Pulmonology

Once-daily single-inhaler triple therapy better for lung function in COPD

Once-daily single-inhaler triple therapy better for lung function in COPD

Results support the benefits of single-inhaler triple therapy compared with inhaled corticosteroid/long-acting β2-agonist therapy in patients with advanced COPD.

Vitamin B supplements not chemopreventive for lung cancer

Vitamin B supplements not chemopreventive for lung cancer

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Vitamin B supplements are not chemopreventive and may increase cancer risk in men.

Oral corticosteroids not effective for lower respiratory tract infection

Oral corticosteroids not effective for lower respiratory tract infection

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No significant effects were found from oral corticosteroid use for acute lower respiratory tract infection in adults without asthma.

Occupational pesticide exposure linked to fixed airflow obstruction and chronic bronchitis

Occupational pesticide exposure linked to fixed airflow obstruction and chronic bronchitis

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Results show that exposure to pesticides and herbicides is associated with fixed airflow obstruction and chronic bronchitis.

Treating acute COPD exacerbations with prednisone and doxycycline

Treating acute COPD exacerbations with prednisone and doxycycline

Researchers found that doxycycline plus prednisone did not prolong the time between exacerbations in patients with COPD.

Sleep disorders may increase risk for Alzheimer's disease

Sleep disorders may increase risk for Alzheimer's disease

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Obstructive sleep apnea and sleep-disordered breathing are associated with amyloid deposition.

Chest CT provides additional insight in COPD assessment

Chest CT provides additional insight in COPD assessment

A chest CT can provide additional information on comorbidities, including coronary artery disease and osteoporosis.

Higher childhood intelligence linked to lower mortality risk

Higher childhood intelligence linked to lower mortality risk

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Researchers sought to examine the link between intelligence scores during childhood and leading causes of death during the life course.

Surgical pulmonary embolectomy for thrombus distribution is feasible, effective

Surgical pulmonary embolectomy for thrombus distribution is feasible, effective

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Surgical pulmonary embolectomy for peripheral distribution of thrombus demonstrated positive outcomes in patients with either CPE or PPE.

Pulmonary hyperinflation linked to larger pulmonary artery in COPD

Pulmonary hyperinflation linked to larger pulmonary artery in COPD

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Increased residual volume is associated with a larger pulmonary artery in patients with COPD.

Case Study in Urgent Care: Leg edema and shortness of breath

Case Study in Urgent Care: Leg edema and shortness of breath

A 44-year-old man presents to an urgent care clinic with leg edema and shortness of breath.

Cystic fibrosis: consensus diagnostic guidelines for clinicians

Cystic fibrosis: consensus diagnostic guidelines for clinicians

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The guidelines outline the diagnosis of CF and clarify diagnostic criteria and terminology for other disorders associated with CFTR mutations.

VA lung cancer screening program finds high rate of incidental findings, low cancer detection rate

VA lung cancer screening program finds high rate of incidental findings, low cancer detection rate

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An estimated 900,000 veterans of a population of 6.7 million VHA patients met the criteria for LCS.

Higher cured meat intake linked to worsening asthma

Higher cured meat intake linked to worsening asthma

Cured meat intake levels also had an indirect effect mediated by body mass index.

Cancer-related deaths attributed to smoking vary across states

Cancer-related deaths attributed to smoking vary across states

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Cancer deaths attributed to cigarette smoking are common among the Southern states.

Pulmonary embolism common in patients hospitalized for syncope

Pulmonary embolism common in patients hospitalized for syncope

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One in 6 patients hospitalized for a first episode of syncope experiences a pulmonary embolism.

Screening for latent tuberculosis infection: USPSTF finalizes recommendation

Screening for latent tuberculosis infection: USPSTF finalizes recommendation

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The USPSTF task force reviewed evidence regarding screening for LTBI in asymptomatic adults.

Preventing bronchopulmonary dysplasia in preterm infants

Preventing bronchopulmonary dysplasia in preterm infants

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Seven ventilation strategies were compared for efficacy in a study of 5598 preterm infants.

Clinician survey indicates improved attitudes toward COPD treatment

Clinician survey indicates improved attitudes toward COPD treatment

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Clinician awareness of COPD treatment guidelines has increased since 2007.

Blood eosinophil counts linked to adverse pneumonia events in COPD patients

Blood eosinophil counts linked to adverse pneumonia events in COPD patients

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Patients with a blood eosinophil count below 2% had a poor response to treatment with inhaled corticosteroids.

Does statin use benefit patients with COPD?

Does statin use benefit patients with COPD?

Potential effects of statin use as adjunct therapy in COPD patients is still widely debated.

Using an evidence-based approach to diagnose IPF

Using an evidence-based approach to diagnose IPF

The importance of ruling out conditions other than idiopathic pulmonary fibrosis is highlighted in this case of a 62-year-old female.

Inpatient mortality, length of stay decreasing for COPD patients, but financial burden increasing

Inpatient mortality, length of stay decreasing for COPD patients, but financial burden increasing

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For patients hospitalized with COPD, mortality and length of stay have decreased while financial burden has increased.

COPD Assessment Test can identify new COPD, mild airflow obstruction

COPD Assessment Test can identify new COPD, mild airflow obstruction

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The COPD Assessment Test (CAT) can be used to distinguish between newly diagnosed patients, those with more exacerbations, and by gender.

Young patients with COPD still active smokers

Young patients with COPD still active smokers

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Patients who are socioeconomically disadvantaged are more likely to continue smoking after a COPD diagnosis.

Depression limits adherence to COPD maintenance medications

Depression limits adherence to COPD maintenance medications

Older adults with depression are less likely to adhere to COPD maintenance medications regimens.

Reduced antibiotic prescribing may lead to increase in pneumonia, peritonsillar abscess cases

Reduced antibiotic prescribing may lead to increase in pneumonia, peritonsillar abscess cases

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General practices that prescribe fewer antibiotics may encounter slightly higher incidences of pneumonia and peritonsillar abscess.

COPD exacerbations linked to quality of life, history of pneumonia

COPD exacerbations linked to quality of life, history of pneumonia

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Patients with mild-to-moderate airflow limitations should be screened for COPD exacerbations.

Frailty affects rehabilitation outcomes in COPD patients

Frailty affects rehabilitation outcomes in COPD patients

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Patients who complete pulmonary rehabilitation programs may experience short-term symptom reversal.

COPD screening needed in HIV-positive patients

COPD screening needed in HIV-positive patients

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Many HIV-positive patients who meet the criteria for COPD are not receiving proper treatment.

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