Internal Medicine News articles from March 2006

Internal Medicine News archives from March 2006

Cystic fibrosis can surface in adults.(late diagnosis consequences)
March 1, 2006... In his adult cystic fibrosis clinic in Denver, Dr. Jerry A. Nick has patients who were not diagnosed until they were 40 years of age or older. These patients represent the tip of an iceberg of unrecognized patients, and clinicians need to...

Combined drug Tx offers new hope in colorectal cancer: survival exceeds 2 years in advanced cases.(News)
March 1, 2006... SAN FRANCISCO -- Patients with advanced colorectal cancer clearly live longer if they receive three chemotherapeutic drugs during their treatment. Moreover, the addition of a biologic agent holds the promise of even longer survival for...

ABIM links recertification and pay for performance.(American Board of Internal Medicine)
March 1, 2006... Pay for performance has infiltrated the ever-expanding maintenance of certification process for internists. A new partnership between the American Board of Internal Medicine and Bridges to Excellence (BTE), a not-for-profit organization,...

Little-used intraperitoneal chemotherapy can boost survival in ovarian cancer.(News)
March 1, 2006... A clinical announcement issued by the National Cancer Institute on intraperitoneal chemotherapy for ovarian cancer should win the treatment widespread and overdue acceptance, according to physicians who have administered the treatment for...

Guidelines not followed in managing systemic reactions to insect bites.
March 1, 2006... ANAHEIM, CALIF. -- Epinephrine is generally underused in the treatment of potentially life-threatening systemic reactions to insect bites or stings, and few patients receive referrals to an allergist after being treated in a primary care clinic...

Newer regimens for colorectal cancer prolong life but lead to soaring costs.(News)
March 1, 2006... SAN FRANCISCO -- Complex multidrug regimens for colorectal cancer are driving up costs while prolonging life, researchers said at a symposium sponsored by the American Society of Clinical Oncology. Even as new research highlighted the...

Oxaliplatin extends life in advanced colorectal cancer.
March 1, 2006... SAN FRANCISCO -- Adding oxaliplatin to a standard, two-drug chemotherapy regimen led to a 30% improvement in median survival among patients with metastatic colorectal cancer, according to early results from an Italian study. Furthermore,...

Low-fat diets not shown to cut cancer risk in older women.(News)
March 1, 2006... Eating a low-fat diet did not affect rates of cardiovascular disease, coronary heart disease, stroke, or colorectal cancer in the largest-ever long-term randomized trial of a dietary intervention in postmenopausal women. The study showed a...

New appeal process for Medicare Part B denials.(News)
March 1, 2006... LAS VEGAS -- On Jan. 1, Medicare officials implemented a new five-step process for appealing Medicare Part B claims. The changes apply to Part B initial claim determinations issued and mailed on or after that date, Edward R. Gaines III,...

Should PCOS be treated with insulin sensitizers or oral contraceptives?(POINT/COUNTERPOINT)
March 1, 2006... Insulin Sensitizers Polycystic ovary syndrome (PCOS) is characterized by androgen excess and oligoovulation. It is the most common cause of infertility in the United States and affects more than 5 million women. Oral contraceptives...

Performance standards damage trust.(LETTERS)(Letter to the editor)
March 1, 2006... The only "national performance standards" that physicians should be interested in or held accountable for are those behaviors with proven positive impacts on clinical outcomes (as a primary effect) that are entirely under their control ("IOM...

FDA's scientific integrity in doubt.(LETTERS)(Letter to the editor)
March 1, 2006... I couldn't agree more with Dr. Chen's letter in which he questions the scientific integrity of the FDA ("FDA Decisions Raise Concerns, Dec. 1, 2005, p. 14). Evidence is mounting that the Food and Drug Administration's recent decisions and...

Crossing the quality chasm in health care.(GUEST EDITORIAL)
March 1, 2006... The safety and quality of health care today are far below the level we can and should achieve. The Institute of Medicine, part of the National Academies, is a private organization that offers advice and recommendations to policy makers,...

Pain relievers.(Opinion)(Cartoon)
March 1, 2006... "I hear we're being replaced by a chef who makes really good chicken soup."

Cognitive speed increases after carotid stenting.(Neurology)
March 1, 2006... CHICAGO -- Carotid artery stenting appeared to improve cognitive function based on the results of what investigators said is the first study to look at perfusion and diffusion-weighted imaging before and after stenting. "We found that...

MR angiography overused in assessing vertigo.(Magnetic resonance)(Brief article)
March 1, 2006... LOS ANGELES -- Magnetic resonance angiography evaluation of isolated vertigo is often used unnecessarily, Dr. Brian James Baumgartner wrote in a poster presentation at the annual meeting of the American Academy of Otolaryngology-Head and Neck...

Hemicrania continua is a tough diagnostic call.(Neurology)
March 1, 2006... SCOTTSDALE, ARIZ. -- The incidence of hemicrania continua might be underestimated because diagnosis of patients with two superimposed unilateral headaches is a clinical challenge, Dr. Steve D. Wheeler said at a symposium sponsored by the...

Coenzyme Q10 for migraine prophylaxis.(ALTERNATIVE MEDICINE)
March 1, 2006... History and Rationale for Use Coenzyme Q10 is a naturally occurring hydrophobic substance that is involved in electron transfer across the mitochondrial membrane from the NADH dehydrogenase complex and the succinate-Q reductase complex to...

Stroke starts a terrible race against the clock.
March 1, 2006... For every hour an acute ischemic stroke is untreated, the human forebrain loses 120 million neurons, 830 billion synapses, and 447 miles of myelinated fiber--the equivalent of 3.6 years of normal aging. The numbers lend a new urgency to the...

Secondary prevention after stroke often doesn't measure up.(Brief article)
March 1, 2006... SAN DIEGO -- Far fewer patients receive the full spectrum of recommended secondary prevention interventions after suffering a neurovascular event than do patients who have suffered a cardiac event, a national database study concluded. Dr....

Leg nerve procedure Aids peripheral neuropathy.
March 1, 2006... TUCSON, ARIZ. -- The largest prospective study to date has confirmed the benefits of multiple nerve decompression in the lower extremity of patients with peripheral neuropathy. Nerve decompression in the legs improves sensation and...

Saline inhalation eases cystic fibrosis symptoms: the rehydration appears to produce a sustained acceleration of mucus clearance in the airways.(Pulmonary Medicine)
March 1, 2006... Hypertonic saline inhalation using a nebulizer reduced pulmonary exacerbations in patients with cystic fibrosis and decreased their absenteeism from school, work, and their usual activities, researchers found in two separate randomized clinical...

African Americans need OSA screening, education.(obstructive sleep apnea)
March 1, 2006... LOS ANGELES -- African Americans are at increased risk for obstructive sleep apnea, compared with whites, but their bed partners are less likely to encourage them to seek treatment, Dr. Michael Friedman reported at the annual meeting of the...

Black, Hawaiian smokers at higher lung ca risk.(Pulmonary Medicine)
March 1, 2006... African American and Native Hawaiian smokers are more susceptible to lung cancer than are white, Hispanic, or Japanese American smokers, reported Dr. Christopher A. Haiman of the University of Southern California, Los Angeles, and his...

No link between leukotriene modifiers, vasculitis.(Churg-Strauss syndrome associated causes study)
March 1, 2006... SAN DIEGO -- The use of leukotriene modifiers to treat patients with asthma was not associated with the development of Churg-Strauss syndrome in a population-based, nested, case-control study. Shortly after leukotriene modifiers were...

Treating depression in alcoholics curbs drinking: until recently, researchers had a hard time proving that treating depression in alcoholics was effective.(Psychiatry)
March 1, 2006... SCOTTSDALE, ARIZ. -- Most physicians who treat alcohol-dependent patients know that studies have shown that depressed patients are much less likely to quit, or reduce, their drinking. It is less well known that treating depression in these...

Study conducted in real-world settings could help refine depression treatment.(Psychiatry)
March 1, 2006... Routine, quantitative measurement of depression symptoms and treatment side effects at every clinical visit may help physicians to determine when to change their prescribing patterns for treating depression, findings from the STAR*D study...

Continue acamprosate through relapse of alcohol abuse.(Brief article)
March 1, 2006... SCOTTSDALE, ARIZ. -- Alcohol abusers who take acamprosate and then relapse are still better off continuing to take the drug because they have an improved chance of achieving abstinence, company data show. Pooled data from three separate,...

Childhood emotional abuse predicts pathological worry.(Brief article)
March 1, 2006... WASHINGTON -- Emotional abuse during childhood was significantly associated with adult pathological worry, Iwona Cheminski, Ph.D., reported in a poster presented during the annual meeting of the Association for Behavioral and Cognitive...

Women are at higher risk for PTSD after cancer diagnosis.(Psychiatry)
March 1, 2006... Cancer patients who show elevated dissociative symptoms and acute emotional distress soon after their diagnosis may be at greater risk for posttraumatic stress disorder, reported Maria Kangas and her associates at the University of New South...

Exposure therapy for PTSD succeeds in community setting.(posttraumatic stress disorder)
March 1, 2006... TORONTO -- Not only is prolonged exposure therapy effective in treating posttraumatic stress disorder, it appears to be easily and successfully transposed to community clinics, Elizabeth Hembree, Ph.D., reported at the annual meeting of the...

Intensive insulin therapy reduces ICU morbidity.(Endocrinology)
March 1, 2006... Targeting blood glucose levels to below 110 mg/dL with insulin therapy prevented morbidity but did not significantly reduce mortality among patients in a medical intensive care unit, said Dr. Greet Van den Berghe and her associates, of Catholic...

ESRD in diabetics declines.(end-stage renal disease)(Brief article)
March 1, 2006... The incidence of end-stage renal disease in people with diabetes dropped between 1997 and 2002, the Centers for Disease Control and Prevention has reported. Data obtained from the National Health Interview Survey and the United States...

Mobility limitations in diabetes.(CLINICAL CAPSULES)
March 1, 2006... Adults with diabetes were significantly more likely to have limited mobility than were nondiabetics (27% vs. 16%), according to data from the National Health and Nutrition Examination Survey, 1999-2002. Approximately 4,700...

DMPA in obese teens.(CLINICAL CAPSULES)
March 1, 2006... Use of depot medroxyprogesterone acetate was associated with increasing weight gain in obese girls during an 18-month prospective study, reported Dr. Andrea E. Bonny of Case Western Reserve University, Cleveland. Of 450 girls aged 12-18...

Zoledronic acid could reduce cost of Paget's Tx: given the drug's higher response rates, overall costs to the managed care plan are expected to be lower.(Endocrinology)
March 1, 2006... FT. LAUDERDALE, FLA. -- Zoledronic acid, if approved for the treatment of Paget's disease of bone, could prove to be a slightly cheaper option when compared with other available therapies in the setting of a managed care formulary, Lee S. Stern...

Hyperparathyroidism often missed in patients with Paget's disease.(Endocrinology)
March 1, 2006... FT. LAUDERDALE, FLA. -- Biochemical screening of patients with Paget's disease of bone should include measurement of parathyroid hormone levels, Dr. Maria Luisa Brandi advised at a meeting sponsored by the Paget's Foundation for Paget's Disease...

Bisphosphonate treatment duration often extended in Paget's disease of bone.(Endocrinology)(Brief article)
March 1, 2006... FT. LAUDERDALE, FLA. -- Bisphosphonate treatment is often extended beyond the duration recommended by the label in patients with Paget's disease of bone, Mohamed Omar, Ph.D., and his associates reported in a poster at a meeting sponsored by the...

Thick melanoma lesions increasing in Hispanics.(Dermatology)
March 1, 2006... A significant annual increase in invasive melanoma--especially in the occurrence of tumors more than 1.5 mm thick--in California Hispanics points to a "developing epidemic" of the cancer in that population, Myles Cock-burn, Ph.D., and...

Gene signature helps predict melanoma outcome.(Dermatology)
March 1, 2006... TAMPA, FLA. -- An array analysis of more than 11,000 filtered genes identified a 60-gene signature predictive of distant metastasis among patients with cutaneous primary melanomas, Dr. Alain Spatz reported at a conference on melanoma sponsored...

Major League Baseball supports skin ca screening.(cancer diagnosis)
March 1, 2006... KAPALUA, HAWAII -- Here are some baseball stats that don't usually make the daily sports pages. Since 1999, almost 13,000 Major League Baseball players, coaches, staff, and family members have been screened for skin cancer under a program with...

Benzoyl peroxide in urea vehicle works for acne.(Dermatology)(Brief article)
March 1, 2006... LAS VEGAS -- Treating acne with 4.5% or 8.5% benzoyl peroxide in a 10% urea vehicle once daily for 4 weeks was effective and well-tolerated, results from a large study demonstrated. The finding underscores urea's role as an effective...

Surest signs of meningococcal disease debated.(Adolescent Health)
March 1, 2006... Recognition of the early meningococcal disease features of leg pain, cold hands and feet, and abnormal skin color may help get children to the hospital faster than classic symptoms that occur later in the illness, reported Dr. Matthew J....

Self-management key to beating obesity in youth.(Adolescent Health)
March 1, 2006... LAS VEGAS -- Posing an open-ended question is the best way to approach the topic of treatment options when talking with an obese child or adolescent and the patient's family, Dr. William H. Dietz advised at a meeting sponsored by the American...

System estimates payment due.(PRODUCTS)
March 1, 2006... The MedCom Terminal System helps clarify a patient's maximum financial responsibility for an office visit and facilitates payments for those charges. The system has access to more than 300 payers and plans. For more information, contact MedCom...

Full face mask for sleep apnea.(PRODUCTS)
March 1, 2006... The ComfortFull 2 full face mask is designed for patients with obstructive sleep apnea who have trouble complying with nasal mask therapy due to mouth breathing. The mask fits broader noses and the entrainment valve split washer allows better...

Xopenex HFA inhaler available.(PRODUCTS)
March 1, 2006... Xopenex HFA (levalbuterol tartrate) inhalation aerosol is now available. The short-acting [beta]-agonist is indicated for the treatment or prevention of bronchospasm in patients aged 4 years and older with reversible obstructive airway disease....

Technology offers CPR feedback.(PRODUCTS)
March 1, 2006... Q-CPR provides real-time cardiopulmonary resuscitation monitoring and feedback for advanced life support-trained responders. The technology is available on the HeartStart MRx monitor/defibrillator and offers corrective feedback on the rate and...

Multichannel electrocardiographs.(PRODUCTS)
March 1, 2006... The CP 100 and CP 200 multichannel electrocardiographs offer flexible report formatting and patient test storage. The CP 100 is a noninterpretive 12-lead resting ECG with LCD display. The CP 200 has the same features as the CP 100, along with a...

Electronic Stethoscope.(PRODUCTS)
March 1, 2006... The Littmann Model 3000 Electronic Stethoscope can reduce ambient noise by an average of 75% and offers amplification of critical body sounds up to 18 times greater than that of acoustic stethoscopes. For more information, contact 3M Health...

Advanced software for GI camera.(PRODUCTS)
March 1, 2006... Rapid 4, the most recent version of the diagnostic software for use with PillCam video system, is now available. The software includes new tools to assist in the diagnosis of small-bowel mucosa abnormalities. For more information, contact Given...

Intravenous Novolin R.(PRODUCTS)
March 1, 2006... Novolin R regular, human insulin injection (rDNA origin) is indicated for injection/intravenous administration for the treatment of patients with diabetes mellitus for the control of hyperglycemia. For more information, contact Novo Nordisk...

Automate the office.(PRODUCTS)
March 1, 2006... Virtual Billing System Pro is an Internet-based system that allows insurance billing to be performed on any computer (PC, Mac, Linux). The software does not require printer alignment or setup to accommodate medical forms. The software setup fee...

Memantine may have value against alcoholism.
March 1, 2006... SCOTTSDALE, ARIZ. -- Memantine, the Alzheimer's drug, could have a new use: alcohol-dependence treatment. In a small pilot study of 16 patients who met Diagnostic and Statistical Manual criteria for alcohol dependence and who were treated...

Alcohol dependence.(medications for alcoholism underused)
March 1, 2006... The medications approved to treat alcohol dependence are severely underused despite evidence of their efficacy. It's estimated that less than 1% of people with alcohol dependence and abuse receive medication as part of their treatment. That's...

Psoriasis drug shows 'stunning' early promise.(Rx)
March 1, 2006... KAPALUA, HAWAII -- A monoclonal antibody that targets interleukin 12 and interleukin 23 has produced phase II results that investigators are describing as far superior to anything seen before in psoriasis. The investigational agent, which...

Future psoriasis drugs may target role of dendritic cells.(Rx)
March 1, 2006... NAPLES, FLA. -- Recent research implicates dendritic cells in the pathogenesis of psoriasis and suggests new targets for prevention and treatment, Dr. Andrew Blauvelt said at a symposium sponsored by the Dermatology Foundation. In the...

Anti-inflammatory doxycycline cuts rosacea lesions in phase III trials.
March 1, 2006... KAPALUA, HAWAII -- A formulation of doxycycline that is anti-inflammatory without being antibiotic significantly reduced rosacea lesions in two phase III trials, according to Dr. James Q. Del Rosso, the principal investigator. Dr. Del...

ICD, pacemaker users: beware of interference.(implanted cardiac device)
March 1, 2006... SNOWMASS, COLO. -- Magnetic resonance imaging is by far the most problematic medical source of electromagnetic interference with implanted cardiac device function, according to Dr. William H. Spencer III. Other potential sources of...

Wireless communication devices pose a hazard to pacemakers.(Cardiovascular Medicine)
March 1, 2006... SNOWMASS, COLO. -- The everyday, 21st century electronic communications environment poses unprecedented electromagnetic interference hazards for patients with pacemakers or implantable cardioverter defibrillators, Dr. William H. Spencer III...

Electrical storms common, unpredictable in ICD patients.(implantable cardioverter defibrillator)
March 1, 2006... DALLAS -- Electrical storms in implantable cardioverter defibrillator recipients are common, unpredictable, and debilitating--and the investigational antiarrhythmic drug azimilide reduces their incidence by up to 55%. These were the key...

Statin use and macular degeneration.(CLINICAL CAPSULES)
March 1, 2006... No association appears to exist between age-related macular degeneration and the use of statins or other cholesterol-lowering drugs, according to findings from a case-control study of patients in the Cardiovascular Health Study. It's been...

Short ICU stay for low-risk CABG.(Intensive Care Units)(Coronary Artery Bypass Graft )(Brief article)
March 1, 2006... A short stay in the intensive care unit is safe and cost effective for low-risk patients who have undergone coronary artery bypass grafting, according to Ghislaine van Mastrigt of Maastricht (the Netherlands) University Hospital and associates....

Risk of travel-related thrombosis.(CLINICAL CAPSULES)
March 1, 2006... The risk for travel-related thrombosis appears to be greatest in people with other predisposing factors, Dr. Frits R. Rosendaal said at the annual meeting of the American Society of Hematology. One controlled study showed that recent air...

Home monitoring helps to manage heart failure: automated devices, when added to standard disease management, improved short-term clinical outcomes.(Cardiovascular Medicine)
March 1, 2006... BOCA RATON, FLA. -- Automated home monitoring improved short-term outcomes for patients with heart failure, compared with standard disease management alone, in a multicenter, randomized study, Dr. Andrew R. Weintraub reported at the annual...

Intensive atorvastatin cuts hospitalization in heart failure, secondary analysis shows.(Cardiovascular Medicine)
March 1, 2006... DALLAS -- Intensive treatment with atorvastatin in patients with stable coronary heart disease led to a significant reduction in hospitalization for heart failure in a secondary analysis of results from a study with 10,001 patients. The...

RBC transfusion cited as overused, unhelpful.(Red Blood Cell transfusion in coronary artery bypass graft surgery)(Brief article)
March 1, 2006... ATLANTA -- Despite guidelines recommending against red blood cell transfusions in patients undergoing coronary artery bypass graft surgery, the practice remains fairly common, and is often detrimental, a study shows. Of 940 stable CABG...

HAART agents can cause adverse skin reactions.(Infectious Diseases)
March 1, 2006... NAPLES, FLA. -- Although physicians see fewer direct cutaneous manifestations of HIV infection in this era of highly active antiretroviral treatment, the drugs themselves can cause important dermatologic reactions, according to a presentation...

Liver toxicity reported with Ketek.(telithromycin reports liver toxicity )(Brief article)
March 1, 2006... The Food and Drug Administration is recommending that physicians monitor patients taking telithromycin (Ketek) for signs and symptoms of liver problems in response to reports of liver toxicity in three patients taking the drug. ...

Infections prolong hospitalization.(surgical site infections patient cure )(Brief article)
March 1, 2006... Elderly patients who developed surgical site infections after undergoing orthopedic surgery had significantly longer hospital stays, Dr. Jeanne Lee wrote in a poster at the annual Interscience Conference on Antimicrobial Agents and...

Severe diabetic skin infections.(CLINICAL CAPSULES)
March 1, 2006... Diabetic patients with severe skin infections had greater improvement when treated with meropenem than with imipenem-cilastatin, Dr. John M. Embil reported in a poster presented at the annual Interscience Conference on Antimicrobial Agents and...

Community-acquired variety tops MRSA worries.(Infectious Diseases)(methicillin-resistant Staphylococcus aureus)
March 1, 2006... WASHINGTON -- As many as 2.3 million people in the United States carry methicillin-resistant Staphylococcus aureus, Dr. Daniel B. Jernigan reported at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy. The...

MRSA burden in San Francisco hospitals shifts to community-onset phenotypes.(Methicillin-resistant Staphylococcus)
March 1, 2006... The burden of methicillin-resistant Staphylococcus aureus disease appears to be shifting recently from health care-acquired strains to community-acquired strains in San Francisco, Dr. Henry F. Chambers III told attendees at the annual...

Antibiotic resistance doesn't raise UTI risk in long-term care patients.(Urinary tract infections)(Brief article)
March 1, 2006... WASHINGTON -- Antibiotic resistance did not increase the number of nosocomial urinary tract infections among elderly patients in a long-term care facility, Dr. Walter Zingg reported in a poster presented at the Interscience Conference on...

Drug pipeline for hepatitis B treatment said to be prolific.(Gastroenterology)
March 1, 2006... HONOLULU -- The future of chronic hepatitis B therapy will look much like HIV treatment today: multidrug combinations aimed at thwarting development of resistant viral strains, Dr. Paul J. Pockros predicted at the annual meeting of the American...

Antidepressants safe in end-stage liver disease.(Gastroenterology)
March 1, 2006... SAN FRANCISCO -- Antidepressants were safe and moderately effective in a study of 368 patients with end-stage liver disease, Dr. Jayant A. Talwalkar reported. Little is known about the effects of antidepressants in patients with end-stage...

HBV suppression at 6 months predicts treatment success.(hepatitis B viral )
March 1, 2006... SAN FRANCISCO -- The extent of hepatitis B viral suppression after 6 months of therapy predicts treatment efficacy and the risk of developing resistance at 1 year, Dr. Ching-Lung Lai said at the annual meeting of the American Association for...

Acute liver failure.(Risk Factors )
March 1, 2006... Background Nearly 2,000 patients suffer acute liver failure annually in the United States. The American Association for the Study of Liver Diseases recently published a practice guideline on this condition, which causes high morbidity and...

Certolizumab achieves good clinical response in Crohn's patients.
March 1, 2006... HONOLULU -- Certolizumab pegol, a novel anti-tumor necrosis factor-[alpha] agent, proved effective for both induction and maintenance of clinical remission in patients with Crohn's disease in a pivotal phase III, 26-week randomized trial, Dr....

PPIs vs. peptic ulcer bleeding.(CLINICAL CAPSULES)
March 1, 2006... Proton pump inhibitors reduce the risk of bleeding and abdominal surgery in patients with peptic ulcers, and also reduce mortality among Asian patients with peptic ulcers, according to a metaanalysis of 24 randomized controlled trials. Dr....

Cancer risk in lynch syndrome.(CLINICAL CAPSULES)
March 1, 2006... Prophylactic surgery may help prevent gynecologic cancers in women with hereditary nonpolyposis colorectal cancer, reported Dr. Kathleen M. Schmeler of the University of Texas M.D. Anderson Cancer Center, Houston, and her associates. In a...

Undetected celiac disease rare in IBS.(Irritable bowel syndrome)(Brief article)
March 1, 2006... Routine serologic screening for undetected celiac disease in patients with irritable bowel syndrome is hard to justify in light of the low disease prevalence found in a large international study, Allison R. Northcutt asserted at the annual...

'Best doctor' lists are fraught with difficulty.(Practice Trends)(health care competition conference )
March 1, 2006... WASHINGTON -- The lists of "best doctors" published in magazines may not be all they're cracked up to be, several speakers said at a health care competition conference sponsored by Health Affairs journal and the Center for Studying Health...

Uninsurance rate is high among young adults.
March 1, 2006... WASHINGTON -- Young adults are more likely than are adolescents to be uninsured, attorney Abigail English said during a meeting sponsored by the National Institute for Health Care Management Foundation. "As you move up the age groups you...