CDC: Smoking, tobacco use prevalent among U.S. teens | Higher risk of preterm birth seen in women with RA | Study links aspirin use to less liver fibrosis
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November 14, 2014
Family Medicine SmartBrief

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CDC: Smoking, tobacco use prevalent among U.S. teens
CDC researchers found that nearly 23% of U.S. teens use tobacco products. Of that group, more than 90% smoke cigarettes, cigars, hookahs or pipes. Data also showed more than 12% currently use two or more tobacco products. The findings highlight the importance of establishing stronger tobacco regulations, experts said. The report was published in Morbidity and Mortality Weekly Report. HealthDay News (11/13)
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Clinical News
Higher risk of preterm birth seen in women with RA
Children born to mothers with either maternal or preclinical rheumatoid arthritis exhibited lower birth weight and were more likely to be delivered prematurely than those whose mothers did not have the condition, according to a study in Arthritis & Rheumatology. Medical News Today (11/13)
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Study links aspirin use to less liver fibrosis
A study of more than 14,000 adults at risk for liver disease showed "a consistent association between aspirin use and less liver fibrosis," researchers from Beth Israel Deaconess Medical Center reported at a meeting of the American Association for the Study of Liver Diseases. The data suggested aspirin may also have a bigger protective effect for patients with chronic liver disease. No consistent correlation was found between liver fibrosis and ibuprofen use. Medscape (free registration) (11/10)
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Diabetes linked to odds of kidney cancer death
A data review of 1,964 patients with clear-cell renal cell carcinoma found that diabetes was tied to a 55% increased risk of cancer-specific mortality and a 32% higher risk of all-cause mortality. The findings were published in The Journal of Urology. Renal and Urology News (11/12)
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Study supports use of antibiotics for skin disease
Study data showed many hidradenitis suppurativa skin disease cultures showed bacterial species that could lead to abscesses and severe infections, French researchers reported in the journal Emerging Infectious Diseases. The researchers said the data do not show a causal association but do support the use of antibiotic therapy. Medscape (free registration) (11/14)
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Pediatric constipation may be linked to parenting style
Parents' attitudes and child-rearing strategies may perpetuate chronic constipation in children, according to a study published in the Archives of Disease in Childhood. Psychologist Marieke van Dijk at Emma Children's Hospital in Amsterdam said physicians should talk with parents about how they may be contributing to their child's constipation problems. Another study published in the Journal of Pediatrics found that fussy eating habits in 4-year-olds were associated with functional constipation. Reuters (11/12)
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Health Policy & Legislation
Committee requests addition of social, behavioral health determinants in EHRs
An Institute of Medicine committee recommended that the Office of the National Coordinator for Health IT add 12 behavioral and social health determinants to the agency's EHR meaningful use requirements. Among suggested inclusions were financial strain, physical activity and social connections/social isolation. AHA News Now (11/13)
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Professional Issues & Trends
Study: Value-based payment boosts hospital care for minorities
Hospitals working under a value-based reimbursement model improved care quality and lowered mortality for minority patients better than those operating under a fee-for-service model, a study published in the American Journal of Managed Care found. Researchers compared outcomes from hospitals participating in the CMS Premier Hospital Quality Incentive Demonstration with outcomes from nonparticipating hospitals and found Premier hospitals better decreased care disparities between black and white patients. Health IT Analytics (11/10)
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Many physicians anticipate selling their practices
Data from the 2015 Independent Physician Outlook & Sentiment Survey revealed 44% of independent physicians anticipate selling their practices in the next 10 years. Physicians cited increasing costs and reimbursement pressure as the top reasons for selling their practices. (11/13)
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Featured Press Releases
Inside the AAFP
Home grown: South Carolina schools work to address primary care shortage
Fresh Perspectives
Faced with a shortage of primary care health professionals, two medical schools, a nursing school and a physician assistant training program in South Carolina are working together to expand the state's primary care pipeline. Meshia Waleh, M.D., has more in the latest Fresh Perspectives blog post.
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Family Medicine PhysicianSiouxland Community Health CenterSioux City, Iowa
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Out Patient Primary Care Job Hospital Owned Multi SpecialtyHCAPort St. Lucie, Florida
Established Group Seeks Family Medicine Physician PartnerHCANashville, Tennessee
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Family Physician Needed to Join Busy Practice!HCALafayette, Tennessee
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East Atlanta Family Medicine Opportunity!HCAAtlanta, Georgia
Outpatient Adult Family Medicine in Hendersonville, TNHCAHendersonville, Tennessee
Part-time Primary Care Physician Sought for community of Westmoreland just 25 miles NE of Nashville,HCAWestmoreland, Tennessee
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In helping others, we shall help ourselves, for whatever good we give out completes the circle and comes back to us."
-- Flora Edwards,
American author
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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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