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Internal Medicine News

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FYI.
Nonmedical Use of Pain Relievers A report based on the 2004-2006 National Survey on Drug Use and Health shows growth in the number of people using prescription pain relievers nonmedically. Go . . .

Pain relievers.(Cartoon)
"I'm sort of in internal medicine, but I spend most of my time taking phone calls from patients, straightening out billing snafus, answering e-mails, reviewing Medicare options for patients . . .

Indications.
When Fat Hits Below the Belt An Australian researcher thinks he may have found the ultimate weight-loss incentive for men: their pride. Not pride in what the mirror judges, but pride in sexual . . .

Making medical inroads in India: global perspectives on medical practice.(WORLD WIDE MED)(Interview)
Dr. Renu Weiss had a longstanding desire to work with the destitute. When she heard about The Banyan, a facility that focuses on providing psychiatric and medical care for mentally ill destitute . . .

Chronic conditions now top killers worldwide.(Practice Trends)
Chronic conditions such as heart disease and stroke are now the biggest killers worldwide, signifying the shift of global disease burden away from communicable diseases, the World Health . . .

U.S. can learn from other health care systems.(Practice Trends)
WASHINGTON -- Analysis of other countries' health care systems has pointed out what might work--and what won't work--in efforts to reform the U.S. health care system. At the annual meeting of the . . .

IMGs fill gaps in primary care physician shortage areas.(Practice Trends)
ARLINGTON, VA. -- International medical graduates have become an integral part of providing medical care in federally designated physician shortage areas. "Compared to U.S.-trained physicians, . . .

Primary care shortage data reveal some surprises.(Practice Trends)
CRYSTAL CITY, VA. -- Suppose the federal government has designated your part of the state as a physician shortage area, but charges haven't gone up and you still have lots of openings for . . .

Primary care for older patients will get scarcer.(Practice Trends)
CRYSTAL CITY, VA. -- The shortage of primary care physicians schooled in caring for elderly patients will continue to worsen, according to an analysis of federal physician data. "Our nation is . . .

Oregon reviews 10 years of 'Death With Dignity'.(Practice Trends)
PHILADELPHIA -- While physicians in much of the United States struggle with issues surrounding end-of-life care, those in Oregon may help their terminally ill patients end their lives because of . . .

States boosting SCHIP despite budget woes and bush vetoes.(Practice Trends)
Even though the Bush administration has made it nearly impossible to expand the State Children's Health Insurance Program, and the economic downturn has put a squeeze on Medicaid budgets, many . . .

Policy & Practice.
Part D premiums for 2009 Medicare beneficiaries can expect to pay an average of about $28 per month for standard Part D prescription drug coverage next year. The estimates from the Centers for . . .

Vitamin D deficiency after gastric bypass predicted by preop levels.(Gastroenterology)
SAN DIEGO -- Several preoperative factors--a longer bypass limb length, low vitamin D levels, and African American ethnicity--were significant predictors of postoperative vitamin D deficiency in a . . .

Pouch emptying after bypass may predict weight loss.(Gastroenterology)(Clinical report)
PHILADELPHIA -- Patients with slow or no gastric pouch emptying on an upper GI study 1 day after undergoing laparoscopic Roux-en-Y gastric bypass may have less weight loss at 1 year than would . . .

Sleeve gastrectomy may trump gastric banding in the short term.(Gastroenterology)
PHILADELPHIA -- Morbidly obese patients who undergo laparoscopic sleeve gastrectomy may lose significantly more weight in a shorter time period than those who undergo laparoscopic adjustable . . .

Bariatric surgery has advantages in disabled.(Gastroenterology)(Clinical report)
NATIONAL HARBOR, MD. -- Disabled Medicare patients who undergo bariatric surgery may have higher operative mortality and a greater rate of complications than those outside of the federal program, . . .

Evaluating new ICU fever.(THE EFFECTIVE PHYSICIAN)
Background Managing critically ill adults is a complex and resource-intensive undertaking. The American College of Critical Care Medicine and the Infectious Diseases Society of America recently . . .

Skin infections from community MRSA rising.(Infectious Diseases)
SAN FRANCISCO -- Community-associated methicillin-resistant Staphylococcus aureus--almost unheard of 10 years ago--has become the single biggest cause of skin infections in the United States, Dr. . . .

Multicentric castleman's disease increasing in HIV.(Infectious Diseases)
CHICAGO -- The incidence of multicentric Castleman's disease is increasing among patients with human immunodeficiency virus, including those who have access to highly active antiretroviral . . .

Kaposi's incidence shows rapid rise and fall over 3 decades.(Infectious Diseases)
KYOTO, JAPAN -- The incidence of Kaposi's sarcoma among American men jumped more than 30-fold in the 1980s with the AIDS epidemic, peaked around 1991, and then declined rapidly in concert with the . . .

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