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Pulmonology

News, opinions and meeting coverage in pulmonology.

Sleep Apnea Correlates With Injury on the Job

Accidents while working occurred twice as frequently when sleep apnea was involved

'Sleeping In' Doesn't Make Up for Lost Sleep in Teens

Sleep deprivation may affect work in schools and driving

13 Apple Watch Medical Apps Made for Physicians

Even though there are over 3,500 apps that have been customized for the Apple Watch, there are few that health providers can actually utilize for themselves

FDA Okays Stiolto for COPD

Will include black-box warning about increased risk of asthma-related death.

Part 2: Oncologists Weigh In on PBS Cancer Documentary

Six specialists share their impressions of Ken Burns' cancer opus.

FDA Advisers Unimpressed by Nocdurna

Another setback for nocturia indication

Scoring System for Lung Cancer Screening Debuts

Radiologists to get tools for grading suspicious lesions.

Cyclophosphamide May Ease Idiopathic Inflammatory Myopathies

Majority of patients treated with CYC experienced improved muscle strength and function.

Lung Transplant Valid in SSc

Patients with systemic sclerosis shouldn't be denied lung transplants.

That's Not Chronic Lyme, It's Cancer

Three case reports demonstrate the risks of "assuming that patients have chronic Lyme disease."

Joints Tell the Future in Scleroderma

Synovitis predicted progression in skin, vasculature, and kidney.

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

ESC: Mixed Results with Steroids in TB Pericarditis

BARCELONA -- Adding steroids to anti-tuberculosis treatment for patients with tuberculous pericarditis can reduce the risk of complication and the resulting hospital admission, but adding prednisolone to tuberculosis treatment did not reduce the risk of death, researchers said here.

'Sleep Drunkenness' Common, But Rarely Unexplained

So-called confusional arousals were reported in the past year by some 15% of respondents in a population-based survey, with nearly all episodes associated with mental disorders or drugs with known sleep effects.

Three-Drug Cocktail Has Promise in TB

MELBOURNE, Australia -- An experimental, three-drug tuberculosis treatment regimen demonstrated bactericidal activity in patients with drug-sensitive or multidrug-resistant disease, researchers reported here.

John West: The Doc at the Top of the World

Only one mountain pushes lungs to the absolute limit -- Mount Everest -- and only once has that limit been measured directly, by John B. West, MD, PhD, Dsc.

Friday Feedback: Zero-Tolerance Employment Smoking Bans?

Should hospitals, schools, and companies refuse to hire smokers for teachers and healthcare providers?

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

ASCO: Antibody Adds 6 Weeks to Squamous NSCLC Survival

CHICAGO -- The novel anti-EGFR monoclonal antibody necitumumab modestly improved survival in squamous non-small cell lung cancer (NSCLC) in a pivotal trial, but many called the effect too small to count.

E-cig Fumes Empower Bad Bugs

SAN DIEGO -- In laboratory studies, e-cigarette vapors appears to increase the aggressiveness of dangerous bacteria such as methicillin-resistant Staphylococcus aureus (MRSA), researchers reported here.

Vitamin C May Save Newborn's Lungs When Mom Smokes

SAN DIEGO -- Damage to the lungs of babies born to mothers who smoked through pregnancy may be mitigated with vitamin C supplementation during gestation, researchers reported here.

Lung Foam Disappoints in COPD

SAN DIEGO -- A trial of hydrogel-based lung volume reduction therapy in patients with chronic obstructive pulmonary disease (COPD) complicated by emphysema failed to show consistent enough results and has been abandoned by the agent's developer, researchers said here.

Does Tylenol Protect Kidneys in Sepsis?

SAN DIEGO -- Acetaminophen (Tylenol) for severe sepsis patients improved renal function but gave mixed signals in terms of changes in the expected oxidative injury mechanism, researchers found in a pilot trial.

FDA Slashes Starting Dose for Lunesta

SILVER SPRING, Md. -- Patients starting on the sleep drug eszopiclone (Lunesta) should take no more than 1 mg at bedtime -- one-third the current label-recommended dose -- because of the risk of next-day impairment, the FDA said Thursday.

Murder: Another Ambien Side Effect?

NEW YORK CITY -- Forensic psychiatrists are facing new challenges with murders committed by people under the influence of the sleep drug zolpidem (Ambien) -- not least to persuade the criminal justice system to take their conclusions seriously.

FDA Panel Nixes OTC Singulair

Montelukast (Singulair) should not be allowed over-the-counter use for hay fever and other upper respiratory allergy symptoms, an FDA advisory panel recommended Friday.

APA Meeting Highlights Mental Health Biology

NEW YORK CITY -- The biological basis for normal and abnormal mental function is emerging as a dominant theme in psychiatry research, and the American Psychiatric Association annual meeting that starts here Saturday won't be an exception.

How To Get Medicare To Cover A Spa Trip

Good news for doctors who think their patients need a trip to the spa: Medicare will reimburse, with only two catches.

Forget Glucometers, Use Voodoo Dolls Instead: That's Improbable!

A weekly report from our friends at Improbable Research.

Spiriva Cuts Flares in Heavily Treated Asthma

SAN DIEGO -- Tiotropium (Spiriva) Respimat improved lung function and cut exacerbations in severe asthma patients who had already maxed out other treatment options, pooled analysis of two phase III trials showed.

Lyrica Edges Mirapex for Restless Legs

Patients with restless legs syndrome treated with pregabalin (Lyrica) had as much symptom improvement as those receiving pramipexole (Mirapex) in a large year-long trial, with fewer showing "augmentation."

Drug Combo Saves Kids' Tonsils in Mild OSA

The anti-inflammatory asthma drug montelukast (Singulair) plus corticosteroids was an effective initial alternative to surgery for mild obstructive sleep apnea (OSA) in children, a retrospective study showed.

Heart Attack Signal Found for Spiriva in COPD

The TIOSPIR trial was used to support safety of the mist inhaler version of tiotropium (Spiriva) compared with dry powder, but the pooled data actually showed something else -- a heart attack signal, researchers argued.

10 Questions: E. Wesley Ely, MD, MPH

What's the biggest barrier to practicing medicine today? That's just the first of the 10 Questions the 番茄社区 staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from pulmonary and critical care expert E. Wesley Ely, MD, MPH.

EMTs Can Give Positive Pressure Ventilation

Out-of-hospital noninvasive positive-pressure ventilation in patients with severe respiratory distress significantly reduced rates of inhospital mortality and need for invasive ventilation, researchers found.

Debate: Who Should Prescribe CPAP?

Should primary care physicians and other nonspecialists be able to prescribe sleep apnea treatment after home testing? Experts debated that issue this month in Chest.

Radiation Safe in Unbiopsied Lung Cancer

CHICAGO -- Treating people with stereotactic body radiation for suspected -- but unbiopsied -- lung cancers appears to allow for acceptable local control of the disease with low toxicity, researchers reported here.

Brain Stimulation Helps Smokers Quit

SAN DIEGO -- Magnetic brain stimulation with a sensory cue was associated with reduced smoking rates and improved quit rates among heavy smokers unaffected by prior therapy, researchers reported here.

Common Allergy Myths Debunked

BALTIMORE -- Egg allergy is no issue for flu vaccination, allergen avoidance isn't a cure for eczema, and testing tots doesn't make skin prick testing any less accurate, according to allergists taking aim at common misconceptions.

Who's Afraid of Gummy Bears?

BALTIMORE -- From saxophone lung to the strange affair of the gummy bear allergy, case reports take center stage at the annual meeting of the American College of Allergy, Asthma, and Immunology.

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