Obesity affects 300M children, 1.3B adults worldwide | Study finds benefit to taking preventive aspirin at night | Read the AAFP's clinical preventive service recommendation on cardiovascular disease and use of aspirin.
February 20, 2015
Family Medicine SmartBrief

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Obesity affects 300M children, 1.3B adults worldwide
Research published in The Lancet showed 300 million children and 1.3 billion adults worldwide were either overweight or obese. Data also revealed a link between excess weight and stunted growth in children around the world. News.com.au (Australia) (2/19)
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Get Your Free ICD-10 Small Practice Guide
ICD-10 is a big change. For a small, independent practice, planning is crucial, as it will impact many areas of your practice and touch every employee. Advanced preparation is the key. This eBook provides tools and information to help transition your practice effectively. Download the guide.

Clinical NewsAdvertisement
Study finds benefit to taking preventive aspirin at night
Morning platelet reactivity scores associated with preventive aspirin are lower when patients take the medication at night to reduce risks of a second stroke and heart disease, compared with a morning dose, according to a study from the Netherlands. Researchers did not find a difference in 24-hour ambulatory blood pressure rates between patients who took the aspirin in the morning or evening. The findings were published in Hypertension. MedPage Today (free registration) (2/19)
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Drug shows efficacy in addressing infantile hemangioma
Data on 460 infants with infantile hemangioma showed 88% of those treated with propranolol exhibited improvements at five weeks, compared with 5% of those on placebo treatment. Sixty percent of patients in the treatment group had their birthmarks almost or completely disappear, compared with only 4% in the placebo cohort. The results appear in the New England Journal of Medicine. PhysiciansBriefing.com/HealthDay News (2/19)
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Nutrition committee urges Americans to cut back on sugar
The Dietary Guidelines Advisory Committee on Thursday eased some restrictions on cholesterol and fat intake, stating that Americans should focus more on eating patterns rather than individual nutrients. The panel also stressed that Americans are consuming too much added sugar and recommended a daily intake of roughly 12 teaspoons. The New York Times (tiered subscription model)/Well blog (2/19)
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Making the Most of Meaningful Use: Why Choosing the Right EHR Matters
Healthcare professionals understand how EHRs can increase patient engagement and the quality of care. What's not clear is how to choose the right EHR vendor or how to transition to a new EHR smoothly and within government guidelines. This guide provides an overview of Meaningful Use, highlights the requirements for 2015, and provides tips for selecting the right EHR to avoid penalties and position your practice for continued success in the future. Read now.

Practice Management
ONC releases e-prescribing resource for clinicians
The Office of the National Coordinator for Health IT has released a guide for health care professionals on how to successfully use electronic prescribing. The document outlines the steps involved with e-prescribing and resources to help streamline the process. BeckersHospitalReview.com (2/19), Clinical Innovation + Technology online (2/19)
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Survey finds room for improvement in drug adherence counseling
A survey by HealthPrize Technologies revealed that while 96% of physicians perceived drug adherence as highly important, only 48% routinely counseled patients when giving new prescriptions and only 58% did so during follow-up visits. Benefits that will occur too far in the future, seeing medications as a low priority and forgetting to take medications were the most common reasons why patients did not take, fill or refill prescriptions, the survey found. BeckersHospitalReview.com (2/18)
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How Much Do You Really Need to Make? The Answer May Shock You
Rather than focus on what you can afford to pull out of the business to cover your living expenses, you need to focus on how much you need to earn at your business in order to afford the lifestyle you want to have. This is where the Personal Earnings Goal, or PEG, comes into play. Learn how to calculate your PEG and find out how much you really need to make.

Health Policy & LegislationAdvertisement
ACA enrollment raises the stakes in Supreme Court case
About 8.6 million people in 37 states used HealthCare.gov to enroll in or renew a 2015 health insurance plan, and the majority of them would lose their premium subsidies if the Supreme Court rules that tax credits are available only through state-run exchanges. More than 85% of HealthCare.gov users qualified for a tax credit, HHS Secretary Sylvia Mathews Burwell said. The New York Times (tiered subscription model) (2/19)
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Jarow appointed acting director of FDA's Office of Medical Policy
Janet Woodcock, director of the FDA's Center for Drug Evaluation and Research, appointed Jonathan Jarow to serve as acting director of the Office of Medical Policy, which handles the development of the FDA's drug policies. Jarow has been with the agency since 2010, and he recently served as the associate director of the Office of Hematology and Oncology Products. Regulatory Focus (2/18)
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Building Workplace Trust 2015
Interaction Associates' 6th annual research study tracking trust on the job, Building Workplace Trust, is out, and more than half of employees surveyed give their organizations low marks for trust and leadership. Yet this year's findings again point to how high trust leads to better outcomes and financial results — and even boosts innovation.

Professional Issues & TrendsAdvertisement
Physicians, medical centers take multidisciplinary approach to childhood obesity
U.S. medical centers and primary care practices are expanding efforts to treat childhood obesity, using multidisciplinary teams to provide treatment and help with diet and exercise. "Teenagers are not kids. They're not adults. They're something in the middle and that's the value of having a multidisciplinary program with people who specialize in taking care of teenagers," said Carroll Harmon, a pediatric bariatric surgeon at Women & Children's Hospital of Buffalo, N.Y. Time Warner Cable News (2/19)
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The IDC Market Spotlight on Network Automation and Agility
The arrival of virtualization, cloud computing, and mobility has strained data center networks—and IT staff—like never before. This Market Spotlight explains how data center network fabrics provide a foundation for automated provisioning, configuration, and management of network-based services in a new era of IT agility. Download now.

Editor's Note
Thomas Wolfe had it wrong: You can go home again
Future of family medicine
Patients need a family physician they know and trust. In the latest Leader Voices Blog post, AAFP Speaker John Meigs, M.D., says he can offer that because after completing medical school in Mobile, Ala., and residency in Selma, he returned to his tiny hometown of Brent, where he's now practiced for more than 30 years.
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Who's Hiring?
Position TitleCompany NameLocation
Practice 100 % Outpatient Family Medicine just outside Vibrant Saratoga Springs, in Schuylerville, NSaratoga HospitalSchuylerville, NY, Saratoga Springs
Family MedicineCentral Vermont Medical CenterBarre, Vermont
Generous Pension and Loan Repayment - California - Clinical Teaching GeriatricsCejka Search for San Joaquin General HospitalCalifornia
Outpatient Family Medicine in Austin, TX SuburbsSeton Family of DoctorsAustin, Texas
Fantastic Family Medicine Opportunities in Northern CASutter Health Sacramento Sierra RegionMultiple Locations
Medical DirectorCommunity Health Centers of Pinellas, Inc.St. Petersburg, Florida
Primary Care PHYSICIANWindsor Medical ClinicTampa, Florida
Occupational Medicine PhysicianLehigh Valley Health Networkallentown, Pennsylvania
FM With Adult Focus for Employed Outpatient GroupHCABowling Green, Kentucky
Family MedicineCental Vermont Medical CenterNorthfield, Vermont
Instructor / Assistant / Associate Professor of Clinical Family MedicineUniversity of Illinois at RockfordRockford, Illinois
Click here to view more job listings.
Your present circumstances don't determine where you can go; they merely determine where you start."
-- Nido Qubein,
businessman and motivational speaker
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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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