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Category: Pulmonology | Monthly Briefing

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July 2017 Briefing - Pulmonology

Last Updated: August 01, 2017.

Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for July 2017. 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.

Sodium Intake >3.7 g/Day Linked to Adverse Cardiac Strain

MONDAY, July 31, 2017 (HealthDay News) -- Estimated sodium intake (ESI) above 3.7 g/day is associated with left ventricular longitudinal strain (LS), circumferential strain, and e' velocity, according to a study published in the Aug. 8 issue of the Journal of the American College of Cardiology.

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Respiratory Microbiome May Influence Inflammation in CF

MONDAY, July 31, 2017 (HealthDay News) -- Reduced bacterial diversity in the upper and lower airways in infants with cystic fibrosis (CF) is associated with use of prophylactic antibiotics and younger age at sampling, while less diversity in lavage samples is associated with lower inflammation, according to a study published online July 14 in the Annals of the American Thoracic Society.

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FDA Proposes Lowering Nicotine Levels in Cigarettes

MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.

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Interval Training Cuts CVD Risk in Testicular Cancer Survivors

FRIDAY, July 28, 2017 (HealthDay News) -- For testicular cancer survivors (TCS), a high-intensity aerobic interval training (HIIT) intervention improves cardiorespiratory fitness and reduces cardiovascular disease (CVD) risk, according to a study published online July 14 in Cancer.

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Total, Saturated Fat Linked to Increased Risk of Lung Cancer

FRIDAY, July 28, 2017 (HealthDay News) -- High intake of total and saturated fat is associated with increased risk of lung cancer, according to research published online July 25 in the Journal of Clinical Oncology.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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Benefit of Newer NICU Ventilation Strategies Questioned

THURSDAY, July 27, 2017 (HealthDay News) -- From 1991 to 2005, there was an increase in the duration of assisted ventilation among survivors of extremely preterm birth, but no improvement in lung function in childhood, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Mental Stress Tied to Abnormal Left Atrial Electrophysiology

THURSDAY, July 27, 2017 (HealthDay News) -- Acute mental stress is associated with abnormal left atrial electrophysiology, according to a study published online July 20 in the Journal of Cardiovascular Electrophysiology.

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Health Benefits of Healthy Lifestyle Quantified in U.S.

WEDNESDAY, July 26, 2017 (HealthDay News) -- For people age 50 years and older, having a favorable behavioral profile is associated with increased life expectancy and delayed onset of disability compared with the whole U.S. population, according to a study published online July 19 in Health Affairs.

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Many With Cancer Hospitalized, Undergo Imaging at End of Life

WEDNESDAY, July 26, 2017 (HealthDay News) -- About half of cancer patients are hospitalized and undergo at least one imaging scan at the end of life, according to a study published online July 24 in the Journal of Oncology Practice.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Stress Echo Value Questioned for Asymptomatic Aortic Stenosis

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with asymptomatic aortic stenosis (AS), neither increase in mean pressure gradient (MPG) nor systolic pulmonary artery pressure (SPAP) predicts outcome, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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High-Dose Flu Vaccine Cuts Admissions From Nursing Homes

MONDAY, July 24, 2017 (HealthDay News) -- High-dose influenza vaccination can reduce risk of respiratory-related hospitalization among nursing home residents aged 65 years and older, according to a study published online July 21 in The Lancet Respiratory Medicine.

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Exercise Training Improves Left Ventricular Function in T1DM

MONDAY, July 24, 2017 (HealthDay News) -- For adolescents with type 1 diabetes, a 20-week exercise training intervention is associated with improved aerobic capacity and stroke volume, according to a study published online July 18 in Diabetes Care.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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Pollutant Exposure May Lead to Multi-Generational Asthma Risk

FRIDAY, July 21, 2017 (HealthDay News) -- Maternal exposure to diesel exhaust particles during pregnancy may increase susceptibility to allergic asthma in more than one generation of offspring, according to an experimental study published online recently in the American Journal of Physiology-Lung Cellular and Molecular Physiology.

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'Expansion Pathology' Method Could Mean Earlier Intervention

FRIDAY, July 21, 2017 (HealthDay News) -- A new method, called expansion pathology (ExPath), which is a clinically optimized form of expansion microscopy (ExM), can be used for pathology and clinical research, according to a report published online July 17 in Nature Biotechnology.

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Few Patients Receive Rx for Smoking Cessation Meds After MI

FRIDAY, July 21, 2017 (HealthDay News) -- Among older patients in community practice, the use of smoking cessation medications (SCMs) is low after myocardial infarction (MI), according to a study published online July 19 in JAMA Cardiology.

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NCI-Designated Care Often Excluded in Narrow Health Plans

THURSDAY, July 20, 2017 (HealthDay News) -- Narrow network health plans are less likely to cover treatment by doctors at centers affiliated with the U.S. National Cancer Institute, according to a study published online July 5 in the Journal of Clinical Oncology.

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More Patients Enrolled in Cancer Trials Under ACA

THURSDAY, July 20, 2017 (HealthDay News) -- The Affordable Care Act may have enabled more privately insured patients to enroll in clinical trials for cancer treatments, according to a study published online July 20 in Clinical Cancer Research.

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Heart Failure Risk Rises As Weight Increases

THURSDAY, July 20, 2017 (HealthDay News) -- Even a little weight gain can increase risk of developing heart failure, according to a report published online July 19 in the Journal of the American Heart Association.

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ASCO Addresses Cancer Drug Pricing

THURSDAY, July 20, 2017 (HealthDay News) -- Noting that new cancer drugs routinely cost more than $100,000 per year, and prices on many existing treatments continue to rise, the American Society of Clinical Oncology (ASCO) has issued a position statement to address these financial concerns.

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Chronic Disease Risk Rises With Even Slow, Steady Weight Gain

WEDNESDAY, July 19, 2017 (HealthDay News) -- Even a few extra pounds gained in early or middle adulthood can increase risk of chronic diseases such as type 2 diabetes and hypertension, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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High-Dose Vitamin D No Help for Winter URIs in Children

WEDNESDAY, July 19, 2017 (HealthDay News) -- High doses of vitamin D don't protect children from upper respiratory tract infections in the winter, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Reducing Hospital Readmissions Doesn't Up Mortality Rates

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reducing hospital readmission rates for acute myocardial infarction, heart failure, and pneumonia didn't increase mortality rates, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Distress Screening Tied to Fewer ER Visits for Cancer Patients

WEDNESDAY, July 19, 2017 (HealthDay News) -- Adherence to distress screening protocols by cancer programs is associated with lower rates of medical service utilization, according to a study published in the July issue of the Journal of the National Comprehensive Cancer Network.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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NT-proBNP Improves Heart Failure Prediction in T2DM

TUESDAY, July 18, 2017 (HealthDay News) -- For patients with type 2 diabetes, N-terminal pro-B-type natriuretic peptide (NT-proBNP) improves prediction of heart failure, according to a study published online July 6 in Diabetes Care.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Risk of Heart, Respiratory Disease Up in 9/11 Survivors

MONDAY, July 17, 2017 (HealthDay News) -- Rescue workers and survivors of the 9/11 terrorist attacks on the World Trade Center seem to have an increased risk for heart and lung diseases years later, according to findings published online July 17 in Injury Epidemiology.

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Maternal Uncontrolled Asthma Ups Risk of Asthma in Offspring

MONDAY, July 17, 2017 (HealthDay News) -- Children whose mothers have uncontrolled asthma during pregnancy are at increased risk of developing the disease at a young age, according to a study published online July 13 in the Journal of Allergy and Clinical Immunology.

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Organizational Changes Encouraged for Safer Prescribing

MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.

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Higher Inpatient Spending Tied to Better Outcomes

FRIDAY, July 14, 2017 (HealthDay News) -- Investing more in inpatient care relative to longer-term nursing facilities may help reduce mortality rates, according to a study published in the July issue of the Journal of Health Economics.

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Long Working Hours May Increase Risk of Developing A-Fib

FRIDAY, July 14, 2017 (HealthDay News) -- Working long hours could increase risk of atrial fibrillation, according to a study published online July 13 in the European Heart Journal.

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Meds + Risk Factors Contribute to QTc Interval Lengthening

FRIDAY, July 14, 2017 (HealthDay News) -- In combination with risk factors, QTc interval-prolonging medications (QTPMs) are associated with greater QTc lengthening than QTPMs alone, according to a study published online July 10 in the Journal of Evaluation in Clinical Practice.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Large Study Shows Eating Better at Any Age Can Prolong Life

THURSDAY, July 13, 2017 (HealthDay News) -- Sustained diet changes -- even later in life -- can extend people's lives, according to research published in the July 13 issue of the New England Journal of Medicine.

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Mortality Up With Impaired LV Global Longitudinal Strain in CKD

WEDNESDAY, July 12, 2017 (HealthDay News) -- Severely impaired left ventricular (LV) global longitudinal strain (GLS) is associated with worse prognosis in predialysis and dialysis patients, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Chest CT Is Increasingly Being Used in COPD Assessment

WEDNESDAY, July 12, 2017 (HealthDay News) -- Chest computed tomography (CT) is increasingly being used, and can provide additional insight, in chronic obstructive pulmonary disease (COPD), according to research published online June 29 in the American Journal of Respiratory and Critical Care Medicine.

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No Evidence CPAP Reduces Risks of CV Events, Mortality

WEDNESDAY, July 12, 2017 (HealthDay News) -- Treatment with continuous positive airway pressure (CPAP) doesn't appear to reduce risk of adverse cardiovascular-related outcomes or mortality, according to a meta-analysis published in the July 11 issue of the Journal of the American Medical Association.

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Doctors Should Also Advise Healthy People on Diet, Exercise

WEDNESDAY, July 12, 2017 (HealthDay News) -- Lifestyle counseling could help protect the long-term heart health of adults who aren't yet at high risk for heart attack and stroke, according to a final recommendation statement from the U.S. Preventive Services Task Force (USPSTF) published in the July 11 issue of the Journal of the American Medical Association.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Regular Coffee Consumption May Help Extend Lifespan

TUESDAY, July 11, 2017 (HealthDay News) -- Drinking coffee is linked to longevity, according to two studies published online July 11 in the Annals of Internal Medicine.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Rate of Non-Health Care Facility Medication Errors on the Rise

MONDAY, July 10, 2017 (HealthDay News) -- The rate of serious medication errors has doubled since 2000, according to a study published online July 10 in Clinical Toxicology.

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Increasing BMI Causally Linked to Asthma, Not Hay Fever

MONDAY, July 10, 2017 (HealthDay News) -- There is a causal relationship between increasing body mass index (BMI) and asthma and decreased lung function, according to a study published online July 4 in Allergy.

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No Advance Directives for Almost Two-Thirds of U.S. Population

FRIDAY, July 7, 2017 (HealthDay News) -- An estimated two of three people in the United States have not completed an advanced directive, according to a review published in the July issue of Health Affairs.

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Sugar Intake During Pregnancy Tied to Allergy in Offspring

FRIDAY, July 7, 2017 (HealthDay News) -- High intake of sugar-laden foods and beverages during pregnancy may contribute to the development of asthma and allergies in offspring, according to research published in the July issue of the European Respiratory Journal.

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New Opioid Use in Older Adults With COPD May Up Cardiac Events

FRIDAY, July 7, 2017 (HealthDay News) -- Adverse cardiac events may need to be considered with new opioid use in older adults with chronic obstructive pulmonary disease (COPD), according to a study published online June 29 in the European Journal of Clinical Pharmacology.

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Risk of Sudden Death Declining in Heart Failure Patients

THURSDAY, July 6, 2017 (HealthDay News) -- Rates of sudden death from heart failure have declined by nearly half over the past two decades, according to research published in the July 6 issue of the New England Journal of Medicine.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Hyperbaric Oxygen Therapy Increasingly Being Used

THURSDAY, July 6, 2017 (HealthDay News) -- Hyperbaric oxygen therapy is increasingly being used, especially for those with diabetes, although the American Diabetes Association does not recommend the treatment, according to a report published by Kaiser Health News.

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Comparable Metabolic Effects for E-Cigarettes, Smoking

WEDNESDAY, July 5, 2017 (HealthDay News) -- Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes, according to research published online June 29 in Obesity Reviews.

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