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May 2013 Briefing - Pulmonology

Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for May 2013. 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.

New Meds, Medical Devices Up Heart Failure Outcomes

FRIDAY, May 31 (HealthDay News) -- Advances in medications and medical devices have improved overall survival and risk of sudden death over the past two decades for patients with advanced heart failure, according to a study published in the May issue of Circulation: Heart Failure.

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Acute Coronary Syndrome-Related PTSD Impacts Sleep

FRIDAY, May 31 (HealthDay News) -- Posttraumatic stress disorder (PTSD) following acute coronary syndrome (ACS) is associated with worse overall sleep, according to a study published online May 30 in the Annals of Behavioral Medicine.

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Standard VTE Prevention Supported for Bariatric Surgery

FRIDAY, May 31 (HealthDay News) -- There is insufficient evidence to support the use of intravascular filters or augmented dosing of anti-clotting medication to prevent venous thromboembolism (VTE) in patients undergoing bariatric surgery, according to a review published online May 29 in JAMA Surgery.

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Antismoking Messages in Media Linked to Intention to Quit

FRIDAY, May 31 (HealthDay News) -- Awareness of antismoking messages in a single media channel or in multiple media channels is associated with intention to quit smoking, according to research published in the May 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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New Statement Released by Anticoagulation Forum

FRIDAY, May 31 (HealthDay News) -- The Anticoagulation Forum has endorsed a new consensus statement aimed at optimizing the delivery of anticoagulation therapy to inpatients; the statement has been published in the May issue of the Annals of Pharmacotherapy.

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Double-Dose Oseltamivir Not Beneficial in Severe Influenza

FRIDAY, May 31 (HealthDay News) -- For patients with severe influenza, double-dose oseltamivir has no benefit over standard-dose treatment, according to a study published online May 30 in BMJ.

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Patients Who Share in Care Decisions May Up Costs of Care

THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.

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Antiviral Resistance Identified in Novel Flu A/H7N9

THURSDAY, May 30 (HealthDay News) -- Antiviral resistance has been identified in some patients with a novel influenza A subtype H7N9 virus (A/H7N9), according to a study published online May 29 in The Lancet.

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2012 AMA Report Highlights Progress Toward Better Future

THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.

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External Regulation Reduces Tobacco Exposure in Movies

THURSDAY, May 30 (HealthDay News) -- Implementation of the Master Settlement Agreement (MSA), which limited tobacco brand placement after 1998, correlated with a substantial reduction in tobacco brand appearances and screen time, according to a study published online May 27 in JAMA Pediatrics.

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One-Third of Medical Students Have Implicit Anti-Fat Bias

THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.

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Doc Passengers Assist in Half of In-Flight Medical Emergencies

WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.

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Enrollment in U.S. Medical Colleges Is Increasing

WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).

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Transparency Key to Improving Value Care for Patients

WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.

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HHS: End-of-2013 Targets for EHR Use Already Reached

TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.

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Docs Anticipating Changes Ahead As ACA Progresses

MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.

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About One in Four Uninsured Could Be Excluded From ACA

FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.

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Data Support Basing Health Decisions on Both Benefit, Cost

FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.

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Long-Acting Bronchodilators Up Cardiovascular Risk in COPD

THURSDAY, May 23 (HealthDay News) -- New use of either long-acting β-agonists or anticholinergics is associated with increased risks of cardiovascular events among older individuals with chronic obstructive pulmonary disease (COPD), according to a study published online May 20 in JAMA Internal Medicine.

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3-D Printed Tracheal Splint Implanted Into Infant

WEDNESDAY, May 22 (HealthDay News) -- A customized bioresorbable tracheal splint manufactured with the use of a three-dimensional printer has been successfully implanted into an infant with localized tracheobronchomalacia, according to a letter published in the May 23 issue of the New England Journal of Medicine.

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National Lung Screening Trial Results As Expected

WEDNESDAY, May 22 (HealthDay News) -- The initial results from the National Lung Screening Trial (NLST) concur with the literature, with more positive screening results, diagnostic procedures, and lung cancers detected with low-dose computed tomography (CT) versus chest radiography screening, according to research published in the May 23 issue of the New England Journal of Medicine.

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Systematic Screening of Med Adherence Will ID Barriers

WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.

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Sodium, Water Restriction Not Found Beneficial in Heart Failure

WEDNESDAY, May 22 (HealthDay News) -- Sodium and water restriction are unnecessary in patients hospitalized for acute decompensated heart failure (ADHF), according to a study published online May 20 in JAMA Internal Medicine.

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No Effect of Tracheostomy Timing on Mortality

TUESDAY, May 21 (HealthDay News) -- Patients on mechanical ventilation have similar mortality and other outcomes regardless of whether they receive a tracheostomy early or later after being put on ventilation, according to a study published in the May 22 issue of the Journal of the American Medical Association.

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CDC Presents Recent Trends in Health Behaviors of U.S. Adults

TUESDAY, May 21 (HealthDay News) -- In 2008 to 2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1 percent overweight or obese, according to a report presented by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Changes in Organ Allocation Helped Kids in Past Decade

MONDAY, May 20 (HealthDay News) -- Changes to organ allocation have helped increase pediatric transplantation and decrease wait-list deaths, according to research published online May 20 in Pediatrics.

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Digital Divide Exists With Physician EHR Adoption

MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.

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FDA: Test Approved to Detect Faulty Gene in Some Lung CA

THURSDAY, May 16 (HealthDay News) -- The U.S. Food and Drug Administration has approved a test designed to detect a faulty gene that's present in about 10 percent of cases of non-small-cell lung cancer (NSCLC).

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Insomnia Tied to Greater Health Care Utilization

WEDNESDAY, May 15 (HealthDay News) -- Those 55 years and older with insomnia incur greater utilization of health services, according to a study published online May 9 in the Journal of Gerontology: Medical Sciences.

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SPACE, RF Ablation Combo Safe and Effective for Lung Cancer

WEDNESDAY, May 15 (HealthDay News) -- For unresectable lung tumors, the combination of segmental pulmonary arterial chemoembolization (SPACE) and percutaneous radiofrequency (RF) ablation helps achieve better local tumor progression rates than RF ablation alone, according to a study published in the May issue of Radiology.

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New FDA Survey to Assess Doc Attitudes on DTC Advertising

MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.

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FDA Approves Breo Ellipta for Treatment of COPD

MONDAY, May 13 (HealthDay News) -- Americans with chronic obstructive pulmonary disease (COPD) may have new help in their quest to breathe better, with the approval of Breo Ellipta.

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Hospital Rapid Response Teams Need Training

FRIDAY, May 10 (HealthDay News) -- While hospital rapid response teams are effective in managing patients at risk or in crisis, team members need teamwork and good communication, according to a study published in the May issue of the American Journal of Critical Care.

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With Suspected TB, Behavioral Support Curbs Smoking

FRIDAY, May 10 (HealthDay News) -- Behavioral support with or without bupropion is effective at achieving smoking cessation in patients with suspected tuberculosis, according to a study published in the May 7 issue of the Annals of Internal Medicine.

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Poor Service, Bedside Manner Top Patients' Online Complaints

FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.

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User Satisfaction With Electronic Health Records Down

FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.

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Smartphones, Smartphone Apps Increasingly Used by Docs

THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.

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HHS Releases Data on Inpatient Charges for Hospital Services

THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.

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Palivizumab Cuts Number of Days of Wheezing in Preemies

WEDNESDAY, May 8 (HealthDay News) -- For preterm infants, administration of the monoclonal antibody palivizumab for prevention of respiratory syncytial virus (RSV) infection is associated with a significant reduction in the number of days of wheezing during the first year of life, according to a study published in the May 9 issue of the New England Journal of Medicine.

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Guidelines Issued for Exercise-Induced Bronchoconstriction

WEDNESDAY, May 8 (HealthDay News) -- For patients with exercise-induced bronchoconstriction (EIB), use of a short-acting β2-agonist is strongly recommended before exercise, and further treatment with daily inhaled corticosteroid, a daily leukotriene receptor antagonist, or a mast cell stabilizing agent before exercise is recommended if necessary, according to guidelines published in the May 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Shift in Lung Allocation Score Alters Transplant Survival

WEDNESDAY, May 8 (HealthDay News) -- An acute increase in lung allocation score (LAS) before transplantation is associated with worse post-transplant survival, according to a study published in the May 7 issue of the Annals of Internal Medicine.

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Application for Health Coverage Has Been Simplified, Shortened

WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).

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Ambrisentan Not Effective in Idiopathic Pulmonary Fibrosis

TUESDAY, May 7 (HealthDay News) -- The endothelin A receptor-selective antagonist ambrisentan is not effective for reducing the rate of idiopathic pulmonary fibrosis (IPF) progression, according to a study published in the May 7 issue of the Annals of Internal Medicine.

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Patients Most Annoyed by Long Waits, Unclear Test Results

FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.

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Health Industry Payment Details to Be Publicly Available

THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.

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