July 2015 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for July 2015. 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.

AMA Wants Doctor Input on EHRs, Meaningful Use

FRIDAY, July 31, 2015 (HealthDay News) -- The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.

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Accuracy, Timing of Pre-Op Lung CA Evaluation Can Be Improved

FRIDAY, July 31, 2015 (HealthDay News) -- For suspected lung cancer patients, the thoroughness, accuracy, and timeliness of preoperative evaluation could be improved, according to research published online July 30 in the Annals of Thoracic Surgery.

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U.S. Health Spending Projected to Rise 5.8 Percent By 2024

FRIDAY, July 31, 2015 (HealthDay News) -- From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.

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Telomere Length May Help Predict Lung Cancer Risk

THURSDAY, July 30, 2015 (HealthDay News) -- Individuals with long telomeres are at increased risk for lung adenocarcinoma but not other types of cancer, according to a study published online July 2 in Human Molecular Genetics.

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Outcomes Equal for Continuous, Intermittent β-Lactams in Sepsis

WEDNESDAY, July 29, 2015 (HealthDay News) -- Continuous and intermittent administration of β-lactam antibiotics are similarly efficacious for patients with severe sepsis, according to a study published online July 22 in the American Journal of Respiratory and Critical Care Medicine.

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RAPID Score Validated for Prognosis of Pleural Infections

WEDNESDAY, July 29, 2015 (HealthDay News) -- The recently developed RAPID score, which identifies the risk of mortality in patients with pleural infections based on five clinical factors, has been validated in a diverse patient cohort. The findings have been published online July 20 in the Annals of the American Thoracic Society.

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Routine Dyspnea Severity Assessment Could Aid Care

WEDNESDAY, July 29, 2015 (HealthDay News) -- The majority of hospitalists believe that routinely assessing dyspnea severity would enhance their clinical decision making and positively affect patient care, according to a study published online July 20 in the Journal of Hospital Medicine.

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2015 MOC Program Expected to Cost $5.7 Billion Over 10 Years

WEDNESDAY, July 29, 2015 (HealthDay News) -- The 2015 version of the American Board of Internal Medicine (ABIM) maintenance-of-certification (MOC) program is expected to generate considerable costs, mainly due to physician time costs, according to research published online July 28 in the Annals of Internal Medicine.

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Patients Report Improved Care Access, Better Health With ACA

TUESDAY, July 28, 2015 (HealthDay News) -- Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.

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Delays Noted in the Reporting of Serious Patient Harms to FDA

MONDAY, July 27, 2015 (HealthDay News) -- About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.

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Expansion of High-Deductible Plans to Impact Physician Care

FRIDAY, July 24, 2015 (HealthDay News) -- As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.

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Sleep Apnea Tied to Increased Risk of Panic Disorder

THURSDAY, July 23, 2015 (HealthDay News) -- Sleep apnea seems to be associated with increased risk of subsequent panic disorder, according to a study published in the July/August issue of the Annals of Family Medicine.

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Fluoroquinolones Halt Multidrug-Resistant-TB in Contacts

THURSDAY, July 23, 2015 (HealthDay News) -- For contacts of individuals with multidrug-resistant tuberculosis (MDR-TB), fluoroquinolone (FQN) therapy is associated with health system savings and reduced mortality, according to a study published in the July 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Short Sleep Duration Ups Odds of Metabolic Syndrome

WEDNESDAY, July 22, 2015 (HealthDay News) -- Short sleep duration (less than seven hours) is associated with increased likelihood of metabolic syndrome, according to a meta-analysis published online July 13 in the Annals of the American Thoracic Society.

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Six-Minute Walk Test Predictive for Pulmonary Hypertension

TUESDAY, July 21, 2015 (HealthDay News) -- The six-minute walk (6MW) stress echocardiography test is prognostic for development of pulmonary hypertension (PH) in connective tissue disease (CTD), according to a study published in the July 28 issue of the Journal of the American College of Cardiology.

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Antibiotic Misconceptions Still Common Among Parents

MONDAY, July 20, 2015 (HealthDay News) -- Many American parents still have misconceptions about when their children should receive antibiotics and what the medications do, a new study indicates. The findings were published online July 20 in Pediatrics.

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Macrolide-Resistant M. pneumoniae in All U.S. Regions

MONDAY, July 20, 2015 (HealthDay News) -- Macrolide-resistant Mycoplasma pneumoniae (MRMP) has a prevalence of 13.2 percent in a sample of M. pneumoniae-positive specimens from six locations in the United States, according to a study published in the August issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Intervention Can Improve Appropriateness of Telemetry Use

MONDAY, July 20, 2015 (HealthDay News) -- A hospitalist-driven intervention to improve appropriate use of telemetry can reduce length of stay and costs, according to a study published online July 7 in the Journal of Hospital Medicine.

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Clinicians May Harbor Biases About Sexual Orientation

FRIDAY, July 17, 2015 (HealthDay News) -- Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.

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Wildfires Can Trigger Acute Coronary Events for Miles Around

THURSDAY, July 16, 2015 (HealthDay News) -- Wildfires create air pollution that fuels the risk for cardiovascular events, especially in older adults, researchers report in the July issue of the Journal of the American Heart Association.

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AMA Suggests Ways to Encourage Use of Patient Portals

THURSDAY, July 16, 2015 (HealthDay News) -- Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).

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Choosing Wisely: How to Implement in Clinical Practice

THURSDAY, July 16, 2015 (HealthDay News) -- Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.

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Guidelines Updated for Idiopathic Pulmonary Fibrosis Treatment

WEDNESDAY, July 15, 2015 (HealthDay News) -- Recommendations for idiopathic pulmonary fibrosis (IPF) treatment have been updated by an international group of respiratory societies. The updated clinical practice guideline was published in the July 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Considerable Burden for Community-Acquired Pneumonia

WEDNESDAY, July 15, 2015 (HealthDay News) -- The annual incidence of community-acquired pneumonia requiring hospitalization is 24.8 cases per 10,000 adults, according to a study published online July 14 in the New England Journal of Medicine.

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Progress in Reporting Conflict of Interest Among IRB Members

TUESDAY, July 14, 2015 (HealthDay News) -- Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.

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Arts Observation Curriculum May Be Beneficial for Medical Students

TUESDAY, July 14, 2015 (HealthDay News) -- Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.

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Second Severe Allergic Reaction Within Hours Isn't Uncommon

TUESDAY, July 14, 2015 (HealthDay News) -- About 15 percent of children who have a severe allergic reaction can have a second one within a few hours, according to a new study published online June 22 in the Annals of Allergy, Asthma & Immunology.

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FDA Approves Iressa for EGFR+ Metastatic Lung Cancer

MONDAY, July 13, 2015 (HealthDay News) -- Iressa (gefitinib) has been approved by the U.S. Food and Drug Administration to treat patients with metastatic non-small-cell lung cancer (NSCLC) with a specific genetic mutation (epidermal growth factor receptor [EGFR]). A just-approved companion diagnostic test can identify patients who could benefit from this new use.

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Structured Exercise Prevents Sleep Issues in Older Adults

MONDAY, July 13, 2015 (HealthDay News) -- Structured physical activity may prevent poor sleep quality in older adults, according to a study published online June 26 in the Journal of the American Geriatrics Society.

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Strategies Needed to Combat Weight Gain in Smoking Cessation

MONDAY, July 13, 2015 (HealthDay News) -- Quitting smoking is associated with weight gain, according to a meta-analysis published online June 26 in Obesity Reviews, and clinicians are encouraged to help patients who are undergoing cessation achieve/maintain a healthy weight.

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Weekend Discharge Not Linked to Increased Readmission

FRIDAY, July 10, 2015 (HealthDay News) -- For patients with acute myocardial infarction (AMI), congestive heart failure (CHF), and pneumonia, weekend discharge is not associated with 30-day readmission, according to a study published online June 30 in the Journal of Hospital Medicine.

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CDC: Most Americans in Favor of Raising Legal Smoking Age to 21

THURSDAY, July 9, 2015 (HealthDay News) -- Three-quarters of American adults favor raising the legal smoking age to 21, according to a report published online July 6 in the American Journal of Preventive Medicine.

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Farm-Related Immunoregulation Tied to Dendritic Cell Subset

THURSDAY, July 9, 2015 (HealthDay News) -- Lower levels of circulating myeloid dendritic cell subtype 2 (mDC2) in children who live on farms may contribute to a protective effect against asthma, according to research published online June 27 in Allergy.

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Low FEV1 in Early Adulthood May Be Important in COPD Genesis

THURSDAY, July 9, 2015 (HealthDay News) -- Low forced expiratory volume in one second (FEV1) in early adulthood without accelerated decline in FEV1 correlates with later chronic obstructive pulmonary disease (COPD), according to a study published in the July 9 issue of the New England Journal of Medicine.

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FDA Approves Entresto for Heart Failure

WEDNESDAY, July 8, 2015 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday approved the drug Entresto (sacubitril/valsartan) to treat heart failure.

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Benefits of Extended Anticoagulation May Not Last

WEDNESDAY, July 8, 2015 (HealthDay News) -- The benefit of extended anticoagulation after pulmonary embolism dissipates after cessation of active therapy, according to a study published in the July 7 issue of the Journal of the American Medical Association.

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Increasing Health Care Burden for Pediatric Pulmonary HTN

TUESDAY, July 7, 2015 (HealthDay News) -- There is an increasing health care burden associated with morbidity and mortality of pediatric pulmonary hypertension (PH), according to a study published online July 6 in Pediatrics.

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PCV13 Predicted to Be Cost Saving Versus PCV7

TUESDAY, July 7, 2015 (HealthDay News) -- The 13-valent pneumococcal vaccine (PCV-13) is expected to be cost saving compared with PCV7, according to a study published in the July issue of Health Affairs.

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Court Upholds Medical Liability Damages Cap

TUESDAY, July 7, 2015 (HealthDay News) -- The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.

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Despite Risk to Patients, Health Providers Often Work While Sick

MONDAY, July 6, 2015 (HealthDay News) -- Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.

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Mortality Rates Declining for Many Cancers

MONDAY, July 6, 2015 (HealthDay News) -- For many cancers, mortality rates are declining and are expected to meet Healthy People 2020 (HP2020) targets, according to a study published online July 2 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Lifestyle Factors Can Halve Heart Failure Risk in Elderly

MONDAY, July 6, 2015 (HealthDay News) -- The fittest seniors are half as likely as others to suffer from heart failure, according to research published in the July 1 issue of JACC: Heart Failure.

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Cherry Juice May Reduce Post-Exercise Respiratory Symptoms

MONDAY, July 6, 2015 (HealthDay News) -- Consumption of Montmorency cherry juice (CJ) is associated with a reduction in the development of upper respiratory tract symptoms (URTS) after a marathon, according to a study published online May 11 in the Journal of the International Society of Sports Nutrition.

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Asian-Language Smoking Quitline Successful Nationwide

THURSDAY, July 2, 2015 (HealthDay News) -- An Asian-Language Smokers Quitline (ASQ) reaches Chinese, Korean, and Vietnamese speakers nationwide, and most callers receive medication and counseling, according to a study published online June 25 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Residents' Knowledge of High-Value Care Varies

WEDNESDAY, July 1, 2015 (HealthDay News) -- U.S. internal medicine (IM) residents report varying knowledge and practice of high-value care (HVC), according to research published online June 16 in Academic Medicine.

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Public Opinion Sought on New Licensure for Assistant Physicians

WEDNESDAY, July 1, 2015 (HealthDay News) -- New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State's Office and the Joint Committee on Administrative Rules.

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