January 2015 Briefing - Pulmonology

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

CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to, according to a January data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Sleeping Well in Middle Age May Pay Off Later in Life

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Sleeping well during middle age may be an investment that leads to better mental functioning later in life, a new review finds. The findings were published in the January issue of Perspectives on Psychological Science.

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Benefits Package Important for Attracting, Retaining Staff

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- An appropriately-targeted benefits package is crucial for attracting and retaining employees, according to an article published Jan. 22 in Medical Economics.

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Sedation Protocol Doesn't Reduce Duration of Ventilation in PICU

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For children in pediatric intensive care units (PICUs) mechanically ventilated for acute respiratory failure, the use of a sedation protocol does not reduce the duration of mechanical ventilation, according to a study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Chlorhexidine Bathing Doesn't Cut Health Care-Linked Infections

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For critically ill patients, chlorhexidine bathing does not reduce health-care-associated infections, according to a study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Benefit of Noninvasive Tests in Non-MI Chest Pain Questioned

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For patients seen in emergency departments solely for chest pain not due to myocardial infarction, noninvasive screening tests for coronary heart disease do not appear to benefit the prediction of future cardiovascular events, a new study suggests. The report was published online Jan. 26 in JAMA Internal Medicine.

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Difficulty Falling Asleep Linked to Higher Risk of Hypertension

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Chronic insomniacs who regularly take longer than 14 minutes to fall asleep appear to be at a significantly increased risk for hypertension, according to research published online Jan. 26 in Hypertension.

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Studies Highlight Tools for Diagnosis of COPD

MONDAY, Jan. 26, 2015 (HealthDay News) -- Two studies published in the January/February issue of the Annals of Family Medicine evaluate the tools available for diagnosis of chronic obstructive pulmonary disease (COPD).

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Early Alert Intervention Cuts Heart Failure Readmission

MONDAY, Jan. 26, 2015 (HealthDay News) -- An electronic medical record system, designed to identify patients who have been discharged from heart failure hospitalization and present in the emergency department, can prevent readmissions, according to a study published in The American Journal of Medicine.

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ASCO Reports Biggest Clinical Cancer Advances for 2015

FRIDAY, Jan. 23, 2015 (HealthDay News) -- The biggest clinical cancer advances for 2015 have been identified in an annual report from the American Society of Clinical Oncology, published online Jan. 20 in the Journal of Clinical Oncology.

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Physicians Rank the Best EHR Systems of 2014

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Physicians have ranked electronic health record (EHR) systems based on five key performance areas, according to a report published in Medical Economics.

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High Levels of Formaldehyde Seen in E-Cigarette Vapor

THURSDAY, Jan. 22, 2015 (HealthDay News) -- E-cigarette vapor can contain cancer-causing formaldehyde at levels up to 15 times higher than regular cigarettes, according to a letter published in the Jan. 22 issue of the New England Journal of Medicine.

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Incidence of PE Hospitalizations Rises From 2001 to 2010

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- The incidence of hospitalizations for pulmonary embolism (PE) increased from 2001 to 2010, and a pattern of seasonal variation can be seen in PE hospitalizations, according to a study published in the January issue of the Journal of Thrombosis and Haemostasis.

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Cardiovascular Risks of Pneumonia May Linger for Years

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Older patients hospitalized with pneumonia appear to have an increased risk of myocardial infarction, stroke, or death from coronary heart disease for years afterward, according to a new study published in the Jan. 20 issue of the Journal of the American Medical Association.

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Collaboration Between Med Students Cuts Diagnostic Errors

TUESDAY, Jan. 20, 2015 (HealthDay News) -- For fourth-year medical students, working collaboratively is associated with a reduction in diagnostic errors, according to a research letter published in the Jan. 20 issue of the Journal of the American Medical Association.

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Docs Should Negotiate Health Care Payer Contracts

TUESDAY, Jan. 20, 2015 (HealthDay News) -- The terms in health care payer contracts are not immutable, and contracts should be negotiated, according to an article published Jan. 9 in Medical Economics.

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A Drink a Day May Keep Heart Failure at Bay

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Having a drink each day might help lower a middle-aged person's odds for heart failure, according to a new study published online Jan. 20 in the European Heart Journal.

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Physicians Hit Barriers in Making Cancer Referrals

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Many physicians report encountering barriers when referring cancer patients to specialty care, according to research published in the Jan. 1 issue of Cancer.

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Obesity More Expensive to Treat Than Smoking

MONDAY, Jan. 19, 2015 (HealthDay News) -- Annual health care expenses are substantially higher for smokers and the obese, compared with nonsmokers and people of healthy weight, according to a report published online Dec. 24 in Public Health. In fact, obesity is actually more expensive to treat than smoking on an annual basis, the report author concludes.

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Most Docs Work 40 to 60 Hours Per Week

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Physicians work long hours, with most working 40 to 60 hours per week and a considerable proportion working 61 to 80 or more hours per week, according to a report published by the American Medical Association (AMA).

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Sputum Biomarkers May Help ID Malignant Lung Nodules

FRIDAY, Jan. 16, 2015 (HealthDay News) -- An experimental test which checks sputum for three microRNA (miRNA) biomarkers of lung cancer was able to distinguish early-stage lung cancer from noncancerous nodules the majority of the time, according to findings published in the Jan. 15 issue of Clinical Cancer Research.

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Impact of Medical Scribes on EHR Advancement Discussed

THURSDAY, Jan. 15, 2015 (HealthDay News) -- The increasing use of medical scribes should not be a replacement for improving electronic health records (EHRs), according to a viewpoint piece published online Dec. 15 in the Journal of the American Medical Association.

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Working Long Hours? Beware Risky Alcohol Consumption

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Working long hours may raise the risk for alcohol abuse, according to a new study of more than 300,000 people from 14 countries. The report was published online Jan. 13 in The BMJ.

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Asthma Linked With ~40 Percent Higher Risk of OSA

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Adults with asthma face an increased risk for developing obstructive sleep apnea, new research reveals. The findings have been published in the Jan. 13 issue of Journal of the American Medical Association.

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Lung Cancer Incidence Down at Higher Altitudes

TUESDAY, Jan. 13, 2015 (HealthDay News) -- For every 3,300-foot rise in elevation, lung cancer incidence fell by 7.23 cases per 100,000 people, according to research published online Jan. 13 in PeerJ.

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No Negative Consequences of Guidelines for Antibiotic Therapy

TUESDAY, Jan. 13, 2015 (HealthDay News) -- For children with community-acquired pneumonia (CAP), there are no negative consequences associated with use of guideline-recommended antibiotic therapy, according to a study published in the January issue of the Journal of Hospital Medicine.

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Guidelines Presented for Clinical Documentation in 21st Century

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

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CDC Urging Flu Vaccination, Prompt Use of Antivirals

MONDAY, Jan. 12, 2015 (HealthDay News) -- Thousands of people are being hospitalized and 26 children have died from influenza so far, Tom Frieden, M.D., M.P.H., director of the U.S. Centers for Disease Control and Prevention, said during a Friday press briefing.

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AMA Reports on How Docs Use Their Free Time

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The American Medical Association recently surveyed physicians to find what activities they pursue when not in the exam room.

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Possible Link Between E-Cigs, Risk of Infections

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Vapor from electronic cigarettes may increase young people's risk of respiratory infections, regardless of whether or not it contains nicotine, according to a new laboratory study reported in a recent issue of PLOS ONE.

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CDC: Occupationally Acquired HIV Now Rare

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Documented occupational acquisition of HIV has now become rare in the United States, according to research published in the Dec. 9 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Experts Discuss Pros and Cons of Maintenance of Certification

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The pros and cons of the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) are discussed in two articles published in the Jan. 8 issue of the New England Journal of Medicine.

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Infections in ICU Up Five-Year Mortality for Elderly

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- Elderly people who develop infections while in an intensive care unit (ICU) are at increased risk of dying within five years after their hospital stay, according to a study published in the Jan. 1 issue of the American Journal of Infection Control.

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Article Highlights Top Technology Challenges for 2015

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The introduction of the International Classification of Diseases, 10th Revision (ICD-10), Health Insurance Portability and Accountability Act (HIPAA) audits, meaningful use 2, and the burdens of technology are the top four technological challenges for physicians in 2015, according to an article published in Medical Economics.

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CDC: Outpatient Visits for Flu-Like Symptoms Up

TUESDAY, Jan. 6, 2015 (HealthDay News) -- The current flu season, already off to a rough start, continues to get worse, with 43 states now reporting widespread flu activity and 21 child deaths so far, U.S. health officials said Monday.

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Article Highlights Top Management Challenges for 2015

MONDAY, Jan. 5, 2015 (HealthDay News) -- Considerable challenges are projected to impact practice management in 2015, according to an article published in Medical Economics.

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