September 2015 Briefing - Pulmonology

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

Negative Spiritual Belief Linked to Worse Health Outcomes

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Any degree of negative spiritual belief is associated with worse health outcomes, regardless of positive spiritual beliefs, according to a study published in the Journal of Spirituality in Mental Health.

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Nocturnal Hypoglycemia Linked to Reduced Awakening Response

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Nocturnal hypoglycemia is associated with reduced awakening response, according to a study published online Sept. 25 in Diabetes Care.

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ACP Issues Advice for Assessing Patients With Suspected PE

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Best practice advice on diagnosis of suspected pulmonary embolism (PE) is provided for clinicians in clinical guidelines from the American College of Physicians (ACP). The guidelines were published online Sept. 29 in the Annals of Internal Medicine.

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Many Pulmonologists Under-, Over-Screen With LDCT

MONDAY, Sept. 28, 2015 (HealthDay News) -- Almost half of pulmonologists have a propensity for over- or under-use of low-dose computed tomography (LDCT) screening for lung cancer, according to a study published online Sept. 14 in the Annals of the American Thoracic Society.

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Intermediate Care Billing Rose From 1996 to 2010

MONDAY, Sept. 28, 2015 (HealthDay News) -- From 1996 to 2010 there was a significant increase in intermediate care billing, according to a study published online Sept. 15 in the American Journal of Respiratory and Critical Care Medicine.

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Dietary Nitrates Boost Muscle Power in Heart Failure Patients

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Beetroot juice, with its high concentration of nitrates, may help boost muscle strength among heart failure patients, according to a study published recently in Circulation: Heart Failure.

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Sleep Quality Improved in Seniors With Access to Natural Spaces

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Seniors and men sleep more soundly if they have access to natural surroundings, such as beaches or parks, according to a study published in the September issue of Preventive Medicine.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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ICU for Pneumonia in Elderly Ups Survival, Not Costs

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Admitting older, low-risk patients with pneumonia to the intensive care unit (ICU) -- compared with admission to regular wards -- is linked with higher survival rates but not higher medical expenses, new research suggests. The study was published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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CPAP in OSA Linked to Beneficial Activity in Brain Stem

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Continuous positive airway pressure (CPAP) treatment can lead to brain stem activity changes associated with restored sympathetic drive in patients with obstructive sleep apnea (OSA), according to a small study published in the Aug. 1 issue of the Journal of Neurophysiology.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Leukotriene Receptor Antagonist Monotherapy Ups Asthma Control

TUESDAY, Sept. 22, 2015 (HealthDay News) -- As monotherapy, leukotriene-receptor antagonists (LTRAs) improve asthma control versus placebo, according to a review and meta-analysis published online Sept. 22 in the Annals of Internal Medicine.

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USPSTF Urges Doctors to Ask Adults About Tobacco Use

TUESDAY, Sept. 22, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask adults, including pregnant women, about tobacco use and provide interventions to help stop smoking. These findings form the basis of a clinical guideline published online Sept. 22 in the Annals of Internal Medicine.

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Harms From Unnecessary Abx Extend Beyond Resistance

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Use of antibiotics in patients with heart failure exacerbation in the absence of compelling evidence of infection is unnecessary and potentially harmful, according to teachable moment piece published online Sept. 21 in JAMA Internal Medicine.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Medicaid, Non-Home Discharge Tied to Longer Hospital Stays

MONDAY, Sept. 21, 2015 (HealthDay News) -- Prolonged hospital length of stay (LOS) is more likely among patients who are Medicaid enrollees with complex hospital stays who were not discharged home, according to a study published in the September issue of the Journal of Hospital Medicine.

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Tai Chi Aids Physical Performance in Chronic Conditions

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Tai chi has a favorable effect on physical performance in four chronic conditions, according to a review and meta-analysis published online Sept. 17 in the British Journal of Sports Medicine.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) -- In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Novel Prediagnostic Biomarker ID'd for Non-Small-Cell Lung CA

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Diacetylspermine is a novel prediagnostic serum biomarker for non-small-cell lung cancer (NSCLC), according to a study published online Aug. 17 in the Journal of Clinical Oncology.

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Millions of Premature Deaths Tied to Air Pollution

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Outdoor air pollution leads to more than 3 million premature deaths per year, primarily in Asia, according to a letter published online Sept. 16 in Nature.

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Complex Chronic Diseases Appear to Drive Frequent Admissions

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Patients who are frequently admitted to U.S. academic medical centers are significantly more likely than other patients to have multiple complex chronic conditions, according to a study published in the September issue of the Journal of Hospital Medicine.

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FDA Orders Tobacco Company to Stop Sales of New Cigarettes

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has ordered the R.J. Reynolds Tobacco Co. to stop selling four new cigarette brands because submissions for these products did not meet requirements set forth in the Federal Food, Drug, and Cosmetic Act, according to an announcement issued Sept. 15 by the agency.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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CDC Develops State-Level Chronic Disease Cost Calculator

TUESDAY, Sept. 15, 2015 (HealthDay News) -- A chronic disease cost calculator (CDCC) has been developed to estimate state-level costs, according to a study published online Sept. 3 in Preventing Chronic Disease.

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Bronchiolitis Clinical Practice Guidelines Vary in Quality

MONDAY, Sept. 14, 2015 (HealthDay News) -- Clinical practice guidelines (CPGs) on acute viral bronchiolitis vary in quality, with the highest scoring domains being "scope and purpose" and "clarity of presentation," according to a study published online Sept. 8 in the Journal of Evaluation in Clinical Practice.

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Exercise Appears Safe, Beneficial for Patients With Pulmonary HTN

MONDAY, Sept. 14, 2015 (HealthDay News) -- Exercise has a positive effect on several measures of heart function as well as overall quality of life for patients with pulmonary hypertension, according to research published recently in Circulation: Heart Failure.

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For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

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Sleep Quality Up After Endoscopic Sinus Surgery

FRIDAY, Sept. 11, 2015 (HealthDay News) -- After functional endoscopic sinus surgery, patients with chronic rhinosinusitis (CRS) report better quality of life and improved sleep, regardless of whether or not they had a sleep disorder, according to research published online Sept. 10 in JAMA Otolaryngology-Head & Neck Surgery.

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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CDC: Source of Infant Pertussis Infection Most Often a Sibling

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Siblings are the most likely source of pertussis infection in infants, according to new research published online Sept. 7 in Pediatrics.

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Chronic Rhinosinusitis Linked to Increased Risk of Other Diseases

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Chronic rhinosinusitis (CRS) is associated with increased risk of other diseases, with different patterns based on CRS phenotype, according to research published online Aug. 31 in Allergy.

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High False Negative Rate With PFTs in Scleroderma Lung Disease

TUESDAY, Sept. 8, 2015 (HealthDay News) -- Use of pulmonary function tests (PFTs) is associated with high false negative rates for detection of scleroderma-associated interstitial lung disease (SSc-ILD), according to a study published online Aug. 28 in Arthritis & Rheumatology.

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E-Cigarette Use Cuts Tobacco Smoke Toxicant Exposure

FRIDAY, Sept. 4, 2015 (HealthDay News) -- Electronic cigarette (EC) use is associated with a decrease in tobacco smoke toxicant exposure in those who quit smoking, as well as in dual users, according to a study published in the September issue of Cancer Prevention Research.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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Asthma Linked to Increased Risk of Parkinson's Disease

THURSDAY, Sept. 3, 2015 (HealthDay News) -- Patients with asthma may have an increased risk of developing Parkinson's disease, according to a study published online Aug. 27 in Allergy.

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Many Teens With Chronic Illnesses Use Alcohol, Marijuana

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Many adolescents with chronic diseases such as asthma and juvenile arthritis have consumed alcohol or smoked marijuana in the last year, according to a study published online Aug. 31 in Pediatrics.

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CDC: Smoking Rate Falls to 15.2 Percent in the United States

TUESDAY, Sept. 1, 2015 (HealthDay News) -- The U.S. smoking rate continues to decline, with 15.2 percent of adults reporting they're current smokers, down from 16.8 percent in 2014 and 17.8 percent in 2013, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Critical Care Docs Rarely Discuss Religion With Patients, Families

TUESDAY, Sept. 1, 2015 (HealthDay News) -- Religion or spirituality is important to many people nearing the end of life, but intensive care clinicians rarely talk to patients or their families about those beliefs, according to a study published online Aug. 31 in JAMA Internal Medicine.

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