Liquid Nicotine Exposure in Children Declining, But Still a Threat

Liquid Nicotine Exposure in Children Declining, But Still a Threat

The rate of liquid nicotine exposure in children younger than 6 years of age has declined since 2015, but it continues to pose a serious poisoning risk.

Improvement in Race-Based Disparities in Years of Life Lost

Improvement in Race-Based Disparities in Years of Life Lost

Decline was observed in race-based disparities in years of life lost in the United States from 1990 to 2014.

April 28 Is Drug Take Back Day

April 28 Is Drug Take Back Day

April 28, 2018 is National Prescription Drug Take Back Day.

Smoking Cessation Pharmacotherapies May Not Increase MACE

Smoking Cessation Pharmacotherapies May Not Increase MACE

There were no observable differences in the incidence of any cardiovascular events across the smoking cessation treatment groups.

E-Cigarette Use Tied to Subsequent Marijuana Use in Teens

E-Cigarette Use Tied to Subsequent Marijuana Use in Teens

Stronger correlation was seen between electronic cigarette use and marijuana in younger adolescents, aged 12 to 14 years, than for older teens.

FDA Announces New Initiative Aimed at Stopping Youth Use of E-Cigarettes

FDA Announces New Initiative Aimed at Stopping Youth Use of E-Cigarettes

In a wide ranging statement, the FDA commissioner Scott Gottlieb, MD, specifically targets novel nicotine-delivery products as being problematic since many of these devices resemble USB flash drives, have high nicotine levels and have emissions that are hard to see.

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

This updated Committee Opinion includes more recent data on the safety and efficacy of influenza vaccination during pregnancy, as well as recommendations for treatment and postexposure chemoprophylaxis.

Decreased Lung Function More Prevalent in Preterm Born Children

Decreased Lung Function More Prevalent in Preterm Born Children

Children who were born preterm had an increased likelihood of developing impaired lung function compared with healthy term children.

Number of Cigarettes Smoked Daily Tied to Stroke Risk

Number of Cigarettes Smoked Daily Tied to Stroke Risk

In men younger than 50, the more cigarettes smoked linked to increased risk for ischemic stroke.

COPD Risk in Middle-Age: The 3-Way Interaction of Asthma, Smoking, and Measles

COPD Risk in Middle-Age: The 3-Way Interaction of Asthma, Smoking, and Measles

A childhood measles infection may increase the risk for post-bronchodilator airflow obstruction in middle-age adults via its interaction with asthma and smoking.

E-cigarette use may hamper smoking cessation for smokers planning to quit post-hospitalization

In a study of hospitalized smokers who planned to quit smoking post-discharge, users of e-cigarettes were not as likely as nonusers to refrain from using tobacco at 6 months. However, e-cigarette use in the study population was irregular; further research is necessary to study whether regular e-cigarette use helps or hampers efforts to quit smoking.

Cigarette Smoking a Risk Factor for Heart Failure in Blacks

Cigarette Smoking a Risk Factor for Heart Failure in Blacks

Current smoking linked to higher mean left ventricular mass index and lower mean left ventricular circumferential strain.

Cigarette Price Hike Would Provide More Gains for the Poor

Cigarette Price Hike Would Provide More Gains for the Poor

More average life years gained from cessation and more treatment costs averted for the poorest 20%.

Wildfire Smoke Exposure Tied to Higher CV, Cerebrovascular ER Visits

Wildfire Smoke Exposure Tied to Higher CV, Cerebrovascular ER Visits

There was an increased risk for all-cause cardiovascular and cerebrovascular emergency department visits, especially in individuals older than 65.

Respiratory Muscle Training in Multiple Sclerosis: Assessing the Evidence

Respiratory Muscle Training in Multiple Sclerosis: Assessing the Evidence

Early intervention in the case of respiratory compromise in patients with multiple sclerosis has the potential to prevent infection and maintain pulmonary function.

Most Patients Are Unaware of Cancer Drug Shortages

Most Patients Are Unaware of Cancer Drug Shortages

Majority of patients say they want to know about even minor consequences of cancer drug substitutions.

Small Employers Do Not Often Provide Tobacco Cessation Help

Small Employers Do Not Often Provide Tobacco Cessation Help

Although 16.2% of small employers used tobacco surcharges, 47% of those did not offer tobacco cessation counseling.

Polypharmacy Linked to Poorer Cognitive, Physical Capability

Polypharmacy Linked to Poorer Cognitive, Physical Capability

Researchers found stronger negative associations for participants with polypharmacy between the ages of 60 and 64 years and at 69 years.

Smoking Cessation Rates in Acute Coronary Syndrome With Varenicline

Smoking Cessation Rates in Acute Coronary Syndrome With Varenicline

Although varenicline was effective for short-term smoking cessation, more than half of the patients in the EVITA trial relapsed after 1 year.

ACA Marketplaces Expand Coverage for Chronically Ill

ACA Marketplaces Expand Coverage for Chronically Ill

Enrollees have more chronic conditions and health care use vs other privately insured individuals.

Pneumonia and Influenza May Trigger Acute MI, Stroke

Pneumonia and Influenza May Trigger Acute MI, Stroke

Researchers found increased myocardial infarction rates during the week after Streptococcus pneumoniae and influenza infections.

Smokers Have Lower Quality Diets vs Former and Nonsmokers

Smokers Have Lower Quality Diets vs Former and Nonsmokers

Researchers observed a strong linear pattern between smoking status and dietary energy density in current smokers.

Antibiotics, Acid-Suppressive Meds Tied to Allergic Disease

Antibiotics, Acid-Suppressive Meds Tied to Allergic Disease

Findings for subsequent allergic disease following infant exposure in the first six months of life.

Respiratory Syncytial Virus Prevention and Asthma in Preterm Infants

Respiratory Syncytial Virus Prevention and Asthma in Preterm Infants

Researchers assessed the relationship between prevention of RSV in preterm infants and the frequency of subsequent wheeze in childhood.

Prevention of Vaccine Failure in Haemophilus influenzae Type B Vaccines

Prevention of Vaccine Failure in Haemophilus influenzae Type B Vaccines

Higher serum bactericidal activity following immunization with PRP-CRM197 reflected superior short-term and long-term seroprotective effects compared with immunization with PRP-T.

Receptivity to Tobacco Ads Linked to Progression to Use

Receptivity to Tobacco Ads Linked to Progression to Use

For adolescents, receptivity was highest for e-cigarette ads and was linked to trying cigarettes.

Liquids in E-Cigarettes Are Heterogeneous, Frequently Toxic

Liquids in E-Cigarettes Are Heterogeneous, Frequently Toxic

The more chemicals in e-liquid, the more toxic it is likely to be; in addition, vanillin tied to higher toxicity.

The Mounting Evidence Against Electronic Cigarette Use

The Mounting Evidence Against Electronic Cigarette Use

Electronic cigarettes were once thought to be a helpful smoking cessation tool, but new evidence suggests they may be as if not more harmful than combustible cigarettes.

Electronic Cigarettes Do Not Appear to Promote Smoking Cessation

Electronic Cigarettes Do Not Appear to Promote Smoking Cessation

At 6 months, researchers found a negative association between electronic cigarette use and subsequent smoking cessation.

The Connection Between Cardiovascular Disease and Sleep Apnea: An Expert Interview

The Connection Between Cardiovascular Disease and Sleep Apnea: An Expert Interview

To examine the link between cardiovascular disease and sleep apnea, The Cardiology Advisor spoke with cardiologist Seth S. Martin, MD, MHS, FACC, FAHA and sleep specialist Rachel Marie E. Salas, MD, FAAN.

FDA Seeks Physician Opinions on Flavored Tobacco Products

FDA Seeks Physician Opinions on Flavored Tobacco Products

The FDA is seeking data, research, and general information regarding the role that flavors play in youth smoking.

Food Allergy Policies Exist in Many Schools, But Barriers Still Exist

Food Allergy Policies Exist in Many Schools, But Barriers Still Exist

The majority of school nurses report staff training on anaphylaxis and epinephrine availability.

Asthma Development in Early Childhood May Hinge on Early Life Stress

Asthma Development in Early Childhood May Hinge on Early Life Stress

Prenatal and early life stress, including societal stress, have been implicated in the development of asthma and other allergic diseases in children.

Influenza, Other Respiratory Disease Transmission During Flights

Influenza, Other Respiratory Disease Transmission During Flights

Despite 8 of the 10 flights taking place during influenza season, results of quantitative polymerase chain reaction assays for 18 common respiratory viruses were all negative.

Routine Chest Radiography After US-Guided CVC Insertion Often Unnecessary

Routine Chest Radiography After US-Guided CVC Insertion Often Unnecessary

A routine chest radiograph after ultrasound-guided central venous catheter insertion is now considered costly and unnecessary.

Higher Exposure to Particulate Matter Air Pollution Increases CVD Risk

Higher Exposure to Particulate Matter Air Pollution Increases CVD Risk

Compared with whites, blacks had significantly higher exposure to PM2.5.

Electronic Cigarettes: More Harm Than Good

Electronic Cigarettes: More Harm Than Good

On a population level, electronic cigarettes are associated with more harm than benefit.

Adenotonsillectomy Reduces Blood Pressure in Children With OSA, Hypertension

Adenotonsillectomy Reduces Blood Pressure in Children With OSA, Hypertension

Pediatric patients with hypertension and obstructive sleep apnea had significant improvements in blood pressure after adenotonsillectomy.

Benign Lung Nodules Identified Using Proteomic Biomarker

Benign Lung Nodules Identified Using Proteomic Biomarker

An integrated proteomic classifier accurately identified benign lung nodules when used in patients with a pretest probability of malignancy ≤50%.

COPD Mortality Risk and Physical Activity Have Dose-Response Relationship

COPD Mortality Risk and Physical Activity Have Dose-Response Relationship

Individuals with chronic obstructive pulmonary disease who met physical activity guidelines experienced the greatest reductions in all-cause, CVD, and respiratory mortality risk.

Glucocorticoids Do Not Increase Fracture Risk in COPD

Glucocorticoids Do Not Increase Fracture Risk in COPD

Intermittent use of high-dose glucocorticoids did not increase the risk for fracture in patients with COPD.

Acetaminophen Use, Overdose May Increase During Flu Season

Acetaminophen Use, Overdose May Increase During Flu Season

Acetaminophen use and overdosing increases during cold and flu season.

Revisit to ED May Indicate Poor Outcomes in Elderly Patients

Revisit to ED May Indicate Poor Outcomes in Elderly Patients

A revisit to the emergency department within 30 days of a previous visit predicted poor outcomes in elderly adults.

Effect of Allergen Exposure Reduction Efforts on Asthma Outcomes

Effect of Allergen Exposure Reduction Efforts on Asthma Outcomes

According to a systematic literature review, there was inconclusive evidence that single indoor allergen interventions were effective at improving asthma outcomes.

Asthma Medications May Negatively Affect Fertility in Women

Asthma Medications May Negatively Affect Fertility in Women

Short-acting beta-agonists for asthma management may reduce fertility rates in women with asthma.

High-Wattage E-Cigarettes May Induce Sustained Tissue Hypoxia

High-Wattage E-Cigarettes May Induce Sustained Tissue Hypoxia

High-wattage electronic cigarettes may cause airway epithelial injury and small airway constriction.

Prenatal Vitamin D May Increase Pediatric Allergic Rhinitis Risk

Prenatal Vitamin D May Increase Pediatric Allergic Rhinitis Risk

Prenatal vitamin D is associated with an increased risk for allergic rhinitis in children born to African American women, but not white women.

CPAP Nonadherence Associated With Higher Hospital Readmissions

CPAP Nonadherence Associated With Higher Hospital Readmissions

Patients with obstructive sleep apnea had higher rates of hospital readmission when not adherent to continuous positive airway pressure therapy.

Smoking Prevalence During Pregnancy in 2016

Smoking Prevalence During Pregnancy in 2016

Overall, 7.2% of women who gave birth in 2016 smoked cigarettes during pregnancy.

Flumist Quadrivalent Vaccine Recommendation Renewed by ACIP

Flumist Quadrivalent Vaccine Recommendation Renewed by ACIP

The CDC's ACIP has voted in favor of renewing the recommendation for the use of live attenuated influenza vaccine.

Electronic Cigarettes May Leak Lead, Other Toxic Metals

Electronic Cigarettes May Leak Lead, Other Toxic Metals

Lead and other toxic metals may leak from some electronic cigarettes' heating coils and are present in the aerosols that are inhaled by users.

Assessment of the Impact of Physical Fitness on Lung Function

Assessment of the Impact of Physical Fitness on Lung Function

Researchers have identified that although aerobic fitness may improve lung volume in children and young adults, it does not result in improvement in airway caliber.

Concomitant Use of Beta-Blockers, Beta-Agonists in COPD With CV Risk

Concomitant Use of Beta-Blockers, Beta-Agonists in COPD With CV Risk

Patients with COPD and heightened cardiovascular risk received respiratory benefits from long-acting beta-agonist therapy without increasing their cardiovascular risk, regardless of beta-blocker therapy.

ARDS Risk After Cardiac Surgery During Flu Season

ARDS Risk After Cardiac Surgery During Flu Season

Cardiac surgery during influenza season is an independent risk factor for acute respiratory distress syndrome.

Does Breastfeeding Modify Risk of Developing Childhood Asthma?

Does Breastfeeding Modify Risk of Developing Childhood Asthma?

Researchers evaluated whether duration of breastfeeding was associated with a modified risk for asthma development in children.

Reduced Lung Function Associated With Mortality in Individuals With HIV

Reduced Lung Function Associated With Mortality in Individuals With HIV

Participants underwent a pre- and post-bronchodilator spirometry, single-breath diffusion capacity for carbon monoxide, CT, and echocardiogram.

Effect of Maternal Influenza Vaccination on Infant Mortality

Effect of Maternal Influenza Vaccination on Infant Mortality

Investigators sought to determine the association between maternal vaccination and infant mortality.

Lung Function Decline in Occupational Cleaning

Lung Function Decline in Occupational Cleaning

Exposure to chemical agents while cleaning may be at increased risk for accelerated decline in lung function.

An Inflammatory Response: Cardiovascular Complications of Pneumonia

An Inflammatory Response: Cardiovascular Complications of Pneumonia

As a result of activating the inflammatory-immune system, pneumonia may trigger cardiovascular complications.

Exclusive Use of Cigarettes, Cigars, and Pipes Increases Mortality Risk

Exclusive Use of Cigarettes, Cigars, and Pipes Increases Mortality Risk

Compared with individuals who never used tobacco, exclusive current cigarette smokers and exclusive current cigar smokers had increased all-cause mortality risks.

Exercise May Improve Quality of Life in Lung Cancer

Exercise May Improve Quality of Life in Lung Cancer

Study examines increased physical activity may lower the risk for several cancers and may be beneficial for improving quality of life.

A 67-Year-Old Man Living Near Wildfires Presents for Yearly Wellness Visit

A 67-Year-Old Man Living Near Wildfires Presents for Yearly Wellness Visit

A 67-year-old man presents for his yearly wellness visit and reports some shortness of breath since the Sonoma-Napa wildfires but otherwise feels well.

Perceived Harm of E-Cigarettes Decreases Use in Teenagers

Perceived Harm of E-Cigarettes Decreases Use in Teenagers

The researchers found that greater perception of harm from e-cigarettes was associated with lower odds of susceptibility to using e-cigarettes and current use of e-cigarettes.

Maternal, Early Childhood Consumption of Sugary Drinks Linked to Asthma

Maternal, Early Childhood Consumption of Sugary Drinks Linked to Asthma

Maternal prenatal and early childhood intake of sugar-sweetened beverages and fructose is associated with current asthma in midchildhood.

2018 Immunization Schedule for Children and Adolescents Released

2018 Immunization Schedule for Children and Adolescents Released

The recommended childhood and adolescent immunization schedule for the United States has been issued for 2018.

Lung Cancer Screening: Updated Guidelines From CHEST

Lung Cancer Screening: Updated Guidelines From CHEST

A CHEST expert panel has released updated guidelines for lung cancer screening.

Respiratory Symptoms in Young Adults: Prognostic Value for Later Lung Function?

Respiratory Symptoms in Young Adults: Prognostic Value for Later Lung Function?

Respiratory symptoms that develop between the ages of 18 and 30 may hold prognostic value for later decline in lung function.

Surgical Monitoring in Chronic Lung Disease Using Biodegradable Sensors

Surgical Monitoring in Chronic Lung Disease Using Biodegradable Sensors

A new biodegradable pressure sensor device may make monitoring patients with chronic lung disease easier during surgery.

Characteristics Associated With Inappropriate Antibiotic Prescribing

Characteristics Associated With Inappropriate Antibiotic Prescribing

Patient, practice, and provider characteristics are associated with inappropriate antimicrobial prescribing in the outpatient setting.

Lung Cancer Postoperative Complications Reduced With Preoperative Exercise

Lung Cancer Postoperative Complications Reduced With Preoperative Exercise

Patients who underwent lung resections had reduced postoperative complication rates when they participated in preoperative exercise.

Reducing Postoperative Respiratory Complications Through Physiotherapy

Reducing Postoperative Respiratory Complications Through Physiotherapy

The preoperative physiotherapy intervention cut the incidence of postoperative pulmonary complications by 50%.

Influenza May Increase Risk for Acute Myocardial Infarction

Influenza May Increase Risk for Acute Myocardial Infarction

Influenza increased the risk for acute myocardial infarction within 1 year before and 1 year after the infection.

Cardiopulmonary Bypass: First-Ever Anticoagulation Guidelines Released

Cardiopulmonary Bypass: First-Ever Anticoagulation Guidelines Released

Clinical practice guidelines for anticoagulation therapy for cardiopulmonary bypass has been released.

Sleep Duration Trends in US Adults: 2003-2016

Sleep Duration Trends in US Adults: 2003-2016

A new 14-year analysis indicate that adults are getting more sleep each night despite the prevalence of sleep duration among Americans.

Detection of respiratory viruses in febrile infants suggests lower risk of bacterial infection

Respiratory viruses were identified in 55% of febrile infants; those older than 28 days had a lower risk of bacterial infection when they tested positive for a respiratory virus.

Influenza Vaccination Rates May Increase With Reminder, Recall Systems

Influenza Vaccination Rates May Increase With Reminder, Recall Systems

Patient reminder and recall systems seem to be effective for improving receipt of immunizations.

Tobacco Product Use in Veterans

Tobacco Product Use in Veterans

Overall, 29.2% of veterans report current use of 1 of 5 tobacco products.

Overcoming Challenges to Create a Universal Influenza Vaccine

Overcoming Challenges to Create a Universal Influenza Vaccine

Researchers from the National Institute of Allergy and Infectious Diseases are working to develop a universal influenza vaccine.

Lack of Communication Regarding Malignancy Risk in Indeterminate Pulmonary Nodules

Lack of Communication Regarding Malignancy Risk in Indeterminate Pulmonary Nodules

Qualitative risk statements of malignancy for indeterminate pulmonary nodules are imprecise, highly variable, and should be replaced by a standard scale.

International Liaison Committee on Resuscitation: Updated Treatment Consensus for CPR

International Liaison Committee on Resuscitation: Updated Treatment Consensus for CPR

The International Liaison Committee on Resuscitation has provided treatment updates on various aspects of CPR.

Repeated Vaccinations May Prevent Severe Influenza Infection

Repeated Vaccinations May Prevent Severe Influenza Infection

Vaccination for influenza for multiple seasons is twice as effective in preventing severe influenza.

Current Cancer Death Rates in the United States

Current Cancer Death Rates in the United States

The cancer death rate declined by 1.5% annually from 2006 to 2015 in the United States.

Lung Cancer Screening by CT Scan: Risk-Based vs USPSTF Criteria

Lung Cancer Screening by CT Scan: Risk-Based vs USPSTF Criteria

Lung cancer screening based on USPSTF criteria decreased from 2010 to 2015 while risk-targeted screening is associated with modest gains in terms of early lung cancer mortality per person screened.

Measuring Immuno-Oncology Agents Against Cancer Care Framework

Measuring Immuno-Oncology Agents Against Cancer Care Framework

Few modern, US FDA-approved immuno-oncology agents have durable survival and response rates that are deemed significant by the ASCO value framework.

Cardiopulmonary Exercise Testing May Be Supplemented by Preop Accelerometry

Cardiopulmonary Exercise Testing May Be Supplemented by Preop Accelerometry

Preoperative accelerometry can assess cardiopulmonary fitness in patients scheduled for major surgery.

Noncigarette Tobacco Products May Increase Teens' Risk of Smoking Cigarettes

Noncigarette Tobacco Products May Increase Teens' Risk of Smoking Cigarettes

Non-cigarette tobacco use is associated with subsequent cigarette smoking among US adolescents.

Long-Term Effectiveness of Smoking Cessation With Pharmaceutical Aids

Long-Term Effectiveness of Smoking Cessation With Pharmaceutical Aids

Pharmaceutical aids are not effective for increasing long-term smoking cessation.

Smoking Cessation Drug May Increase Cardiovascular Event Risk

Smoking Cessation Drug May Increase Cardiovascular Event Risk

Individuals taking varenicline for smoking cessation may be at an increased risk of cardiovascular events.

Preserving Lung Function With Dietary Antioxidants

Preserving Lung Function With Dietary Antioxidants

Eating fruits and vegetables may delay decline in lung function, especially in former smokers.

Smoking Cessation Drug May Also Reduce Heavy Drinking

Smoking Cessation Drug May Also Reduce Heavy Drinking

Smoking cessation drug varenicline also reduces heavy drinking., especially in men.

CDC: 2015 to 2016 Saw Drop in Life Expectancy in the United States

CDC: 2015 to 2016 Saw Drop in Life Expectancy in the United States

Life expectancy decreased by one-tenth of a year from 2015-2016.

Wearable Fitness Technology: One Tool Among Many for Better Health

Wearable Fitness Technology: One Tool Among Many for Better Health

Evaluating the benefits of wearable fitness technology.

Older Patients Often Experience Hospital Discharge Discrepancies

Older Patients Often Experience Hospital Discharge Discrepancies

Frequent discrepancies between the electronic discharge summaries and the discharge prescriptions were found at a regional hospital in Australia.

Hospital Readmissions May Be Predicted by Reported Post-Discharge Symptoms

Hospital Readmissions May Be Predicted by Reported Post-Discharge Symptoms

Post-discharge symptoms self-reported by frail, elderly adults may predict 30-day hospital readmission visits.

Smoking Cessation Rates May Improve With Monetary Incentives

Smoking Cessation Rates May Improve With Monetary Incentives

Smoking cessation outcomes improve with abstinence contingent incentives.

Lung Cancer Risk Reduced With Smoke-Free Ordinances

Lung Cancer Risk Reduced With Smoke-Free Ordinances

Few cases of lung cancer suspected in counties with smoke-free ordinances.

Low Peak Lung Function May Identify Individuals at Risk for Early Comorbidities

Low Peak Lung Function May Identify Individuals at Risk for Early Comorbidities

The use of spirometry during infancy or early adulthood may help identify individuals at risk for poor health outcomes

Ambient Air Pollution Exposure Associated With Increased Risk for Pregnancy Loss

Ambient Air Pollution Exposure Associated With Increased Risk for Pregnancy Loss

A prospective study evaluated whether chronic exposure to air pollution increased risk for pregnancy loss.

Role of E-Cigarettes in Asthma Development and Exacerbation

Role of E-Cigarettes in Asthma Development and Exacerbation

Smokers with asthma have been encouraged to switch from conventional to electronic cigarettes, but the latter may still cause respiratory damage.

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