Tuberculosis Could a New Universal Tuberculosis Regimen Help End the TB Pandemic?

Could a New Universal Tuberculosis Regimen Help End the TB Pandemic?

The Lancet Respiratory Medicine staged a debate between proponents and opponents of pan-TB regimens to tackle the current suboptimal worldwide management of TB resistance.

Pulmonary Hypertension PAH-Associated Connective Tissue Diseases: A Case for Separating SSc, SLE

PAH-Associated Connective Tissue Diseases: A Case for Separating SSc, SLE

Recent evidence suggests that systemic sclerosis and systemic lupus erythematosus in pulmonary arterial hypertension should be considered separate diseases.

Practice Management What a Building Contractor Taught Me About Informed Consent

What a Building Contractor Taught Me About Informed Consent

Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.

COPD COPD, Asthma, or Asthma COPD Overlap Syndrome: Diagnostic Challenges

COPD, Asthma, or Asthma COPD Overlap Syndrome: Diagnostic Challenges

Emerging guidelines for diagnosing and treating asthma COPD overlap syndrome will help clinicians better manage patients and prevent serious adverse effects.

Smoking 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.

Practice Management Under the Microscope: Medicine's #MeToo Moment

Under the Microscope: Medicine's #MeToo Moment

No single solution to address sexual harassment in medicine exists, but physicians of all genders must come together to make progress.

COPD Breathing New Life Into COPD and Asthma Therapy With Statins

Breathing New Life Into COPD and Asthma Therapy With Statins

Statins have anti-inflammatory and anti-oxidative effects, which could reduce exacerbations of both asthma and chronic obstructive pulmonary disease.

Practice Management Bully for Us: Confronting Medicine's Bullying Problem

Bully for Us: Confronting Medicine's Bullying Problem

The culture of bullying — widespread across the medical field — has been linked to poorer patient outcomes. So why can't physicians stop bullying in its tracks?

COPD Fixed-Dosed Dual Bronchodilators for COPD: Overview and Clinician Interview

Fixed-Dosed Dual Bronchodilators for COPD: Overview and Clinician Interview

Treating chronic obstructive pulmonary disease remains challenging, particularly in terms of choosing the appropriate fixed-dose combination bronchodilator.

Prevention 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.

Home The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

While ICD-10-CM may be an improvement on an old process, big data is the revolution that has the potential to change health care forever.

Smoking 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.

Asthma Prevent Treatment Nonadherence in Asthma, COPD: Build Strong Patient Relationships

Prevent Treatment Nonadherence in Asthma, COPD: Build Strong Patient Relationships

Patients with asthma or chronic obstructive pulmonary disease have especially high rates of nonadherence, even in comparison with other chronic diseases.

Home 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.

Asthma 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.

Pneumonia 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.

Lung Cancer 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.

Practice Management Physician Suicides: A Public Health Crisis

Physician Suicides: A Public Health Crisis

Every year, suicide takes the lives of close to 400 physicians, and takes medical care from as many as 1 million patients.

COPD Palliative Care for COPD: Physicians' Views and Treatment Patterns

Palliative Care for COPD: Physicians' Views and Treatment Patterns

Researchers conducted an anonymous survey of medical trainees with a case vignette to determine attitudes regarding palliative care for chronic obstructive pulmonary disease.

COPD Guiding COPD Management Using Airway Branch Variation

Guiding COPD Management Using Airway Branch Variation

Researchers examined variation in airway branches to determine whether they have an effect on the course of chronic obstructive pulmonary disease.

COPD COPD Continues to Present Screening Challenges, Research Barriers

COPD Continues to Present Screening Challenges, Research Barriers

No data have demonstrated improved mortality, morbidity, or quality of life as a result of screening for COPD in asymptomatic individuals.

Asthma Volatile Organic Compound Analysis in Pediatric Asthma: A New Clinical Tool

Volatile Organic Compound Analysis in Pediatric Asthma: A New Clinical Tool

Analyzing volatile organic compounds in pediatric patients with asthma shows promise for disease diagnosis and management.

Influenza 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.

Practice Management Practicing Defensive Medicine to Avoid Litigation: How Far Should We Go?

Practicing Defensive Medicine to Avoid Litigation: How Far Should We Go?

Evaluating the pros and cons of defensive medicine, the practice of recommending tests or treatments for the purpose of avoiding or mitigating litigation.

Practice Management Solving Medical Problems Using Conscious and Unconscious Thinking

Solving Medical Problems Using Conscious and Unconscious Thinking

Evaluating the difference between unconscious and conscious problem solving in medicine.

Practice Management 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.

Practice Management Computerized Decision Support Systems Aid Clinicians in Initial Diagnoses

Computerized Decision Support Systems Aid Clinicians in Initial Diagnoses

Evaluating the use of computerized decision support systems in medical practice.

Practice Management Adult Vaccinations: Improving Public Perception and Awareness

Adult Vaccinations: Improving Public Perception and Awareness

Educational campaigns regarding the value of vaccines should integrate social psychological considerations with health communication principles.

Practice Management Addressing Healthcare Inequalities in the United States

Addressing Healthcare Inequalities in the United States

Evaluating contributing factors to healthcare inequality in the United States.

Practice Management Medical Research Set to Comply With New Code of Ethics in 2018

Medical Research Set to Comply With New Code of Ethics in 2018

Clinical trial research is set to comply with a new code of ethics in 2018.

Practice Management Patient Satisfaction Affected by Clinician Denial of Certain Requests

Patient Satisfaction Affected by Clinician Denial of Certain Requests

Patient satisfaction was reportedly worse when clinicians denied certain requests.

Asthma Precision Medicine May Pave the Way for Better Treatment in Asthma, COPD

Precision Medicine May Pave the Way for Better Treatment in Asthma, COPD

At a research seminar held by the European Respiratory Society in February 2017, a group of investigators discussed how precision medicine may improve treatment in asthma and COPD.

Asthma 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.

Practice Management The Potential Pitfalls of Machine Learning Algorithms in Medicine

The Potential Pitfalls of Machine Learning Algorithms in Medicine

The ability of machine learning programs to diagnose medical conditions and predict outcomes is discussed in an opinion article.

Tuberculosis Latent Tuberculosis Testing and Treatment Recommendations

Latent Tuberculosis Testing and Treatment Recommendations

Recommendations for testing and treating latent TB infection have been discussed by a representative from the California Department of Public Health.

Pulmonary Hypertension Lung Transplantation for Pulmonary Arterial Hypertension: Overview and Bridging Therapies

Lung Transplantation for Pulmonary Arterial Hypertension: Overview and Bridging Therapies

Lung transplantation may be an option in patients with severe pulmonary arterial hypertension who do not respond well to medical therapy.

Lung Cancer Liquid Biopsy May Be a Noninvasive Measure for Treatment Response in NSCLC

Liquid Biopsy May Be a Noninvasive Measure for Treatment Response in NSCLC

Patients with PD-L1-positive malignancies have shown higher response rates to immune checkpoint inhibition and consequently prolonged progression-free/overall survival compared with others.

Pulmonary Hypertension Pulmonary Arterial Hypertension: Using Biomarkers to Assess Treatment Response

Pulmonary Arterial Hypertension: Using Biomarkers to Assess Treatment Response

Using biomarkers in pulmonary arterial hypertension may be a less invasive strategy for assessing response to treatment.

Pulmonary Hypertension Thoracic and Pulmonary Conditions Associated With Connective Tissue Disease

Thoracic and Pulmonary Conditions Associated With Connective Tissue Disease

Pulmonary and thoracic symptoms often coincide with initial presentation of connective tissue disease.

Pulmonary Arterial Hypertension-PAH Systemic Sclerosis-Associated Pulmonary Arterial Hypertension: Definitions and Treatments

Systemic Sclerosis-Associated Pulmonary Arterial Hypertension: Definitions and Treatments

Pulmonary arterial hypertension is becoming a major cause of death in patients with systemic sclerosis.

Asthma Asthma Control With Mobile Health Initiatives

Asthma Control With Mobile Health Initiatives

Mobile devices may help patients with asthma better manage and control their disease.

Pulmonary Hypertension Pulmonary Arterial Hypertension: Mechanisms of Exercise Intolerance

Pulmonary Arterial Hypertension: Mechanisms of Exercise Intolerance

Respiratory muscle dysfunction, iron deficiency, and skeletal muscle dysfunction have been implicated as mechanisms for exercise intolerance in pulmonary arterial hypertension.

Pulmonary Hypertension Bronchoalveolar Lavage for Diagnosis of Idiopathic Pulmonary Fibrosis: Point/Counterpoint

Bronchoalveolar Lavage for Diagnosis of Idiopathic Pulmonary Fibrosis: Point/Counterpoint

Lung disease experts Athol Wells, MD, and Joshua Mooney, MD, MS, debate the diagnostic value of bronchoalveolar lavage in idiopathic pulmonary fibrosis.

Asthma Asthma Management During Pregnancy: How to Benefit Both Mothers and Infants

Asthma Management During Pregnancy: How to Benefit Both Mothers and Infants

Although some pregnant women discontinue their asthma medications for fear of fetal drug toxicity, they may be putting their babies at greater risk.

Pulmonary Hypertension Pulmonary Arterial Hypertension: Future Treatment May Depend on Race and Ethnicity

Pulmonary Arterial Hypertension: Future Treatment May Depend on Race and Ethnicity

Pulmonary arterial hypertension tends to vary in presentation in patients of different races and ethnicities.

Pulmonary Hypertension Managing Pulmonary Hypertension in Preterm Neonates: Updates in an Emerging Field

Managing Pulmonary Hypertension in Preterm Neonates: Updates in an Emerging Field

Prenatal factors such as intrauterine growth retardation, infection, and placental inflammation can affect lung development in neonates.

Asthma Steroid-Resistant Asthma: Exploring New Therapeutic Possibilities

Steroid-Resistant Asthma: Exploring New Therapeutic Possibilities

The pathogeneses of steroid insensitivity in severe, steroid-resistant asthma may unlock new potential treatments.

Prevention Pulmonary Rehabilitation Benefits in COPD, Lung Cancer, and Other Respiratory Conditions

Pulmonary Rehabilitation Benefits in COPD, Lung Cancer, and Other Respiratory Conditions

Recent research suggests that perioperative and postoperative pulmonary rehabilitation improves outcomes in patients undergoing thoracic surgery.

Practice Management An Ounce of Prevention: Protecting Vulnerable Healthcare Data

An Ounce of Prevention: Protecting Vulnerable Healthcare Data

Considered low-hanging fruit by hackers, the health care sector is particularly vulnerable to attack.

Pneumonia Hospital-Acquired Pneumonia: Challenges in Diagnosis and Management

Hospital-Acquired Pneumonia: Challenges in Diagnosis and Management

An estimated 55% to 85% of hospital-acquired pneumonia infections involve gram-negative bacteria, while 20% to 30% of cases involve gram-positive cocci.

Practice Management Adopting an Active Medical Device Saftey Surveillence System in the US

Adopting an Active Medical Device Saftey Surveillence System in the US

Medical devices such as thermometers and pacemakers are regulated differently than pharmaceuticals in the US.

Practice Management How Important Is It To Report Negative Data from Clinical Trials?

How Important Is It To Report Negative Data from Clinical Trials?

Pharmaceutical research has made vast improvements in genetic studies and patient-targeted therapies.

Practice Management How Common Are Conflicts of Interest in Patient Advocacy Groups?

How Common Are Conflicts of Interest in Patient Advocacy Groups?

Susannah L. Rose, PhD discusses her thoughts of industry funded patient advocacy organizations and what clinicians should keep in mind when interpreting results of research.

Practice Management Improving Care for Medicaid Patients Under the ACA

Improving Care for Medicaid Patients Under the ACA

Medicaid expansion under the American Care Act decreased uninsurance rates but patient care lacks improvement on coverage.

Pulmonary Arterial Hypertension-PAH Biomarkers of PAH Risk in Patients With SLE

Biomarkers of PAH Risk in Patients With SLE

Meta-analysis supports anti-RNP and anti-Sm antibodies as serological biomarkers of PAH risk in patients with SLE.

Practice Management Curbside Consults Lead to Questions of Legality

Curbside Consults Lead to Questions of Legality

The answer to the question regarding legal responsibility seems to revolve around the issue of whether or not a physician-patient relationship exists.

COPD Respiratory Effects of Cannabis: a National Academies Report

Respiratory Effects of Cannabis: a National Academies Report

The National Academies of Sciences, Engineering, and Medicine released a report titled "The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendation for Research."

Practice Management Q&A: A Discussion of Sexism in Medicine

Q&A: A Discussion of Sexism in Medicine

Personal opinion and examples of sexism experienced by Elise Barney, DO

Lung Cancer PD-L1 Inhibitor Approved by FDA for Non-Small Cell Lung Cancer

PD-L1 Inhibitor Approved by FDA for Non-Small Cell Lung Cancer

Atezolizumab was approved for patients with non-small cell lung cancer.

Practice Management Medical Malpractice Reform: Is Now the Right Time?

Medical Malpractice Reform: Is Now the Right Time?

Medical malpractice reform should focus on cost, access, and imprecision of the system, according to experts.

Lung Cancer Do Medicare Regulations Impact Lung Cancer Screening Rates?

Do Medicare Regulations Impact Lung Cancer Screening Rates?

Annual lung cancer screenings using low-dose computed tomography among high-risk individuals remain "low and unchanged."

Influenza Safety and Efficacy: IV Zanamivir vs Oral Oseltamivir in Severe Influenza

Safety and Efficacy: IV Zanamivir vs Oral Oseltamivir in Severe Influenza

Intravenous zanamivir is as safe and effective as oral oseltamivir when used in patients with severe influenza.

Pulmonary Arterial Hypertension-PAH Pulmonary Arterial Hypertension: Expert Interview

Pulmonary Arterial Hypertension: Expert Interview

Pulmonary and genetics experts James E. Loyd, MD, and Wendy Chung, MD, PhD, offer insight into the role of genetics in pulmonary arterial hypertension.

Practice Management Medical Product Marketing Language Guidance From FDA

Medical Product Marketing Language Guidance From FDA

In the guidance documents, the FDA advised against using any marketing language that may be "misleading" or has potential to cause patient harm.

Pneumonia Accuracy of Lung Ultrasonography for Pneumonia Diagnosis

Accuracy of Lung Ultrasonography for Pneumonia Diagnosis

Lung ultrasounds present an effective alternative to diagnosing pneumonia.

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