Emphysema Associated With Worse Outcomes in Heart Failure

Emphysema Associated With Worse Outcomes in Heart Failure

After 2.1 years of follow-up, 49% of patients who had emphysema on chest CT were readmitted for heart failure and 24% had died.

CDC: Updated Influenza Vaccination Recommendations for 2018-2019

CDC: Updated Influenza Vaccination Recommendations for 2018-2019

In general, routine annual vaccination is recommended for all patients ≥6 months of age who have no contraindications.

Nonsmoking Teens Exposed to Tobacco Smoke at Risk for Related Symptoms

Nonsmoking Teens Exposed to Tobacco Smoke at Risk for Related Symptoms

Exposure in nonsmoking adolescents linked to increased risk for emergency department and/or urgent care visits.

Plan to Relax Coal-Fired Power Plant Rules Could Increase Mortality

Plan to Relax Coal-Fired Power Plant Rules Could Increase Mortality

EPA predicts between 470 and 1400 premature deaths a year by 2030.

Wildfire Smoke Causing Poor Air Quality in US Pacific Northwest

Wildfire Smoke Causing Poor Air Quality in US Pacific Northwest

Air pollution advisories and air quality alerts have been issued for Washington and Oregon.

Tobacco Content Still Common on UK Prime-Time Television

Tobacco Content Still Common on UK Prime-Time Television

Tobacco content occurred in 33% of all programs; 8% of all advertisements or trailer breaks.

E-Cigarette Vapor Condensate Toxic to Alveolar Macrophages

E-Cigarette Vapor Condensate Toxic to Alveolar Macrophages

E-cigarette vapor condensate is cytotoxic at lower concentrations than e-cigarette liquid, which results in increased apoptosis.

Will Lunar and Planet Dust Be Health Concerns of the Future?

Will Lunar and Planet Dust Be Health Concerns of the Future?

Prolonged exposure to planetary dust could impair airway and lung function and increase the risk of diseases like cancer.

Routine X-Ray Not Needed After US-Guided Central Line Insertion

Routine X-Ray Not Needed After US-Guided Central Line Insertion

There was a low risk of pneumothorax and catheter misplacement after a ultrasound-guided procedure.

Disparities Remain in Prevalence of Cancer Screening Tests

Disparities Remain in Prevalence of Cancer Screening Tests

From 2000 to 2015, individuals without insurance or usual care were less likely to have undergone cancer screening.

AMA Calls for Greater Electronic Cigarette Regulation

AMA Calls for Greater Electronic Cigarette Regulation

The American Medical Association urges federal government to regulate e-cigarettes, including a requirement to list nicotine content.

NHANES: Electronic Cigarette Trends in US Adolescents and Adults

NHANES: Electronic Cigarette Trends in US Adolescents and Adults

E-cigarette users had significantly higher odds of exposure to second-hand smoke and of consuming alcohol, after adjustments for age, gender, and ethnicity.

CDC: E-Cigarette Sales in the United States Climb as Prices Fall

CDC: E-Cigarette Sales in the United States Climb as Prices Fall

Average monthly sales of electronic cigarettes and related products rose 132% from 2012 to 2017.

FDA Releases Guidance on Nicotine Replacement Therapy Product Development

FDA Releases Guidance on Nicotine Replacement Therapy Product Development

The FDA aims to support the development of novel inhaled nicotine replacement therapies to combat the public health crisis of tobacco use in the United States.

FDA: Cancer Relapse Linked to Azithromycin Use to Prevent Serious Lung Condition

FDA: Cancer Relapse Linked to Azithromycin Use to Prevent Serious Lung Condition

Pfizer has terminated the ALLOZITHRO trial (N=480) due to this increased risk.

E-Cigarettes May Be Inadequate as a Smoking Cessation Tool

E-Cigarettes May Be Inadequate as a Smoking Cessation Tool

Dual users of conventional cigarettes and electronic cigarettes had the highest prevalence of respiratory symptoms.

Flu Vaccine Reduces Mortality in Rheumatoid Arthritis

Flu Vaccine Reduces Mortality in Rheumatoid Arthritis

Hospitalization risk was also reduced for RA patients who received influenza vaccination.

Reducing Computers in Surgical ICU May Cut Communication Barriers

Reducing Computers in Surgical ICU May Cut Communication Barriers

Reducing the number of computers in surgical intensive care units reduced barriers to communication.

Inappropriate Antibiotic Prescriptions Highest Among Urgent Care Facilities

Inappropriate Antibiotic Prescriptions Highest Among Urgent Care Facilities

Inappropriate antibiotic prescriptions were highest among urgent care facilities (45.7%), with emergency departments (24.6%), medical offices (17.0%), and retail clinics (14.4%) following.

Tobacco and Alcohol Consumption Tied to Cancer Mortality

Tobacco and Alcohol Consumption Tied to Cancer Mortality

Over 20 years, a 1-L reduction in alcohol intake was linked to a 3.9% decrease in overall cancer mortality.

H1N1 Immune Priming and Egg-Adaptation Affect Antibody Responses After Vaccination

H1N1 Immune Priming and Egg-Adaptation Affect Antibody Responses After Vaccination

Immune priming with seasonal H1N1 viruses earlier in life and egg-adaptation in vaccines can impact antibody responses following influenza vaccination.

Medicare Prescription Drug Plans Require More Out-of-Pocket Spending

Medicare Prescription Drug Plans Require More Out-of-Pocket Spending

Medicare beneficiaries spent more out of pocket for generic medications used to treat cardiovascular disease than patients using standalone prescription drug plans.

Interactions Between Organic Solvent Exposure, Smoking, and MS Susceptibility

Interactions Between Organic Solvent Exposure, Smoking, and MS Susceptibility

Researchers aim to assess the influence of organic solvent exposure on the risk for developing multiple sclerosis.

CDC: 'Tips' Campaign Has Helped a Number of Smokers Quit

CDC: 'Tips' Campaign Has Helped a Number of Smokers Quit

More than 9 million smokers have attempted to quit because of Tips from Former Smokers Campaign.

Smoking Marijuana May Increase Cough, Sputum Production, and Wheezing

Smoking Marijuana May Increase Cough, Sputum Production, and Wheezing

Results of a pooled analysis of cross-sectional studies demonstrated an increase in cough, sputum production, wheezing, and dyspnea from marijuana use.

Smoking Status Modified Obesity Paradox in Type 2 Diabetes

Smoking Status Modified Obesity Paradox in Type 2 Diabetes

Obesity paradox in type 2 diabetes was pronounced in current smokers and absent in never smokers.

CDC: Wildfire Smoke Poses Health Risks

CDC: Wildfire Smoke Poses Health Risks

The US Centers for Disease Control offers steps to minimize exposure to wildfire smoke, particularly for those with chronic conditions.

Blister Packs for Several Meds Recalled Due to Risk of Harm to Children

Blister Packs for Several Meds Recalled Due to Risk of Harm to Children

The recall affects approximately 470,000 units that include drugs packaged with 3 to 10 tablets per blister card. The blister packs were developed for use in hospitals, however some were sent to retail pharmacies and were likely dispensed for in-home use.

Tick-Caused Meat Allergy on the Rise in the United States

Tick-Caused Meat Allergy on the Rise in the United States

Lone star tick is most common in the South, but may be spreading to new areas.

Handheld, Wireless Ultrasound Device SONON 300L Now Available

Handheld, Wireless Ultrasound Device SONON 300L Now Available

The device is indicated for ultrasound echo imaging, measurement, and analysis of the human body for general clinical applications including musculoskeletal, vascular, small parts (breast, thyroid), and lung imaging.

WHO Calls for Renewed Effort to Combat Chronic Disease

WHO Calls for Renewed Effort to Combat Chronic Disease

Commission makes 6 recommendations to meet 2030 goals for non-communicable diseases.

NIH Warns of Increased Risk for Heat-Related Illness in Seniors

NIH Warns of Increased Risk for Heat-Related Illness in Seniors

Factors that could increase risk for heat-related illnesses include age-related changes to skin as well as heart, lung, and kidney diseases.

About 10% of Youth Report Smoking Hookah

About 10% of Youth Report Smoking Hookah

About 10 percent of youth report smoking hookah, with smoking mainly occurring in the home environment.

Smoking Marijuana May Be Tied to Cough, Sputum Production

Smoking Marijuana May Be Tied to Cough, Sputum Production

Smoking marijuana seems to be associated with increased risk of cough, sputum production, and wheezing.

Twitter Posts Reveal Use of JUUL Vaporizer by Minors at School

Twitter Posts Reveal Use of JUUL Vaporizer by Minors at School

Few JUUL-related Twitter posts mention topic of smoking cessation.

Prolonged Leisure-Time Sitting Tied to Increased COPD Mortality Risk

Prolonged Leisure-Time Sitting Tied to Increased COPD Mortality Risk

Increase in all-cause, cardiovascular disease, cancer, diabetes, kidney disease, suicide, and COPD mortality.

More Than 2000 US College Campuses Smoke-Free

More Than 2000 US College Campuses Smoke-Free

Of the more than 2000 US college campuses with smoke-free policies, 83.7% were tobacco-free and 79.6% and 41% had prohibited electronic cigarette use and hookah smoking, respectively.

E-Cigarettes May Help Some Quit Tobacco Smoking

E-Cigarettes May Help Some Quit Tobacco Smoking

Interviews showed some quitters deliberately switch from conventional cigarettes to e-cigarettes while some use both.

FIRS: Guidance Offered for Protecting Youth From E-Cigarettes

FIRS: Guidance Offered for Protecting Youth From E-Cigarettes

E-cigarettes should be regulated as tobacco products and their sale to youth should be banned worldwide, according to a statement from the Forum of International Respiratory Societies.

Misuse of Antibiotics Common in Outpatient Acute Respiratory Infections

Misuse of Antibiotics Common in Outpatient Acute Respiratory Infections

The researchers argued that outpatient antibiotic stewardship efforts must be strengthened to eliminate antibiotic treatment for viral upper respiratory infections and acute bronchitis.

Little Evidence Nicotine Preloading Helps Smokers Quit

Little Evidence Nicotine Preloading Helps Smokers Quit

Adjustment for varenicline use as a post-cessation treatment linked to increase in beneficial effect.

COPD Risk From Secondhand Smoke May Be Linked With Lung Volume Variations

COPD Risk From Secondhand Smoke May Be Linked With Lung Volume Variations

The inclusion of residual volume-to-total lung capacity ratio may add another dimension to COPD not routinely captured by standard airflow indices that could be predictive of lower maximum exercise capacity.

USPSTF Does Not Recommend Electrocardiography Screening in Low-Risk CVD

USPSTF Does Not Recommend Electrocardiography Screening in Low-Risk CVD

The United States Preventive Services Task Force does not recommend screening with resting or exercise electrocardiography in asymptomatic individuals at low risk for cardiovascular disease events.

2011 to 2017 Saw Decline in Youth Use of Any Tobacco Products

2011 to 2017 Saw Decline in Youth Use of Any Tobacco Products

Electronic cigarettes was the most commonly used tobacco product in high and middle school students in 2017.

AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

The American Academy of Family Physicians and other signatories called on FDA to apply the proposal to other combustible tobacco products.

New Assays May Detect Early Lung Cancer in Blood

New Assays May Detect Early Lung Cancer in Blood

Targeted sequencing, whole-genome sequencing, and whole-genome bisulfite sequencing showed potential for detecting lung cancer.

Indeterminate Pulmonary Nodules Characterized by CT-Based Radiomic Classifier

Indeterminate Pulmonary Nodules Characterized by CT-Based Radiomic Classifier

A total of 8 quantitative radiologic features were used to characterize indeterminate screen-detected lung nodules.

Factors Associated With Stronger Nicotine Dependence in Adolescent E-Cigarette Users

Factors Associated With Stronger Nicotine Dependence in Adolescent E-Cigarette Users

In adolescent e-cigarette users, stronger nicotine dependence was associated with being in a higher grade in school, vaping at an earlier age, vaping more frequently, and the use of higher nicotine concentrations.

Relationship Between Smoking Behaviors and BMI, Waist Circumference, Adiposity

Relationship Between Smoking Behaviors and BMI, Waist Circumference, Adiposity

Body mass index and body fat distribution may influence smoking behaviors.

Delaying Lactate Draws in Sepsis Increases In-Hospital Death Risk

Delaying Lactate Draws in Sepsis Increases In-Hospital Death Risk

Systematic early lactate measurements speed antibiotic administration and improve outcomes in patients with sepsis.

Mediterranean Diet May Lessen Adverse Effect of Air Pollution

Mediterranean Diet May Lessen Adverse Effect of Air Pollution

Adherence to Mediterranean diet may attenuate association of nitrous oxide with all-cause mortality.

Financial Incentives May Increase Rates of Smoker Abstinence

Financial Incentives May Increase Rates of Smoker Abstinence

Redeemable deposits and rewards were superior to free smoking cessation aids with respect to sustained abstinence.

E-Cigarette Flavoring Agent May Impair Airway Defense System

E-Cigarette Flavoring Agent May Impair Airway Defense System

Flavoring commonly used in e-cigarettes suppresses cilia beat frequency, lasting for 60 minutes.

Higher Adiposity Increases Odds of Smoking

Higher Adiposity Increases Odds of Smoking

Obesity may be linked with an increased risk of smoking as well as an increase in the number of cigarettes smoked per day.

Marijuana Smoking Associated With Rapid Decline in FEV1 for Older Adults

Marijuana Smoking Associated With Rapid Decline in FEV1 for Older Adults

Researchers examined the relationship between smoking marijuana and the decline in FEV1 in adults aged 40 years and older.

Maternal Exposure to Polluted Air Tied to Elevated Child BP

Maternal Exposure to Polluted Air Tied to Elevated Child BP

Overall, there was a 1.61-fold increase in risk for elevated blood pressure in children with highest vs lowest tertile of PM2.5.

Child Secondhand Pot, Tobacco Exposure Increases ED Visit Risk

Child Secondhand Pot, Tobacco Exposure Increases ED Visit Risk

Children with exposure to secondhand marijuana and tobacco smoke have an increased rate of emergency department visits.

Early Readmissions More Preventable Than Later Ones

Early Readmissions More Preventable Than Later Ones

General medicine readmissions within 7 days were more amendable to hospital-based interventions.

The Unintended Consequences of Cigarette Taxation

The Unintended Consequences of Cigarette Taxation

Although cigarette taxes were supposedly implemented to encourage smokers to quit, they can have a disproportionate effect on people of low-income status.

Flu Vaccines Have High Impact, Even With Relatively Low Efficacy

Flu Vaccines Have High Impact, Even With Relatively Low Efficacy

A high impact was seen, especially when the vaccine uptake was optimally distributed across age groups.

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.

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