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January 29, 2013
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  Top Story 
  • Updated CDC vaccine schedule combines child, adolescent recommendations
    Updated CDC guidelines developed in conjunction with the AAFP and other medical groups combine child and adolescent vaccination schedules and recommend pregnant teens and adults get a booster dose of the tetanus, diphtheria and acellular pertussis vaccine during each pregnancy. Jamie Loehr, M.D., the Academy's liaison to the CDC Advisory Committee on Immunization Practices, said the catch-up vaccination schedule will continue to be separate and recommendations now call for infants ages 6 months to 11 months to get the measles, mumps and rubella vaccine if they are traveling anywhere outside the U.S. AAFP News Now (1/28) , HealthDay News (1/28) , Reuters (1/28) LinkedInFacebookTwitterEmail this Story
  Clinical News 
  • Few migraine medications for adults are effective in children
    Data from 21 trials of migraine drugs for adults showed that only topiramate and trazodone significantly reduced the frequency of headaches among children and teens who experience regular migraines. Placebos alone yielded good outcomes in children, effectively reducing headaches per month from between five to six to just three, researchers reported in the journal JAMA Pediatrics. Reuters (1/28) LinkedInFacebookTwitterEmail this Story
  • Physicians miss some pneumonia cases without X-ray, study says
    Physicians who did not use an X-ray correctly diagnosed only 29% of patients with pneumonia, Dutch researchers reported in the European Respiratory Journal. One expert commented that differences may exist between how doctors in Europe and the U.S. diagnose pneumonia. Tufts Medical Center staff physician Joseph Rencic said that many of the cases probably were benign and that giving every patient an X-ray for a pneumonia diagnosis would be an "overwhelming cost to society." Reuters (1/28) LinkedInFacebookTwitterEmail this Story
  • Other News
  Practice Management 
  • Ill. system uses EHR to help control hypertension
    An EHR system deployed in 2011 has helped NorthShore University Health System improve its efforts to help screen for hypertension across its outpatient population. The Evanston, Ill.-based health system, which won first place in this year's Healthcare Informatics Innovator Awards, used the system to identify undiagnosed hypertension in patients in its multispecialty medical network. Healthcare Informatics online (1/28) LinkedInFacebookTwitterEmail this Story
  Health Policy & Legislation 
  • Report calls for U.S. to move toward preventive health model
    The nonprofit Trust for America's Health proposed shifting U.S. health care from a sick-care model to a prevention format, and while executive director Jeffrey Levi called it the humanitarian thing to do, economists disagreed with the group's assessment that it would reduce costs. Although many preventive services have been proven effective, data show some preventive services may not improve an individual's health, and health policy expert Peter Neumann of Tufts University School of Medicine said that "prevention itself costs money, and some preventive measures can be very expensive, especially if you give them to a lot of people who won't benefit." Reuters (1/29) LinkedInFacebookTwitterEmail this Story
  • Agency unveils new "Closing the Quality Gap" series
    The Agency for Healthcare Research and Quality is releasing a new series of reports on quality. The eight-report series is a follow-up to "Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies," and it addresses the effectiveness of patient-centered medical homes, medication adherence programs, bundled payments and more. (1/28) LinkedInFacebookTwitterEmail this Story
  Professional Issues & Trends 
  • Nearly half of hospital-based physicians are overworked, study finds
    Four in 10 U.S. hospital-based physicians reported being overworked, while 1 in 5 said patient safety may be hurt by schedule issues, according to a study in the Journal of the American Medical Association. Researchers found 20% of responding doctors said catering to too many patients may increase the risk of medical errors, unnecessary lab tests or delayed diagnoses, and 36% said such problems happen more than once a week. U.S. News & World Report/HealthDay News (1/28) LinkedInFacebookTwitterEmail this Story
  Inside the AAFP 
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I attribute my success to this: I never gave or took any excuse."
--Florence Nightingale,
British social reformer, nurse and statistician

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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 AAFP 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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