December 2014 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for December 2014. 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.

Bronchoscopic Transplant of Stem Cells Can Close Fistula

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- Bronchoscopic transplantation of bone marrow-derived mesenchymal stem cells can close a post-resectional bronchopleural fistula, according to a letter to the editor published in the Jan. 1 issue of the New England Journal of Medicine.

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

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Surgeon General Still Has Important Role to Play

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The Surgeon General has an important role in educating and mobilizing the public and shaping policy on public health issues, according to an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

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High Yield With Radiologist Recommendation for Chest CT

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- Chest computed tomography (CT) examinations recommended by a radiologist to assess abnormal chest radiographic findings have a high yield of clinically relevant findings, according to research published online Dec. 22 in Radiology.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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Heart Failure Survival Up in Obese, Overweight Patients

TUESDAY, Dec. 23, 2014 (HealthDay News) -- Obese heart-failure patients appear to live longer than people of normal weight who develop the condition, a new study suggests. The report appears in the Dec. 30 issue of the Journal of the American College of Cardiology.

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FDA Approves Rapivab to Help Treat Influenza in Adults

MONDAY, Dec. 22, 2014 (HealthDay News) -- Rapivab (peramivir) has been approved by the U.S. Food and Drug Administration to treat influenza in adults.

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Sublingual Immunotherapy Tablet Safe in Asthma Patients

MONDAY, Dec. 22, 2014 (HealthDay News) -- For individuals with asthma and allergic rhinitis with/without conjunctivitis (AR/C), treatment with a Timothy grass sublingual immunotherapy tablet (SLIT-tablet) seems safe, according to research published online Dec. 14 in Allergy.

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Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

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Patient Reminders Needed on Inhaler, Epinephrine Use

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Few people know how to use epinephrine injectors and asthma inhalers as directed, according to a new study published in the January issue of the Annals of Allergy, Asthma & Immunology.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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Hospital Staff Say 'Crisis Mode' Obstructs Communication

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Staff members who perceive a work climate of crisis mode in their hospital units say that it leads to problems in exchanging patient information, according to research published online Dec. 10 in the Journal of Hospital Medicine.

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Challenges ID'd in Development of the Physician Compare Website

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Under the Affordable Care Act (ACA), information must be made available to allow the public to compare physicians, although there are considerable challenges surrounding the development of the physician performance website, Physician Compare. These challenges are addressed in a health policy brief published online Dec. 11 in Health Affairs.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

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Public Disclosure of Antibiotic Harms Cuts Prescription Rates

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Public disclosure of the potential harms of antibiotic use is associated with a reduction in antibiotic prescription rates for upper respiratory tract infection (URTI), according to a research letter published online Dec. 15 in JAMA Internal Medicine.

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Greater Emphysema-Like Lung on CT Linked to Mortality

TUESDAY, Dec. 16, 2014 (HealthDay News) -- For individuals without airflow obstruction or chronic obstructive pulmonary disease (COPD), greater emphysema-like lung on computed tomography (CT) is associated with all-cause mortality, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

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Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

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ICU Diaries May Aid Survivors in Recovery After Discharge

MONDAY, Dec. 15, 2014 (HealthDay News) -- Patient diaries kept during a hospital stay in the intensive care unit (ICU) for a critical illness may be used as a therapeutic tool to assist survivors in recovery after discharge, according to research published online Dec. 8 in the Journal of Clinical Nursing.

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Tips Offered for Docs to Manage Their Online Reputation

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Physicians can manage their online reputation, according to a report from the American Medical Association (AMA).

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FDA: Cyramza Approval Now Includes Non-Small-Cell Lung CA

FRIDAY, Dec. 12, 2014 (HealthDay News) -- U.S. Food and Drug Administration approval of the anti-cancer drug Cyramza (ramucirumab) has been expanded to include aggressive non-small-cell lung cancer (NSCLC), the agency said Friday.

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Economics Impact Pediatric Sleep-Disordered Breathing Care

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Children newly evaluated for sleep-disordered breathing (SDB) with public insurance experience longer intervals from initial evaluation to polysomnography or adenotonsillectomy, according to a study published online Dec. 11 in JAMA Otolaryngology-Head & Neck Surgery.

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Poor Quality Sleep Tied to Higher Risk of Dementia

THURSDAY, Dec. 11, 2014 (HealthDay News) -- Older men who have breathing difficulties or spend less time in deep sleep may be at greater risk of brain changes that can precede dementia, a new study suggests. The findings were published online Dec. 10 in Neurology.

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More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

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More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Abstract - Bilimoria
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Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Higher Paid Docs Earn More Money From More Procedures

TUESDAY, Dec. 9, 2014 (HealthDay News) -- High-income doctors make more money by ordering more procedures for each patient rather than by seeing more patients, according to an analysis of 2012 Medicare data published in a research letter Dec. 8 in JAMA Internal Medicine.

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Sleep-Disordered Breathing Linked to Functional Decline

FRIDAY, Dec. 5, 2014 (HealthDay News) -- For older women, sleep-disordered breathing (SDB) is associated with functional decline, according to a study published in the November issue of the Journal of the American Geriatrics Society.

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Vitamin D Deficiency Ups Odds of Asthma Exacerbation

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Vitamin D deficiency is associated with increased odds of asthma exacerbations, according to a study published in the December issue of Allergy.

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AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

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Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

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Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

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Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

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