CDC reports on early childhood difficulties among infants with Zika | Elevated maternal blood glucose in pregnancy may increase heart defect risk | Study: Bivalent meningococcal B vaccine effective after 2 and 3 doses
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December 15, 2017
Family Medicine SmartBrief
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CDC reports on early childhood difficulties among infants with Zika
CDC researchers followed 19 Brazilian infants with Zika-related microcephaly until ages 19 months to 24 months and found all had one or more of six adverse outcomes, which were sleeping problems, feeding challenges, vision and hearing abnormalities, severe motor impairment and nonfebrile seizures. The findings in the agency's Morbidity and Mortality Weekly Report also showed three to five adverse events in 12 of the children, while two had experienced all of the adverse outcomes.
TIME online (12/14),  Healio (free registration)/Infectious Disease News (12/14) 
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Test Your Knowledge: Switching Agents for MDD
True or False: In the treatment of major depressive disorder, for partial responders, switching agents causes the patient to lose the benefits of the first antidepressant.
Check your answer!
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Clinical News
Elevated maternal blood glucose in pregnancy may increase heart defect risk
Researchers linked every 10 mg per deciliter increase in maternal blood glucose levels during pregnancy to an 8% higher likelihood of having infants with cardiac malformations, even after adjusting for maternal age, pre-existing maternal diabetes and prepregnancy body mass index. The findings in the Journal of Pediatrics were based on data involving 19,107 mother-child pairs.
The New York Times (free-article access for SmartBrief readers) (12/15) 
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Study: Bivalent meningococcal B vaccine effective after 2 and 3 doses
A study in the New England Journal of Medicine found a bivalent meningococcal B vaccine that targets factor H-binding protein was safe and effective after two and three doses. The vaccine was tested in adolescents and young adults.
Physician's Briefing/HealthDay News (12/14) 
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Study examines prevalence of diabetes among US veterans
Researchers analyzed data from the National Health and Nutrition Examination Survey from 2005 to 2014 and found that the overall prevalence of diabetes and undiagnosed diabetes among US veterans was 20.5% and 3.4%, respectively, in 2013 to 2014. The findings in the CDC's Preventing Chronic Disease revealed that diabetes prevalence increased from 15.5% in 2005 to 2006 to 20.5% in 2013 to 2014.
Physician's Briefing/HealthDay News (12/14) 
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Regular takeout meals tied to increased chronic disease risk in children
A UK study in the Archives of Disease in Childhood showed that youths who ate one or more takeout meals weekly had significantly increased LDL cholesterol, total cholesterol, fat mass index and sum of skinfolds -- which are risk markers for chronic diseases -- compared with peers who ate fewer or didn't eat takeout meals. The findings also showed significantly more frequent takeout meal consumption among boys and those from lower socioeconomic groups.
MedPage Today (free registration) (12/14) 
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Practice Management
Training helps family physicians use ultrasonography to diagnose DVT
Diagnosis of symptomatic proximal deep vein thrombosis using compression ultrasonography was accurate among family physicians who had been trained by physicians with 10 or more years' experience with the modality, researchers reported in Annals of Family Medicine. Training family physicians to use compression ultrasonography could improve care quality and prevent unnecessary hospitalizations, said first author Nicola Mumoli, M.D.
Healio (free registration) (12/7) 
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FDA site helps clinicians choose best drugs to treat infections
A new FDA webpage provides updated susceptibility information so clinicians know which bacterial or fungal infections likely will respond to certain drugs. The site is aimed at helping clinicians choose the best treatments and helping prevent the spread of resistant bacteria.
Medscape (free registration) (12/14) 
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Report: Fewer people are uninsured, skipping care due to cost
A Commonwealth Fund report on data from 2013 and 2016 showed there were fewer uninsured US adults and children overall, and for the past year a decreasing number of adults said they skipped a physician visit due to the cost. The number of at-risk adults who did not have a routine checkup over at least the past two years decreased from 14% to 12%.
Becker's Hospital Review (12/14) 
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Health Policy & Legislation
Net neutrality repeal could be detrimental for health care, experts say
The Federal Communications Commission decision to repeal net neutrality and remove the ban on paid prioritization may prompt slower traffic in telemedicine, which could especially affect trauma and emergency care providers who need quick access to data, said Mark Gaynor of St. Louis University. Some health care groups have advocated for banning paid fast lanes because the practice could allow internet providers to charge higher fees.
Healthcare IT News (12/14) 
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Professional Issues & Trends
Report finds subspecialist physicians in short supply
A Merritt Hawkins Associates report found that primary care physicians are not the only subspecialty in short supply, with the US also needing pulmonologists, psychiatrists, dermatologists and other clinicians. The shortage was linked to an aging population and an aging physician population.
Medscape (free registration) (12/14) 
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Inside the AAFP
New! AAFP Health and Well-being Conference | 2018
New! AAFP Health and Well-being Conference | 2018
Attend the first-ever AAFP Family Physician Health and Well-being Conference in Naples, Fla., April 18-21. Designed specifically to address the unique challenges family physicians face, this one-of-a-kind conference will help you improve professional satisfaction and enhance patient care. Take time to discover tools and resources to improve your well-being in a counterintuitive system. Register now and save $100
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to http://aafp.org.
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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