August 2019 Briefing - Pulmonology

Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for August 2019. 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.

As Lung Injury Cases Rise, CDC Advises 'Do Not Vape'

FRIDAY, Aug. 30, 2019 (HealthDay News) -- The number of people who have developed a severe form of lung disease potentially tied to vaping has now risen to 215 cases across 25 states, and federal health officials are recommending that Americans not use electronic cigarettes.

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Cerebrovascular Risk Factors May Up Risk for Parkinson Disease

FRIDAY, Aug. 30, 2019 (HealthDay News) -- Most cerebrovascular risk factors are associated with an increased risk for subsequent diagnosis of Parkinson disease, according to a study published online Aug. 29 in the Annals of Neurology.

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More Youth Being Exposed to Secondhand Aerosol From E-Cigs

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- The proportion of youth exposed to secondhand aerosol (SHA) from electronic cigarettes increased in 2018, according to a study published online Aug. 28 in JAMA Network Open.

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CT Scan Screen for Lung Cancer Can ID Smoking-Related Diseases

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Lung cancer screening (LCS) computed tomography (CT) scans can be used to identify smoking-related conditions that frequently are associated with adverse events, according to a study published in the July issue of Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation.

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Psoriasis Independently Linked to Increased Mortality Risk

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Psoriasis is significantly associated with an increased mortality risk, according to a study published online Aug. 12 in the Journal of the American Academy of Dermatology.

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ACIP Recommendations Updated for 2019-20 U.S. Flu Season

MONDAY, Aug. 26, 2019 (HealthDay News) -- The recommendations of the Advisory Committee on Immunization Practices (ACIP) relating to the use of seasonal influenza vaccines in the United States have been updated for 2019 to 2020; the updated recommendations have been published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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In-Store E-Cigarette Marketing Influences Use in Young People

MONDAY, Aug. 26, 2019 (HealthDay News) -- Recall of electronic nicotine delivery systems (ENDS) marketing at retail stores is associated with increased subsequent ENDS initiation among youth and young adults, according to a study published online Aug. 26 in Pediatrics.

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As-Needed Inhaler Use an Option for Children With Mild Asthma

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Children with mild asthma can use inhalers as needed, according to a study published online July 30 in the Journal of Allergy and Clinical Immunology: In Practice.

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Antibiotic Use Tied to Higher Risk for Rheumatoid Arthritis

FRIDAY, Aug. 23, 2019 (HealthDay News) -- Antibiotic prescriptions are associated with a higher risk for rheumatoid arthritis (RA), according to a study published online Aug. 7 in BMC Medicine.

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Radiologists Performing More Paracenteses, Thoracenteses

FRIDAY, Aug. 23, 2019 (HealthDay News) -- The proportion of paracentesis and thoracentesis procedures performed by radiologists is continuing to increase, according to a study published online Aug. 14 in the Journal of Vascular and Interventional Radiology.

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More Physical Activity at Any Intensity May Reduce Mortality

THURSDAY, Aug. 22, 2019 (HealthDay News) -- For middle-aged and older adults, more physical activity at any intensity and less sedentary time are associated with a reduced risk for premature mortality, according to a review published online Aug. 21 in The BMJ.

Abstract/Full Text
Editorial

Tuberculosis Rates for U.S. Children Are Low and Declining

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Overall tuberculosis rates are low among children and adolescents and are declining steadily, according to a study published online Aug. 21 in The Lancet Public Health.

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Editorial

Rx Size Predicts Persistent Opioid Use After Cardiothoracic Surgery

THURSDAY, Aug. 22, 2019 (HealthDay News) -- Prescription size is associated with increased new persistent opioid use among patients after cardiothoracic surgery, according to a study published online Aug. 22 in the Annals of Thoracic Surgery.

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Short-Term Exposure to PM10 and PM2.5 Affects Mortality

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Short-term exposure to inhalable particulate matter (PM) with an aerodynamic diameter of 10 µm or less (PM10) and fine PM (PM2.5) is positively associated with daily all-cause, cardiovascular, and respiratory mortality in more than 600 cities, according to a study published in the Aug. 22 issue of the New England Journal of Medicine.

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Editorial

Cases of Severe Lung Injury After Vaping Reported in Three States

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Four cases of severe lung injury possibly linked with vaping in Minnesota are similar to dozens of cases in Wisconsin and Illinois. The patients had symptoms such as shortness of breath, fever, cough, vomiting, diarrhea, headache, dizziness, and chest pain, and some were hospitalized for "multiple weeks, with some patients being admitted to the intensive care unit," according to a Minnesota Department of Health statement, CNN reported.

CNN Article
Minnesota Department of Health

Air Pollutants Tied to Significant Worsening of Emphysema

FRIDAY, Aug. 16, 2019 (HealthDay News) -- Long-term exposure to ambient air pollutants, especially ozone (O3), is significantly associated with worsening emphysema, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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Vaping Industry Group Sues to Delay FDA Review of E-Cigarettes

THURSDAY, Aug. 15, 2019 (HealthDay News) -- A vaping industry group has launched legal action to delay the U.S. Food and Drug Administration's upcoming review of electronic cigarettes.

AP News Article

Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

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CDC: Over One-Third of U.S. Youth Exposed to Secondhand Smoke

THURSDAY, Aug. 15, 2019 (HealthDay News) -- More than one-third of U.S. nonsmoking youth are exposed to secondhand smoke (SHS) from tobacco, according to an August data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Non-Hospital-Based Provider-to-Patient Telehealth Use Growing

TUESDAY, Aug. 13, 2019 (HealthDay News) -- Use of non-hospital-based provider-to-patient telehealth grew almost 1,400-fold from 2014 to 2018, according to a FAIR Health White Paper.

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One-Third of Physicians Will Take 10+ Years to Pay Off Debt

MONDAY, Aug. 12, 2019 (HealthDay News) -- Nearly two-thirds of actively practicing physicians are still carrying medical school debt, according to the Medical School Debt Report 2019, published by the staffing firm Weatherby Healthcare.

Medical School Debt Report 2019

AI Tool Discerns Lung Cancer Outcomes From Imaging Reports

MONDAY, Aug. 12, 2019 (HealthDay News) -- Deep natural language processing may be able to estimate the presence of active cancer, cancer worsening or progression, and cancer improvement or response from radiologic reports, according to a study published online July 25 in JAMA Oncology.

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Flu Vaccine Tied to Better Long-Term Outcomes in Elderly ICU Survivors

MONDAY, Aug. 12, 2019 (HealthDay News) -- Among elderly patients, influenza vaccination is associated with a reduced risk for dying in the year following discharge from an intensive care unit (ICU), according to a study published in the July issue of Intensive Care Medicine.

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Worse Cancer Outcomes for Elderly HIV-Infected Patients

FRIDAY, Aug. 9, 2019 (HealthDay News) -- Elderly HIV-infected patients with cancer have worse outcomes than HIV-uninfected patients with cancer, according to a study published online Aug. 1 in JAMA Oncology.

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Sleep Apnea Traits May Predict Response to Oral Appliance Tx

FRIDAY, Aug. 9, 2019 (HealthDay News) -- Quantifying obstructive sleep apnea (OSA) traits using clinical polysomnography may identify an endotype-based subgroup of patients that is responsive to oral appliance therapy, according to a study published online Aug. 9 in the Annals of the American Thoracic Society.

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Delayed/Foregone Care More Likely for Cancer Survivors With HDHPs

FRIDAY, Aug. 9, 2019 (HealthDay News) -- Cancer survivors with high-deductible health plans (HDHPs) are more likely to experience delayed or foregone care, according to a study published online Aug. 8 in the Journal of Oncology Practice.

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Patient Who Caught Legionnaires' Disease at Atlanta Hotel Dies

WEDNESDAY, Aug. 7, 2019 (HealthDay News) -- One of the 12 people diagnosed with Legionnaires' disease after staying at the Sheraton Atlanta hotel in early July has died, officials said.

CNN Article
More Information: CDC

Some Cancer Trends Differ for Oldest Old in the United States

WEDNESDAY, Aug. 7, 2019 (HealthDay News) -- Some cancer trends differ for U.S. patients aged 85 years and older, according to a study published online Aug. 7 in CA: A Cancer Journal for Clinicians.

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Recommendations Developed for Obesity Hypoventilation Syndrome

WEDNESDAY, Aug. 7, 2019 (HealthDay News) -- In an official American Thoracic Society clinical practice guideline, published in the Aug. 1 issue of the American Journal of Respiratory and Critical Care Medicine, recommendations are presented to guide management and improve outcomes for patients with obesity hypoventilation syndrome (OHS).

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Medicare Spending on Essential Medicines Up 116 Percent From 2011 to 2015

WEDNESDAY, Aug. 7, 2019 (HealthDay News) -- Spending associated with essential medicines grew substantially from 2011 to 2015 for Medicare Part D beneficiaries, according to a study published online July 17 in The BMJ.

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Poor Pneumonia Outcomes Tied to Overuse of Broad-Spectrum Antibiotics

TUESDAY, Aug. 6, 2019 (HealthDay News) -- Overuse of broad-spectrum antibiotics is associated with increased mortality and other poor outcomes in adults admitted for community-onset pneumonia, according to a study published in the July 1 issue of the European Respiratory Journal.

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Vaping Likely to Blame for 14 Hospitalizations in Two States

MONDAY, Aug. 5, 2019 (HealthDay News) -- Possible vaping-related breathing problems have led to the hospitalization of 14 teens and young adults in two states. There were 11 cases of severe breathing problems in Wisconsin and three in Illinois, CNN reported.

CNN Article
Illinois Department of Public Health

Childhood Physical Activity Improves Lung Function for Adolescent Girls

MONDAY, Aug. 5, 2019 (HealthDay News) -- Girls who are more physically active in childhood may have better lung function in adolescence, according to a study published online July 3 in the International Journal of Epidemiology.

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Brand-Brand Competition Has Not Cut Prices in Pharma Market

FRIDAY, Aug. 2, 2019 (HealthDay News) -- Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices, according to a review published online July 30 in PLOS Medicine.

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Trump Admin Announces Plan to Allow Drug Imports From Canada

THURSDAY, Aug. 1, 2019 (HealthDay News) -- Americans could import less expensive prescription drugs from Canada under a plan being developed by the Trump administration.

HHS Press Release
PhRMA Statement

Many Hospitals Lack Sufficient Surgery Volumes

THURSDAY, Aug. 1, 2019 (HealthDay News) -- Patients can achieve better outcomes by choosing a hospital and a surgeon with adequate, ongoing experience performing a specific surgery, according to a new report entitled Safety In Numbers: The Leapfrog Group's Report on High-Risk Surgeries Performed at American Hospitals.

Inpatient Surgery Report 2019

Asthma Negatively Impacts Work Productivity Worldwide

THURSDAY, Aug. 1, 2019 (HealthDay News) -- Worldwide, asthma patients report that work time is adversely affected by their condition, despite the use of long-term maintenance medication, according to a study published online July 11 in the Journal of Asthma and Allergy.

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