November 2016 Briefing - Pulmonology

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

Lack of Sleep Can Cost a Country's Economy Dearly

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Reduced productivity and an increased mortality risk linked to lack of sleep among U.S. workers cost the nation's economy as much as $411 billion a year, more than 2 percent of the country's gross domestic product (GDP), according to a report from the RAND Corp., a nonprofit research organization.

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Highest Increase in Acute STEMI Risk for Youngest Smokers

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Smoking is associated with an increased risk of acute ST-segment elevation myocardial infarction (STEMI), with the most pronounced increase among younger smokers, according to a study published online Nov. 29 in Heart.

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Three Factors Weigh Heavy in Risk of Heart Failure

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Middle-aged adults who've avoided obesity, hypertension, and diabetes are far less likely than others to develop heart failure in their later years, according to research published in the Dec. 1 issue of JACC: Heart Failure.

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Amyloid Beta Deposits Can Affect Hearts of Alzheimer's Patients

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Amyloid beta (Aβ) deposits in Alzheimer's patients might also negatively affect their heart muscle and increase their risk of heart failure, according to a study published in the Dec. 6 issue of the Journal of the American College of Cardiology.

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Review Links Natriuretic Peptide Thresholds to Mortality in ADHF

TUESDAY, Nov. 29, 2016 (HealthDay News) -- For patients hospitalized with acute decompensated heart failure (ADHF), achieving predischarge natriuretic peptide (NP) thresholds is associated with reduced mortality and readmission, according to a review published online Nov. 29 in the Annals of Internal Medicine.

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Out-of-Pocket Cancer Costs High for Patients With Medicare Only

MONDAY, Nov. 28, 2016 (HealthDay News) -- Medical bills for older U.S. cancer patients can cost one-quarter of their income or more if they have Medicare without supplemental insurance, according to a study published online Nov. 23 in JAMA Oncology.

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Fat-Free Mass Index Predicts Survival in Pulmonary Fibrosis

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- For patients with idiopathic pulmonary fibrosis (IPF), fat-free mass index (FFMI) predicts survival, according to a study published online Nov. 21 in Respirology.

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Mortality Rate From Infectious Diseases Holding Steady in U.S.

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- The U.S. mortality rate from infectious diseases is about the same now as it was in 1980, but some of the specific disease threats have changed over the years, according to a research letter published in the Nov. 22/29 issue of the Journal of the American Medical Association.

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Rising Rx, ER Prices Pushing U.S. Health Care Spending Up

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.

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High-Dose Vitamin D Cuts Acute Respiratory Infection in Elderly

TUESDAY, Nov. 22, 2016 (HealthDay News) -- For long-term care facility residents, high-dose vitamin D3 supplementation is associated with reduced incidence of acute respiratory infection (ARI) but increased incidence of falls, according to a study published online Nov. 16 in the Journal of the American Geriatrics Society.

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Computer Order Entry System Ups Antimicrobial Policy Compliance

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Use of a computerized physician order entry (CPOE) system can improve compliance with antimicrobial restriction policies, according to a study published online Nov. 16 in the Journal of Pharmacy Practice and Research.

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Intermittent Hypoxia Promotes Lung Tumor Cell Aggressiveness

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Circulating exosomes released under intermittent hypoxia (IH) conditions, which characterize obstructive sleep apnea (OSA), promote lung tumor cell aggressiveness, according to a study published in the November issue of CHEST.

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Updated Index Predicts Survival in NSCLC With Brain Metastases

MONDAY, Nov. 21, 2016 (HealthDay News) -- An updated index incorporating gene and molecular alterations can predict survival in non-small-cell lung cancer (NSCLC) with brain metastases, according to a study published online Nov. 17 in JAMA Oncology.

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CDC: Heart Disease Still Leading Cause of Death

THURSDAY, Nov. 17, 2016 (HealthDay News) -- Heart disease continues to top the list of likely cause of death among Americans, according to research published in the Nov. 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Smart Skin Patch Can Monitor Body Function Acoustically

THURSDAY, Nov. 17, 2016 (HealthDay News) -- A new type of acoustic sensor that resembles a small Band-Aid on the skin can monitor heartbeat and other health measures, according to a study published online Nov. 16 in Science Advances.

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IV, Oral Antibiotics Compared for Complicated Pneumonia

THURSDAY, Nov. 17, 2016 (HealthDay News) -- For children with complicated pneumonia, peripherally inserted central venous catheter (PICC) and oral antibiotic administration post-discharge have similar rates of treatment failure, according to a study published online Nov. 17 in Pediatrics.

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Medication Adherence Up in Patient-Centered Medical Homes

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- Medication adherence is increased with receipt of care in a patient-centered medical home, according to a study published online Nov. 15 in the Annals of Internal Medicine.

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Only Slightly Worse Disease Course for Bacterial LRI

TUESDAY, Nov. 15, 2016 (HealthDay News) -- In patients with acute cough, those with bacterial lower respiratory tract infection (LRTI) have a slightly worse disease course than those without an identified bacterial cause, according to research published in the November/December in the Annals of Family Medicine.

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Endobronchial Ultrasound Can ID Pulmonary Thromboembolism

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Endobronchial ultrasound (EBUS) can identify pulmonary thromboembolism, according to a study published online Nov. 3 in the Journal of Clinical Ultrasound.

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CDC: Tobacco-Linked Cancers Make Up 40 Percent of All Cancers

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Although rates of smoking in the United States have declined to new lows, health officials still estimate that four out of every 10 cancers is linked to the habit.

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Modeling IDs Amount, Type of Data to Predict Heart Failure

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Modeling has identified the amount and type of data needed to detect prediagnostic heart failure, according to research published online Nov. 8 in Circulation: Cardiovascular Quality and Outcomes.

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HR Capabilities Positively Linked to Quality of Patient Care

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.

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Shorter Sleep Linked to Sugar-Sweetened Drink Consumption

THURSDAY, Nov. 10, 2016 (HealthDay News) -- Improving sleep may help reduce an individual's sugar-sweetened, caffeinated beverage intake, and vice-versa, according to a study published online Nov. 9 in Sleep Health.

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Basal Metabolic Rate Down After CPAP Initiation in OSA

THURSDAY, Nov. 10, 2016 (HealthDay News) -- For patients with obstructive sleep apnea (OSA), treatment with continuous positive airway pressure (CPAP) is associated with a decrease in basal metabolic rate (BMR), according to a study published recently in the American Journal of Respiratory and Critical Care Medicine.

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Recommendations Developed for Lymphangioleiomyomatosis

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- In a Clinical Practice Guideline published in the American Journal of Respiratory and Critical Care Medicine, evidence-based recommendations are presented for the diagnosis and management of lymphangioleiomyomatosis (LAM).

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Five Strategies Can Reduce Risk of Medical Lawsuits

MONDAY, Nov. 7, 2016 (HealthDay News) -- Five strategies can be employed by physicians in order to help reduce the risk of lawsuits, according to an article published in Medical Economics.

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Smoking Ups Cancer Risk by Causing Distinct Cell Mutations

FRIDAY, Nov. 4, 2016 (HealthDay News) -- Tobacco smoking causes mutations that lead to cancer by multiple distinct mechanisms, according to a study published in the Nov. 4 issue of Science.

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Women Have Worse Outcomes During 36 Months After ACS

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a study published in the Nov. 1 issue of The American Journal of Cardiology, among patients with acute coronary syndrome (ACS), women were found to have a higher mortality rate than men during 36 months of follow-up.

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Decreased Clot Retraction Rate in Asthma

FRIDAY, Nov. 4, 2016 (HealthDay News) -- Clot retraction rate (CRR) and fibrinolysis rate (FR) are reduced in steroid-naive asthma, according to a study published online Oct. 14 in Allergy.

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Experience of Spouses Explored in Pre-Heart Transplant Period

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a review published online Nov. 2 in the Journal of Clinical Nursing, six themes are identified among spouses of heart transplant recipients, some of which are associated with high levels of stress.

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Half of Americans Have at Least One Chronic Health Condition

THURSDAY, Nov. 3, 2016 (HealthDay News) -- More than half of Americans have at least one chronic disease, mental illness, or problem with drugs or alcohol, according to a study published online recently in Psychology, Health & Medicine.

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Ambulatory IV Diuretics Cut Costs in Decompensated Heart Failure

THURSDAY, Nov. 3, 2016 (HealthDay News) -- Ambulatory, high-dose intravenous diuretic therapy seems to be cost saving for decompensated heart failure, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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Scented Products, Environments Linked to Health Woes for Many

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Fragranced products such as soaps, candles, and air fresheners cause more than one-third of U.S. adults to suffer ill health effects, including headaches, dizziness and breathing difficulties, according to research published online Oct. 20 in Air Quality, Atmosphere & Health.

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In-Hospital Mortality Down With Video-Assisted Thoracoscopic Sx

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Video-assisted thoracoscopic surgery (VATS) lobectomy is associated with lower in-hospital mortality and shorter length of hospital stay versus open thoracotomy, according to a study published online Oct. 25 in the Annals of the American Thoracic Society.

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ASCO Updates Guidelines on Integration of Palliative Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- The American Society of Clinical Oncology Clinical Practice Guideline on the integration of palliative care into standard oncology care has been updated. The update was published online Oct. 28 in the Journal of Clinical Oncology.

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Medicaid Policies Impact Use of Smoking Cessation Medications

TUESDAY, Nov. 1, 2016 (HealthDay News) -- Medicaid policies, such as those that require patients to obtain counseling in order to receive smoking cessation medications, affect use of these medications, according to a study published in the Oct. 27 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Benefit of Exercise on Resting Pulse Rate in Seniors Unclear

TUESDAY, Nov. 1, 2016 (HealthDay News) -- A long-term moderate-intensity physical activity (PA) intervention may reduce resting pulse rate (RPR) among older adults, according to a study published online Oct. 27 in the Journal of the American Geriatrics Society.

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