Pulmonology News Archive
Review shows supplementation only effective for baseline vitamin D levels 25 nmol/L.
Tuberculosis screening results may differ depending on blood draw methods.
Children with croup who were given glucocorticoids had reduced symptoms at 2 through 24 hours.
Adults hospitalized for pneumonia who received an influenza vaccination during their stay were less likely to seroconvert if they had diabetes, bacterial detection, baseline seropositive titers for influenza B, or influenza vaccination in the previous season.
Risk greatest with higher-dose opioids and opioids with immunosuppressive properties.
Number of clinical pneumonia episodes in children 5 years reduced 22% in developing countries.
Inhaling a 25 mg dose of vaporized cannabis with 10 mg of THC produced pronounced drug effects in healthy adults who were infrequent users of cannabis.
Cognitive behavioral therapy delivered by respiratory nurses is associated with reduced anxiety symptoms and is cost-effective for patients with chronic obstructive pulmonary disease
Vaping among American teenagers increased dramatically in 2018, with nearly 2 of every 5 high school seniors reporting they had tried an electronic cigarette during the past year.
Sildenafil and tadalafil not approved to be sold over the counter and are being sold illegally.
Omalizumab rescue therapy produced rapid results in a patient with refractory status asthmaticus.
In adjusted analysis, smoking tied to worse symptom severity, sleep problems, anxiety, depression.
Strong dose-response relationship seen in never-smokers aged 50 and older.
Bronchoscopic lung volume reduction with valve replacement shows the most promise for improving lung function, exercise tolerance, and quality of life in patients with advanced emphysema.
Gaps in insurance coverage increased the odds of asthma-related emergency department intervention or hospitalization and exacerbations.
Individuals in top quartile of vitamin D levels have significantly higher CRF than those in lowest quartile.
Large rise in youth vaping, decline in past 30-day smoking prevalence accelerated around 2014.
Home discharge rate increased at intervention sites; no increase in return visits, adverse outcomes.
Lower systolic BP found for those living in areas with public smoke-free policies.
Elderly, those living 10 miles from facility, those with lower SES less likely to receive pulmonary rehab.
Facilitator-led sites had a higher percentage of patients who reported equal participation with their provider in making asthma treatment decisions vs the lunch-and-learn sites.
In adult patients, pooled estimates of sensitivity and specificity were generated for 4 clinical features: paroxysmal cough, posttussive vomiting, inspiratory whoop, and absence of fever.
Details of the ban expected to be announced next week.
These areas often overlap with regions of prevalent nontuberculous mycobacterial lung disease.
Annual number of deaths expected to continue to decrease despite growth, aging of US population.
The use of angiotensin-converting enzyme inhibitors is associated with an increased risk for lung cancer compared with angiotensin receptor blockers.
The CHEST Expert Cough Panel agreed on cough, dyspnea, pleural pain, sweating, shivers, aches, temperature of ≥38°C, tachypnea, and new and localizing chest examination signs as clinical symptoms as criteria suggestive of pneumonia in outpatient adults.
Adolescents with asthma treated with dupilumab experienced significant improvements in FEV1 compared with placebo.
Benralizumab was associated with a significant reduction in annual asthma exacerbation rates.
Pirfenidone May Be Effective for Improving Exercise Capacity, Dyspnea in Idiopathic Pulmonary Fibrosis
When treated with pirfenidone, patients with idiopathic pulmonary fibrosis experienced significant improvements in 6-minute walking distance and University of California San Diego Shortness of Breath Questionnaire scores.
Montelukast plus levocetirizine demonstrated a significant reduction in mean daytime nasal symptom scores compared with montelukast monotherapy.
The most common error related to the use of metered dose inhalers was the failure to attach the inhaler to a spacer.
While primary care physicians overwhelmingly recommend pneumococcal vaccines, there is a gap in their knowledge of how to implement related vaccine recommendations.
Tobacco use remains the leading modifiable cause of cancer and should be a priority for cancer control.
Total serum bilirubin levels of 9 to 11.9 mg/dL, 12 to 14.9 mg/dL, and 15 to 17.9 mg/dL were associated with significantly greater risks for asthma in infants.
Promising results for VX-659-, VX-445-tezacaftor-ivacaftor for cystic fibrosis with mutations in CFTR.
Early-onset asthma and wheezing may contribute to an increased risk of developing obesity later in childhood.
For patients with chronic obstructive pulmonary disease and comorbid posttraumatic stress disorder, long-term benzodiazepine use is not associated with mortality, but there is an association for short-term benzodiazepine use.
The burden of childhood and infant pneumonia can be effectively reduced through the use of the pneumococcal Haemophilus influenzae protein D conjugate vaccine.
The risk for late-onset epilepsy was lower in patients with higher physical activity levels and moderate alcohol intake.
For patients with CAP, antibiotic regimens including a fluoroquinolone may reduce mortality risk by 1-2% compared to beta-lactams and cephalosporins alone.
In phase 2 study, surgery for abnormal acid GER in IPF patients was safe, well-tolerated.
Teens whose concern over societal discrimination grew between 2016 and 2017 increased their cigarette and marijuana use.
Cockroach and mouse allergies were most often associated with poorly controlled asthma and exacerbations in urban adolescents.
Total omega-3 and omega-6 plasma polyunsaturated fatty acids relative abundances were significantly inversely correlated with asthma/recurrent wheeze and allergic sensitization.
Investigators examined the effects of smoking on respiratory symptoms and functional levels in patients with multiple sclerosis.
Vitamin D deficiency is independently associated with subclinical interstitial lung disease and its progression.
Although allergic sensitization and hay fever rates increased as children grew older, the rates of asthma dropped.
Inadequate regulation of carbon pollution will likely have current, future consequences for human health.
Patients perceive swallowing difficulty from thickness of saliva, but no real increase in mucus.
Increase in asthma hospital visits with increasing ambient particulate matter in San Luis Valley.
According to the report, the patient complained of a non-productive cough, accumulation of mucus, and post-nasal drip and requested a thorough assessment of her medical conditions.
No difference in exacerbations with indacaterol/glycopyrronium for non-frequently exacerbating COPD.
More than 1200 warning letters and fines have been sent to retailers and major e-cigarette manufacturers.
Many women are unconvinced of the potential harmful effects of marijuana use in pregnancy due to the lack of available evidence.
CXR had negative predictive value of 98.8% in children evaluated for suspected pneumonia.
First bronchoscopic lung volume reduction using endobronchial valve performed at Temple University.
Smokers with immediate vs gradual reduction have significantly lower levels of smoke exposure.
Researchers found that 14.6 percent of adults reported marijuana use in the past year and 8.7 percent reported use in the past 30 days.
Rate of incident pneumonia increased in second year after initiating treatment with proton pump inhibitors.
Air pollution advisories, air quality alerts issued for Washington, Oregon.
Children and young adults with asthma and multiple food allergies may be at risk for reduced small airway lung function than children with a single food allergy.
An expert panel developed suggestions for chronic cough management in interstitial lung disease, but more clinical trials are needed to establish recommendations.
Sensitization to Aspergillus fumigatus increased the risk for severe asthma.
Rifampin has significantly higher rate of treatment completion, fewer drug-related adverse events.
Serologically assessed collagen remodeling plays a key role in the severity of COPD, as determined by airflow limitation and dyspnea, as well as in disease outcomes.
More than 9 million smokers have attempted to quit because of Tips from Former Smokers Campaign.
Agency offers steps to minimize exposure, particularly for those with chronic conditions.
Valve has been approved after review of data from trial involving 190 patients with emphysema
Investigators examined the incidence and outcomes of pneumonia in patients with acute ischemic stroke and type 2 diabetes.
The use of formal palliative care services among patients with chronic obstructive pulmonary disease increased by 1% per year, going from 5.3% in 2004 to 14.3% in 2014.
Researchers from the University of Rochester identified improvement in pulmonary function in symptomatic adult patients with asthma treated with once-daily tiotropium.
Double lung transplantation appears to offer superior survival outcomes to single lung transplantation in patients with interstitial pulmonary fibrosis who are younger than 70 years.
Researchers developed a predictive algorithm to identify individuals with a higher risk for severe reactions to the standardized peanut oral food challenge.
Surgeries by age 9 associated with higher long-term risks of respiratory, infectious, allergic diseases
Increased risk of treatment failure for children with asthma exacerbations presenting to the ER.
AAFP and other signatories also call on FDA to apply the proposal to other combustible tobacco products
In black infants who were born preterm, vitamin D supplementation may reduce the risk for recurrent wheezing.
Crossover in sex-specific rates among US non-Hispanic whites born since 1965
Men with higher estradiol and estradiol/testosterone levels had an increased risk for pulmonary arterial hypertension.
Grip strength is strongly and inversely associated with all-cause mortality and incidence of and mortality from cardiovascular disease, respiratory disease, COPD, all cancer, and subtypes of cancer, with associations being modestly stronger in the younger age groups.
The study authors examined data obtained from the 2007-2008 National Survey of Children's Health (NSCH) to determine the prevalence, risk factors, as well as the severity of asthma phenotypes.
A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.
Findings among children for both incident asthma and ongoing asthma.
Findings based on a portable monitor and use of a semi-automatic treatment algorithm
Early child care attendance increased the risk for wheeze in children ≤2 years of age but decreased the risk for asthma in children 3 to 5 years of age.
A childhood measles infection may increase the risk for post-bronchodilator airflow obstruction in middle-age adults via its interaction with asthma and smoking.
Increasing inhaled glucocorticoid doses at initial signs of exacerbating asthma may not be effective.
Compared with standard oxygen therapy, high-flow treatments were better for infants with bronchiolotis.
Single maintenance and reliever therapy and long-acting muscarinic antagonists are linked to better management of asthma in patients with uncontrolled, persistent asthma.
Adaption of processes in pediatric pulmonology clinics that may eliminate tobacco use and exposure will help with decreasing medical expenses and hospital admissions for illnesses that can be triggered from smoke exposure.
Involvement in aerobic fitness activities helps adolescents and children increase lung volume as adults but does not improve airway caliber.
There is a significant association between varicose veins and an increased risk for deep venous thrombosis and possible associations with pulmonary embolism and peripheral artery disease, though results are still unclear.
Patients with opioid dependence or abuse may exhibit a higher prevalence of asthma compared with the general population.
Prenatal vitamin D is associated with an increased risk for allergic rhinitis in children born to African American women, but not white women.
Researchers examined real-world characteristics of patients receiving albuterol multidose dry powder inhaler or short-acting β2 agonists with short-acting β2 agonists for asthma and chronic obstructive pulmonary disease.
When testing for sensitivity to histamine, larger swelling sizes were recorded for infants with eczema and atopic dermatitis compared with infants without those conditions.
Researchers assessed whether the administration of dupilumab improves signs and symptoms of atopic dermatitis in patients with or without comorbid asthma.
Children who are exposed to antibiotics earlier in life may have an increased risk for allergic diseases, including asthma, atopic dermatitis, and allergic rhinitis.
Intranasal corticosteroids are the current guideline-preferred treatment recommendation for nasal congestion.