An AAFP Speak Out campaign urges physicians to tell US senators to set aside the American Health Care Act and work toward "real bipartisan solutions" to fix the health care system. Physicians can use the campaign to urge senators to vote against legislation that would reduce the number of people with insurance coverage, fail to protect the elderly and people with pre-existing conditions, and cut federal support for Medicaid.
CDC researchers found that the number of US counties reporting mosquitoes capable of spreading Zika and other viruses has increased: Counties with Aedes aegypti rose by 21% in 2016, compared with earlier in the year, and those with Aedes albopictus rose by 10% in 2016, compared with 2015. The findings in the Journal of Medical Entomology, based on 1995 to 2016 data, also showed that both mosquitoes were most prevalent in Southern California, Arizona, Texas, Florida and Maryland.
Patients with and without diabetes and without coronary artery disease had the same adjusted risk of myocardial infarction, cardiac death and mortality 4.1 years after undergoing coronary angiography, according to a study in Diabetes Care. Danish researchers used a cohort of 93,866 patients and found that 75.3% and 65.7% of patients with diabetes without CAD were treated with statins and aspirin, respectively, compared with 46% and 52.7% of patients without diabetes and CAD.
Children exposed to the greatest amount of food diversity in the first year of life were less likely to develop eczema and an allergy to inhaled allergens, compared with those who had the lowest exposure, according to research presented at the European Academy of Allergy and Clinical Immunology meeting. However, the researchers urged caution in interpreting the results and said interventional studies are needed.
The CMS said about 500,000 clinicians will get their fee-for-service Medicare payments cut by 2% this year because they did not meet Physician Quality Reporting System requirements in 2015. The report said half of those affected are physicians and for many the impact may be minor.
Adults living in rural areas who had uncontrolled type 2 diabetes improved their HbA1C levels, low-density lipoprotein levels and weight within the first year of participating in a telemedicine-based, interdisciplinary diabetes management program. Moreover, 67% of participants who had symptoms of depression at the beginning of the study reported improvements in their symptoms at the end of the study, researchers reported in the North Carolina Medical Journal.
GOP senators and aides said they expect the Senate to finish writing health care legislation later this week, and a vote is likely next week. Portions of the legislation have been sent to the Congressional Budget Office, and a report on how the provisions would affect insurance coverage and the federal budget could come early next week. It's unclear whether Republicans have enough votes to pass the legislation.
Community Health Care's Hilltop Regional Health Center has been able to significantly increase the number of patients it sees because of 18 family medicine medical residents who practice under the supervision of a veteran physician. The residency program, which is getting ready to graduate its first class this summer, is among a growing number of programs aimed at increasing the primary care workforce.
Attend the Child and Adolescent Health course in Myrtle Beach, S.C., Aug. 2-5. Hear from leading experts on a variety of family medicine-specific topics, including celiac disease, autism, food allergies, lipid disorders and more. Earn up to 25 AAFP Prescribed credits in four days or up to 41 credits over five days (includes participation in optional workshops). Save $100 when you register by June 28.
Atrial fibrillation is one of the most common types of arrhythmia in adults worldwide. Stay informed about primary care-relevant options and treatments available for patients. Explore updated clinical guidelines and recommendations regarding the pharmacologic management of atrial fibrillation.
Only someone who is well-prepared has the opportunity to improvise.
Ingmar Bergman, director and screenwriter
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