Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for November 2009. 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.
Arterial Duct Stenting Deemed Beneficial to Neonates
MONDAY, Nov. 30 (HealthDay News) -- In neonates with congenital heart disease with duct-dependent pulmonary circulation (CHD-DPC), percutaneous arterial duct stenting is as effective as the modified Blalock-Taussig shunt in fostering pulmonary artery growth, according to a study in the Dec. 1 issue of the Journal of the American College of Cardiology.
Cigarettes Teeming With Bacteria, Other Pathogens
MONDAY, Nov. 30 (HealthDay News) -- Cigarettes contain more than a dozen different types of bacteria, as well as other harmful pathogens that could play a role in smokers' increased risk of infectious and chronic respiratory diseases, according to a study published online Oct. 22 in Environmental Health Perspectives.
Proximity to Airports Increases Exposure to Ultrafine Particles
FRIDAY, Nov. 27 (HealthDay News) -- Emissions emanating from airports reach for hundreds of meters downwind, and increase exposure to ultrafine particles by a factor of 2.5 over background levels, according to a study in the Nov. 1 issue of Environmental Science & Technology.
Ultrasound and CT Imaging Similar in Pediatric Pneumonia
THURSDAY, Nov. 26 (HealthDay News) -- Chest ultrasound is as effective as computed tomography (CT) for visualizing the lungs of children with pneumonia and parapneumonic effusion, according to a study in the December issue of the American Journal of Roentgenology.
Plasma Troponin T Level Linked to Heart Failure, Death
WEDNESDAY, Nov. 25 (HealthDay News) -- Troponin T concentrations in blood plasma measured using a new and more sensitive assay process were found to be associated with cardiovascular death and heart failure among coronary artery disease patients, but not myocardial infarction, according to a study published online Nov. 25 in the New England Journal of Medicine.
CDC: Worrisome Spike Seen in Pneumococcal Disease
WEDNESDAY, Nov. 25 (HealthDay News) -- H1N1 vaccine supply continues to increase, but serious pneumococcal infections are on the rise around the country, according to a Nov. 25 press briefing held by the U.S. Centers for Disease Control and Prevention.
Study Sheds Light on Chemo Effects in Lung Cancer
WEDNESDAY, Nov. 25 (HealthDay News) -- The effect of adjuvant cisplatin-based chemotherapy on survival in non-small-cell lung cancer may fade over time, according to research published online Nov. 23 in the Journal of Clinical Oncology.
Traffic Pollution Associated With Wheezing in Infants
WEDNESDAY, Nov. 25 (HealthDay News) -- Infants exposed to traffic-related pollution are at higher risk of developing wheeze, according to two studies in the Dec. 1 issue of the American Journal of Respiratory and Critical Care Medicine.
Cancer Patients' Adverse Event Reports Useful Measure
WEDNESDAY, Nov. 25 (HealthDay News) -- Asking cancer patients to self-report adverse events as a result of treatment yields information that is different and complementary to that provided by clinicians in their adverse event reports, according to a study published online Nov. 17 in the Journal of the National Cancer Institute.
Most Medical Journals Have Conflict of Interest Policies
TUESDAY, Nov. 24 (HealthDay News) -- Most high impact factor journals have publicly available conflict of interest statement policies, but there is a great deal of variation among journals, which could be confusing for authors, according to a study in the Nov. 25 issue of the Journal of the American Medical Association.
How to Improve GI Surgery Mortality in the Elderly Studied
MONDAY, Nov. 23 (HealthDay News) -- Patients older than 75 years who undergo major gastrointestinal tract surgery have substantially higher morbidity -- including pulmonary and urologic complications -- and mortality than younger patients, according to research published in the November issue of the Archives of Surgery.
Toxicants Associated With Increased Risk of ADHD
MONDAY, Nov. 23 (HealthDay News) -- Prenatal and childhood exposure to toxicants such as tobacco and lead may be significantly associated with an increased risk of attention-deficit/hyperactivity disorder (ADHD), according to a study published Nov. 23 in Pediatrics.
Pandemic Influenza May Hurt Economy in United Kingdom
FRIDAY, Nov. 20 (HealthDay News) -- Although pandemic influenza may only decrease the gross domestic product (GDP) by up to 4.3 percent in the United Kingdom, school closures and absenteeism from work due to government regulations or fear of infection may negatively impact the economy and potentially increase the effect of the recession, according to a study published Nov. 19 in BMJ.
Salmeterol Found Similarly Effective in Asthma Genotypes
FRIDAY, Nov. 20 (HealthDay News) -- Outcomes in the long-acting β2 agonist in asthma trial showed no difference in treatment outcomes for patients taking salmeterol who had different B16 genotypes, according to a report in the Nov. 21 issue of The Lancet.
Sleep Apnea in Kidney Transplant Patients Assessed
FRIDAY, Nov. 20 (HealthDay News) -- The prevalence of obstructive sleep apnea (OSA) in patients with kidney disease who underwent or are awaiting transplant is similar, but transplant recipients with the sleep disorder may be at higher risk for hypertension, according to a study published online Nov. 18 in the Clinical Journal of the American Society of Nephrology.
Surgery Errors in Veterans Hospitals Studied
THURSDAY, Nov. 19 (HealthDay News) -- Errors during ophthalmologic and orthopedic surgeries were the most common found in a study of surgery errors occurring in veterans hospitals, according to a study in the November issue of the Archives of Surgery.
New Guidelines Developed for Lung Cancer Therapy
WEDNESDAY, Nov. 18 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) updated guidelines for chemotherapy and biologic therapy for stage IV non-small cell lung cancer were published online Nov. 16 in the Journal of Clinical Oncology.
Hand-Held Device Assists in Pulmonary Embolism Diagnosis
WEDNESDAY, Nov. 18 (HealthDay News) -- A hand-held, computerized clinical decision-support device can substantially improve adherence to guidelines and the accurate diagnosis of pulmonary embolism, according to a study in the Nov. 17 issue of the Annals of Internal Medicine.
Drugs to Lower Anemia Risk Linked to Pulmonary Embolism
MONDAY, Nov. 16 (HealthDay News) -- The use of erythropoiesis-stimulating agents to reduce anemia risk has rapidly increased since their approval to nearly half of advanced cancer patients undergoing chemotherapy, but they are associated with a higher risk of deep vein thrombosis and pulmonary embolism while having no effect on the rate of blood transfusion, according to a study published online Nov. 10 in the Journal of the National Cancer Institute.
Smoking Rate Increases Slightly in United States
FRIDAY, Nov. 13 (HealthDay News) -- The number of Americans who smoke increased slightly from 2007 to 2008, and the figure has hardly changed at all in the past five years, according to a report in the Nov. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Acetaminophen Use Linked to Asthma and Wheezing
FRIDAY, Nov. 13 (HealthDay News) -- In children and adults, acetaminophen use may be associated with an increased risk of asthma and wheezing, according to a study published in the November issue of Chest.
Menstrual Cycle Shows Effect on Exhaled Nitric Oxide Levels
THURSDAY, Nov. 12 (HealthDay News) -- In premenopausal women with asthma who don't use oral contraceptives, there are significant associations between sex hormones and asthma markers, according to a study published in the November issue of Chest.
CDC: New H1N1 Tracking Method Ups Estimates
THURSDAY, Nov. 12 (HealthDay News) -- At least 22 million Americans have been infected with H1N1 since April, and approximately 3,900 people have died, including an estimated 540 children, according to information presented at the U.S. Centers for Disease Control and Prevention's Nov. 12 H1N1 press conference.
Study Finds Costs of Quality Programs Burden Practices
WEDNESDAY, Nov. 11 (HealthDay News) -- The cost of providing data and support for health system quality-improvement programs can put a significant burden on primary care practices, and changes in the outcomes of trials are often made without being disclosed, according to two studies in the November/December Annals of Family Medicine.
Report Highlights Year's Major Cancer Advances
WEDNESDAY, Nov. 11 (HealthDay News) -- The year's most important clinical cancer research studies, including 15 major advances, are highlighted in a new report, "Clinical Cancer Advances 2009: Major Research Advances in Cancer Treatment, Prevention and Screening," published online Nov. 9 in the Journal of Clinical Oncology.
Medical Errors Disclosure Can Help Physicians and Patients
WEDNESDAY, Nov. 11 (HealthDay News) -- Physicians are willing to share their experiences of making diagnostic errors, and analyzing them systematically helps point the way to improve future diagnoses, according to a study in the Nov. 9 issue of the Archives of Internal Medicine, while a second study in the same issue found that patients give higher quality ratings when adverse events are disclosed.
Non-Fasting Lipid Levels Can Stratify Vascular Disease Risk
TUESDAY, Nov. 10 (HealthDay News) -- The risk of coronary heart disease and ischemic stroke can be assessed by measuring cholesterol or apolipoprotein levels, without the need to fast, according to a study in the Nov. 11 issue of the Journal of the American Medical Association.
Prone Positioning Compared to Supine During Ventilation
TUESDAY, Nov. 10 (HealthDay News) -- Being in a prone position during mechanical ventilation did not improve mortality among patients with acute respiratory distress syndrome (ARDS) and moderate or severe hypoxemia, according to a study in the Nov. 11 issue of the Journal of the American Medical Association.
Stats Helps Paint Picture of H1N1 Hospitalizations
TUESDAY, Nov. 3 (HealthDay News) -- The age of people hospitalized with H1N1 influenza infection in California during the summer of 2009 was typically younger than the age commonly seen with seasonal influenza, and infants had the highest rates of hospitalization and those aged 50 and older had the highest mortality, according to research published in the Nov. 4 issue of the Journal of the American Medical Association.
Background Disease Rates Important in H1N1 Pandemic
MONDAY, Nov. 2 (HealthDay News) -- During mass immunization with pandemic H1N1 influenza vaccines, awareness of background rates of disease is essential for assessing vaccine safety, and may help allay vaccine-associated fears among the general public, according to an article published online Oct. 31 in The Lancet.
Pediatric H1N1 Influenza Deaths Reach at Least 114
MONDAY, Nov. 2 (HealthDay News) -- As of Friday, 19 children had died of H1N1 influenza in the past week, bringing the total number of pediatric deaths from the disease to at least 114, the U.S. Centers for Disease Control and Prevention announced at an Oct. 30 news conference.
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