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The latest in cutaneous ulcer care
For all the many types and causes of these common problem wounds, there are many more therapeutic options. What caused the ulcer is key to the treatment, and a multidisciplinary approach is often the best course.
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Latest thinking in Barrett's esophagus: Heading off esophageal cancer
In some patients, persistent GERD also stimulates immature progenitor cells in the distal esophagus to differentiate into intestinal cell types that constitute the specialized intestinal metaplasia characteristic of Barrett's esophagus. The metaplasia that occurs in Barrett's esophagus may thus represent an adaptive substitution of cells that are highly sensitive to peptic acid injury to cells that are better able to withstand it. Unfortunately, the metaplastic cells are predisposed to malignancy.
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Seeking medical options for abnormal uterine bleeding
Determining the cause of AUB is challenging. How you choose to manage it will partly depend on whether the bleeding is acute or chronic. We'll discuss medical treatment.
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Imatinib-like agents on way to treat CML
Small signs of resistance to imatinib (Gleevec, Novartis) emerged soon after the drug's approval in 2001 as the first oral tyrosine kinase inhibitor for chronic myeloid leukemia (CML). But second-generation drugs with similar mechanisms of action were already in the pipeline, according to studies presented at the recent 2005 ASH annual meeting, held in Atlanta. Generally about 20% of CML chronic-phase patients relapse after three years of imatinib therapy, researchers pointed out.
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ICD-9: What's changed
New ICD-9-CM diagnosis codes took effect Oct 1. If you haven't already, you need to review the new codes and update your encounter forms and charge tickets because any claims using outdated codes will be rejected. Remember that CMS no longer grants a 90-day grace period for billing discontinued diagnosis codes.
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How young doctors are doing today
Life continues to be a struggle for doctors younger than 35. As a group, their financial situation hasn't changed in four years. But young doctors are optimistic about their finances. Their upbeat attitude may stem from the fact that they're looking at the more recent past—75 percent of those younger than 35 and 60 percent of those 35 to 39 say their overall financial situation was better in 2004 than the year before.
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Do pay-for-performance programs really produce quality care?
Not really, according to a study in the Journal of the American Medical Association (10/12/05). The study compared the impact of a pay-for-performance program on quality of care within two sets of physician groups within PacifiCare Health Systems.
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