Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for November 2018. 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.
Climate Change Ups Heat Deaths, Especially Among Elderly
THURSDAY, Nov. 29, 2018 (HealthDay News) — Risk for heat-related disease and death is rising worldwide due to climate change, according to a report published online Nov. 28 in The Lancet.
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Monitoring Movement Reflects Efficacy of Mandibular Splint
THURSDAY, Nov. 29, 2018 (HealthDay News) — For individuals with obstructive sleep apnea (OSA) treated with an optimally titrated mandibular advancement splint, normalization of the respiratory effort index derived from vertical mandibular movements (MM-REI) reflects the efficacy of the appliance, according to a study published online Nov. 6 in CHEST.
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Deep Learning Algorithm Detects Thoracic Pathologies on CXRs
THURSDAY, Nov. 29, 2018 (HealthDay News) — A deep learning algorithm, CheXNeXt, performs comparably to radiologists in detecting multiple thoracic pathologies in frontal-view chest radiographs, according to a study published online Nov. 20 in PLOS Medicine.
FDA to Update Medical Device Approvals Process
TUESDAY, Nov. 27, 2018 (HealthDay News) — A major update of the United States’ system for approving medical devices was announced yesterday by the Food and Drug Administration.
CBS/AP News Article
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Four Principles Underlie Patient and Family Partnership in Care
TUESDAY, Nov. 27, 2018 (HealthDay News) — Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine.
Position Paper
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Vitamin D Levels Linked to Cardiorespiratory Fitness
TUESDAY, Nov. 27, 2018 (HealthDay News) — Serum vitamin D levels are associated with cardiorespiratory fitness (CRF), according to a study recently published in the European Journal of Preventive Cardiology.
ACA Coverage Substantial, but Did Not Impact Labor Markets
MONDAY, Nov. 26, 2018 (HealthDay News) — Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.
Report: How Have Workers Fared Under the ACA?
Lung Cancer Screening Implementation Guide Developed
MONDAY, Nov. 26, 2018 (HealthDay News) — The American Lung Association and the American Thoracic Society have established a website to guide implementation of lung cancer screening, according to an editorial published in the Nov. 1 issue of the American Journal of Respiratory and Critical Care Medicine.
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Implementation Guide for Lung Cancer Screening
Clinical Decision Support System Ups Outpatient PE Management
MONDAY, Nov. 26, 2018 (HealthDay News) — The use of a clinical decision support system (CDSS) in the emergency department can improve outpatient management for patients with acute pulmonary embolism (PE), according to a study published online Nov. 13 in the Annals of Internal Medicine.
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Youth Smoking Decline Mirrors Rise in Vaping Popularity
MONDAY, Nov. 26, 2018 (HealthDay News) — Even with the rapid rise in popularity of electronic cigarettes, there has been a simultaneous decline in smoking prevalence among U.S. teens and young adults, suggesting e-cigarettes may not prompt young people to start smoking, according to a study published online Nov. 20 in Tobacco Control.
Child Overweight, Obesity Linked to Increased Asthma Risk
MONDAY, Nov. 26, 2018 (HealthDay News) — Children who are overweight or obese have an increased risk for asthma, according to a study published online Nov. 26 in Pediatrics.
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U of Maryland Student Dies of Adenovirus-Related Illness
WEDNESDAY, Nov. 21, 2018 (HealthDay News) — An 18-year-old University of Maryland student has died from an adenovirus-related illness, and there have been reports of five other cases among students.
CBS News Article
More Information: CDC
Performance of AI Dx Tools May Suffer Across Health Systems
TUESDAY, Nov. 20, 2018 (HealthDay News) — Artificial intelligence tools trained to detect pneumonia on chest X-rays have decreased performance when tested on data from outside health systems, according to a study published online Nov. 6 in PLOS Medicine.
Increased Risk for Oral Cancer With Exposure to High PM2.5
TUESDAY, Nov. 20, 2018 (HealthDay News) — Taiwanese men exposed to high concentrations of fine particulate matter 2.5 (PM2.5) have an increased risk for oral cancer, according to a study recently published in the Journal of Investigative Medicine.
11th Child Dies in Adenovirus Outbreak at N.J. Care Facility
MONDAY, Nov. 19, 2018 (HealthDay News) — An 11th child has died in an outbreak of a respiratory virus at the Wanaque Center for Nursing and Rehabilitation in New Jersey, health officials say.
CBS News Article
More Information: CDC
Patients Hospitalized for COPD Rarely Receive Pulmonary Rehab
FRIDAY, Nov. 16, 2018 (HealthDay News) — Few patients hospitalized for chronic obstructive pulmonary disorder (COPD) receive pulmonary rehabilitation (PR), according to a study published online Nov. 12 in the Annals of the American Thoracic Society.
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CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018
FRIDAY, Nov. 16, 2018 (HealthDay News) — In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Name-Brand Medications Driving Spike in U.S. Drug Spending
THURSDAY, Nov. 15, 2018 (HealthDay News) — Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines, a new study shows.
NBC News Article
Blue Cross Blue Shield Report
FDA Moves to Restrict Flavored E-Cig Sales, Ban Menthol Cigarettes
THURSDAY, Nov. 15, 2018 (HealthDay News) — The U.S. Food and Drug Administration said today it will take steps to limit or ban access to flavored electronic cigarettes, menthol cigarettes, and flavored cigars.
The New York Times Article
Statement From FDA Commissioner
Patient Experiences Shed Light on Diagnostic Errors
THURSDAY, Nov. 15, 2018 (HealthDay News) — Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs.
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AMA to Collect Data on Suicide Among Doctors-in-Training
WEDNESDAY, Nov. 14, 2018 (HealthDay News) — By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.
Under Pressure, JUUL Withdraws Most Flavored E-Cigs From Market
WEDNESDAY, Nov. 14, 2018 (HealthDay News) — JUUL Labs, which commands 70 percent of the U.S. electronic cigarette market, announced yesterday that it would cease selling most flavored versions of its popular vaping pods in retail stores.
The New York Times Article
JUUL Statement
FDA to Ban Most Flavored Electronic Cigarettes
FRIDAY, Nov. 9, 2018 (HealthDay News) — As part of the U.S. Food and Drug Administration’s efforts to reduce teens’ use of flavored electronic cigarettes, a ban on sales of most flavored e-cigarettes in retail stores and gas stations across the United States is to be introduced, according to media reports.
Showerhead Mycobacteria Abundant in Regional ‘Hot Spots’
FRIDAY, Nov. 9, 2018 (HealthDay News) — In some regions of the United States, showerheads have an abundance of mycobacteria, and those regions tend to overlap with regions where nontuberculous mycobacterial (NTM) lung disease is most prevalent, according to a study published online Oct. 30 in mBio.
FDA Approves New Version of OTC Primatene Mist
THURSDAY, Nov. 8, 2018 (HealthDay News) — A new version of an over-the-counter asthma inhaler that was taken off the market in 2011 has been approved by the U.S. Food and Drug Administration.
Medicaid Expansion Approved in Three Republican-Leaning States
WEDNESDAY, Nov. 7, 2018 (HealthDay News) — Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.
More Frequent Surveillance No Benefit After NSCLC Resection
WEDNESDAY, Nov. 7, 2018 (HealthDay News) — For patients undergoing resection for non-small cell lung cancer (NSCLC), more frequent surveillance is not associated with improved survival, according to a study published in the October issue of the Annals of Surgery.
Stratifying by Severity May Allow Shorter TB Tx Regimens
TUESDAY, Nov. 6, 2018 (HealthDay News) — Stratifying tuberculosis (TB) patients by disease severity may enable shorter treatment regimens, according to a study published online Nov. 5 in Nature Medicine.
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Majority of Internists Still Have Financial Ties to Industry
MONDAY, Nov. 5, 2018 (HealthDay News) — A majority of internists still report financial ties to industry, according to a study published online Oct. 5 in the Journal of General Internal Medicine.
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Models Project 79 Percent Drop in Lung CA Mortality by 2065
MONDAY, Nov. 5, 2018 (HealthDay News) — Existing tobacco control efforts will continue to reduce lung cancer mortality through 2065, according to a study published online Oct. 9 in the Annals of Internal Medicine.
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Sign-Up Season Begins on HealthCare.gov
FRIDAY, Nov. 2, 2018 (HealthDay News) — The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.
AP News Article
HealthCare.gov
10th Child Dies in Adenovirus Outbreak at N.J. Facility
THURSDAY, Nov. 1, 2018 (HealthDay News) — A 10th child has died in an adenovirus outbreak at the Wanaque Center for Nursing and Rehabilitation in Haskell, N.J., according to the state health department.
CNN Article
More Information: CDC
2011 to 2015 Saw Decline in Health Care-Associated Infections
THURSDAY, Nov. 1, 2018 (HealthDay News) — From 2011 to 2015, there was a reduction in the prevalence of health care-associated infections, according to a study published in the Nov. 1 issue of the New England Journal of Medicine.
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Financial Conflicts of Interest Prevalent Among CPG Authors
THURSDAY, Nov. 1, 2018 (HealthDay News) — There is a high prevalence of financial conflicts of interest among authors of clinical practice guidelines (CPGs) related to high-revenue medications and in gastroenterology, according to two research letters published online Oct. 29 in JAMA Internal Medicine.
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