(Reuters)—Wall Street expressed growing doubts about a pending $54 billion merger of U.S. health insurers Anthem Inc. and Cigna Corp. on Monday as news of management squabbles added to concerns over its review by antitrust regulators. Cigna shares closed down 4% at $126.15, well below Anthem’s original $188 per share offer of cash and stock…
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ABIM Announcement: Alternative MOC Assessment Starting January 2018
The American Board of Internal Medicine announced plans to offer a new Maintenance of Certification (MOC) assessment for internal medicine—and possibly other specialties—starting January 2018. Specific details are expected by Dec. 31, 2016, following a public comment period. The ACR will continue to push for access to clinical decision-making tools as an open-book, take-home assessment or for continuing medical education activities with assessment components to be considered appropriate options…
Concerns Arising over Increased Retractions in Scientific Articles
The number of scientific articles retracted increased 10-fold between 1988 and 2008 (from 0.002% in the early 1980s to 0.02% in 2005–2009), according to a paper published in the Journal of Medical Ethics.1 The authors did note that the number of articles listed in Medline each year has also increased over time, from approximately 300,000…
Patients with Lupus: Plasmacytoid Dendritic Cells Fail to Induce Regulatory B Cells
A recent study found that plasmacytoid dentricitic cells (pDCs) control the differentiation of immature B cells into regulatory B (Breg) cells or plasmablast, depending on the concentration of IFNα. For patients with SLE, researchers found that immune regulatory feedback between pDCs and Breg cells is dysfunctional, with the exception of patients who respond to rituximab…
2015 Treatment Recommendations for Psoriatic Arthritis
Psoriatic arthritis (PsA) is remarkably diverse in presentation and course. To assist clinicians in its management, the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) published treatment recommendations in 2009 based on a systematic evidence review. To be clinically relevant, such recommendations must be dynamic, and significant developments in PsA pathophysiology and disease assessment, particularly regarding the important contribution of comorbidities coupled with major therapeutic advances, necessitated an update of the GRAPPA recommendations…
Technological Advances Linked to Medical Misadventures
For keen students of American politics, the unending intrigue of the 2016 presidential race has been riveting. With an assemblage of aspiring candidates that, at its start, included a bevy of U.S. senators and former governors, a media-savvy real estate mogul, a renowned Hopkins neurosurgeon and an ophthalmologist, political junkies among us have feasted on…
The ACR, ARHP Develop National Research Agenda for 2016–2020
Since 2005, the ACR’s Committee on Research has been responsible for advancing the research goals of the organization and providing leadership in research and research training in rheumatology via the ACR’s Research Agenda. The ACR Research Agenda is designed to address critical areas of research in rheumatic diseases, including the need for new technology, new…
Mediterranean Diet Tied to Lower Hip Fracture Risk
(Reuters Health)—Women who maintain an overall healthy diet may benefit from a slightly reduced risk of hip fractures later in life, according to a new U.S. study. Women who followed a Mediterranean-style diet were about three tenths of a percent less likely to break a hip over about 16 years, compared to women who didn’t…
Diagnosis Can Be Elusive for Fever of Unknown Origin
Settling into room 501 at Maine Medical Center, Mrs. N was on her way to the bathroom when she felt it coming on. One moment she was okay; the next, her chest felt damp and cold, even as her face flushed and her temperature spiked. Her forehead glistened beads of warm sweat. She felt the…
The ACR’s Volunteer Leaders Can Help Shape Rheumatology’s Future
Margaret Mead, an early 20th century anthropologist, said, “Never believe that a few caring people can’t change the world. For, indeed, that’s all who ever have.”1 The mission of the American College of Rheumatology is Advancing Rheumatology!, and it cannot be achieved without the time, effort, talent and experience of volunteer leaders. You can join…
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