Experts: Use blood fat metabolites in diabetes diagnosis | Low lipid testing rates seen in youths before 2011 guidelines | Study: Aerobic exercise improves children's attention, mood
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September 9, 2014
Family Medicine SmartBrief

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Experts: Use blood fat metabolites in diabetes diagnosis
Research showed changes in several groups of fat metabolites occur long before abnormalities in blood glucose levels set in and may be a good predictor of type 2 diabetes. Using the distribution of blood fat metabolites in disease diagnosis could improve blood vessel health, the U.K. researchers wrote in PLOS ONE. (U.K.) (9/4)
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Clinical News
Low lipid testing rates seen in youths before 2011 guidelines
An analysis of data on more than 300,000 3- to 19-year-olds found that 9.8% of them overall underwent lipid testing between 2007 and 2010, prior to the release of the 2011 lipid screening guidelines. Obese children and 17- to 19-year-olds were more likely to be screened than youths in other weight and age groups. The findings appear in the journal Circulation: Cardiovascular Quality and Outcomes. News (9/8)
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Study: Aerobic exercise improves children's attention, mood
Among children at risk for attention-deficit/hyperactivity disorder, aerobic exercises before the beginning of the school day led to greater improvements in attention and mood than sedentary classroom activities, U.S. researchers found. Aerobic physical activity also benefited typically developing children, according to the study in the Journal of Abnormal Child Psychology. The Wall Street Journal (tiered subscription model) (9/8)
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Practice Management
CMS to host call on avoiding pay cuts under quality programs
The CMS will conduct a call to inform eligible health care professionals and group practices of ways to avoid negative payment adjustments under the 2016 Physician Quality Reporting System, meet EHR Incentive Program quality measures and prevent pay cuts under the 2016 Value-Based Modifier program. The event will be held Sept. 17. Health Industry Washington Watch blog (9/5)
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Many patients express openness to telehealth services
A study in Telemedicine and e-Health revealed 38% of responding patients said they were "very likely" to agree to participate in a video conference with their physician, while 28.1% said they were "somewhat likely" to do so. Researchers found age, distance to the clinic and comfort with the technology played a role in whether patients were open to telehealth use. Clinical Innovation + Technology online (9/8)
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Health Policy & Legislation
McDonald: Hiring thousands of new VA clinicians will be difficult
Department of Veterans Affairs Secretary Robert McDonald said on Monday that it will be difficult to find and hire the tens of thousands of physicians and other health care professionals needed to reduce VA wait times and improve care. He also said the VA would simplify the department's hierarchical structure, continue removing benchmarks that unintentionally affected data on waiting times and embrace a culture that welcomes constructive dissent. The New York Times (tiered subscription model) (9/9)
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CMS says it will resume release of hospital-acquired conditions data
The CMS said it will again publicly release data on eight hospital-acquired conditions that were removed last summer from the Hospital Compare website but kept available for researchers and safety experts until last month. USA Today (9/7)
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Professional Issues & Trends
U.S. hospitalist employment increases, report finds
Data from the Society of Hospital Medicine's 2014 State of Hospital Medicine Report showed 65.5% of responding hospital medicine groups employed physician assistants and nurse practitioners, an increase from 53.9% in 2012. Researchers also noted an increase in hiring family medicine physicians, with almost 60% of hospital medicine groups with adult patients reporting they have at least one family physician, a 14.7% increase from 2012. (9/8)
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Inside the AAFP
View free AAFP webcast on type 2 diabetes
AAFP diabetes webcast
Boost your knowledge to more effectively screen for prediabetes and treat type 2 diabetes. Watch the free AAFP webcast "Type 2 Diabetes: Diagnosis, Treatment and the PCMH Model," available exclusively for AAFP members. In just one hour, enhance your patient care and earn 1 AAFP Prescribed credit. Earn 2 additional AAFP Prescribed credits when you complete the Translation to Practice process. This CME activity is funded through an educational grant to the AAFP from Novo Nordisk.
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I must govern the clock -- not be governed by it."
-- Golda Meir,
former Israeli prime minister
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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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