frss%3Dyes Major Finding: The age- and sex-adjusted incidence of acute MI decreased by 24% between 1999 and 2008. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830361 Wed, 30 Jun 2010 23:00:00 +0100 3830361 http://www.medworm.com/index.php?rid=3830360&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706077%2Fabstract%3Frss%3Dyes NEW YORK — Hypertension treatment for African Americans should begin at a blood pressure of 135/85 mm Hg, rather than the previously recommended 140/90 mm, according to forthcoming guidelines from the International Society on Hypertension in Blacks. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830360 Wed, 30 Jun 2010 23:00:00 +0100 3830360 http://www.medworm.com/index.php?rid=3830359&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706065%2Fabstract%3Frss%3Dyes An increased rate of cardiovascular deaths in patients with type 2 diabetes treated with olmesartan, compared with placebo, in two studies is the focus of a safety review by the Food and Drug Administration, the agency announced last month. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830359 Wed, 30 Jun 2010 23:00:00 +0100 3830359 http://www.medworm.com/index.php?rid=3830358&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706053%2Fabstract%3Frss%3Dyes Angiotensin-receptor II blockers are associated with a modestly increased risk of new cancer diagnoses according to a meta-analysis of randomized controlled trials. The limited amount of new cancer data in the available literature, however, precludes the calculation of exact cancer risk associated with each individual agent in this class of drugs, wrote lead investigator Dr. Ilke Sipahi and colleagues at Case Western Reserve University in Cleveland. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830358 Wed, 30 Jun 2010 23:00:00 +0100 3830358 http://www.medworm.com/index.php?rid=3830357&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706041%2Fabstract%3Frss%3Dyes DR. GOLDEN (left) is professor of medicine and public health and DR. HOPKINS is program director for the internal medicine/pediatrics combined residency program at the University of Arkansas, Little Rock. Write to Dr. Golden and Dr. Hopkins at our editorial offices or imnews@elsevier.com. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830357 Wed, 30 Jun 2010 23:00:00 +0100 3830357 http://www.medworm.com/index.php?rid=3830356&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070603X%2Fabstract%3Frss%3Dyes Major Finding: Women undergoing angiography who rated their health as fair or poor had twice the risk of CVD events and death as peers who rated their health as very good or excellent even after objective measures of health were taken into account. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830356 Wed, 30 Jun 2010 23:00:00 +0100 3830356 http://www.medworm.com/index.php?rid=3830355&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706028%2Fabstract%3Frss%3Dyes Major Finding: During an average follow-up of 1.2 years, patients whose serum vitamin D levels rose from less than 30 ng/mL to at least 44 ng/mL had the lowest rates of death or new-onset diabetes, CAD, MI, heart failure, depression, and renal failure. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830355 Wed, 30 Jun 2010 23:00:00 +0100 3830355 http://www.medworm.com/index.php?rid=3830354&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706016%2Fabstract%3Frss%3Dyes DENVER — Hiatal hernia is associated with sharply increased risk of atrial fibrillation, according to a large Mayo Clinic study. The mechanism of the increased prevalence of atrial fibrillation in patients with hiatal hernia is not known but likely involves the direct mechanical effects of the hiatal hernia pressing on the left atrium or indirect effects through activation of the autonomic nervous system or inflammation, Dr. Komandoor Srivathsan said at the meeting. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830354 Wed, 30 Jun 2010 23:00:00 +0100 3830354 http://www.medworm.com/index.php?rid=3830353&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010706004%2Fabstract%3Frss%3Dyes DR. TAYLOR is associate professor and director of adult clinical genetics at the Health Sciences Center of the University of Colorado, Aurora. To provide feedback or suggest future topics of interest, write to Dr. Taylor at our editorial offices or imnews@elsevier.com. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830353 Wed, 30 Jun 2010 23:00:00 +0100 3830353 http://www.medworm.com/index.php?rid=3830352&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705990%2Fabstract%3Frss%3Dyes The medical industry and health care practice and delivery are not insulated from or immune to waste, fraud, and abuse. Medical educators and physician organizations have an ethical, moral, financial, and fiduciary obligation to help provide cost-effective health care. The idea that “excess will lead to success” should be abandoned in regard to treatment, diagnostics, and devices. We need to promote, teach, and practice a new mantra: value-based medicine, not just evidence-based medicine. What good is health care if the patient and society at large can't afford it? (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830352 Wed, 30 Jun 2010 23:00:00 +0100 3830352 http://www.medworm.com/index.php?rid=3830351&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705989%2Fabstract%3Frss%3Dyes DR. WEINER practices in Providence, R.I. There is nothing “concierge” or “boutique” about my background, professional goals, or values—or about internal medicine in general. However, when I began to realize, as we all have, that the fundamental values and tools at the foundation of our careers are being compromised at the most basic level, I wondered about the alternatives. Many of my colleagues are coping by changing their practices to include more nonclinical work, such as teaching or working in other care environments or with insurance companies. Some are moving to other states where insurer regulations are more favorable to physicians. Others are retiring earlier, moving to a part-time practice, or simply not practicing. I find these trends alarming. (Source: Internal Medici... Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830351 Wed, 30 Jun 2010 23:00:00 +0100 3830351 http://www.medworm.com/index.php?rid=3830350&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705977%2Fabstract%3Frss%3Dyes CHICAGO — Frustration and concern about the lack of a permanent replacement for the Medicare Sustainable Growth Rate formula held center stage as the American Medical Association's legislative body met here. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830350 Wed, 30 Jun 2010 23:00:00 +0100 3830350 http://www.medworm.com/index.php?rid=3830349&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705965%2Fabstract%3Frss%3Dyes President Obama last month signed into law a bill that replaces the 21% Medicare physician payment cut with a 2.2% pay raise for 6 months. The legislation (H.R. 3962) provides physicians with a 2.2% increase in their Medicare payments through Nov. 30. The change is retroactive to June 1, the date that the 21% cut officially went into effect. Officials at the Centers for Medicare and Medicaid Services held claims from June 1 to June 18 to give Congress time to reverse the cuts, but had been paying physicians at the lower rate since then. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830349 Wed, 30 Jun 2010 23:00:00 +0100 3830349 http://www.medworm.com/index.php?rid=3830348&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705953%2Fabstract%3Frss%3Dyes Major Finding: Fasting glucose, the primary endpoint, dropped by 4.2 mg/dL in the first year in the community-intervention group, compared with a 0.3-mg/dL drop in the usual-care group. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830348 Wed, 30 Jun 2010 23:00:00 +0100 3830348 http://www.medworm.com/index.php?rid=3830347&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705941%2Fabstract%3Frss%3Dyes (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830347 Wed, 30 Jun 2010 23:00:00 +0100 3830347 http://www.medworm.com/index.php?rid=3830346&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070593X%2Fabstract%3Frss%3Dyes The fully human monoclonal antibody denosumab (Prolia) received Food and Drug Administration approval June 1 for the treatment of postmenopausal osteoporosis following the agency's fast-track review and request for resubmission of data. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830346 Wed, 30 Jun 2010 23:00:00 +0100 3830346 http://www.medworm.com/index.php?rid=3830345&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705928%2Fabstract%3Frss%3Dyes A federal grant that has been sustaining a primary care safety net in and around New Orleans since hurricanes Katrina and Rita devastated the area in 2005 is set to expire in September, threatening the collapse of that system, according to health care providers in the region. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830345 Wed, 30 Jun 2010 23:00:00 +0100 3830345 http://www.medworm.com/index.php?rid=3830344&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705916%2Fabstract%3Frss%3Dyes SAN DIEGO — The scale that weighs risks and benefits tips more favorably for newly menopausal women who begin hormone therapy at age 50-59 years and who use it for 5 years, compared with women who start the therapy in their 60s, according to a systematic review of several studies and position statements. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3830344 Wed, 30 Jun 2010 23:00:00 +0100 3830344 http://www.medworm.com/index.php?rid=3713124&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705904%2Fabstract%3Frss%3Dyes The American Medical Association has called on health insurance companies to adopt its just-issued code of conduct. The Health Insurer Code of Conduct Principles evolved out of a resolution put forward and unanimously adopted by the AMA House of Delegates in 2008. The New York Delegation called on the AMA to develop such a code, get insurers to sign on, and come up with a way to monitor compliance. The code has already been endorsed by nearly every state medical society as well as 19 specialty societies, according to the AMA. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713124 Mon, 14 Jun 2010 23:00:00 +0100 3713124 http://www.medworm.com/index.php?rid=3713123&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705898%2Fabstract%3Frss%3Dyes MIAMI — The use of complementary and alternative medicine is increasing among patients with self-reported skin disease, and patients are also discussing this use more with their physicians, supplementary data from the 2007 National Health Interview Survey indicate. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713123 Mon, 14 Jun 2010 23:00:00 +0100 3713123 http://www.medworm.com/index.php?rid=3713122&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705886%2Fabstract%3Frss%3Dyes This article is meant to be educational and does not constitute medical, ethical, or legal advice. It is adapted from the author's book, “Medical Malpractice: Understanding the Law, Managing the Risk” (2006). For additional information, readers may contact the author at siang@hawaii.edu. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713122 Mon, 14 Jun 2010 23:00:00 +0100 3713122 http://www.medworm.com/index.php?rid=3713121&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705874%2Fabstract%3Frss%3Dyes Health reform could benefit young adults more than any other uninsured group, expanding coverage to almost all 13.7 million of them through a combination of insurance reforms, subsidies, and Medicaid expansion, according to a new report from the Commonwealth Fund. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713121 Mon, 14 Jun 2010 23:00:00 +0100 3713121 http://www.medworm.com/index.php?rid=3713120&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705862%2Fabstract%3Frss%3Dyes DR. BERTMAN is a family physician in private practice in Hope Valley, R.I., and clinical assistant professor of family medicine at Brown University in Providence, R.I. He also is the founder and president of AmazingCharts.com, a developer of EHR software. DR. SKOLNIK is associate director of the family medicine residency program at Abington (Pa.) Memorial Hospital and professor of family and community medicine at Temple University, Philadelphia. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713120 Mon, 14 Jun 2010 23:00:00 +0100 3713120 http://www.medworm.com/index.php?rid=3713119&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705850%2Fabstract%3Frss%3Dyes An amended version of the National Academies' Guidelines for Human Embryonic Stem Cell Research takes into account the expanding role of the National Institutes of Health in overseeing the field. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713119 Mon, 14 Jun 2010 23:00:00 +0100 3713119 http://www.medworm.com/index.php?rid=3713118&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705849%2Fabstract%3Frss%3Dyes The Food and Drug Administration's Transparency Task Force has issued 21 draft proposals concerning public disclosure of FDA operations without compromising patents or companies' trade secrets. Part of the FDA's transparency initiative launched last summer, the proposals are aimed at helping consumers, stakeholders, and others understand how the agency makes decisions and enforces them. The FDA said that one of the draft proposals would support research into rare diseases by freeing the agency to discuss that a company has abandoned its application for an orphan drug. Once made public, this information could enable another drug manufacturer to pick up where the first one left off. The FDA will accept comments on the public disclosure policies until July 20. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713118 Mon, 14 Jun 2010 23:00:00 +0100 3713118 http://www.medworm.com/index.php?rid=3713117&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705837%2Fabstract%3Frss%3Dyes This study showed that 20% of RA cases had pericardial disease at the time of death, compared with 9.5% of controls. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713117 Mon, 14 Jun 2010 23:00:00 +0100 3713117 http://www.medworm.com/index.php?rid=3713116&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705825%2Fabstract%3Frss%3Dyes As URL Pharma Inc. and other drug companies battle in court over access to the U.S. colchicine market, the supply of unapproved colchicine is beginning to decline, and patients in at least one small town are scrambling to find what's left. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713116 Mon, 14 Jun 2010 23:00:00 +0100 3713116 http://www.medworm.com/index.php?rid=3713115&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705813%2Fabstract%3Frss%3Dyes Major Finding: For every 10-year increase in age, the chance of a patient with RA receiving more intensive treatment reduces by approximately 22%. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713115 Mon, 14 Jun 2010 23:00:00 +0100 3713115 http://www.medworm.com/index.php?rid=3713114&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705801%2Fabstract%3Frss%3Dyes ROCKVILLE, MD. — Chronic back pain is an enormously heterogeneous and common disorder that might better be examined in observational “Framingham-like studies” than in randomized, controlled clinical trials. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713114 Mon, 14 Jun 2010 23:00:00 +0100 3713114 http://www.medworm.com/index.php?rid=3713113&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705795%2Fabstract%3Frss%3Dyes Major Finding: Adolescents whose parents were sent personalized text messages reminding them that their child needed vaccines were 2.5 times more likely to receive the MCV4 vaccine, the Tdap vaccine, or both. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713113 Mon, 14 Jun 2010 23:00:00 +0100 3713113 http://www.medworm.com/index.php?rid=3713112&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705783%2Fabstract%3Frss%3Dyes VANCOUVER, B.C. — The inability of older adolescents to provide consent for vaccinations creates a barrier to vaccine delivery, new research suggests. In a survey of 280 medical providers from 43 states, 95% said that 17-year-olds “sometimes” or “often” present without a parent; 10% reported that this is true for 12-year-olds. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713112 Mon, 14 Jun 2010 23:00:00 +0100 3713112 http://www.medworm.com/index.php?rid=3713111&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705771%2Fabstract%3Frss%3Dyes Major Finding: Of girls and women who self-identified as black, 11% received all three doses of the HPV vaccine, compared with 22% of the white females and 15% of those identified as other races. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713111 Mon, 14 Jun 2010 23:00:00 +0100 3713111 http://www.medworm.com/index.php?rid=3713110&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070576X%2Fabstract%3Frss%3Dyes ATLANTA — Although most parents in a national survey say that they believe the male HPV vaccine is important, only about half said they would have their own sons vaccinated. Of the 1,178 parents of boys aged 18 years and younger who responded, 90% said they believed the male HPV vaccination was important in general, Dr. Amanda Dempsey of the University of Michigan, Ann Arbor, reported in a poster. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713110 Mon, 14 Jun 2010 23:00:00 +0100 3713110 http://www.medworm.com/index.php?rid=3713109&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705758%2Fabstract%3Frss%3Dyes Major Finding: Adolescents assigned to a stepped intervention were 1.8 times more likely to receive new vaccines and 1.7 times more likely to have a recent well-child visit than those given usual care. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713109 Mon, 14 Jun 2010 23:00:00 +0100 3713109 http://www.medworm.com/index.php?rid=3713108&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705746%2Fabstract%3Frss%3Dyes Dietary calcium was associated with significantly increased risk of prostate cancer in Chinese men with a below-average body mass index, according to an analysis of a large data set. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713108 Mon, 14 Jun 2010 23:00:00 +0100 3713108 http://www.medworm.com/index.php?rid=3713107&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705734%2Fabstract%3Frss%3Dyes Major Finding: Exercise equivalent to 30 minutes of brisk walking per day, 4 days per week, is associated with a 65% decrease in the risk of sexual dysfunction. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713107 Mon, 14 Jun 2010 23:00:00 +0100 3713107 http://www.medworm.com/index.php?rid=3713106&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705722%2Fabstract%3Frss%3Dyes ATLANTA — Patients with aortic dissection appear to have an increased burden of renal cysts, compared with healthy controls. This finding in a case-control study raises the intriguing possibility that renal cysts could be a marker of increased risk for aortic dissection, Dr. Eun Kyung Kim observed at the meeting. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713106 Mon, 14 Jun 2010 23:00:00 +0100 3713106 http://www.medworm.com/index.php?rid=3713105&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705710%2Fabstract%3Frss%3Dyes DENVER — Programming implantable defibrillators using specific shock-reduction strategies safely reduced shock rates by 17%–28% in an observational study of nearly 89,000 cardiac device recipients at more than 2,500 U.S. centers. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713105 Mon, 14 Jun 2010 23:00:00 +0100 3713105 http://www.medworm.com/index.php?rid=3713104&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705709%2Fabstract%3Frss%3Dyes DENVER — A left-ventricular lead positioned in the apical region in recipients of cardiac resynchronization therapy was associated with a significantly increased risk of death or heart failure hospitalization, compared with midventricular or basal lead positioning, in a secondary analysis of the landmark Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy (MADIT-CRT). (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713104 Mon, 14 Jun 2010 23:00:00 +0100 3713104 http://www.medworm.com/index.php?rid=3713103&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705692%2Fabstract%3Frss%3Dyes Major Finding: Of 3,224 seniors reviewed, 74% visited hospital emergency departments during their last 6 months of life and 51% visited during their last month. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713103 Mon, 14 Jun 2010 23:00:00 +0100 3713103 http://www.medworm.com/index.php?rid=3713102&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705680%2Fabstract%3Frss%3Dyes Major Finding: Octogenarians who underwent elective laparoscopic colorectal surgery had significantly lower overall morbidity than did those who underwent open surgery (30% vs. 49%) and left the hospital earlier (6 vs. 8 days). Octogenarians who had laparoscopic repair of paraesophageal hernia had an 86% rate of symptom resolution and a 36% rate of major complications over the 30-day postoperative period. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713102 Mon, 14 Jun 2010 23:00:00 +0100 3713102 http://www.medworm.com/index.php?rid=3713101&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705679%2Fabstract%3Frss%3Dyes SAVANNAH, GA. — Deep brain stimulation may have potential for treating geriatric psychiatric disorders, particularly treatment-resistant depression and obsessive-compulsive disorder. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713101 Mon, 14 Jun 2010 23:00:00 +0100 3713101 http://www.medworm.com/index.php?rid=3713100&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705667%2Fabstract%3Frss%3Dyes LONG BEACH, CALIF. — A higher rate of adverse events in older patients with knee osteoarthritis treated topically for 12 weeks with an NSAID, compared with placebo, was caused mainly by application-site reactions but included one serious cardiovascular event that might have been related to the drug treatment, a post hoc analysis of data on 538 patients found. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713100 Mon, 14 Jun 2010 23:00:00 +0100 3713100 http://www.medworm.com/index.php?rid=3713099&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705655%2Fabstract%3Frss%3Dyes Far from protecting older women from falls and fractures, once-yearly high-dose oral vitamin D raised the risk of falls by 15% and that of fractures by 26%, according to researchers in Australia. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713099 Mon, 14 Jun 2010 23:00:00 +0100 3713099 http://www.medworm.com/index.php?rid=3713098&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705643%2Fabstract%3Frss%3Dyes ORLANDO, FLA. — Primary care physicians and psychiatrists outside the military health care system have a pivotal role to play in helping to lower suicide rates, which have been on the rise across all components of the U.S. Army, according to according to Col. Elspeth Cameron Ritchie, MC USA. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713098 Mon, 14 Jun 2010 23:00:00 +0100 3713098 http://www.medworm.com/index.php?rid=3713097&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705631%2Fabstract%3Frss%3Dyes DR. EBBERT and Dr. Tangalos are with the Mayo Clinic in Rochester, Minn. They report having no conflicts of interest. To respond to this column or suggest topics, write to Dr. Ebbert and Dr. Tangalos at our editorial offices or e-mail them at imnews@elsevier.com. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713097 Mon, 14 Jun 2010 23:00:00 +0100 3713097 http://www.medworm.com/index.php?rid=3713096&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070562X%2Fabstract%3Frss%3Dyes VIENNA — Pyogenic Staphylococcus aureus skin infections located on the axilla, groin, upper thigh, or buttocks are twice as likely to be due to the more virulent Panton-Valentine leukocidin–positive strains than to S. aureus negative for the cytotoxin, according to a large study. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713096 Mon, 14 Jun 2010 23:00:00 +0100 3713096 http://www.medworm.com/index.php?rid=3713095&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705618%2Fabstract%3Frss%3Dyes MADRID — Regular use of a sunscreen prevented development of nonmelanoma skin cancer and reduced actinic keratosis counts in immunosuppressed organ transplant recipients in a 2-year, prospective, case-control study. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713095 Mon, 14 Jun 2010 23:00:00 +0100 3713095 http://www.medworm.com/index.php?rid=3713094&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705606%2Fabstract%3Frss%3Dyes Major Finding: Overall, 63% of individuals with melanoma and 51% of controls reported any indoor tanning. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713094 Mon, 14 Jun 2010 23:00:00 +0100 3713094 http://www.medworm.com/index.php?rid=3713093&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070559X%2Fabstract%3Frss%3Dyes NEW ORLEANS — Diminutive polyps have a very low risk of advanced histology and virtually no risk of cancer, and therefore clinicians should balance the small potential benefit of removing them against potential harms posed by polypectomy, Dr. Thomas F. Imperiale said. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713093 Mon, 14 Jun 2010 23:00:00 +0100 3713093 http://www.medworm.com/index.php?rid=3713092&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705588%2Fabstract%3Frss%3Dyes NEW ORLEANS — Screening colonoscopy in asymptomatic black patients found a 4.5% rate of high-grade dysplastic polyps in those aged 45–49 years, according to the findings of a retrospective review. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713092 Mon, 14 Jun 2010 23:00:00 +0100 3713092 http://www.medworm.com/index.php?rid=3713091&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705576%2Fabstract%3Frss%3Dyes Major Finding: Individuals in the highest quartile for serum insulin level were 2.8 times more likely to have Barrett's esophagus, compared with those in the lowest quartile. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713091 Mon, 14 Jun 2010 23:00:00 +0100 3713091 http://www.medworm.com/index.php?rid=3713090&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705564%2Fabstract%3Frss%3Dyes Major Finding: Of 76 patients who had unverified indications for a PPI, 11 were able to discontinue therapy without recurrence of symptoms during 6 months of follow-up. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713090 Mon, 14 Jun 2010 23:00:00 +0100 3713090 http://www.medworm.com/index.php?rid=3713089&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705552%2Fabstract%3Frss%3Dyes Patients with papillary thyroid cancers that are limited to that gland are likely to have a favorable outcome regardless of whether they undergo rapid definitive treatment or are simply observed for disease progression, researchers reported. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713089 Mon, 14 Jun 2010 23:00:00 +0100 3713089 http://www.medworm.com/index.php?rid=3713088&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705540%2Fabstract%3Frss%3Dyes CHICAGO — Thyroid-stimulating hormone receptor messenger RNA is a clinically useful blood test in the pre- and postoperative management of thyroid cancer, based on results from a prospective validation study in 1,095 consecutive patients. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713088 Mon, 14 Jun 2010 23:00:00 +0100 3713088 http://www.medworm.com/index.php?rid=3713087&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705539%2Fabstract%3Frss%3Dyes DR. RUGO is director of the breast oncology clinical trials program at the Helen Diller Family Comprehensive Cancer Center of the University of California, San Francisco. She has no disclosures to report. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713087 Mon, 14 Jun 2010 23:00:00 +0100 3713087 http://www.medworm.com/index.php?rid=3713086&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705527%2Fabstract%3Frss%3Dyes DR. COOMBES, an oncologist, is head of the division of cancer at Imperial College London, and is based at Hammersmith Hospital in that city. He disclosed having received grants from Pfizer. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713086 Mon, 14 Jun 2010 23:00:00 +0100 3713086 http://www.medworm.com/index.php?rid=3713085&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705515%2Fabstract%3Frss%3Dyes The editors of Internal Medicine News are pleased to welcome Viral D. Patel, M.D., to our editorial advisory board. Dr. Patel is starting his residency in internal medicine at the Cleveland Clinic. He earned his medical degree at the University of Kentucky, Lexington, where he developed a business of health care elective for fourth-year medical students. During his undergraduate studies, he majored in biomedical engineering at Vanderbilt University's School of Engineering, Nashville, earning a bachelor of engineering degree with honors after completing a senior project that involved development of an algorithm for implantable cardioverter defibrillators. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713085 Mon, 14 Jun 2010 23:00:00 +0100 3713085 http://www.medworm.com/index.php?rid=3713084&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705503%2Fabstract%3Frss%3Dyes An article based on a presentation by Shannon Wills, Ph.D., at the annual meeting of the San Antonio Breast Cancer Symposium (“Vaginal Estrogen Therapy Ups Serum Estradiol,” Feb. 1, 2010, p. 37) showed that the use of vaginal estrogen (VE) therapies produced detectable levels of estrogen in the blood of breast cancer patients who were taking aromatase inhibitors (AIs). As we know, AIs block estrogen very effectively in all tissues in the body, not just the breasts, and consequently these women often have significant symptoms from estrogen deficiency such as vaginal dryness, hot flashes, sleep disruption, significant bone loss, and memory issues. The vaginal dryness often makes sex intolerably painful, and VE products are by far the most effective treatment. Patients are usually extreme... Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713084 Mon, 14 Jun 2010 23:00:00 +0100 3713084 http://www.medworm.com/index.php?rid=3713083&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705497%2Fabstract%3Frss%3Dyes CHICAGO — After a 30-year drought during which 70 randomized trials failed to improve outcomes in advanced melanoma, the first agent in a new class of drugs has prolonged survival of advanced, pretreated patients in a large international phase III trial. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713083 Mon, 14 Jun 2010 23:00:00 +0100 3713083 http://www.medworm.com/index.php?rid=3713082&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705485%2Fabstract%3Frss%3Dyes A test for the 2009 H1N1 influenza A virus that has been available under an emergency use provision since last summer has been cleared for use by the Food and Drug Administration. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713082 Mon, 14 Jun 2010 23:00:00 +0100 3713082 http://www.medworm.com/index.php?rid=3713081&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705473%2Fabstract%3Frss%3Dyes TORONTO — Even after having a stroke, people who maintain a healthy lifestyle may be able to reduce the risk of death, and the more healthy lifestyle practices they follow, the greater the apparent benefit, according to data from 388 stroke survivors. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713081 Mon, 14 Jun 2010 23:00:00 +0100 3713081 http://www.medworm.com/index.php?rid=3713080&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705461%2Fabstract%3Frss%3Dyes The Federal Trade Commission has again postponed enforcement of the “Red Flags” rule, giving physicians until the end of 2010 before they are required to implement identity-theft prevention programs in their practices. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713080 Mon, 14 Jun 2010 23:00:00 +0100 3713080 http://www.medworm.com/index.php?rid=3713079&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070545X%2Fabstract%3Frss%3Dyes (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713079 Mon, 14 Jun 2010 23:00:00 +0100 3713079 http://www.medworm.com/index.php?rid=3713078&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705448%2Fabstract%3Frss%3Dyes Teenagers and young adults are targeted in a 5-year plan outlined in the Obama administration's National Drug Control Strategy to reduce illegal drug use by 15% and 10%, respectively. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713078 Mon, 14 Jun 2010 23:00:00 +0100 3713078 http://www.medworm.com/index.php?rid=3713077&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705436%2Fabstract%3Frss%3Dyes As health care reform moves forward, many subspecialist physicians are concerned that they lack a clearly defined role in coordination of care to be provided through the patient-centered medical home. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3713077 Mon, 14 Jun 2010 23:00:00 +0100 3713077 http://www.medworm.com/index.php?rid=3620499&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705424%2Fabstract%3Frss%3Dyes LONG BEACH, CALIF. — New clinical practice guidelines for the first time provide principles and tools for safely transitioning long-term care patients from one care setting to another. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620499 Mon, 31 May 2010 23:00:00 +0100 3620499 http://www.medworm.com/index.php?rid=3620498&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705412%2Fabstract%3Frss%3Dyes Check your mailbox. If you provided covered out-of-network services to patients insured by UnitedHealth Group between March 1994 and November 2009, you may be eligible to receive payments as part of a $350 million settlement reached last year. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620498 Mon, 31 May 2010 23:00:00 +0100 3620498 http://www.medworm.com/index.php?rid=3620497&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705400%2Fabstract%3Frss%3Dyes DR. SACCOCIO is an associate director of the Floyd Family Medicine Residency Program in Rome, Ga. She reported having no conflicts of interest. Do you ever wish your residency years prepped you better for managing the business side of your practice? It's critical to learn how to get paid for what we do, yet my experience in residency provided little preparation for doing just that. Here are a few tips I wish I had learned back in residency and that I think are important to pass along to the residents who I teach: (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620497 Mon, 31 May 2010 23:00:00 +0100 3620497 http://www.medworm.com/index.php?rid=3620496&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705394%2Fabstract%3Frss%3Dyes When Dr. Talib Ali entered the U.S. Air Force in 1994 under the Armed Forces Health Professions Scholarship Program (HPSP), little did he know that his global medical experiences would include a 4-month stint in Antarctica. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620496 Mon, 31 May 2010 23:00:00 +0100 3620496 http://www.medworm.com/index.php?rid=3620495&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705382%2Fabstract%3Frss%3Dyes TORONTO — The American Board of Internal Medicine is working to make maintenance of certification less redundant, more continuous, and possibly more transparent to the public. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620495 Mon, 31 May 2010 23:00:00 +0100 3620495 http://www.medworm.com/index.php?rid=3620494&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705370%2Fabstract%3Frss%3Dyes The cost of treating cancer doubled over nearly 2 decades, and treatment has shifted to outpatient settings, according to a study from the Centers for Disease Control and Prevention. However, cancer accounts for about 5% of overall health care spending, a percentage that hasn't changed since 1987 despite the advent of more expensive cancer drugs, according to the study, published in the journal Cancer. The researchers determined that the increase in cancer costs—to $48.1 billion in 2005—came largely from the growing number of cancer patients. The share paid by private insurance increased and that paid out-of-pocket by patients fell. Medicare continued to pay about one-third of total treatment costs, the study found. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620494 Mon, 31 May 2010 23:00:00 +0100 3620494 http://www.medworm.com/index.php?rid=3620493&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705369%2Fabstract%3Frss%3Dyes Major Finding: At 7 months, 17 of 18 supported practices met NCQA patient-centered medical home criteria. One practice did not report data at follow-up. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620493 Mon, 31 May 2010 23:00:00 +0100 3620493 http://www.medworm.com/index.php?rid=3620492&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705357%2Fabstract%3Frss%3Dyes Public health recommendations to get 150 minutes per week of moderate-intensity physical activity could be met by walking 100 steps per minute in that time, but the number of steps needed varies depending on the height of the individual, preliminary data in a small study suggest. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620492 Mon, 31 May 2010 23:00:00 +0100 3620492 http://www.medworm.com/index.php?rid=3620491&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705345%2Fabstract%3Frss%3Dyes Physical activity prevents weight gain in middle-aged and older women only if they are already of low or ideal weight, not in those with body mass indexes of 25 or more, according to a large 13-year study. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620491 Mon, 31 May 2010 23:00:00 +0100 3620491 http://www.medworm.com/index.php?rid=3620490&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705333%2Fabstract%3Frss%3Dyes Major Finding: Women with depression were 54% more likely to become overweight or obese within 5 years than were those who were not depressed, and women who were overweight or obese were 27% more likely than normal-weight women to develop depression within 5 years. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620490 Mon, 31 May 2010 23:00:00 +0100 3620490 http://www.medworm.com/index.php?rid=3620489&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705321%2Fabstract%3Frss%3Dyes Major Finding: Women with type 2 diabetes in the highest quintile of bran consumption had a 28% lower risk of all-cause mortality and 35% lower risk of cardiovascular disease–specific mortality than women in the lowest quintile. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620489 Mon, 31 May 2010 23:00:00 +0100 3620489 http://www.medworm.com/index.php?rid=3620488&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070531X%2Fabstract%3Frss%3Dyes Major Finding: Women who drank more than four cups of coffee daily were 56% less likely to develop type 2 diabetes than were those who drank no coffee, a significant difference. After adjustment for SHBG, the difference was not significant. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620488 Mon, 31 May 2010 23:00:00 +0100 3620488 http://www.medworm.com/index.php?rid=3620487&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705308%2Fabstract%3Frss%3Dyes Baltimore — Utilizing a nicotine patch or bupropion together with a nicotine lozenge was the most effective of five therapies tested for promoting smoking abstinence and avoiding a lapse or relapse into smoking behaviors, according to a prospective study of 1,504 smokers. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620487 Mon, 31 May 2010 23:00:00 +0100 3620487 http://www.medworm.com/index.php?rid=3620486&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705291%2Fabstract%3Frss%3Dyes FT. LAUDERDALE, FLA. — What do atypical antipsychotics, an analeptic, and targeted magnets have in common? They all might play a role in the treatment of anorexia nervosa. “When you have a disorder that is so treatment resistant, it's like metastatic breast cancer; you have to think outside the box for new interventions,” Dr. Allan S. Kaplan said at a workshop on eating disorders at the meeting. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620486 Mon, 31 May 2010 23:00:00 +0100 3620486 http://www.medworm.com/index.php?rid=3620485&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070528X%2Fabstract%3Frss%3Dyes SAVANNAH, GA. — Poor sleep quality might be a modifiable risk for depression; moreover, many biomarkers associated with depression also are associated with poor sleep. Poor sleep quality before interferon-alpha treatment appeared to predict which subjects would develop depressive symptoms, Dr. Francis E. Lotrich of the University of Pittsburgh reported during a symposium on geriatric depression. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620485 Mon, 31 May 2010 23:00:00 +0100 3620485 http://www.medworm.com/index.php?rid=3620484&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705278%2Fabstract%3Frss%3Dyes Major Finding: 29% of patients with OSA met criteria for depression, compared with 8% of controls. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620484 Mon, 31 May 2010 23:00:00 +0100 3620484 http://www.medworm.com/index.php?rid=3620483&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705266%2Fabstract%3Frss%3Dyes SAVANNAH, GA. — Older Mexican American and white non-Hispanic men are undertreated for depression, possibly because they talk about the depression experience differently from the way in which women do, preliminary findings from the Men's Health and Aging Study show. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620483 Mon, 31 May 2010 23:00:00 +0100 3620483 http://www.medworm.com/index.php?rid=3620482&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705254%2Fabstract%3Frss%3Dyes ATLANTA — Patients with psoriasis had a significantly increased risk for developing atrial fibrillation or need for coronary artery revascularization, in a review of the entire Danish population during 1997-2006. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620482 Mon, 31 May 2010 23:00:00 +0100 3620482 http://www.medworm.com/index.php?rid=3620481&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705242%2Fabstract%3Frss%3Dyes MIAMI — Treatment with ustekinumab significantly improved sexual function in patients with moderate to severe psoriasis, according to a secondary analysis of phase III study data. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620481 Mon, 31 May 2010 23:00:00 +0100 3620481 http://www.medworm.com/index.php?rid=3620480&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705230%2Fabstract%3Frss%3Dyes Major Finding: Mean volumes of coronary calcified plaque were 274 mm3 in male marathon runners and 169 mm3 in age-matched sedentary controls. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620480 Mon, 31 May 2010 23:00:00 +0100 3620480 http://www.medworm.com/index.php?rid=3620479&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705229%2Fabstract%3Frss%3Dyes ATLANTA — St. John's wort appears to convert clopidogrel hyporesponders into robust responders. This raises the intriguing possibility that the herbal therapy might provide a “twofer”: enhanced platelet inhibition in clopidogrel (Plavix) hyporesponders, plus a well-studied antidepressant effect that could be of particular value in patients with coronary artery disease, Dr. Wei C. Lau said. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620479 Mon, 31 May 2010 23:00:00 +0100 3620479 http://www.medworm.com/index.php?rid=3620478&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705217%2Fabstract%3Frss%3Dyes TAMPA — More than 10% of patients with low to intermediate risk for coronary heart disease have an abnormal ankle brachial index, putting them at a higher risk for MI and coronary death than predicted by conventional measures. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620478 Mon, 31 May 2010 23:00:00 +0100 3620478 http://www.medworm.com/index.php?rid=3620477&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705205%2Fabstract%3Frss%3Dyes Major Finding: The relative risk reduction of intracranial bleeds ranged from 60% to 70% for each of the three CHADS2 risk levels at both dabigatran dosages in patients with atrial fibrillation. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620477 Mon, 31 May 2010 23:00:00 +0100 3620477 http://www.medworm.com/index.php?rid=3620476&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705199%2Fabstract%3Frss%3Dyes VIENNA — The same brief, Web-based neuropsychologic test used by all National Football League teams to assess players for the effects of concussion appears to be advantageous for the diagnosis of minimal hepatic encephalopathy. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620476 Mon, 31 May 2010 23:00:00 +0100 3620476 http://www.medworm.com/index.php?rid=3620475&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705187%2Fabstract%3Frss%3Dyes DR. GOLDEN (left) is professor of medicine and public health and DR. HOPKINS is program director for the internal medicine/pediatrics combined residency program at the University of Arkansas, Little Rock. Write to Dr. Golden and Dr. Hopkins at our editorial offices or imnews@elsevier.com. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620475 Mon, 31 May 2010 23:00:00 +0100 3620475 http://www.medworm.com/index.php?rid=3620474&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705175%2Fabstract%3Frss%3Dyes Major Finding: After radiofrequency ablation had achieved complete eradication of intestinal metaplasia, eradication was maintained in 92% of Barrett's esophagus patients at 5 years. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620474 Mon, 31 May 2010 23:00:00 +0100 3620474 http://www.medworm.com/index.php?rid=3620473&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705163%2Fabstract%3Frss%3Dyes Major Finding: The annualized relapse rate was reduced by 54% in multiple sclerosis patients who took 0.5 mg of fingolimod and by 60% in those who took 1.25 mg of fingolimod. After 24 months, around 70% of patients given fingolimod were relapse free, compared with 46% of the placebo group. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620473 Mon, 31 May 2010 23:00:00 +0100 3620473 http://www.medworm.com/index.php?rid=3620472&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705151%2Fabstract%3Frss%3Dyes TORONTO — About 40% of epilepsy patients are bothered by side effects of their antiepileptic drugs, based on data from a survey of adults with epilepsy. Information on the tolerability of antiepileptic drugs (AEDs) and the reasons for discontinuing treatment are limited, George J. Wan, Ph.D., said in a poster. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620472 Mon, 31 May 2010 23:00:00 +0100 3620472 http://www.medworm.com/index.php?rid=3620471&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS109786901070514X%2Fabstract%3Frss%3Dyes TORONTO — Most generic formulations of antiepileptic drugs have pharmacokinetics that closely match their brand-name reference, according to an analysis of bioequivalence studies submitted to the Food and Drug Administration. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620471 Mon, 31 May 2010 23:00:00 +0100 3620471 http://www.medworm.com/index.php?rid=3620470&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705138%2Fabstract%3Frss%3Dyes Major Finding: A significant association between in utero exposure to alcohol and childhood acute myeloid leukemia was noted in five studies of children diagnosed at age 0-4 years (OR 2.68) when compared with nonexposed controls. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620470 Mon, 31 May 2010 23:00:00 +0100 3620470 http://www.medworm.com/index.php?rid=3620469&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705126%2Fabstract%3Frss%3Dyes Major Finding: Hypertensive disorders were seen in nearly 10% of 316 women who became pregnant after bariatric surgery and in 31% of 269 women who delivered before having surgery. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620469 Mon, 31 May 2010 23:00:00 +0100 3620469 http://www.medworm.com/index.php?rid=3620468&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705114%2Fabstract%3Frss%3Dyes Major Finding: Median overall birth weight was 2,760 g for 121 newborns exposed in the second trimester to chemotherapy and 2,785 g for the 36 newborns not exposed. Median postpartum hemoglobin levels were 16.1 g/dL and 17.2 g/dL, respectively. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620468 Mon, 31 May 2010 23:00:00 +0100 3620468 http://www.medworm.com/index.php?rid=3620467&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705102%2Fabstract%3Frss%3Dyes I had to write regarding Dr. Craig M. Wax's editorial “EHR: The Grand Illusion” (March 15, 2010, p. 14). He is so right! I have been saying this to colleagues all along. I refuse to purchase anything that does not absolutely improve my patients' health or care. I don't even want to go to a physician for my own health, because my data could end up on some type of electronic medium. Those data will never be secure unless we start over from the ground up. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620467 Mon, 31 May 2010 23:00:00 +0100 3620467 http://www.medworm.com/index.php?rid=3620466&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705096%2Fabstract%3Frss%3Dyes DR. ZACHARY is professor and chair of the department of dermatology at the University of California, Irvine. A key goal of health care reform—providing health insurance for millions of uninsured Americans—demands greater scrutiny of the money we're currently wasting on health care regulation. Recent data suggest that 47-60 million Americans are without health insurance. Many people avoid seeking health care because it is too costly, and many who do seek care become burdened by high costs. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620466 Mon, 31 May 2010 23:00:00 +0100 3620466 http://www.medworm.com/index.php?rid=3620465&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705084%2Fabstract%3Frss%3Dyes DR. HULICK is a medical geneticist at NorthShore University HealthSystem, Evanston, Ill., and a clinical assistant professor of medicine at the University of Chicago, Pritzker School of Medicine. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620465 Mon, 31 May 2010 23:00:00 +0100 3620465 http://www.medworm.com/index.php?rid=3620464&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705072%2Fabstract%3Frss%3Dyes Major Finding: At 6 months, the mean hemoglobin A1c of patients in the intervention group decreased from 8.02% to 7.73%, while the mean hemoglobin A1c of the controls increased from 7.93% to 8.22%. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620464 Mon, 31 May 2010 23:00:00 +0100 3620464 http://www.medworm.com/index.php?rid=3620463&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705060%2Fabstract%3Frss%3Dyes Major Finding: Office-based buprenorphine/naloxone treatment was associated with a statistically significant decrease in participants reporting illegal activity, from 19% to 2%, and in interacting with the legal system, from 16% to 1%. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620463 Mon, 31 May 2010 23:00:00 +0100 3620463 http://www.medworm.com/index.php?rid=3620462&cid=s_38480_49_f&fid=38480&url=http%3A%2F%2Fwww.internalmedicinenews.com%2Farticle%2FPIIS1097869010705059%2Fabstract%3Frss%3Dyes Physicians may find themselves under increased scrutiny as a result of provisions in the Affordable Care Act—one of the health reform laws—giving government agencies new funding and enforcement powers to go after fraud and abuse. (Source: Internal Medicine News) Internal Medicine News journals http://www.medworm.com/rss/comments.php?id=3620462 Mon, 31 May 2010 23:00:00 +0100 3620462