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.

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.

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