February 2017 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for February 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Biomarker in Nasal Passages May ID Lung Cancer in Smokers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- DNA-based biomarkers in the nasal passages may be able to reveal whether a lung lesion is cancerous or not, according to a study published online Feb. 27 in the Journal of the National Cancer Institute.

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Doctors Need to Discuss Herbal Medication Use With CVD Patients

TUESDAY, Feb. 28, 2017 (HealthDay News) -- While there's little evidence that herbal medications are safe or effective to treat cardiovascular conditions, they remain popular among patients with cardiovascular disease, according to a review published in the March 7 issue of the Journal of the American College of Cardiology.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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Inhaled Corticosteroids Not Linked to Pneumonia in Children

MONDAY, Feb. 27, 2017 (HealthDay News) -- Inhaled corticosteroids (ICS) do not appear to be associated with the risk of pneumonia in children with asthma, according to a review published online Feb. 24 in Pediatrics.

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Adherence to Clinical Decision Support Ups Odds of Acute PE ID

MONDAY, Feb. 27, 2017 (HealthDay News) -- For patients with suspected pulmonary embolism (PE) in the emergency department, adherence to evidence-based clinical decision support (CDS) for ordering computed tomographic (CT) pulmonary angiography is associated with increased odds of an acute PE finding, according to research published in the March issue of Radiology.

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Early Use of Two Asthma Meds Could Prevent Lethal Pneumonia

MONDAY, Feb. 27, 2017 (HealthDay News) -- Two medications used to treat asthma and allergies may help prevent a particularly dangerous form of pneumonia caused by influenza A virus (IAV) infection, according to a study published online recently in PLOS Pathogens.

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$20 Million Awarded for Quality Payment Program Training

FRIDAY, Feb. 24, 2017 (HealthDay News) -- About $20 million has been awarded to 11 organizations for the first of a five-year program to provide training and education about the Quality Payment Program for clinicians in individual or small group practices, with up to $80 million to be invested over the remaining four years, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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Fruit, Vegetable Consumption Linked to Lower Risk of COPD

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Eating lots of fruits and vegetables may help current and former smokers avoid chronic obstructive pulmonary disease (COPD), according to a study published online Feb. 22 in Thorax.

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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MRI Can Be Safe for Patients With Older Pacemakers, ICDs

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Patients with cardiovascular implantable electronic devices not designed to be magnetic resonance imaging (MRI)-compatible can safely receive MRI, when a specific protocol is followed, according to a study published in the Feb. 23 issue of the New England Journal of Medicine.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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Readmission Common After Hospitalization for Heart Failure

TUESDAY, Feb. 21, 2017 (HealthDay News) -- For patients with hospitalization for heart failure, readmission within 30 days is common, according to a study published in the March 1 issue of The American Journal of Cardiology.

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ICU Appears Overused for Some Patients With Heart, Lung Disease

MONDAY, Feb. 20, 2017 (HealthDay News) -- Admission to the intensive care unit (ICU) is not associated with a survival benefit for patients with uncertain ICU needs hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD), exacerbation of heart failure, or acute myocardial infarction (AMI), according to a study published online Feb. 17 in the Annals of the American Thoracic Society.

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Doctors Often Write Rx for Antibiotics If Patients Expect It

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Doctors are more likely to prescribe antibiotics if they think patients expect the medications, according to a study published online Feb. 16 in Health Psychology.

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Vitamin D May Help Reduce Risk of Acute Respiratory Infection

THURSDAY, Feb. 16, 2017 (HealthDay News) -- There's preliminary evidence that adequate amounts of vitamin D might help lower rates of acute respiratory infections, according to a review published online Feb. 15 in The BMJ.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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PR Interval Prognostic of Cardiac Resynchronization Tx Outcome

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with advanced systolic heart failure, the impact of cardiac resynchronization therapy with defibrillation (CRT-D) varies according to PR interval, according to research published in the February issue of the Journal of Cardiovascular Electrophysiology.

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AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Cardiovascular disease (CVD) is increasing in the United States, with costs expected to double from $555 billion in 2016 to $1.1 trillion in 2035, a new American Heart Association report estimates.

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Peroxide Ingestion As 'Cleansing Agent' Can Be Fatal

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Ingesting high-concentration hydrogen peroxide as a "natural cure" or cleansing agent is a dangerous practice that is associated with a high incidence of embolic events, according to a study published recently in Annals of Emergency Medicine.

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Acupressure Ups Sleep Quality in Nursing Home Residents

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For nursing home (NH) residents, acupressure on specific acupoints is associated with improved sleep quality and well-being, according to a study published online Feb. 2 in the Journal of the American Geriatrics Society.

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Adherence to Bronchiolitis Guidelines Cuts LOS, Costs

THURSDAY, Feb. 9, 2017 (HealthDay News) -- Adherence to bronchiolitis clinical pathway recommendations is associated with reduced length of stay (LOS) and costs, according to a study published online Feb. 9 in Pediatrics.

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Infection Risk Lower for Etanercept Vs Monoclonal Ab Rx

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For patients with rheumatoid arthritis, etanercept is associated with lower risk for general infections and tuberculosis compared with monoclonal antibody treatment, according to a meta-analysis published online Feb. 3 in the International Journal of Rheumatic Diseases.

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E-Cigarette Liquids Found to Contain Toxic Metals

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Electronic cigarette liquids can contain high levels of toxic and potentially carcinogenic metals, according to research published in the January issue of Environmental Research.

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Nighttime Intensivist Staffing Not Linked to ICU Mortality

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Nighttime intensivist staffing is not associated with reduced intensive care unit (ICU) patient mortality, according to a review and meta-analysis published in the Feb. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Fewer Toxic Chemicals Seen for E-Cigarette Use Versus Tobacco

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Smokers who switch to electronic cigarettes can substantially reduce their intake of toxic chemicals and carcinogens -- but only if they completely quit smoking tobacco, according to a study published online Feb. 7 in the Annals of Internal Medicine.

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Many Obese Patients Not Getting Optimal Hospice Care

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Obese patients are less likely to spend their last days in hospice care and less likely to die at home, according to a study published online Feb. 7 in the Annals of Internal Medicine.

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Hospitalizations for Atrial Fibrillation on the Rise

MONDAY, Feb. 6, 2017 (HealthDay News) -- U.S. patients with atrial fibrillation (AF) are being hospitalized more often than before, according to a study published online Feb. 1 in Circulation.

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'Dripping' Becoming Popular With Teen E-Cigarette Users

MONDAY, Feb. 6, 2017 (HealthDay News) -- One-quarter of U.S. teen electronic cigarette users have experimented with "dripping" -- a new vaping method that produces thicker clouds of vapor, according to a study published online Feb. 6 in Pediatrics.

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Mortality Down for U.S. Patients Treated by International Doctors

MONDAY, Feb. 6, 2017 (HealthDay News) -- Mortality rates are lower for older Americans treated by doctors trained in other countries than by those who went to a U.S. medical school, according to research published online Feb. 3 in The BMJ.

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10,000 Medicare Patients/Year Die in 7 Days After ER Discharge

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Each year, about 10,000 generally healthy U.S. Medicare patients die within seven days of discharge from a hospital emergency department, according to research published online Feb. 1 in The BMJ.

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Lung Cancer Screening Rates Low Among Current, Former Smokers

FRIDAY, Feb. 3, 2017 (HealthDay News) -- Most current and former smokers in the United States don't get screened for lung cancer even though they're at increased risk for the disease, according to a research letter published online Feb. 2 in JAMA Oncology.

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One in Five Undergoing Telemetry for Noncardiac Indications

FRIDAY, Feb. 3, 2017 (HealthDay News) -- More than 20 percent of patients undergoing telemetry have noncardiac indications, according to a study published online Jan. 27 in the Journal of Evaluation in Clinical Practice.

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Insomnia Associated With Higher Risk of Developing Asthma

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Insomnia may increase the risk of asthma in adults, according to research published online Feb. 1 in the European Respiratory Journal.

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Centrifugal-Flow Left Ventricular Assist Device Noninferior

THURSDAY, Feb. 2, 2017 (HealthDay News) -- For patients with advanced heart failure, a newer-design centrifugal-flow left ventricular assist device (LVAD) is noninferior to an axial-flow LVAD, according to a study published in the Feb. 2 issue of the New England Journal of Medicine.

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Recommendations Updated for Diagnosis, Management of COPD

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Recommendations have been updated for diagnosis, management, and prevention of chronic obstructive pulmonary disease (COPD), according to the Global Initiative for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease (GOLD) report published online Jan. 27 in the American Journal of Respiratory and Critical Care Medicine.

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E-Cigarettes Found to Have Adverse Effect on Heart Health

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- People who use electronic cigarettes regularly may face an increased risk for cardiovascular disease, according to a study published online Feb. 1 in JAMA Cardiology.

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