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Internal Medicine News

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IMGs fill gaps in primary care physician shortage areas.(Practice Trends)(International medical graduates)(Survey)
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)(State Children's Health Insurance Program)
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)(preoperative)(Clinical report)
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)
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)(Brief article)
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)
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)(Intensive care units)
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)(methicillin-resistant Staphylococcus aureus)
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)(Human Immunodeficiency Virus)
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 . . .

Risky sex behaviors in HIV-positive adults studied.(Infectious Diseases)(Human Immunodeficiency Virus)
MEXICO CITY -- About one-third of HIV-positive adults have recently engaged in sexual behavior that could put others at risk for infection, but the factors associated with such behavior differ for . . .

Less a-fib seen with statins in postmenopausal women.(Cardiovascular Medicine)(Clinical report)
SAN FRANCISCO -- Postmenopausal women with coronary heart disease were less likely to develop atrial fibrillation if they were taking statins, a secondary analysis of data on 2,673 patients found. . . .

A-fib affects quality of life of patient and spouse equally.(Cardiovascular Medicine)(atrial fibrillation)(Survey)
SAN FRANCISCO -- Atrial fibrillation affects the quality of life of both patients and their spouses in equal measure, a survey of 264 patients and 94 spouses suggests. "When you're educating . . .

Atherectomy for limb ischemia has good results.(Cardiovascular Medicine)
NEW YORK -- The largest and longest study to date of the Silverhawk percutaneous excisional atherectomy device showed that it is "an essential tool" for surgeons treating patients with . . .

Extra ICD shocks may be harmful to health.(Cardiovascular Medicine)
SAN FRANCISCO -- Inappropriate shocks from implantable cardioverter defibrillators are common and may cause harm, a review of the literature suggests. "There are not a great deal of data that . . .

Ergogenic agents offer few benefits and plenty of risks.(Sports Medicine)
VANCOUVER, B.C. -- When it comes to improving performance in young athletes, the tried and true approaches--such as a balanced diet and adequate training--trump the energy drinks, supplements, and . . .

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