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Internal Medicine News

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Part D premiums for 2009.(POLICY & PRACTICE)(Brief article)
On average, Medicare beneficiaries can expect to pay about $28 per month for standard Part D prescription drug coverage next year. The estimates from the CMS are based on bids submitted for both . . .

P4P working, CMS says.(POLICY & PRACTICE)(Brief article)
Medical practices that participated in a Medicare pay-for-performance demonstration program earned $16.7 million in incentive payments during the program's second year by improving the quality of . . .

NEJM editors support plaintiff.(POLICY & PRACTICE)(New England Journal of Medicine )(Brief article)
Ten current and former New England Journal of Medicine editors have sided with the plaintiff in a U.S. Supreme Court case that could determine how much the Food and Drug Administration's approval . . .

Obesity alters normal nocturnal BP patterns.(Cardiovascular Medicine)(Blood pressure)(Clinical report)
NEW ORLEANS -- Obesity blunts the normal pattern of nocturnal blood pressure dipping, and this might be one mechanism through which obesity contributes to adverse cardiovascular outcomes, findings . . .

Proper antihypertensive prescribing prompted by computerized reminders.(Cardiovascular Medicine)(Clinical report)
TORONTO -- Computerized reminders flashed to primary care physicians as they checked and recorded their patients' blood pressures led to a small but significant improvement in the rate of . . .

Low serum selenium boosts hypertension risk.(Cardiovascular Medicine)(Clinical report)
NEW ORLEANS -- Reduced serum selenium is an independent predictor of hypertension, according to an analysis of data from the third National Health and Nutrition Examination Survey. The findings . . .

Omega-3 fatty acid cuts rate of new atrial fib.(Cardiovascular Medicine)(atrial fibrillation)(Clinical report)
TORONTO -- Patients with cardiovascular disease on an oral regimen of omega-3 fatty acid had a 73% reduced risk for developing atrial fibrillation in a retrospective, observational study of more . . .

Natalizumab cuts hospitalization rates for Crohn's patients.(Gastroenterology)(Clinical report)
SAN DIEGO -- Treatment with natalizumab significantly reduced the rates of overall hospitalization and disease-specific hospitalization for adults with Crohn's disease, according to data from . . .

Helminth exposure tied to immune regulation.(Gastroenterology)(Report)
The epidemic of immune diseases that swept through the developed world during the 20th century may have resulted from a disruption in the delicate balance achieved throughout evolution between . . .

Intervention cuts STI rates among black women.(Infectious Diseases)(sexually transmitted infections)(Clinical report)
MEXICO CITY -- African American women who receive an intervention that includes a package of safer-sex options have a large reduction in the incidence of sexually transmitted infections relative to . . .

Tobacco, expectation of pleasure are risk factors for heavy drinking.(Adolescent Health)(Report)
WASHINGTON -- Tobacco use and the expectation of social and physical pleasure from alcohol consumption significantly predict the transition to heavy drinking among adolescents and young adults, . . .

Watch diabetic youth for signs of disturbed eating.(Adolescent Health)(Clinical report)
KEYSTONE, COLO. -- Red flags for disturbed eating behavior in adolescent girls with type 1 diabetes include a persistently high glycosylated hemoglobin level, frequent episodes of . . .

Eating disorders in adolescents shift over time.(Adolescent Health)(Clinical report)
SEATTLE -- Sizable proportions of adolescents progress along a spectrum of eating-disordered behavior over time, highlighting the importance of early detection and intervention, Diann M. Ackard, . . .

Prevalence of ADHD is up among teenagers.(Adolescent Health)(attention-deficit/hyperactivity disorder)(Clinical report)
The percentage of adolescents being diagnosed with attention-deficit/hyperactivity disorder is on the rise, but prevalence rates remain constant among younger children, according to a retrospective . . .

Brochure on skin ca irradiation.(Adolescent Health)(skin cancer)(Brief article)
A brochure, "Radiation Therapy for Skin Cancer" includes up-to-date information for skin cancer patients who are deciding whether radiation therapy is the best treatment option for them. The . . .

Teens being treated for acne may be unmotivated.(Adolescent Health)(Clinical report)
STANFORD, CALIF. -- The art and science of treating acne in adolescents start with touching the patient. "Many adolescents have a feeling that their acne is very dirty, and they take it . . .

For psoriasis with hepatitis, biologics are key.(Dermatology)(Clinical report)
DESTIN, FLA. -- Treating psoriasis in patients with hepatitis can pose a particular challenge, but good outcomes can be achieved with systemic treatment using appropriate agents, Dr. Jeffrey Sobell . . .

Severe psoriasis increases risk of reduced arterial compliance.(Dermatology)(Clinical report)
KYOTO, JAPAN -- Severe chronic plaque psoriasis is associated with increased arterial stiffness--a finding that is independent of conventional cardiovascular risk factors, Dr. Giampiero . . .

Prolactin may explain the stress trigger of psoriasis.(Dermatology)(Clinical report)
KYOTO, JAPAN -- Prolactin may be a key mediator in the pathway by which psychological stress triggers and exacerbates psoriasis, according to Dr. Ewan A. Langan. This raises the intriguing . . .

Psoriasis linked with MI, stroke, depression.(Dermatology)(myocardial infarction)(Clinical report)
SAN DIEGO -- Emerging scientific data on adults with psoriasis suggest that certain comorbidities, including metabolic syndrome and myocardial infarction, may accompany the disease. People with . . .

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