Study: Tdap vaccine not tied to adverse pregnancy, neonatal outcomes | Prolonged depression may raise stroke risk in adults 50 and older, study shows | Diabetes among factors that increase acute kidney injury risk
May 15, 2015
Family Medicine SmartBrief

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Study: Tdap vaccine not tied to adverse pregnancy, neonatal outcomes
A study in Obstetrics & Gynecology that included 7,378 women at one facility found that those who received the tetanus, diphtheria and acellular pertussis vaccine at 32 weeks' gestation showed no differences in pregnancy or neonatal complications compared with those who declined the vaccination. However, significant increases in the duration of neonatal hospitalization and rates of preterm birth at 36 weeks' gestation or less were observed among women who did not receive the vaccine. News (5/13)
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CMS Open Payments: What You Need to Know
As part of CMS Open Payments, manufacturers and GPOs submitted data about their financial relationships with you—physicians and teaching hospitals. You are encouraged to review that data before it is made available on a publicly accessible website. Learn more now!
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Prolonged depression may raise stroke risk in adults 50 and older, study shows
A new study suggests prolonged depression raises the risk of strokes in people older than 50, even when depression symptoms have eased. Study participants with high symptoms of depression for four straight years had approximately 114% higher risk of stroke. "If our findings are replicated, they suggest depressive symptoms merit prompt attention soon after they begin, before they have time to substantially impact stroke risk," study author Paola Gilsanz said. The findings were published in the Journal of the American Heart Association. (5/13), National Public Radio (5/14)
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Diabetes among factors that increase acute kidney injury risk
Researchers followed more than 1.3 million hospitalized patients, almost 19,000 of whom were diagnosed with acute kidney injury, and found that the condition was associated with patients who had diabetes, were male, black or older. The findings, published in the American Journal of Kidney Diseases, showed that abnormal blood and urine test results of kidney function, even if only slightly abnormal, were the strongest risk factor for acute kidney injury. News (5/13)
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Antibiotic use in infancy may lead to illnesses later in life
A study published in the journal Cell Host and Microbe found that overuse of antibiotics in infants may cause changes in their gut bacteria which can lead to conditions such as obesity, allergies and other diseases in adulthood. "We think these findings help develop a roadmap for future research to determine the health consequences of antibiotic use and for recommendations for prescribing them," study author Dan Knights said. United Press International (5/13)
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Report estimates 10% of children are diagnosed with ADHD
A report from the CDC says that 1 in 10 children and teenagers has been diagnosed with attention-deficit/hyperactivity disorder. Boys are diagnosed at about double the rate of girls. Hispanic children and teens are the least likely to be diagnosed with ADHD, and children from more affluent families are less likely to have an ADHD diagnosis than children from lower-income families. HealthDay News (5/14)
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Report: Incidence of E. coli, Salmonella infections drops
Meat Prices Expected To Increase Higher Due To Midwest Flooding
(Justin Sullivan/Getty Images)
The occurrence of infections associated with Salmonella typhimurium and with Shiga toxin-producing E. coli O157 in the U.S. declined 27% and 32% in 2014 compared with 2006 to 2008, CDC researchers wrote in Morbidity and Mortality Weekly Report. Despite the drop, infections from Salmonella javiana and Salmonella infantis increased more than twofold during the same period. The report also found a 13% increase in infections attributed to Campylobacter and a 52% rise in infections from Vibrio. HealthDay News (5/14)
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4 Essential Resources To Boost Revenue
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Endocrinology group releases obesity guidelines for practices
A module and tool kit was released by the American Association of Clinical Endocrinologists to help physicians and other clinicians provide a patient-centered approach to obesity that puts more emphasis on complications linked to the disease and less on BMI. The recommendations include ideas for equipping physician offices to treat patients with obesity. Healio (free registration)/Endocrine Today (5/14)
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Workgroup expresses concerns over stage 3 meaningful use measures
The Health IT Policy Committee's Interoperability and Health Information Exchange Workgroup said it disagrees with most of the HIE recommendations included in the final stage of meaningful use. Workgroup Chair Micky Tripathi said concerns center on objective 7, which has three measures that focus on the electronic transmission of new patient care records. The workgroup said flexibility should be added to the objective because it might be difficult for participants to meet two of the three measures to attest for meaningful use. Health Data Management (5/13)
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Lawmaker introduces ICD-10 transition bill
Rep. Diane Black, R-Tenn., has proposed a measure that would introduce an 18-month period in which HHS would report to Congress on the transition to ICD-10, including whether the standard is fully operational and whether claims fulfillment is being affected. The proposal would also block rejection of claims that contain inaccurate or unspecified subcodes. The compliance date would be unchanged under the measure. Healthcare IT News (5/14)
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Texas health systems merge ACO efforts into single organization
Five Dallas-Fort Worth-based health systems combined their accountable care organization efforts to form a single ACO called Forward Health Partners. The new ACO, which will be equally governed by the five health systems, includes more than 1,300 primary care physicians, 42 hospitals and 72 outpatient facilities. (5/13)
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Face-to-face with Dr. Oz: Benefits of touting family medicine outweigh risks
AAFP Leader Voices blog
The advice patients hear on The Dr. Oz Show isn't always evidence-based, but AAFP President-elect Wanda Filer, M.D., M.B.A., saw a chance to use that stage to deliver an important message about family medicine to nearly 2 million viewers. Find out more in the latest Leader Voices Blog post.
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AAFP CareerLink - Connecting Family Physicians and Employers
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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
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