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March 2013 Briefing - Pulmonology

Many Uninsured Vets Will Be Eligible for Medicaid Under ACA

FRIDAY, March 29 (HealthDay News) -- A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood Johnson Foundation.

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Genetic Profiles Linked to Progression to Heavy Smoking

FRIDAY, March 29 (HealthDay News) -- Individuals with genetic profiles putting them at risk of greater smoking are more likely to progress to heavy smoking and nicotine dependence, particularly if they quickly became daily smokers and heavy smokers as adolescents, according to a study published online March 27 in JAMA Psychiatry.

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Regional Variation Noted in Prevalence of Delayed Care

THURSDAY, March 28 (HealthDay News) -- There is considerable county-wide variation in the prevalence of delayed care, with high prevalence linked to a weaker health care infrastructure, according to a letter published in the March 28 issue of the New England Journal of Medicine.

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Study: Primary Care Extension Program Should Be Funded

THURSDAY, March 28 (HealthDay News) -- The Primary Care Extension Program (PCEP) has the potential to transform primary care and needs to be funded, according to a study published in the March/April issue of the Annals of Family Medicine.

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Using Internet Search Logs Can Help Identify Drug Interactions

THURSDAY, March 28 (HealthDay News) -- Search logs can be used to inexpensively mine for anonymized signals that may alert authorities to potential drug interactions and add new Web-scale pharmacovigilance capabilities, according to research published online March 6 in the Journal of the American Medical Informatics Association.

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Inpatient Deaths Fell by 8 Percent in Last Decade

WEDNESDAY, March 27 (HealthDay News) -- The number of inpatient hospital deaths declined by 8 percent over the last decade, although the total number of hospitalizations increased by 11 percent during the same period, according to a March data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Genetic Variant Boosts Asthma Risk in Children With HRV

WEDNESDAY, March 27 (HealthDay News) -- The 17q21 genotype increases the risk of asthma in children who have had human rhinovirus (HRV) wheezing illness, according to a study published online March 27 in the New England Journal of Medicine.

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Submitting Peer-Review Reports Could Expedite Process

WEDNESDAY, March 27 (HealthDay News) -- Attaching previous peer-review reports during the next submission of the same paper to a different journal could optimize the peer-review process, according to research published in the March/April issue of the Annals of Family Medicine.

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Macrolide Antibiotics Are Effective for Bronchiectasis

TUESDAY, March 26 (HealthDay News) -- Macrolide antibiotics are effective in reducing exacerbations in patients with non-cystic fibrosis bronchiectasis, although the resistance rate increases, according to two studies published in the March 27 issue of the Journal of the American Medical Association.

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Sublingual Immunotherapy Effective for Allergies

TUESDAY, March 26 (HealthDay News) -- Current studies show moderate evidence that sublingual immunotherapy is effective for allergic rhinitis, although the optimal dosing is unclear, according to a review published in the March 27 issue of the Journal of the American Medical Association.

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Residency Reforms Reduced Duty Hours, Increased Sleep

TUESDAY, March 26 (HealthDay News) -- Additional residency reforms implemented in 2011 have reduced duty hours and increased sleep duration, but with perceived reductions in quality of patient care, according to research published online March 25 in JAMA Internal Medicine.

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FDA Approves Inhaler for Cystic Fibrosis Patients

MONDAY, March 25 (HealthDay News) -- The TOBI Podhaler (tobramycin inhalation powder) has been approved by the U.S. Food and Drug Administration to treat cystic fibrosis patients infected with Pseudomonas aeruginosa, a bacterium that can damage the lungs.

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Exhaled Breath Can ID Acute Decompensated Heart Failure

MONDAY, March 25 (HealthDay News) -- An exhaled breath metabolome is feasible for identifying acute decompensated heart failure, according to a research letter published in the April 2 issue of the Journal of the American College of Cardiology.

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Telehealth in Addition to Usual Care Not Cost-Effective

FRIDAY, March 22 (HealthDay News) -- For adults with chronic health conditions, a telehealth intervention in addition to standard support and treatment is associated with increased costs, with no significant benefit in terms of quality adjusted life years (QALYs), according to a study published online March 22 in BMJ.

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Clarithromycin May Be Linked to Cardiovascular Events

FRIDAY, March 22 (HealthDay News) -- For patients with acute exacerbations of chronic obstructive pulmonary disease or community-acquired pneumonia, use of clarithromycin correlates with increased risk of cardiovascular events, according to a study published online March 22 in BMJ.

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Mobility Impaired May Have Difficulty Accessing Docs

FRIDAY, March 22 (HealthDay News) -- Many U.S. subspecialty practices cannot accommodate patients with mobility impairment, according to a study published in the March 19 issue of the Annals of Internal Medicine.

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Impact of Budget Sequestration on Health Care Discussed

THURSDAY, March 21 (HealthDay News) -- The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine.

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Heart-Healthy Lifestyle Can Also Reduce Cancer Risk

THURSDAY, March 21 (HealthDay News) -- Subjects who are enrolled in the Atherosclerosis Risk in Communities (ARIC) study and are meeting goals for six to seven ideal health metrics have a 51 percent lower risk of incident cancer than those not meeting any goals for ideal health metrics, according to research published online March 18 in Circulation.

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Effect of Immigration Status on Medicaid Eligibility Discussed

WEDNESDAY, March 20 (HealthDay News) -- Under the Affordable Care Act, a considerable proportion of low-income uninsured adults will be ineligible for Medicaid coverage due to their immigration status, and their main providers are likely to be safety-net health care providers, according to a March report published by the State Health Access Data Assistance Center.

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Sepsis Drug Eritoran Not Superior to Placebo

TUESDAY, March 19 (HealthDay News) -- Eritoran, a synthetic analog of lipid A and a toll-like receptor 4 antagonist, is no better than placebo in reducing mortality in patients with severe sepsis, according to a study published in the March 20 issue of the Journal of the American Medical Association.

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ER Discharge Dx/Disposition Discordant With Chief Complaint

TUESDAY, March 19 (HealthDay News) -- A considerable proportion of patients with emergency department visits with the same presenting complaint as those ultimately given a primary care-treatable diagnosis require immediate emergency care or hospital admission, according to a study published in the March 20 issue of the Journal of the American Medical Association.

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Variation Seen in Vena Cava Filter Use Among Hospitals

TUESDAY, March 19 (HealthDay News) -- The frequency of vena cava filter (VCF) use in patients with acute venous thromboembolism (VTE) varies widely and depends primarily on hospital practice, even after adjustment for clinical and socioeconomic factors, according to research published online March 18 in JAMA Internal Medicine.

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Conflict-of-Interest Disclosures Common at 2011 AAOS Meeting

TUESDAY, March 19 (HealthDay News) -- At the 2011 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, voluntarily disclosed conflicts of interest were common, especially for featured symposia, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

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Black Children Less Likely to Be Prescribed Antibiotics

MONDAY, March 18 (HealthDay News) -- Black children are less likely to be prescribed antibiotics and to be diagnosed with conditions that require antibiotics, even when treated by the same doctor, according to research published online March 18 in Pediatrics.

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Final Rule in Notice of Benefit, Payment Parameters Issued

FRIDAY, March 15 (HealthDay News) -- The final rule of the Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2014, which expands on existing standards, has been released.

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Health Insurance Exchanges Will Mainly Be Run by Feds

FRIDAY, March 15 (HealthDay News) -- More than half of the states within the United States will allow the federal government to establish health insurance exchanges, according to a report issued by the Henry J. Kaiser Family Foundation.

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Primary Care Noninferior for Management of Sleep Apnea

WEDNESDAY, March 13 (HealthDay News) -- Management of obstructive sleep apnea in a primary care setting is noninferior to care at specialist sleep centers, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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AMA Files Brief Contesting Insurer's Payment Practices

WEDNESDAY, March 13 (HealthDay News) -- A landmark case examining the question of whether physicians can bring a class arbitration against a health insurer who has underpaid them is currently before the U.S. Supreme Court, in a brief filed by the Litigation Center of the American Medical Association and State Medical Societies and the Medical Society of New Jersey.

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$120 Million to Be Sequestered From Health Centers in 2013

TUESDAY, March 12 (HealthDay News) -- Budget sequestration, which is expected to reduce federal spending, is likely to result in a $120 million loss in grant funding for the nation's 1,200 community health centers in 2013, according to a report published by the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative.

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More Evidence of Waning Immunity of Pertussis Vaccine

MONDAY, March 11 (HealthDay News) -- Children who receive five doses of the acellular pertussis vaccine (DTaP) have an increasing risk of developing the illness in the six years after the last dose, supporting the concept of waning vaccine immunity and possibly explaining the increasing proportion of cases among 7- to 10-year-old children, according to a study published online March 11 in Pediatrics.

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Deep Suctioning in Bronchitis Admission Tied to Longer Stays

THURSDAY, March 7 (HealthDay News) -- Deep suctioning used in the first 24 hours after a pediatric admission for bronchitis is associated with increased length of stays (LOS), according to a study published online March 4 in JAMA Pediatrics.

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Insomnia Linked to Greater Risk of Heart Failure

THURSDAY, March 7 (HealthDay News) -- Insomnia is associated with an increased risk of heart failure, with the risk increasing as the number of insomnia symptoms increases, according to a study published online March 5 in the European Heart Journal.

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Coordinated Care Model Suggested for Palliative Care

THURSDAY, March 7 (HealthDay News) -- To deal with the increasing demand for palliative care services, a coordinated palliative care model is proposed, according to a perspective piece published online March 6 in the New England Journal of Medicine.

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Cochrane Group Skeptical About Latest Roche Pledges

THURSDAY, March 7 (HealthDay News) -- Following requests from Cochrane researchers, Roche has pledged to release full clinical study reports for Tamiflu, although there appear to be conditions attached, according to correspondence published in BMJ.

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Plastics Chemical BPA Tied to Asthma in Inner-City Youth

WEDNESDAY, March 6 (HealthDay News) -- Urinary concentrations of bisphenol A (BPA) are significantly associated with asthma in inner-city children, according to a study published in the March issue of the Journal of Allergy and Clinical Immunology.

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Clinical Trials Published Almost Two Years After Completion

WEDNESDAY, March 6 (HealthDay News) -- Clinical trials are published, on average, almost two years after completion, with time to publication affected by the funding source, number of trial participants, and journal impact factor, according to a research letter published online March 4 in JAMA Internal Medicine.

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Simple Measures Feasible for Promoting Sleep in the ICU

TUESDAY, March 5 (HealthDay News) -- Simple interventions to promote sleep are feasible for patients in medical intensive care units (ICUs) and result in improvements in nighttime noise and reduced incidence of delirium/coma, according to a study published in the March issue of Critical Care Medicine.

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Single Combo Inhaler Beats Standard Rx in Asthma

TUESDAY, March 5 (HealthDay News) -- Maintenance and reliever therapy with a single inhaled corticosteroid plus a rapid-onset, long-acting, β2 agonist (formoterol) seems beneficial for patients with asthma, according to two studies published in the March issue of The Lancet Respiratory Medicine.

Abstract - Papi
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U.K. Health Performance Worse Than Comparable Countries

TUESDAY, March 5 (HealthDay News) -- The United Kingdom has worse health performance than other comparable countries, according to a study published online March 5 in The Lancet.

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Panel Recommends 10 Patient Safety Strategies

MONDAY, March 4 (HealthDay News) -- An expert panel is strongly encouraging the immediate adoption of 10 patient safety strategies and encouraging the adoption of a further 12, according to a supplement published in the March 5 issue of the Annals of Internal Medicine.

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Proportion of Black Males in U.S. Medical Schools Dropping

MONDAY, March 4 (HealthDay News) -- The proportion of black males in medical school is decreasing, according to a report published by the Association of American Medical Colleges (AAMC).

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CMS Reports on Progress Toward Improved Health Care

MONDAY, March 4 (HealthDay News) -- Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online Feb. 28.

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Computerized Provider Order Entry System Cuts Rx Errors

MONDAY, March 4 (HealthDay News) -- Electronic prescribing through computerized provider order entry (CPOE) systems can substantially reduce medication errors in inpatient acute-care settings, according to a study published online Feb. 20 in the Journal of the American Medical Informatics Association.

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Sequestration to Impact Health Care-Related Programs

FRIDAY, March 1 (HealthDay News) -- The $85 billion of mandatory cuts in federal spending that take effect March 1 as part of sequestration will be felt across health care and related programs, with cuts to Medicare providers and to the budgets of federal agencies.

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