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MDVIP Launches Preventive Medicine Pilot Program For Uninsured In Northern Virginia
On the heels of a successful partnership between MDVIP and Project Access in Palm Beach County, Florida, MDVIP will now roll out their second initiative to support the uninsured community in Northern Virginia. In collaboration with The INOVA Health Systems and Project Access of Northern Virginia (PANV), four of the local MDVIP-affiliated physicians will participate in a pilot program to provide services to uninsured patients who have diabetes, cardiovascular disease or may be considered a high-risk patient for either chronic condition.
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Caring With Confidence Launched, England
Mike Tomlinson - husband of Jane Tomlinson CBE backs free and flexible carers programme.
News of the day
Medicare Reimbursement Issues Enter Health Reform Debate
New legislation introduced yesterday would attempt to shift Medicare reimbursement policy to reward patient health outcomes, rather than the volume of services provided, MinnPost, a nonprofit online news organization, reports. "We need to be sure to keep score," said Sen. Amy Klobuchar, D-Minn., who introduced the bill, according to MinnPost. "That means measuring outcomes and rewarding providers that deliver quality results."
Oncology

Increased Occurrences Of Parasomnia Symptoms Experienced By Obstructive Sleep Apnea Patients

Patients suffering from obstructive sleep apnea (OSA) have an increased prevalence of parasomnia symptoms compared with the prevalence rates of individual parasomnias, according to a research abstract presented at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies. Results indicate that the frequency of parasomnia symptoms in individuals with OSA was 9.5 percent, compared to the 2.9 to 4 percent prevalence of parasomnias in adults older than 15 years of age without OSA. Twenty percent of the study"s participants reported an improvement of their parasomnia symptoms with use of continuous positive airway pressure (CPAP) therapy. According to lead author Maria Viola-Saltzman, DO, at the University of Washington in Seattle, OSA is known to cause sleep fragmentation, which predisposes patients to the expression of parasomnia symptoms. "We found it interesting that the parasomnia symptoms reported in this patient population were amongst all age groups, as parasomnias are most common in children and young adults," said Viola-Saltzman. The study was based on retrospective chart reviews of 537 new patient referrals for evaluation of OSA at Loyola University Medical Center in Chicago. Patients were at least 18 years of age, had a polysomnogram diagnostic of OSA and documentation of the presence or absence of parasomnia symptoms. Fifty-one patients (59 percent women, 84 percent of non-Hispanic origin and average age of 47 years) had one or more types of parasomnia complaints. Twenty-one people (38 percent) reported sleep paralysis, 16 (29 percent) reported sleep-related hallucinations, 11 (20 percent) reported acting-out dreams (suggesting REM sleep behavior disorder), five (9 percent) reported sleepwalking, one person reported sleep-related eating and one person felt a "pulling down sensation" on her spine at sleep onset. Abstract Title: The Frequency of Parasomnia Symptoms in Patients with Obstructive Sleep Apnea Presentation Date: Tuesday, June 9 Category: Sleep Disorders - Breathing Abstract ID: 0600 Kelly Wagner American Academy of Sleep Medicine


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