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Medicare prescription drug coverage gap: Navigating the "doughnut hole" with patients

Article Abstract:

Several Medicare beneficiaries who have enrolled in the Medicare Part D prescription drug benefit are reaching a gap in their prescription drug plan, called the 'doughnut hole', by which they have to pay in full for their drug expenditure unless they pay a huge fees. The features and conditions of the 'doughnut hole' are discussed in order to enable physicians to help patients cope with it, also presenting options to reduce spending and details of alternate assistance programs.

Author: Gerstenblith, Gary, Anderson, Gerard F., Berkowitz, Scott A.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2007
Forecasts, trends, outlooks, Forecasts and trends, Market trend/market analysis, Medicare Part D

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L-arginine therapy in acuted myocardial infarction

Article Abstract:

Study is conducted to determine whether addition of L-arginine to standard postinfarction therapy reduces vascular stiffness and improves ejection fraction over 6-month follow-up in patients following acute ST-segment elevation myocardial infarction. Result shows that L-arginine, when added to standard postinfarction therapies, does not improve vascular stiffness measurements or ejection fraction and may be associated with higher postinfarction mortality.

Author: Hare, Joshua M., Schulman, Steven P., Becker, Lewis C., Gerstenblith, Gary, Townsend, Susan N., Terrin, Michael L., Kass, David A., Champion, Hunter C., Ernst, Kavita V., Forman, Sandra, Kelemen, Mark D., Capriotti, Anne
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2006
Usage, Drug therapy, Heart diseases, Heart attack, Arginine

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Neurohumoral features of myocardial stunning due to sudden emotional stress

Article Abstract:

Reversible left ventricular dysfunction precipitated by emotional stress is reported where mechanism is unknown. Emotional stress could precipitate severe, reversible left ventricular dysfunction in patients without coronary disease.

Author: Baughman, Kenneth L., Rade, Jeffrey J., Schulman, Steven P., Gerstenblith, Gary, Wittstein, Ilan S., Thiemann, David R., Lima, Joao A.C., Wu, Katherine C., Bivalacqua, Trinity J., Champion, Hunter C.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2005
United Kingdom, Coronary heart disease, Stress (Psychology)

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Subjects list: United States, Risk factors
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