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ACP InternistSM - October 2008

Featured Articles

Two-pronged approach to attack prediabetes

Until recently, internists had very little guidance on how to treat prediabetes and reduce the risk of the full-blown disease. The most recent advice: Treat it early, with simple lifestyle changes.

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Alaska primary care crisis the tip of the iceberg

When the safety net us already stretched, losing even one internist can leave a community in crisis.

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Patients ban together to research conditions, themselves

The next wave of online patient web sites allow patients to compare treatments and results, pulling together data that looks and acts like a research study despite its source.

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CMS demo aims to help seniors stay healthy, independent

CMS is partnering with private companies to address multiple health risk factors that contribute to senior's chronic diseases.

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Perspectives

Editorís Note

A digest of this monthís issue, including Alaskaís shrinking primary care pool, the rising epidemic of prediabetes, and other issues of note.

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Ethical Dilemmas

Considering a sexual relationship with a former patient, however brief the doctorís visit, raises issues after a romantic break-up.

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Practical Genomics

Genes dictate which patients smoke, quit and die from the habit. Genomics can provide small victories that will make a difference in many lives.

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Presidentís Message

Finding treatment for a broken leg while overseas offers a first-hand look at health care reform in America.

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Washington Perspective

None of the presidential candidates are discussing health care cost containment, setting up reform as an issue doomed to fail after the election.

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ACP Highlights

Whatís new in other College publications.

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Practice Management

Practice Rx

Hospitals are working more closely with their admitting physicians to make them aware of the need for better documentation on pre-existing conditions.

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CPII Tips

ACPís Center for Practice Improvement and Innovation suggests simple tips for creating a more efficient practice and happier patients, in turn.

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Staff Columns

Web Watch

Doctors who are also mothers compare notes on raising kids and saving lives at the Mothers in Medicine Web site.

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The Campaign Trail

The presidential candidates are steering away from the abortion issue, but a ballot issue in South Dakota keeps the issue alive in voterís minds.

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FDA Review

The latest recalls, warnings, label changes and approvals from the Food and Drug Administration.

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National Trends

Arthritis and other musculoskeletal conditions are the leading cause of limited activity among all adults. Second-most-common causes include mental illness (ages 18-44), cardiovascular (ages 45-64 and 65 and older).

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