March 2016 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for March 2016. 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 Addresses Elements of Team-Based Care Model

TUESDAY, March 29, 2016 (HealthDay News) -- The elements of a team-based care model are described in a report published by the American Medical Association (AMA).

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Low Lung Cancer Incidence With Negative CT Prevalence Screen

TUESDAY, March 29, 2016 (HealthDay News) -- Participants with a negative low-dose computed tomography (CT) prevalence screen (T0) have lower incidence of lung cancer and lung cancer-specific mortality than all participants with a T0 screen, according to a study published online March 18 in The Lancet Oncology.

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Sex Hormones, Inflammation Affect Asthma in Obese Women

TUESDAY, March 29, 2016 (HealthDay News) -- Sex hormones and systemic inflammation may be mediating the obese-asthma phenotype, according to a study published online March 23 in Allergy.

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CDC: Tips Anti-Smoking Ad Campaign Still Having Impact

MONDAY, March 28, 2016 (HealthDay News) -- Three years into the campaign, ads targeting smoking are still having a significant impact, according to the U.S. Centers for Disease Control and Prevention.

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How Can We Fix the Wage Gap Among Female Physicians?

MONDAY, March 28, 2016 (HealthDay News) -- Women doctors can address the gender wage disparity by understanding the reasons why they earn less, according to a report published in Medical Economics.

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CPAP Ups Exercise Performance in Tracheobronchomalacia

MONDAY, March 28, 2016 (HealthDay News) -- Use of a portable continuous positive airway pressure (CPAP) device can augment exercise performance in tracheobronchomalacia, according to research published online March 16 in the American Journal of Respiratory and Critical Care Medicine.

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Exercise May Not Benefit Lungs of Seniors With Mobility Issues

FRIDAY, March 25, 2016 (HealthDay News) -- Structured physical activity does not improve respiratory outcomes in elderly adults with mobility limitations, but is linked with higher risk of respiratory hospitalization, according to a study published in the March issue of the Journal of the American Geriatrics Society.

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CDC: Tuberculosis Decline in the United States Has Hit a Plateau

THURSDAY, March 24, 2016 (HealthDay News) -- Two decades of progress toward eliminating tuberculosis (TB) in the United States has stalled, with incidence of the disease holding steady from 2013 to 2015, according to a report published in the March 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report in conjunction with World TB Day.

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Incretin-Based Drugs Don't Up Heart Failure Hospitalization Risk

THURSDAY, March 24, 2016 (HealthDay News) -- Incretin-based drugs are not associated with increased risk of hospitalization for heart failure, according to a study published in the March 24 issue of the New England Journal of Medicine.

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Guidelines Developed for Preschoolers With Cystic Fibrosis

WEDNESDAY, March 23, 2016 (HealthDay News) -- Guidelines have been developed for the care of 2- to 5-year-old children with cystic fibrosis (CF). The clinical practice guidelines were published online March 23 in Pediatrics.

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FDA Approves Cinqair for Severe Asthma

WEDNESDAY, March 23, 2016 (HealthDay News) -- Cinqair (reslizumab) has been approved by the U.S. Food and Drug Administration to treat severe asthma among adults 18 and older.

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Age, ICU LOS Can Stratify Patients Into Disability Groups

WEDNESDAY, March 23, 2016 (HealthDay News) -- Patients in the intensive care unit (ICU) who survive one week or more of mechanical ventilation can be stratified into disability groups based on age and ICU length of stay, according to a study published online March 14 in the American Journal of Respiratory and Critical Care Medicine.

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Stress Management Could Help Optimize Cardiac Rehab

TUESDAY, March 22, 2016 (HealthDay News) -- The addition of stress management training can make cardiac rehabilitation programs more effective, according to a study published online March 21 in Circulation.

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FDA Approves Anthim for Treating Inhalation Anthrax

MONDAY, March 21, 2016 (HealthDay News) -- Anthim (obiltoxaximab) has been approved by the U.S. Food and Drug Administration to treat inhalational anthrax.

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FDA: Most Powdered Medical Gloves Should Be Banned in U.S.

MONDAY, March 21, 2016 (HealthDay News) -- The U.S. Food and Drug Administration wants to ban most powdered medical gloves, saying they pose serious health risks to patients and health care providers alike.

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Physical Activity May Lower Mortality Risk in COPD Patients

MONDAY, March 21, 2016 (HealthDay News) -- Physical activity could improve survival of patients with chronic obstructive pulmonary disease (COPD) after hospital discharge, according to research published online March 17 in ERJ Open Research.

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Worse Prognosis for Heart Failure Patients With Low Osmolality

MONDAY, March 21, 2016 (HealthDay News) -- For patients with heart failure and reduced ejection fraction, low osmolality at discharge is associated with worse all-cause mortality and readmission, according to research published in the April 1 issue of The American Journal of Cardiology.

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Case Before Supreme Court May Expose Doctors to Large Fines

FRIDAY, March 18, 2016 (HealthDay News) -- A case before a state supreme court could potentially expose physicians to large fines based on a legal technicality relating to what they should have known, rather than what they knew, according to the American Medical Association (AMA).

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Many Cases of MERS-CoV Are Health Care-Associated

THURSDAY, March 17, 2016 (HealthDay News) -- Middle East respiratory syndrome coronavirus (MERS CoV) infections are frequently associated with health care settings, according to a report published in the April issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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Spending on Prescription Meds Up About 5 Percent in 2015

THURSDAY, March 17, 2016 (HealthDay News) -- Spending on prescription medications for insured Americans increased about 5 percent in 2015, with the increase half of that seen in 2014, the Associated Press reported.

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CDC: Obesity Contributing to Hike in Asthma Rates Among Women

WEDNESDAY, March 16, 2016 (HealthDay News) -- As weight rises, so too does the risk for asthma, according to a March data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Disruptive Patients Distract Docs, May Receive Compromised Care

WEDNESDAY, March 16, 2016 (HealthDay News) -- Disruptive patients may get worse care from physicians, according to a study published online March 7 in BMJ Quality & Safety. The findings aren't definitive because the researchers tested how physicians responded in fictional vignettes, instead of real-life encounters. Still, the results suggest that such patients distract physicians from doing their jobs.

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Basal Metabolic Rate Drops After CPAP Initiation in Sleep Apnea

WEDNESDAY, March 16, 2016 (HealthDay News) -- For patients with obstructive sleep apnea (OSA), initiation of continuous positive airway pressure (CPAP) is associated with a reduction in basal metabolic rate (BMR), according to a study published online March 1 in the American Journal of Respiratory and Critical Care Medicine.

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Influenza Vaccine Safe for Patients in Hospital for Surgery

TUESDAY, March 15, 2016 (HealthDay News) -- Surgery patients don't have an increased risk for complications if they receive an influenza vaccine while in the hospital, according to a study published online March 15 in the Annals of Internal Medicine.

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Abruptly Quitting Appears to Work Best for Smoking Cessation

TUESDAY, March 15, 2016 (HealthDay News) -- Quitting cigarettes "cold turkey" beats a more gradual approach, according to research published online March 15 in the Annals of Internal Medicine.

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Mayo Clinic Has Established Model to Help Battle Burnout

TUESDAY, March 15, 2016 (HealthDay News) -- In an effort to reduce burnout among physicians, the Mayo Clinic is initiating a model to raise camaraderie and increase collaboration, according to a report published by the American Medical Association (AMA).

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Guidance Offered for Negotiating Higher Rates From Payers

MONDAY, March 14, 2016 (HealthDay News) -- Negotiations to increase payment from insurance companies can be extremely difficult, although it is possible to get a payment increase, according to a report published in Medical Economics.

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E-Consultations Can Improve Access to, Timeliness of Care

MONDAY, March 14, 2016 (HealthDay News) -- Electronic consultation (e-consultation), an asynchronous, non-face-to-face consultation between a primary care physician and a specialist, can improve access to care and reduce wait times, according to a study published in the March/April issue of the Annals of Family Medicine.

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Apnea Impacts Neurocognitive Function in Children

FRIDAY, March 11, 2016 (HealthDay News) -- Sleep-disordered breathing (SDB) has a deleterious impact in children, affecting neurocognitive functioning, according to a study published online March 1 in the American Journal of Respiratory and Critical Care Medicine.

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FDA Approves Xalkori for Rare Genetic Form of Lung Cancer

FRIDAY, March 11, 2016 (HealthDay News) -- Xalkori (crizotinib) has been approved by the U.S. Food and Drug Administration to treat advanced non-small-cell lung cancer (NSCLC) with tumors that have a rare ROS1 gene mutation.

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CYP3A7*1C Allele Linked to Cancer Mortality, Progression

FRIDAY, March 11, 2016 (HealthDay News) -- The CYP3A7*1C allele appears to be associated with mortality and disease progression in specific cancers, according to a study published online March 10 in Cancer Research.

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Allergen Components ID Latex-Induced Occupational Asthma

FRIDAY, March 11, 2016 (HealthDay News) -- High levels of specific immunoglobulin E (sIgE) reactivity to recombinant Hevea brasiliensis (rHev b) can diagnose natural rubber latex (NRL) allergy, according to a study published online March 4 in Allergy.

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CDC: U.S. Cancer Mortality Rate Continues to Fall

WEDNESDAY, March 9, 2016 (HealthDay News) -- Overall rates of cancer and cancer mortality in the United States continue to decline, according to the Annual Report to the Nation on the Status of Cancer, a yearly report issued by the American Cancer Society, the U.S. Centers for Disease Control and Prevention, the National Cancer Institute, and the North American Association of Central Cancer Registries. The report was published online March 9 in Cancer.

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Physicians' Contracts Can Affect Patients, Professionalism

WEDNESDAY, March 9, 2016 (HealthDay News) -- Problematic clauses in physicians' contracts can impact patient care and professionalism, according to an Ideas and Opinions piece published online March 8 in the Annals of Internal Medicine.

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CPAP Improves Glycemic Control in Patients With T2DM, OSA

WEDNESDAY, March 9, 2016 (HealthDay News) -- For patients with obstructive sleep apnea (OSA) and suboptimally controlled type 2 diabetes, use of continuous positive airway pressure (CPAP) for six months is associated with improved glycemic control and insulin resistance, according to a study published online Feb. 24 in the American Journal of Respiratory and Critical Care Medicine.

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USPSTF Urges Screening for Adults at High Risk of Latent TB

TUESDAY, March 8, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening for latent tuberculosis infection (LTBI) in adults at increased risk. These findings form the basis of a draft recommendation statement, published online March 8 by the USPSTF.

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Dietary Glycemic Index Linked to Lung Cancer Risk

MONDAY, March 7, 2016 (HealthDay News) -- Dietary glycemic index (GI) is associated with lung cancer risk, according to a study published in the March issue of Cancer Epidemiology, Biomarkers & Prevention.

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Large Number of Mutations Needed to ID TB Drug Resistance

MONDAY, March 7, 2016 (HealthDay News) -- In order to determine Mycobacterium tuberculosis drug resistance, a large number of mutations are needed, according to a study published online Feb. 24 in the American Journal of Respiratory and Critical Care Medicine.

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Most Lung Cancer-Specific Tweets Relate to Support, Prevention

FRIDAY, March 4, 2016 (HealthDay News) -- Most lung cancer-specific tweets relate to support or prevention, with fewer tweets about clinical trials, according to a research letter published online March 3 in JAMA Oncology.

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U.S. Bans E-Cigarettes on Commercial Flights

THURSDAY, March 3, 2016 (HealthDay News) -- Electronic cigarettes have been banned from commercial flights, the U.S. Department of Transportation announced Wednesday.

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SCOTUS: States Can't Force Health Care Data Release

WEDNESDAY, March 2, 2016 (HealthDay News) -- The Supreme Court has ruled against state efforts to collect health care data from insurance plans.

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Spouse Education Level May Impact Choice for Rural Practice

WEDNESDAY, March 2, 2016 (HealthDay News) -- Physicians who are married to a highly-educated spouse are less likely to work in rural underserved areas, according to a study published in the March 1 issue of the Journal of the American Medical Association.

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