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General Pulmonology

News, opinions and meeting coverage in pulmonology.

Lung Transplant Valid in SSc

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

Joints Tell the Future in Scleroderma

Synovitis predicted progression in skin, vasculature, and kidney.

Three-Drug Cocktail Has Promise in TB

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

John West: The Doc at the Top of the World

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

Friday Feedback: Zero-Tolerance Employment Smoking Bans?

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

AMA Clamps Down on MOC, But Punts on Gun Regs

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

Lung Foam Disappoints in COPD

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

Does Tylenol Protect Kidneys in Sepsis?

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

FDA Panel Nixes OTC Singulair

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

How To Get Medicare To Cover A Spa Trip

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

Heart Attack Signal Found for Spiriva in COPD

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

10 Questions: E. Wesley Ely, MD, MPH

What's the biggest barrier to practicing medicine today? That's just the first of the 10 Questions the 51成人动漫 staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from pulmonary and critical care expert E. Wesley Ely, MD, MPH.

EMTs Can Give Positive Pressure Ventilation

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

Debate: Who Should Prescribe CPAP?

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

Brain Stimulation Helps Smokers Quit

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

Common Allergy Myths Debunked

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

Yoga May Be Good for COPD

CHICAGO -- With its focus on breathing exercises, yoga may improve some of the symptoms of chronic pulmonary obstructive disease (COPD) along with boosting quality of life, researchers said here.

Scoliosis Tied to HTN Risk in Adolescents

ORLANDO -- Children with severe spinal curving from scoliosis were more likely to have worsening risk indicators for pulmonary hypertension, researchers reported here.

Sleep Problems, Poor Angioplasty Outcomes Linked

Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes, researchers reported.

Kalydeco: A Price Too High to Pay?

A 51成人动漫/Milwaukee Journal Sentinel report revealed the staggering annual treatment cost for the cystic fibrosis drug ivacaftor (Kalydeco) as part of an investigation of venture philanthrophy -- now a JAMA Viewpoint echoes those findings.

Cystic Fibrosis: Charity and Industry Partner for Profit

When a disease-related charity becomes a venture capitalist, count the pharmaceutical industry among the winners, but the charity is not far behind as John Fauber explains in this Milwaukee Journal Sentinel/51成人动漫 investigation.

Cinnamon Game Harms Players

The "cinnamon challenge鈥� -- a party trick among youths who accept a dare to swallow a spoonful of ground cinnamon -- has led to a surge in calls to poison control centers with reports of spice-induced choking and aspiration, according to a new report.

Ricin Deadly, but Not an Effective WMD

It may have been a preferred tool of Soviet hit men, but ricin generally flops as a weapon of mass destruction, several bioterrorism experts told 51成人动漫.

Fainting in PE Signals High Risk

ATLANTA -- Patients with pulmonary embolism brought to emergency rooms because they had passed out tended to have the most ominous risk factors for poor outcomes, a researcher said here.

Novel Drug Stars in Phase III PAH Trial

ATLANTA -- Macitentan, a next-generation endothelin receptor antagonist for pulmonary arterial hypertension, met its efficacy endpoint and was said to be well tolerated in a large clinical trial.

Subjective Effects Drive COPD Outcomes

ATLANTA -- For patients with COPD, their own assessment of breathing problems is more predictive of outcomes than spirometry or doctor-diagnosed exacerbations, a researcher said here.

Adult Lungs Can Sprout New Growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection.

Oxygen Devices Recalled

WASHINGTON -- The FDA has issued a class I recall of several models of oxygen concentrators because of a potential fire hazard.

Side Effects of Loxapine Aerosol Raise FDA Concerns

WASHINGTON -- Although staccato loxapine (Adasuve) appears to be effective in calming schizophrenic and bipolar patients, concerns remain about the drug's pulmonary side effects, according to a review by FDA staff members.

Lung Biopsy Risks Not Uncommon

Needle biopsy of suspicious lung nodules isn't as benign as often thought, according to a population-based study that quantified the risks in community practice.

Cigarette Smoke Ups Mucus in Lungs

Cigarette smoke suppresses a protein whose normal function is to prevent an overpopulation of mucus-producing cells in the lungs, researchers reported.

Asthmatic Smokers' Lungs Recover when They Quit

Asthmatic smokers who quit the habit can reverse lung damage that exacerbates their breathing difficulties, regardless of how long and how often they smoked in the past, a new study found.

Pseudo-Outbreak of Legionnaire's Blamed on Bad Ice

Using nonsterile ice to cool saline-filled syringes for bronchoalveolar lavage creates a risk of Legionnaire's disease, the CDC said.