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Category: Pulmonology | Monthly Briefing

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February 2014 Briefing - Pulmonology

Last Updated: March 03, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for February 2014. 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.

CT Scans Don't Interfere With Cardiac Rhythm Devices

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Cardiac rhythm management devices should not be a cause for delaying computed tomography (CT) imaging procedures, according to research published online Feb. 26 in the Journal of the American College of Cardiology.

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Going Live With EHR Leads to Frustrations, Productivity Hit

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Implementing an electronic health record (EHR) system takes excessive physician and staff time and disrupts practice, according to survey results published Feb. 24 in Medical Economics.

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Hospital Size, Market Share Affect Inpatient Care Prices

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Size and market share are the greatest differentiators between hospitals receiving low prices and high prices for inpatient care, according to a study published in the February issue of Health Affairs.

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Stethoscopes Contaminated After Single Physical Exam

FRIDAY, Feb. 28, 2014 (HealthDay News) -- Stethoscopes get contaminated after a single physical exam, with the contamination greater than that seen on most of the physician's dominant hand, barring the fingertips, according to a study published online Feb. 27 in the Mayo Clinic Proceedings.

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Daily Walks May Cut Risk of Hospitalization for COPD

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Patients with chronic obstructive pulmonary disease (COPD) who engage in regular physical activity may reduce the rate of hospitalization for COPD exacerbation, according to research published online Feb. 2 in Respirology.

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Not All Acute Coronary Syndrome Patients Get Appropriate Tx

WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- Nearly one in five eligible patients hospitalized for acute coronary syndrome do not receive American College of Cardiology/American Heart Association (ACC/AHA) class I guideline-recommended angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy, according to a study published online Feb. 25 in Circulation: Cardiovascular Quality and Outcomes.

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Doctors Pleased With Congress' Medicare Payment Agreement

TUESDAY, Feb. 25, 2014 (HealthDay News) -- Physician groups are expressing optimism over the Congressional agreement to revamp the Medicare physician payment system, according to an article published Feb. 26 in Medical Economics.

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More Than Seven Million Patient Record Breaches in 2013

TUESDAY, Feb. 25, 2014 (HealthDay News) -- The number of patient records breached increased more than 137 percent and affected over seven million records in 2013, according to an annual report published by Redspin.

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Review: Antibiotics Don't Avert Otitis, Pneumonia in Children

TUESDAY, Feb. 25, 2014 (HealthDay News) -- For young children with undifferentiated acute respiratory infections (ARIs), current evidence does not support the use of antibiotics to prevent ear infections or pneumonia, according to a review published online Feb. 18 in The Cochrane Library.

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Low Iron Tied to Higher Stroke Risk in Some People

MONDAY, Feb. 24, 2014 (HealthDay News) -- People with defective pulmonary capillary filtration are at higher risk of having an ischemic stroke if they have low iron levels, possibly due to enhanced platelet aggregation, according to a study published online Feb. 19 in PLOS ONE.

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USPSTF: Evidence Lacking for Vitamin Prevention of CVD, CA

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to evaluate the benefits and harms of multivitamins and most single- or paired-nutrient supplements for the prevention of cardiovascular disease and cancer. The Task Force findings have been published in a final recommendation statement available online Feb. 25 in the Annals of Internal Medicine.

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Quality Measures Data Added to Physician Compare Website

MONDAY, Feb. 24, 2014 (HealthDay News) -- Data for quality measures have been added to Physician Compare, the website that helps consumers search for information about physicians, according to a report published by the Centers for Medicare & Medicaid Services (CMS).

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Obese Patients Affected by Perceived Judgment of Doctor

MONDAY, Feb. 24, 2014 (HealthDay News) -- Patients who discuss weight loss with their physicians but do not feel judged may be more likely to attempt and succeed in losing weight, according to research published online Feb. 9 in Preventive Medicine.

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FDA to Step Up Oversight of Indian Drug Makers

MONDAY, Feb. 24, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is to increase monitoring of drugs from pharmaceutical companies in India, FDA Commissioner Margaret Hamburg, M.D., said during a Friday afternoon news conference.

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Imaging IDs Idiopathic Pulmonary Fibrosis Without Biopsy

THURSDAY, Feb. 20, 2014 (HealthDay News) -- In patients suspected of having idiopathic pulmonary fibrosis but without typical patterns of lung damage on high-resolution computed tomography (CT), high-resolution CT can correctly diagnose the disease in most cases without the need for a lung biopsy, according to a study published online Feb. 18 in The Lancet Respiratory Medicine.

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Unfilled Hospital Openings for Doctors Growing, Survey Finds

THURSDAY, Feb. 20, 2014 (HealthDay News) -- The need for hospital physicians is growing, according to an article published Jan. 3 in Medical Economics.

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Prenatal Vitamin A Deficiency May Contribute to Asthma

THURSDAY, Feb. 20, 2014 (HealthDay News) -- Early fetal retinoic acid (RA) deficiency is associated with altered airway smooth muscle phenotype, with RA restricting airway smooth muscle differentiation, according to an experimental study published in the Feb. 3 issue of the Journal of Clinical Investigation.

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Before Implementation, Full EHR Cost Needs Consideration

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- From the outset of electronic health record implementation, hospitals and governments need to understand the major cost categories involved and identify the factors that may impact these costs, according to research published online Feb. 12 in the Journal of the American Medical Informatics Association.

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Smoking Cessation Leads to Better Mental Health

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Those who stop smoking have significant improvements in mental health compared with those who continue to smoke, both in healthy and clinical populations, according to research published online Feb. 13 in BMJ.

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E. cuniculi Can Cause Febrile Illness After Transplant

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- Solid organ transplant recipients who become febrile weeks after transplantation may have acquired microsporidiosis from Encephalitozoon cuniculi, according to a case series published in the Feb. 18 issue of the Annals of Internal Medicine.

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'Talking' Medical Devices, Apps Continue to Evolve

WEDNESDAY, Feb. 19, 2014 (HealthDay News) -- "Talking" medical devices and apps, among other techy health-focused inventions, can help people manage everyday wellness routines, such as taking pills and checking blood sugar levels, as well as dire medical circumstances, say experts.

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Online Ratings Do Affect Patient Choice of Physician

TUESDAY, Feb. 18, 2014 (HealthDay News) -- About two-thirds of the general U.S. population is aware of online physician rating sites, according to a research letter published in the Feb. 19 issue of the Journal of the American Medical Association.

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Physicians More Likely to Be Burned Out Than Non-Doc Peers

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Trainees and early-career physicians are more likely to be burned out than control population samples, according to research published online Jan. 20 in Academic Medicine.

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Sustained Weight Loss Prevents Sleep Apnea Progression

TUESDAY, Feb. 18, 2014 (HealthDay News) -- A moderate, sustained weight loss may prevent the progression of, or even resolve, mild obstructive sleep apnea (OSA) in obese patients, according to research published online Feb. 3 in Sleep Medicine.

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Direct-to-Consumer Genomic Testing Concerns Explored

TUESDAY, Feb. 18, 2014 (HealthDay News) -- Various concerns relate to direct-to-consumer genomic testing, according to an ideas and opinions piece published online Feb. 10 in the Annals of Internal Medicine.

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Non-Traditional Office Hours Can Reap Big Financial Benefits

MONDAY, Feb. 17, 2014 (HealthDay News) -- Physicians can reap significant financial benefits by extending their office hours to include non-traditional hours, according to an article published Jan. 8 in Medical Economics.

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AAFP: Telemedicine Can Help With Increased Demand for Docs

MONDAY, Feb. 17, 2014 (HealthDay News) -- Telemedicine offers a potential solution to the increased demand for physician-patient interaction, according to a report from a recent forum. The forum was hosted by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, and the results of the discussion were published by the American Academy of Family Physicians (AAFP).

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Most Patients Hospitalized With Flu Are Unvaccinated

MONDAY, Feb. 17, 2014 (HealthDay News) -- Few patients hospitalized for influenza have been vaccinated, with the rate even lower among those requiring intensive care unit (ICU) care, according to a research letter published in the Feb. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Research Reveals Earlier Diagnosis of COPD Often Missed

FRIDAY, Feb. 14, 2014 (HealthDay News) -- Opportunities to diagnose chronic obstructive pulmonary disease (COPD) have been missed in as many as 85 percent of patients in the United Kingdom in the last two decades, according to a study published online Feb. 13 in The Lancet Respiratory Medicine.

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ICD-10 Implementation Likely to Be Financial Disaster

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The American Medical Association (AMA) is continuing its efforts to stop implementation of the International Classification of Diseases, 10th Revision (ICD-10), citing the huge financial burden for physicians.

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CMS Extends 2013 Meaningful Use Attestation Deadline

THURSDAY, Feb. 13, 2014 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) have extended another deadline for the Medicare electronic health record (EHR) Incentive Program, according to an article published Feb. 11 in Medical Economics.

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Congress Agrees on Legislation to Replace SGR Formula

THURSDAY, Feb. 13, 2014 (HealthDay News) -- Congress has agreed on legislation to repeal the Sustainable Growth Rate (SGR) formula, which will guarantee Medicare providers annual 0.5 percent reimbursement increases as new payment models are introduced, according to an article published Feb. 11 in Medical Economics.

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Affordable Care Act Enrollment Nears 3.3 Million

THURSDAY, Feb. 13, 2014 (HealthDay News) -- 3.3 million Americans have signed up for health insurance through the state and federal marketplaces created by the Affordable Care Act, the Obama administration announced Wednesday.

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Adding Signage Improves Smoke-Free Regulation Awareness

WEDNESDAY, Feb. 12, 2014 (HealthDay News) -- Efforts to increase awareness of smoke-free rules, including new signage, seem effective, according to research published online Jan. 30 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Guidelines Issued for Managing Hospital Medicine Groups

TUESDAY, Feb. 11, 2014 (HealthDay News) -- A new assessment guide comprising 10 principles has been developed for effective management of hospital medicine groups (HMGs), according to research published in the February issue of the Journal of Hospital Medicine.

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Mid-Sized Companies Get Extra Year to Comply With ACA

TUESDAY, Feb. 11, 2014 (HealthDay News) -- Medium-sized companies will have another year before they have to provide employees with health insurance or face tax penalties, the Obama administration announced Monday.

Other Health Highlights: Feb. 10, 2014

Residents Concerned About Lack of Time With Patients

MONDAY, Feb. 10, 2014 (HealthDay News) -- Many U.S. medical residents are concerned about reduced face-time with patients and report that engaging patients in their own care is more challenging than anticipated, according to a report from the American Resident Project, sponsored by ThinkWellPoint.

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New Rule Allows Patients to Access Laboratory Test Results

MONDAY, Feb. 10, 2014 (HealthDay News) -- In a final rule relating to the Health Insurance Portability and Accountability Act (HIPAA), a patient or their personal representative can access their completed test reports directly from the laboratory, according to a report from the U.S. Department of Health & Human Services (HHS).

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Smartphone Use at Night Could Impair Work the Next Day

MONDAY, Feb. 10, 2014 (HealthDay News) -- Smartphone use at night is associated with increased depletion and diminished work engagement the following morning, according to research published in an upcoming issue of Organizational Behavior and Human Decision Processes.

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Physicians Need to Be Prepared to Talk Antibiotics

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Patient pressure to receive antibiotic prescriptions remains a challenge for providers who are trying to combat antibiotic resistance by curbing prescriptions for viral infections, according to an article published Jan. 8 in Medical Economics.

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CLER Pathways to Excellence Document Issued

THURSDAY, Feb. 6, 2014 (HealthDay News) -- The Clinical Learning Environment Review (CLER) Pathways to Excellence document has been released for graduate medical education as a foundation for preparing the physician workforce in patient safety and quality improvement, according to a report from the Accreditation Council for Graduate Medical Education (ACGME).

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Uneven Infection Prevention Policy Compliance in U.S. ICUs

THURSDAY, Feb. 6, 2014 (HealthDay News) -- There is considerable variation in the infection prevention and control practices in intensive care units (ICUs) across hospitals in the United States, according to a study published in the February issue of the American Journal of Infection Control.

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Ventilatory Abnormalities Persist for Adults Born Prematurely

THURSDAY, Feb. 6, 2014 (HealthDay News) -- Those born prematurely continue to have abnormal ventilatory responses to hypoxia and hyperoxia as adults, which may have clinical consequences such as sleep disorders, according to a study published in the Feb. 6 issue of the New England Journal of Medicine.

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FDA: There's Still Time for Patients to Get a Flu Shot

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- It's still not too late to get a flu shot, the U.S. Food and Drug Administration said Wednesday. Children and seniors tend to be most susceptible to flu. But sometimes a flu virus will affect more young and middle-aged adults. That appears to be the case this flu season, the agency said.

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Choosing Wisely Tips Should Prompt Doc-Patient Discussion

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The Choosing Wisely recommendations can form a starting point for discussing cost and appropriate use of testing with patients, according to an article from the American Medical Association (AMA).

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ICD-10 Transition May Impact Practice Cash Flow

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Physicians and health plans remain unprepared for the disruption that implementation of the International Classification of Diseases, 10th Revision (ICD-10) will bring to their cash flow, according to an article published Jan. 14 in Medical Economics.

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CVS Caremark to Stop Selling Tobacco Products

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- The national drug store chain CVS Caremark said Wednesday that it's phasing out the sale of tobacco products at its more than 7,600 stores across the United States.

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EHR Use During Patient Visit May Mean Missed Non-Verbal Cues

WEDNESDAY, Feb. 5, 2014 (HealthDay News) -- Patterns of eye gaze change with the use of electronic health records (EHRs), and this influences physician-patient interaction, according to research published in the March issue of the International Journal of Medical Informatics.

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Patients Are 'Myth'-Informed About Their Risk of Cancer

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Fewer than half of Americans are aware that body weight and physical activity affect cancer risk, according to the results of a survey commissioned by the American Institute for Cancer Research (AICR).

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First- and Second-Generation Family Hx Adequate in Oncology

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Recommendations relating to the key elements of minimum adequate cancer family history are detailed, although they are often incompletely implemented, according to a recommendation statement and related study published online Feb. 3 in the Journal of Clinical Oncology.

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Online Medical Records Trump Colleagues As Docs' Info Source

TUESDAY, Feb. 4, 2014 (HealthDay News) -- Online patient medical records are the top source of information for doctors, based on the mean annual exposure, according to the results of a survey conducted by Kantar Media.

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Health Reform Differs Across States: Report

MONDAY, Feb. 3, 2014 (HealthDay News) -- California is one of 10 states that have done the most to roll out provisions of the Affordable Care Act, according to a new Commonwealth Fund report. These states, including Colorado, Connecticut, Hawaii, Maryland, Massachusetts, Minnesota, New York, Oregon, and Vermont, have committed to implementing "the most significant aspects of health reform," the report states.

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