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August 2013 Briefing - Pulmonology

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

Continued Success for Program to Cut Tobacco Sales to Minors

FRIDAY, Aug. 30 (HealthDay News) -- Since the implementation of the Synar Amendment in 1992, considerable progress has been made in reducing the percentage of retailers who sell tobacco products to minors, with all states and the District of Columbia complying with legislation in 2012, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Macitentan Cuts Morbidity, Death in Pulmonary Arterial HTN

WEDNESDAY, Aug. 28 (HealthDay News) -- For patients with pulmonary arterial hypertension, the new dual endothelin-receptor antagonist macitentan is associated with reductions in morbidity and mortality, according to a study published in the Aug. 29 issue of the New England Journal of Medicine.

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Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

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CPAP Impacts Mortality in Patients With COPD, Sleep Apnea

WEDNESDAY, Aug. 28 (HealthDay News) -- For patients with overlap syndrome (a combination of obstructive sleep apnea [OSA] and chronic obstructive pulmonary disease [COPD]), the more time on continuous positive airway pressure (CPAP) the lower the likelihood of death, according to a study published in the Aug. 15 issue of the Journal of Clinical Sleep Medicine.

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Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

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USPSTF Urges Interventions to Prevent Tobacco Use in Youth

MONDAY, Aug. 26 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care physicians provide interventions such as education and brief counseling to prevent the initiation of tobacco use in school-aged children and teenagers, according to a Recommendation Statement jointly published online Aug. 26 in the Annals of Internal Medicine and Pediatrics.

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Smoking Affects Stroke Risk Similarly in Men, Women

FRIDAY, Aug. 23 (HealthDay News) -- The excess risk of stroke associated with smoking is not significantly different for men and women, according to a meta-analysis published online Aug. 22 in Stroke.

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Improved Sleep May Improve Exercise Duration

FRIDAY, Aug. 23 (HealthDay News) -- The length of an individual's sleep appears to influence their participation level in exercise the next day, according to a small study published in the August issue of the Journal of Clinical Sleep Medicine.

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FDA Approves New Device to ID Disease-Causing Germs

THURSDAY, Aug. 22 (HealthDay News) -- A new spectrometer system designed to identify 193 yeast and bacteria that are capable of making people sick has been approved by the U.S. Food and Drug Administration.

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Pregnancy Linked to Sleep Apnea, Especially With GDM

THURSDAY, Aug. 22 (HealthDay News) -- Pregnancy is associated with sleep disturbances and with obstructive sleep apnea (OSA), especially in the presence of gestational diabetes mellitus (GDM), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

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Foreign-Born Hispanics Have Survival Advantage in NSCLC

THURSDAY, Aug. 22 (HealthDay News) -- Compared with non-Hispanic whites (NHWs) and U.S.-born Hispanics, foreign-born Hispanics with non-small-cell lung cancer (NSCLC) have a reduced risk of disease-specific mortality, according to research published online Aug. 19 in the Journal of Clinical Oncology.

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Haloperidol Has No Effect on Delirium in Critically Ill Patients

WEDNESDAY, Aug. 21 (HealthDay News) -- In critically ill patients requiring ventilation, haloperidol treatment does not affect the amount of time alive without delirium or coma compared with placebo, according to a study published online Aug. 21 in The Lancet Respiratory Medicine.

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More Complications, Fewer Deaths After Cancer Surgery

WEDNESDAY, Aug. 21 (HealthDay News) -- Over the past decade the frequency of potentially avoidable adverse events after major cancer surgery has increased in secondary and tertiary care hospitals in the United States, according to research published in the June issue of BMJ Open.

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Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

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Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

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Early-Life Probiotics Reduce Allergies, Not Asthma

TUESDAY, Aug. 20 (HealthDay News) -- Probiotic exposure in early life may reduce total immunoglobulin E level (IgE) and protect against atopic sensitization, but does not seem to protect against asthma/wheezing, according to a meta-analysis published online Aug. 19 in Pediatrics.

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Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

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HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

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Five Recommendations ID'd for Pediatric, Adult Hospital Care

MONDAY, Aug. 19 (HealthDay News) -- Five recommendations for improving health care value have been identified for pediatric hospital medicine and hospital medicine, according to two reviews published online Aug. 19 in the Journal of Hospital Medicine.

Abstract - Quinonez
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Abstract - Bulger
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IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

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Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

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IPPV Doesn't Beat CPAP in Very-Low-Birth-Weight Preemies

THURSDAY, Aug. 15 (HealthDay News) -- For extremely-low-birth-weight infants, survival to 36 weeks of gestational age is not significantly different with use of noninvasive respiratory support with nasal intermittent positive-pressure ventilation (IPPV) or nasal continuous positive airway pressure (CPAP), according to a study published in the Aug. 15 issue of the New England Journal of Medicine.

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Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

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Cancer Control Programs Often Don't Address Radon Concerns

WEDNESDAY, Aug. 14 (HealthDay News) -- Fewer than half of the National Comprehensive Cancer Control Program plans address radon-related activities, according to a study published in the Aug. 8 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

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Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

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New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

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Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

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U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

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Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

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Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Physicians' Malpractice Concerns Predict More Testing

FRIDAY, Aug. 9 (HealthDay News) -- Physicians' concerns about malpractice risk predict more aggressive diagnostic testing practices in office-based care, according to a study published in the August issue of Health Affairs.

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Smoke-Free Laws Don't Harm Restaurants, Bars Economically

FRIDAY, Aug. 9 (HealthDay News) -- Smoke-free laws do not have an adverse economic impact on restaurants and bars, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Obese Youth More Likely to Develop Asthma

FRIDAY, Aug. 9 (HealthDay News) -- Obese youth are more likely to develop asthma, and are more likely to have severe asthma, according to a study published online Aug. 6 in the American Journal of Epidemiology.

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New Lung Cancer Classification IDs Recurrence After Resection

FRIDAY, Aug. 9 (HealthDay News) -- The new International Association for the Study of Lung Cancer (IASLC), American Thoracic Society (ATS), and European Respiratory Society (ERS) lung adenocarcinoma classification can be used to predict recurrence after limited resection, according to a study published online Aug. 7 in the Journal of the National Cancer Institute.

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IPAs and PHOs Viable Option for Small Independent Practices

FRIDAY, Aug. 9 (HealthDay News) -- For small and medium-size independent practices, sharing care management and information technology resources with other practices through an independent practice association (IPA) or physician-hospital organization (PHO) is a viable alternative and may improve care for patients with chronic conditions, according to a study published in the August issue of Health Affairs.

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Rheumatoid Arthritis Ups Risk of Thrombosis, Embolism

FRIDAY, Aug. 9 (HealthDay News) -- The risks of developing deep vein thrombosis (DVT) and pulmonary embolism (PE) are higher in patients with rheumatoid arthritis (RA) than in those in the general population, according to a study published online Aug. 7 in the Annals of the Rheumatic Diseases.

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Burning Incense Generates Harmful Air Pollutants

THURSDAY, Aug. 8 (HealthDay News) -- Burning incense generates harmful levels of indoor air pollutants and produces an inflammatory response in lung cells, according to a study published in the Aug. 1 issue of Science of the Total Environment.

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Exposure to Tobacco Smoke Higher in Children With Asthma

THURSDAY, Aug. 8 (HealthDay News) -- From 1999 to 2010, environmental tobacco smoke (ETS) exposure decreased for children without asthma, but did not change among children with asthma, according to a report published online Aug. 8 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Caregivers, Children With Asthma Tend to Agree About QOL

WEDNESDAY, Aug. 7 (HealthDay News) -- Caregivers of children with asthma generally report similar quality of life (QOL) as their children, but their responses differ significantly for activity limitation, according to a study published in the July issue of the Annals of Allergy, Asthma, & Immunology.

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Review Looks at Antibiotic Rx in Ambulatory Settings

WEDNESDAY, Aug. 7 (HealthDay News) -- Most ambulatory care antibiotic prescriptions are for broad-spectrum agents, which are commonly prescribed for conditions for which antibiotics are rarely indicated, according to research published online July 25 in the Journal of Antimicrobial Chemotherapy.

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Telephone Health Coaching Service Doesn't Cut Admissions

WEDNESDAY, Aug. 7 (HealthDay News) -- A telephone health coaching service is not associated with reductions in hospital admissions or in secondary care costs over 12 months, according to research published online Aug. 6 in BMJ.

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AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

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Meditation Reduces Smoking by 60 Percent

TUESDAY, Aug. 6 (HealthDay News) -- A few hours of meditation training improves self-control and reduces smoking by 60 percent, according to a study published online Aug. 5 in the Proceedings of the National Academy of Sciences.

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Including Casinos in Smoke-Free Laws Cut Ambulance Calls

TUESDAY, Aug. 6 (HealthDay News) -- The extension of smoke-free laws to include casinos correlates with a significant decrease in the number of emergency calls originating from casinos, according to a study published online Aug. 5 in Circulation.

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Hospital Resection Volume Tied to NSCLC Survival in England

MONDAY, Aug. 5 (HealthDay News) -- Hospitals in England with higher rates of surgical resection of non-small-cell lung cancer (NSCLC) have better survival, especially in the early postoperative period, according to a study published online July 29 in the Journal of Clinical Oncology.

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Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

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Smokeless Tobacco Used by 5.6 Percent of Children

MONDAY, Aug. 5 (HealthDay News) -- The overall prevalence of smokeless tobacco use is 5.6 percent among U.S. middle and high school students; and children of current and former smokers are much more likely to smoke, according to two studies published online Aug. 5 in Pediatrics.

Abstract - Agaku
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Abstract - Vuolo and Staff
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Asthma During Pregnancy Linked to Disease in Offspring

MONDAY, Aug. 5 (HealthDay News) -- Asthma during pregnancy is associated with an increased risk of diseases in offspring, such as infectious and respiratory diseases, according to a study published online Aug. 5 in Pediatrics.

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Electrical Lighting Alters Human Circadian Clock

FRIDAY, Aug. 2 (HealthDay News) -- Reduced exposure to sunlight combined with the widespread use of electrical lighting has altered human circadian physiology, according to a study published online Aug. 1 in Current Biology.

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