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July 2014 Briefing - Pulmonology

Last Updated: August 01, 2014.

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

FDA Approves Once-Daily, Long-Acting Inhaler for COPD

THURSDAY, July 31, 2014 (HealthDay News) -- Striverdi Respimat (olodaterol) inhalation spray has been approved by the U.S. Food and Drug Administration to treat chronic obstructive pulmonary disease (COPD), the agency said Thursday in a news release.

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Benefits of E-Cigarettes May Outweigh Harms

THURSDAY, July 31, 2014 (HealthDay News) -- Allowing e-cigarettes to compete with regular cigarettes might cut tobacco-related deaths and illness, according to a new study, partly funded by the U.S. National Institutes of Health, published online July 31 in Addiction.

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CDC: Annual COPD Costs to Hit $49 Billion by 2020

WEDNESDAY, July 30, 2014 (HealthDay News) -- Medical costs for chronic obstructive pulmonary disease (COPD) in the United States are more than $32 billion each year, according to new research from the U.S. Centers for Disease Control and Prevention. The yearly financial toll of COPD is expected to reach an estimated $49 billion by 2020. The findings were published online July 24 in CHEST.

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Slow Progress Toward Meaningful Use Stage 2

WEDNESDAY, July 30, 2014 (HealthDay News) -- Providers and hospitals are making slow progress toward achieving meaningful use stage 2, according to an article published July 10 in Medical Economics.

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IOM Recommends Restructuring GME Financing

TUESDAY, July 29, 2014 (HealthDay News) -- Medicare support for graduate medical education (GME) should be restructured and based on its value and contribution to the nation's health needs, according to a report published July 29 by the Institute of Medicine (IOM).

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Post-Op Pneumonia Prevention Program Effective

TUESDAY, July 29, 2014 (HealthDay News) -- Adoption of a standardized pneumonia prevention program can achieve a substantial and sustained reduction in postoperative pneumonia incidence in non-mechanically ventilated patients, according to a study published online July 23 in JAMA Surgery.

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Access for Pharmaceutical Sales Reps Continuing to Decline

MONDAY, July 28, 2014 (HealthDay News) -- Pharmaceutical sales representatives' access to physicians is continuing to decrease, even in previously rep-friendly specialties, according to a report published by ZS Associates.

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Survey IDs Patients' Views on Health Care Provider Quality

FRIDAY, July 25, 2014 (HealthDay News) -- Most Americans focus on provider quality related to doctor-patient interactions rather than effectiveness of care when defining provider quality, according to a report published by the Associated Press-NORC (AP-NORC) Center for Public Affairs Research.

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Maternal Gestational Weight Tied to Offspring's Asthma Risk

THURSDAY, July 24, 2014 (HealthDay News) -- Maternal obesity in pregnancy (MOP) and high maternal gestational weight gain (GWG) are associated with an elevated risk of childhood asthma, according to a review published online July 21 in Pediatrics.

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Prenatal Maternal Smoking Ups Risk of ADHD in Offspring

THURSDAY, July 24, 2014 (HealthDay News) -- Maternal smoking and nicotine replacement therapy during pregnancy are associated with increased risk of attention-deficit/hyperactivity disorder (ADHD) in children, according to research published online July 21 in Pediatrics.

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Number of Uninsured Down After ACA Open Enrollment

THURSDAY, July 24, 2014 (HealthDay News) -- There has been a decrease in the number of uninsured following the open enrollment period of the Affordable Care Act (ACA), according to a report published online July 23 in the New England Journal of Medicine.

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Few Outpatients With Flu Prescribed Antivirals

WEDNESDAY, July 23, 2014 (HealthDay News) -- Few outpatients with influenza are prescribed antivirals, while antibiotic prescribing is more frequent, according to a study published online July 16 in Clinical Infectious Diseases.

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American Red Cross Issues Urgent Call for Blood Donations

WEDNESDAY, July 23, 2014 (HealthDay News) -- Blood donations to the American Red Cross are down substantially, and the agency says an "emergency situation" could arise within weeks.

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Online Reviews Show Patients Value Docs' Interpersonal Skills

TUESDAY, July 22, 2014 (HealthDay News) -- Patient reviews indicate that the attributes most valued in physicians include interpersonal skills and bedside manner, according to a report published online July 16 by Vitals.

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Review: Inhaled Corticosteroids Impact Growth

TUESDAY, July 22, 2014 (HealthDay News) -- For children with persistent asthma, use of inhaled corticosteroids (ICS) is associated with a significant reduction in linear growth velocity, with lower growth velocity for those receiving a higher dose of ICS, according to two reviews published online July 17 in The Cochrane Library.

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Abstract - Pruteanu
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Physician Offices Investing in Patient Portals for EHRs

THURSDAY, July 10, 2014 (HealthDay News) -- Practitioners are continuing to invest in electronic health records (EHRs), specifically to improve access for patients, according to an article published June 13 in Medical Economics.

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National Survey Finds Most U.S. Physicians Are Satisfied

MONDAY, July 21, 2014 (HealthDay News) -- Most U.S. physicians are satisfied, with satisfied physicians more likely to report positive trends in medicine, according to a report published by Jackson Healthcare.

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Physician Continuity Is Key After ER Visit for Heart Failure

MONDAY, July 21, 2014 (HealthDay News) -- Heart failure patients who follow up with a familiar physician after release from the emergency department have better outcomes, according to research published online July 9 in the Journal of the American College of Cardiology: Heart Failure.

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Seriously Ill Patients Have Limited Facial Expression

FRIDAY, July 18, 2014 (HealthDay News) -- Decreased variability of facial expression may help identify patients with serious cardiopulmonary disease in the emergency care setting, according to research published online July 14 in the Emergency Medicine Journal.

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Legal Risks for Providing Financial Assistance to Patients

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians need to be aware of the ramifications of providing financial assistance to patients, according to an article published July 8 in Medical Economics.

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Doctors More Likely Than Public to Be Registered Organ Donors

THURSDAY, July 17, 2014 (HealthDay News) -- Physicians are more likely to register to be organ donors than the general public, according to a research letter published in the July 16 issue of the Journal of the American Medical Association.

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Increasing Flow of Information Has Impact on Patient Consent

WEDNESDAY, July 16, 2014 (HealthDay News) -- The increasing flow of information as part of health information exchanges raises certain issues for patient consent, according to an article published July 8 in Medical Economics.

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Medical Schools Being Challenged to Find Training Sites

MONDAY, July 14, 2014 (HealthDay News) -- Medical schools are working to find solutions to ensure their students can continue to receive clinical training in spite of the escalating shortage of training sites, according to an article published by the American Academy of Family Physicians (AAFP).

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Interrupted Sleep May Be As Bad As Too Little Sleep

FRIDAY, July 11, 2014 (HealthDay News) -- Interrupted sleep may be as harmful to cognition and mood as getting too little sleep, according to a study published in the July issue of Sleep Medicine.

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FIRS: Governments Should Limit or Ban Use of E-Cigarettes

THURSDAY, July 10, 2014 (HealthDay News) -- Governments should ban or limit the use of electronic cigarettes until more is known about their health effects, say experts from the world's leading lung organizations. The position statement was issued Wednesday by the Forum of International Respiratory Societies (FIRS), which includes more than 70,000 members worldwide.

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ACOs Require Overhaul to Health Care Delivery System

WEDNESDAY, July 9, 2014 (HealthDay News) -- The accountable care organization (ACO) model requires an overhaul for health care delivery, according to an article published June 24 in Medical Economics.

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Incidence of Pediatric TB Higher Than Expected

WEDNESDAY, July 9, 2014 (HealthDay News) -- The incidence of pediatric tuberculosis is higher than the number of notifications in 22 high-burden countries, according to a study published online July 9 in The Lancet Global Health.

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Surgical Biopsy Safe With Advanced Lung Cancer

WEDNESDAY, July 9, 2014 (HealthDay News) -- Surgical biopsy samples can be safely collected in patients with stage IV non-small-cell lung cancer (NSCLC) and can inform appropriate personalized therapy, according to a study published in the July issue of the Journal of Thoracic and Cardiovascular Surgery.

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Most Docs Find M.B.A. Training Advantageous to Their Careers

TUESDAY, July 8, 2014 (HealthDay News) -- Graduates with dual training in medicine and business increasingly pursue leadership roles and report greater career acceleration, according to a study published online June 20 in Academic Medicine.

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Varenicline, Nicotine Patch Combo Aids in Smoking Cessation

TUESDAY, July 8, 2014 (HealthDay News) -- Varenicline in combination with nicotine replacement therapy (NRT) is more effective than varenicline alone in achieving tobacco abstinence at 12 weeks and at six months, according to a study published in the July 9 issue of the Journal of the American Medical Association.

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Sleep-Disordered Breathing May Affect Pregnancy Outcomes

TUESDAY, July 8, 2014 (HealthDay News) -- Sleep-disordered breathing (SDB) may be associated with adverse pregnancy outcomes, according to research published in the June issue of the American Journal of Obstetrics & Gynecology.

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Don't Forget Patient Privacy When Marketing Your Practice

MONDAY, July 7, 2014 (HealthDay News) -- Use of marketing by health care providers must be in accordance with federal and state regulations relating to patient privacy, according to an article published June 24 in Medical Economics.

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Substantial Variation in Infection Rates Post-CABG

MONDAY, July 7, 2014 (HealthDay News) -- For patients undergoing isolated coronary artery bypass grafting surgery, the variation in observed health care-acquired infection (HAI) rates across centers is 18.2 percent, according to a study published online July 1 in Circulation: Cardiovascular Quality and Outcomes.

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Three Opportunities Presented for Practice Growth

THURSDAY, July 3, 2014 (HealthDay News) -- Maximizing the growth potential of a practice over time requires physicians to consider various opportunities, including increasing the size of medical groups, embracing technology, and use of marketing, according to an article published June 24 in Medical Economics.

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AMA: Tips for Managing Medical School Loans

THURSDAY, July 3, 2014 (HealthDay News) -- Creating a budget and other tips can help medical school graduates to manage their loan repayments, according to an article published by the American Medical Association (AMA).

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Recommendations Made for Partnering Patients in Health Care

THURSDAY, July 3, 2014 (HealthDay News) -- Changes need to be implemented in the education system in order to fully integrate patients and their families as equal partners in health care, according to a report based on recommendations made at a conference convened by the Macy Foundation.

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Tips Offered for Improving Practice Financial Management

WEDNESDAY, July 2, 2014 (HealthDay News) -- Establishing clear financial policies for practices and making it easy for patients to pay are two suggestions for improving practices' financial management, according to an article published online June 24 in Medical Economics.

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AAFP Urges Changes in Telemedicine Compensation

WEDNESDAY, July 2, 2014 (HealthDay News) -- Significant changes should be made to delivery and payment of telemedicine services, according to an article published by the American Academy of Family Physicians (AAFP).

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Health Care Expenditure Has Slowed in United States

WEDNESDAY, July 2, 2014 (HealthDay News) -- The growth in U.S. health care expenditure has slowed in recent years, coming some way toward closing the gap with other countries of the Organisation for Economic Co-operation and Development (OECD), according to an article in the health of Americans series published online July 1 in The Lancet.

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ACA Offers Opportunities for Prevention, Public Health

TUESDAY, July 1, 2014 (HealthDay News) -- The Patient Protection and Affordable Care Act is fostering collaboration between the public health and health care systems and can improve quality of care and advance population health, according to an article in the health of Americans series published online July 1 in The Lancet.

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No CDC Lab Workers Seem Sickened by Anthrax: Report

TUESDAY, July 1, 2014 (HealthDay News) -- None of the dozens of staffers at the U.S. Centers for Disease Control and Prevention in Atlanta potentially exposed to anthrax last month has fallen ill, agency officials reported Monday.

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