|ACPM Headlines 8/20/10|
In This Issue:
1. ACPM CONVENES ANOTHER SUCCESSFUL BOARD REVIEW COURSE
ACPM hosted another highly successful Preventive Medicine Board Review Course this weekin Crystal City, VA, drawing over 185 physicians to the 23rd annual event. Held August 14-18, the course featured an extensive review of the topics slated for the Preventive Medicine Board Exam this fall. Special recognition goes to Course Chair, Jill Waalen, MD, MPH, MS, FACPM, for organizing a top-notch event, and kudos to our dedicated faculty members for their critical contributions.
Based on early returns, participants gave high marks to the course, with most indicating it was an excellent tool for exam preparation. In addition to physicians preparing to take the Preventive Medicine Board Exam this fall, the course attracted significant numbers of physicians preparing to take their recertification exam, as well as physicians enjoying a refresher in preventive medicine and taking advantage of the CME and Maintenance of Certification (MOC) opportunities. Sessions at the course included Clinical Preventive Medicine, Biostatistics, Epidemiology, Heath Services Management and many more, along with intensive breakouts in the three specialty areas—Public Health/General Preventive Medicine, Aerospace Medicine, and Occupational Medicine.
Did you miss the Preventive Medicine Review Course? Are you studying for the Boards? Need CME or MOC credit? ACPM is offering the Review Course syllabus and audio recordings for sale. Enjoy a three-volume hard copy syllabus, or earn 54.75 hours of CME and MOC via the DVD-ROM, which includes all audio and conference materials from approved sessions. To place an order visit http://acpm.org/RC_syllabus.htm.
2. SENATE AMENDMENT THREATENS PUBLIC HEALTH AND PREVENTION FUND
Among the first items of business for the Senate when it returns from its summer recess in September is the consideration of the Small Business Jobs and Credit Act (H.R. 5297), including an amendment from Sen. Mike Johanns (R-NE) that would threaten to nearly eliminate the $15 billion Prevention and Public Health Trust Fund created by the Affordable Care Act. Sen. Johanns’ amendment (No. 4531) would repeal a provision of the health reform law designed to raise revenue by reducing noncompliance with the nation’s tax laws, including the 1099 reporting requirements for corporations, and use the public health trust fund as an offset for the lost revenues.
ACPM and hundreds of other organizations in the public health community are staunchly opposing the amendment, as it would undo the largest single commitment by Congress in decades to public health programs. Funding through the Prevention and Public HealthTrust Fund would be strategically used to support disease prevention by promoting access to vaccines, building the public health workforce, and investing in community-based prevention. In a letter to the Senate signed by more than 100 organizations, including ACPM, the signees state "The Fund is a unique opportunity to truly bend the cost curve on health care spending…We must ensure that we capitalize on the unprecedented opportunity to transform our public health system by investing in prevention and public health.”
ACPM will be encouraging its members to speak out against this amendment, so stay tuned for an action alert coming your way next week. To read the letter signed by ACPM and other organizations, visit http://healthyamericans.org/assets/files/Johanns%20Sign%20On.pdf.
3. ACPM PERSPECTIVES IN PREVENTION: REVIEW OF FOODBORNE ILLNESS PRIMER
Can you recognize foodborne illness? Do you know what should be reported and to whom? The latestACPM Perspectives in Preventioncolumn, titled "Foodborne Illness Primer for Physicians and Other Healthcare Professionals: A Review,” was published this month on Medscape/WebMD to answer these and many other questions about foodborne illness.
Written by ACPM Fellow, Olugbenga Obasanjo, MD, MPH, PhD, the review provides recommendations and elucidates the role for physicians and other health care professionals in identifying and controlling potential foodborne outbreaks. The column will be available for CME credit in the coming weeks. To read the full article and access archived articles, please visit http://www.acpm.org/perspectives.htm.
TheAmerican Journal of Preventive Medicinehas launched a revamped website at www.ajpm-online.net. The redesigned site contains new modules that feature content directly on the homepage and prominently displays the video and audio programs. Additional improvements include:
Review the new pages today at www.ajpm-online.net.
5. TASK FORCE RELEASES STATEMENT FOR PUBLIC COMMENT: GONOCOCCAL OPHTHALMIA NEONATORUM
The U.S. Preventive Services Task Force (USPSTF) has released for public comment a draft recommendation statement on prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum. This draft recommendation is a reaffirmation of the USPSTF 2005 recommendation in support of prophylactic ocular topical medication for all newborns.
Gonococcal ophthalmia neonatorum develops in approximately 28% of infants born to women with gonorrheal disease in the United States. Identifying and treating the infection is important because gonococcal ophthalmia neonatorum can result in corneal scarring, ocular perforation, and blindness.
Releasing draft recommendation statements to the public for input prior to final release is a new step being taken by the Task Force to ensure a more transparent process and recommendations that are clearer and more useful to target audiences. To provide comments on this recommendation statement, visit http://www.uspreventiveservicestaskforce.org/tfcomment.htm. The opportunity to comment on this draft recommendations statement is available until September 13, 2010.
6. NEW GUIDE HELPS IN TREATING BIPOLAR DISORDER IN CHILDREN AND ADOLESCENTS
A new guide from the American Academy of Child and Adolescent Psychiatry (AACAP) provides reliable information to parents whose children have been diagnosed with bipolar disorder about medications used to treat the illness in children and adolescents.
Research and Reports
7. EVEN MODEST ABDOMINAL WEIGHT GAIN INCREASES ENDOTHELIAL DYSFUNCTION
Researchers at The Mayo Clinic in Rochester, MN, found a significant increase in endothelial cell dysfunction among normal-weight healthy volunteers who gained weight (approximately 4 kg) in a short period of time as part of the study. These findings suggest a correlation between modest visceral weight gain and increased risk of early atherosclerosis.
Study participants were randomized to be in either a "fat gainer” or "weight maintainer” group. The former group received 1,000 kcal/day for 8 weeks in addition to weight maintenance requirements. After weight gain, the subjects were placed on diets to return to their basal weights. Exercise treadmill testing was conducted during the study to assess changes in physical fitness. Measurements in body composition were assessed by computed tomography and DEXA, respectively, at baseline, after weight gain and after weight loss. Endothelial function, a marker of early atherosclerosis, was assessed using brachial artery flow-mediated dilation (FMD) measured by high-resolution ultrasound and various blood samples.
After an average weight gain of 4.1 kg by "fat gainers” (of which 80% was fat), all measures of body fat increased significantly and FMD decreased significantly (p = 0.003). A significant, negative correlation was also found between total fat gain in the abdominal area and percent changes in FMD, suggesting that the more visceral fat gained, the worse the endothelial dysfunction. Anthropomorphic and body composition measures, as well as FMD, recovered to baseline after the prescribed period of weight loss. No significant changes in FMD, anthropomorphic measures and body composition occurred among "weight maintainers.”
For more information, please visit:http://content.onlinejacc.org/cgi/content/short/56/8/662
8. HEARING LOSS IN US ADOLESCENTS BECOMING MORE PREVALENT
According to a study published in this week’s JAMA, the prevalence of slight to mild hearing loss among US adolescents is on the rise. The Harvard-affiliated researchers, comparing the most recent National Health and Nutrition Examination Survey (NHANES) data from 2005-2006 to NHANES III data from 1988-1994, cited a 31% increased prevalence in hearing loss among study subjects.
The increase in hearing loss prevalence was observed in all, high-frequency, unilateral, and bilateralhearing loss of slight or mild or greater intensity. It was not observed with low-frequency hearing loss. The prevalence ofmild or worse hearing loss (defined by a decrease in hearing by 25 decibels or more) was significantly higher in NHANES 2005-2006 than in the 1988-1994 survey, representinga 77% increase in prevalence.
These findings were unexpected given numerous public health measures to reduce hearing loss among children and adolescents, including vaccination againstHaemophilus influenzaeandStreptococcuspneumoniaeas well as greater awareness of music-induced hearingloss. Although it is unclear as to the etiology of these findings, a possible connection between loud personal music systems and hearing loss cannot be ruled out. The implications of the study are important for the fields of education, public health and child development.
To learn more, please visit :http://jama.ama-assn.org/cgi/content/short/304/7/772
9. USPSTF SEEKING TOPIC NOMINATIONS
The Agency for Healthcare Research and Quality (AHRQ) invites individuals and organizations to nominate primary and secondary prevention topics pertaining to clinical preventive services that they would like the United States Preventive Services Task Force (USPSTF) to consider for review. For complete information and directions, please review the Federal Registry Notice http://edocket.access.gpo.gov/2010/pdf/2010-19117.pdf
All topics previously reviewed by the USPSTF are available at AHRQ’s website http://www.uspreventiveservicestaskforce.org/.
The Agency for Healthcare Research and Quality (AHRQ) has launched a new Healthy Men Web websitefeaturing key information for men on the importance of preventive health for themselves and their friends and family. This information includes U.S. Preventive Services Task Force-recommended tests, tips on talking to doctors, a 10-question preventive health quiz for men, and a "Get Dad to the Doc” Web page for sending a health e-card to fathers or other men to remind them to get a preventive medical test. The Web site also includes 15- and 30-second videos developed from a new nationwide public service campaign by AHRQ and the Advertising Council.
Data shows that men are 24 percent less likely than women to visit a doctor at least once a year and 30 percent more likely to be hospitalized for potentially preventable conditions such as congestive heart failure and complications from diabetes.
For more information, visit:http://www.ahrq.gov/healthymen/
11. ON YOUR BEHALF – RONIT KATZ
Thank you to ACPM Fellow Ronit Katz, MD, MPH, for reviewing ACOEM’s practice statement on Cervical and Thoracic Spine Disorders on behalf of ACPM.