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In this issue: Apixaban could soon join the anticoagulation market; Chinese herbs for flu; chronic medication and discontinuation after hospitalization; and FDA actions.
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Malaria continues to be a global scourge, causing more than 200 million annual symptomatic cases and nearly a million annual deaths worldwide.
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A retrospective review of pediatric malaria at a Washington, DC, children's hospital identified 98 cases over 8 years from 1999 to 2006. Their mean age was 9.6 years. Approximately half of the children were long-term U.S. residents who had visited friends or relatives in their country of origin, and most of the others were recent immigrants.
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Authors from the Helsinki University Central Hospital, a tertiary hospital in Finland, retrospectively reviewed patient records from 2005 to 2009 to define the causes of fever in returned travelers and to evaluate the diagnostic approach.
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During april-june of 2010, 2 new cases of dracunculiasis were confirmed by extracted worm identification of Dracunculus medinensis and polymerase chain reaction (PCR) in Chad, Africa. Chad's National Guinea Worm Eradication Program (NGWEP) initiated an outbreak investigation and with the help of the World Health Organization (WHO) uncovered 8 additional cases, all confirmed by worm collection.
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The state of Arizona has proposed a $50 annual fee on childless adults in Medicaid who are obese or smokers.
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Elders and adults with severe disabilities have mostly remained under traditional fee-for-service Medicaid plans, but this is now changing, according to Thomas L. Johnson, BA, JD, president and CEO of Medicaid Health Plans of America, a Washington, DC-based trade association representing Medicaid health plans.