May 2018 Briefing - Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for May 2018. 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.

ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

THURSDAY, May 31, 2018 (HealthDay News) -- The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).

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Prediction Tool Helps Tailor Lung Cancer Screening to Patients

TUESDAY, May 29, 2018 (HealthDay News) -- Personalizing the harm-benefit assessment of low-dose computed tomography (LDCT) screening for lung cancer can inform patient-centered screening decisions, according to a study published online May 29 in the Annals of Internal Medicine.

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Most Premature Infants Receive Early Antibiotics

TUESDAY, May 29, 2018 (HealthDay News) -- Most premature infants receive empirical antibiotic therapy, according to a study published online May 25 in JAMA Network Open.

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CDC IDs Outbreak Trends Tied to Treated Recreational Water

FRIDAY, May 25, 2018 (HealthDay News) -- Outbreaks associated with treated recreational water with confirmed infectious etiology are usually caused by Cryptosporidium, Legionella, or Pseudomonas, according to research published in the May 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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60-Day Mortality Not Significantly Lower With ECMO in ARDS

FRIDAY, May 25, 2018 (HealthDay News) -- For patients with very severe acute respiratory distress syndrome (ARDS), 60-day mortality is not significantly lower with venovenous extracorporeal membrane oxygenation (ECMO) than with continued conventional treatment, according to a study published online in the May 24 issue of the New England Journal of Medicine.

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Mortality Still High After Surgery for Congenital Heart Defects

FRIDAY, May 25, 2018 (HealthDay News) -- Long-term mortality after congenital heart surgery is higher than that of the general population for all forms of congenital heart defects (CHDs), according to a study published in the May 29 issue of the Journal of the American College of Cardiology.

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CPAP Use May Improve Sexual QOL in Those With Sleep Apnea

FRIDAY, May 25, 2018 (HealthDay News) -- Successful continuous positive airway pressure (CPAP) use for obstructive sleep apnea may be associated with improved sexual quality of life (QOL), according to a study published online May 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Congress Approves Bill Expanding Private Care for VA Patients

THURSDAY, May 24, 2018 (HealthDay News) -- Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.

AMA Statement
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Financial Incentives May Up Rates of Smoker Abstinence

THURSDAY, May 24, 2018 (HealthDay News) -- Financial incentives added to free cessation aids can improve the rate of sustained abstinence among smokers, according to a study published online May 23 in the New England Journal of Medicine.

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Delay of Lactate Draws in Sepsis Ups Risk of In-Hospital Death

THURSDAY, May 24, 2018 (HealthDay News) -- Each hour of delay in detecting abnormal lactates in patients with sepsis increases the odds of in-hospital death, according to a study published online May 24 in CHEST.

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Global Variation in Personal Health Care Access and Quality

THURSDAY, May 24, 2018 (HealthDay News) -- There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.

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Lung Cancer Incidence Higher for Young Women Than Young Men

WEDNESDAY, May 23, 2018 (HealthDay News) -- Lung cancer incidence is higher among young women than young men, according to a study published in the May 24 issue of the New England Journal of Medicine.

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Vitamin D Supplement Tied to Less Wheezing in Black Preemies

WEDNESDAY, May 23, 2018 (HealthDay News) -- Vitamin D sustained supplementation is associated with reduced recurrent wheezing among black infants born preterm, according to a study published in the May 22/29 issue of the Journal of the American Medical Association.

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Pediatricians Should Advocate for Life Support Training

WEDNESDAY, May 23, 2018 (HealthDay News) -- Pediatricians should advocate for life support training for children, parents, caregivers, school personnel, and the public, according to a technical report and policy statement published online May 23 in Pediatrics.

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CDC: No Change in Level of Uninsured in U.S. in 2017

TUESDAY, May 22, 2018 (HealthDay News) -- Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention's National Centers for Health Statistics.

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Language Used in Medical Record Can Affect Patient Care

FRIDAY, May 18, 2018 (HealthDay News) -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.

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Over Half of Young Adult Smoke Volume Exposure From Hookahs

FRIDAY, May 18, 2018 (HealthDay News) -- Waterpipe tobacco smoking (or hookah smoking) accounts for half of young adults' tobacco smoke exposure, according to a study published online May 16 in Tobacco Control.

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Proportion of Drug-Intoxicated Organ Donors on the Rise in U.S.

FRIDAY, May 18, 2018 (HealthDay News) -- The drug abuse epidemic in the United States has been associated with an increase in the recovery of organs from brain-dead donors, according to a research letter published in the May 17 issue of the New England Journal of Medicine.

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Higher Adiposity Increases Odds of Smoking

FRIDAY, May 18, 2018 (HealthDay News) -- Obesity is linked to an increased risk of smoking and an increase in the number of cigarettes smoked daily, according to a study published online May 16 in The BMJ.

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Two Novel Immune-Response Clusters Identified to RSV

FRIDAY, May 18, 2018 (HealthDay News) -- Two novel immune-response clusters have been identified to respiratory syncytial virus (RSV), and they are associated with first- and second-year recurrent wheeze, according to a study published online May 7 in the American Journal of Respiratory and Critical Care Medicine.

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Chemicals in Hair Products for Black Women Raise Concerns

FRIDAY, May 18, 2018 (HealthDay News) -- Multiple chemicals associated with endocrine disruption and asthma are contained in hair products used by black women and children, according to a study published online April 25 in Environmental Research.

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Budesonide-Formoterol Used As Needed Beneficial in Mild Asthma

THURSDAY, May 17, 2018 (HealthDay News) -- Inhaled combined budesonide-formoterol used as needed is beneficial for mild asthma, according to two studies published in the May 17 issue of the New England Journal of Medicine.

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Nonprofit Manufacturer Could Keep Generic Drug Costs Down

WEDNESDAY, May 16, 2018 (HealthDay News) -- A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.

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Sleep Apnea Rarely Investigated in Older Adults

WEDNESDAY, May 16, 2018 (HealthDay News) -- A high risk of obstructive sleep apnea (OSA) is common among older adults but is seldom investigated, though when it is investigated, it is almost always confirmed, according to a study published online May 9 in the Journal of the American Geriatrics Society.

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Best Practices Developed for Use of EHR to Enhance Patient Care

WEDNESDAY, May 16, 2018 (HealthDay News) -- Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics.

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Prescription Med Use in Children Down Overall From 1999 to 2014

TUESDAY, May 15, 2018 (HealthDay News) -- From 1999 to 2014 there was a decrease in prescription medication use overall among children and adolescents, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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Editorial (subscription or payment may be required)

Asthma Mortality Inversely Tied to Deprivation in English Young

TUESDAY, May 15, 2018 (HealthDay News) -- For children and younger adults with asthma, prevalence and admissions increase with deprivation, while mortality is inversely associated with deprivation, according to a study published online May 14 in Thorax.

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Risk Models Help Select Ever Smokers for Lung CA Screening

MONDAY, May 14, 2018 (HealthDay News) -- Four lung cancer risk models perform best in selecting ever-smokers for screening, according to a study published online May 15 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

CKAP4 Is Novel Serodiagnostic Marker for Lung Cancer

FRIDAY, May 11, 2018 (HealthDay News) -- Cytoskeleton-associated protein 4 (CKAP4) appears to be a novel serodiagnostic marker for lung cancer, with increased levels in lung cancer patients versus healthy controls, according to a study published online May 8 in The American Journal of Pathology.

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Initiative Cuts Overuse of Tests, Treatments for Bronchiolitis

FRIDAY, May 11, 2018 (HealthDay News) -- A multidisciplinary improvement initiative can reduce overuse of interventions for bronchiolitis, according to a study published online May 11 in Pediatrics.

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FDA Targets Clinics Offering Unapproved Stem Cell Therapies

THURSDAY, May 10, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has launched legal action to stop two stem cell clinics from providing unapproved treatments that have caused serious, long-term harm to some patients.

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Novel Thirdhand Smoke Exposure Route Identified

THURSDAY, May 10, 2018 (HealthDay News) -- Thirdhand smoke (THS), the chemical residue from cigarette smoke that attaches to anything and anyone in the vicinity of a smoke cloud, can still make its way into the air of buildings that currently have a non-smoking designation, according to a study published online May 9 in Science Advances.

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Regulatory Requirements Drive Dissatisfaction With EHRs

TUESDAY, May 8, 2018 (HealthDay News) -- Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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Low Neighborhood Walkability Increases Risk of Asthma in Kids

FRIDAY, May 4, 2018 (HealthDay News) -- Children living in neighborhoods with low walkability are at increased risk of asthma, according to a study published online April 17 in the Annals of the American Thoracic Society.

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Many Organizations Not Meeting Trial Reporting Requirements

FRIDAY, May 4, 2018 (HealthDay News) -- Many organizations are not meeting the trial registration and results reporting requirements clarified by "The Final Rule," which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.

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Obstructive Sleep Apnea Linked to Thinning of Calvaria, Skull Base

FRIDAY, May 4, 2018 (HealthDay News) -- Obstructive sleep apnea (OSA) is associated with thinning of the calvaria and skull base, according to a study published online May 3 in JAMA Otolaryngology-Head & Neck Surgery.

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Palliative Care Consult Can Cut Hospital Costs in Seriously Ill

WEDNESDAY, May 2, 2018 (HealthDay News) -- For hospitalized adults with serious illness, receiving a palliative care consultation (PCC) is associated with a reduction in hospital costs, according to a review published online April 30 in JAMA Internal Medicine.

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Practices Should Be Aware of Correct Way to Fire Employees

TUESDAY, May 1, 2018 (HealthDay News) -- Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.

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