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June 2018 Briefing - Pulmonology

Mon, Jul 2, 2018

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

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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Prehabilitation May Improve Post Cardiac Surgery Outcomes

FRIDAY, June 29, 2018 (HealthDay News) -- A three-pronged approach to prehabilitation, which includes improving nutritional status, exercise capacity, and worry reduction, may improve outcomes after cardiac surgery, according to a study published online June 27 in the Canadian Journal of Cardiology.

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Nitric Oxide Cuts Kidney Injury After Long Cardiac Surgery

FRIDAY, June 29, 2018 (HealthDay News) -- Nitric oxide gas may lead to a reduction in the incidence of acute kidney injury and an improvement in long-term kidney function in patients undergoing multiple valve replacement and prolonged cardiopulmonary bypass, according to a study published in the American Journal of Respiratory and Critical Care Medicine.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Twitter Posts Reveal Use of JUUL Vaporizer by Minors at School

FRIDAY, June 29, 2018 (HealthDay News) -- Data from social media capture early public experiences with the JUUL vaporizer, a nicotine delivery device that is the size and shape of a thumb drive, according to a study published in the June 26 issue of Drug and Alcohol Dependence.

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Initial Outcomes No Worse for Surgical ICU Patients With CA

FRIDAY, June 29, 2018 (HealthDay News) -- Surgical patients who are admitted to the intensive care unit (ICU) and have cancer do not have worse initial outcomes than those without cancer, according to a study published online June 27 in JAMA Surgery.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) -- Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Penicillin Allergy Linked to MRSA, C. Difficile Risk

THURSDAY, June 28, 2018 (HealthDay News) -- There is a correlation for documented penicillin allergy with increased risk of methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile, which is mediated by increased use of β-lactam alternative antibiotics, according to a study published online June 27 in the BMJ.

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Radiomic Model Approach for Characterizing Nodules Promising

THURSDAY, June 28, 2018 (HealthDay News) -- A radiomic low-dose computed tomography (LDCT)-based approach is promising for indeterminate screen-detected nodule characterization, according to a study published online May 14 in PLOS One.

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Combination of LABA + Inhaled Glucocorticoid Safe in Asthma

THURSDAY, June 28, 2018 (HealthDay News) -- Compared to treatment with an inhaled glucocorticoid alone, combination therapy with a long-acting β2-agonist (LABA) and an inhaled glucocorticoid is not associated with a significantly higher risk of serious asthma-related events, according to a study published online June 27 in the New England Journal of Medicine.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Azithromycin Cuts Pulmonary Exacerbation in CF With Early Pa

WEDNESDAY, June 27, 2018 (HealthDay News) -- For children with cystic fibrosis (CF) and early Pseudomonas aeruginosa (Pa) infection, the risk of pulmonary exacerbation is significantly reduced with the addition of azithromycin to tobramycin inhalation solution (TIS), according to a study published online June 11 in the American Journal of Respiratory and Critical Care Medicine.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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More Than 2,000 U.S. Campuses Smoke-Free as of Nov. 2017

TUESDAY, June 26, 2018 (HealthDay News) -- As of November 2017, at least 2,082 U.S. college and university campuses had smoke-free policies, with most of these campuses tobacco-free, prohibiting both smoking and smokeless tobacco products, according to a study published online June 21 in Morbidity and Mortality Weekly Report.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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E-Cigarettes May Help Some Quit Tobacco Smoking

FRIDAY, June 22, 2018 (HealthDay News) -- Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Many Physicians Not Prepared for End-of-Life Talks With Patients

THURSDAY, June 21, 2018 (HealthDay News) -- While nearly all physicians say end-of-life conversations are important, many report lacking the training to have such conversations, according to a brief report published online May 23 in the Journal of the American Geriatrics Society.

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BCG Vaccine Tied to Reduced Hyperglycemia in Type 1 Diabetes

THURSDAY, June 21, 2018 (HealthDay News) -- The Bacillus Calmette Guérin (BCG) vaccine is associated with a reduction in hyperglycemia among patients with type 1 diabetes with long-term disease, according to a study published online June 21 in npj Vaccines.

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Educational Strategies Could Improve Cardiac Arrest Outcomes

THURSDAY, June 21, 2018 (HealthDay News) -- Addressing shortcomings in resuscitation educational efficiency and local implementation could improve outcomes after cardiac arrest, according to a scientific statement published online June 21 in Circulation.

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FIRS: Guidance Offered for Protecting Youth From E-Cigarettes

WEDNESDAY, June 20, 2018 (HealthDay News) -- Youth should be protected from electronic cigarettes and other nicotine delivery devices, according to a position statement from the Forum of International Respiratory Societies published online May 31 in the European Respiratory Journal.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Increased Risk of MI, Ischemic Stroke After COPD Exacerbation

TUESDAY, June 19, 2018 (HealthDay News) -- For adults with chronic obstructive pulmonary disease (COPD), acute exacerbations are associated with increased risk of myocardial infarction and ischemic stroke, according to a study published online May 3 in the Annals of the American Thoracic Society.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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VTE Linked to Acute Decline in Physical Function in Women

FRIDAY, June 15, 2018 (HealthDay News) -- For women, venous thromboembolism (VTE) is associated with acute decline in physical function, according to a study published online June 8 in the Journal of Thrombosis and Haemostasis.

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E-Cigarette Flavorings May Impair Vascular Function

THURSDAY, June 14, 2018 (HealthDay News) -- Flavoring additives used in electronic cigarettes (e-cigarettes) may have adverse effects on blood vessels, according to a study published online June 14 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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2011 to 2017 Saw Drop in Youth Use of Any Tobacco Products

MONDAY, June 11, 2018 (HealthDay News) -- From 2011 to 2017 there were decreases in current use of any tobacco products among high and middle school students, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Case Volume Affects Mortality for Immunosuppressed With Sepsis

FRIDAY, June 8, 2018 (HealthDay News) -- At hospitals with the lowest volume of immunosuppressed patients with sepsis, the risk of death from sepsis due to a suppressed immune state is highest, according to a study published online June 1 in the Annals of the American Thoracic Society.

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Adenoid, Tonsil Removal May Affect Later Respiratory Risks

FRIDAY, June 8, 2018 (HealthDay News) -- Adenoidectomy and tonsillectomy in children are associated with increased long-term risks of respiratory, infectious, and allergic diseases, according to a study published online June 7 in JAMA Otolaryngology-Head & Neck Surgery.

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Respiratory Pathogens May Up Treatment Failure Risk in Asthma

THURSDAY, June 7, 2018 (HealthDay News) -- Respiratory pathogens are associated with increased risk of treatment failure in children with asthma exacerbations, according to a study published online June 4 in Pediatrics.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) -- Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) -- The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

WEDNESDAY, June 6, 2018 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has joined 40 public health and medical associations in favor of a proposed update to the U.S. Food and Drug Administration's cigarette product standards to reduce the nicotine content in cigarettes.

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Similar Primary Outcome for Lower O2 Sat in Extreme Preterm

TUESDAY, June 5, 2018 (HealthDay News) -- Different target ranges for oxygen saturation as measured by pulse oximetry (SpO2) do not affect the composite primary outcome of death or major disability for extremely preterm infants, according to research published in the June 5 issue of the Journal of the American Medical Association.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) -- There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Greater Use of Tobacco Products Among Youth With Asthma

TUESDAY, June 5, 2018 (HealthDay News) -- Youth with asthma have considerably higher use of tobacco products than those without asthma, with electronic cigarettes (e-cigarettes) being the most commonly used tobacco product, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Post-Hurricane Deaths in Puerto Rico Underestimated

TUESDAY, June 5, 2018 (HealthDay News) -- The actual number of deaths related to Hurricane Maria in Puerto Rico in 2016 is likely more than 70 times the official government estimate of 64, according to a study published online May 29 in the New England Journal of Medicine.

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