Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for May 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Lupus Manifestations Appear to Differ by Race, Ethnicity

FRIDAY, May 31, 2019 (HealthDay News) — Clinical manifestations of systemic lupus erythematosus (SLE) vary by racial and ethnic groups, according to a study published online May 22 in Arthritis Care & Research.

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Many Immunosuppressed Persons Join in Hurricane Cleanup

THURSDAY, May 30, 2019 (HealthDay News) — About half of immunosuppressed persons reported participating in cleanup activities following Hurricane Harvey, and less than half of those who performed heavy cleanup reported wearing a respirator, according to research published in the May 31 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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Global Burden of Serious Health-Related Suffering to Double by 2060

WEDNESDAY, May 29, 2019 (HealthDay News) — The global burden of serious health-related suffering is set to increase 47 percent by 2060, according to a study published online May 22 in The Lancet Global Health.

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Decreased Air Pollutants Linked to Less Childhood Asthma

TUESDAY, May 28, 2019 (HealthDay News) — Decreases in ambient nitrogen dioxide and fine particulate matter (PM2.5) are associated with lower asthma incidence in children, according to a study published in the May 21 issue of the Journal of the American Medical Association.

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AI Model Can Improve Accuracy of Lung Cancer Screening

TUESDAY, May 28, 2019 (HealthDay News) — Deep learning models can improve the accuracy of lung cancer screening, according to a study published online May 20 in Nature Medicine.

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Obstructive Sleep Apnea Linked to Cancer Diagnosis in Women

FRIDAY, May 24, 2019 (HealthDay News) — Obstructive sleep apnea (OSA) is associated with cancer diagnosis, especially among women, according to a research letter published online May 20 in the European Respiratory Journal.

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Bill Would Raise U.S. Legal Age to Buy Tobacco to 21

TUESDAY, May 21, 2019 (HealthDay News) — A bill to raise the minimum age for buying any type of tobacco product, including electronic cigarettes, from 18 to 21 years was introduced Monday by Senate Majority Leader Mitch McConnell.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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North Carolina Sues Electronic Cigarette Maker JUUL

THURSDAY, May 16, 2019 (HealthDay News) — North Carolina is suing electronic-cigarette manufacturer JUUL for allegedly marketing its products to children and misleading the public about the health risks of the products. This lawsuit is the first filed by a state over JUUL’s alleged marketing toward teens, CNN reported.

CNN Article

AI Model Uses Serial Imaging to Predict Lung Cancer Tx Response

THURSDAY, May 16, 2019 (HealthDay News) — For patients with locally advanced non-small cell lung cancer (NSCLC), deep-learning networks integrating computed tomography (CT) scans at multiple time points can improve clinical outcome predictions, according to a study published online April 22 in Clinical Cancer Research.

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CDC: Racial Disparity Seen With Lupus-Related Deaths

WEDNESDAY, May 15, 2019 (HealthDay News) — Mortality from systemic lupus erythematosus (SLE) is significantly higher among blacks, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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Whole-Body MRI Accurate for Staging Colorectal Cancer, NSCLC

FRIDAY, May 10, 2019 (HealthDay News) — Whole-body magnetic resonance imaging (WB-MRI) could be a quicker alternative to multimodality staging of colorectal cancer and non-small cell lung cancer (NSCLC), according to two studies published online May 9 in The Lancet Gastroenterology & Hepatology and The Lancet Respiratory Medicine.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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ACS Sets Goal to Cut Cancer Mortality 40 Percent by 2035

THURSDAY, May 9, 2019 (HealthDay News) — The American Cancer Society (ACS) has set a goal of a 40 percent reduction in overall cancer mortality by 2035, according to a study published online May 8 in CA: A Cancer Journal for Clinicians.

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Fifteen Million Patients Will Need First-Course Chemo in 2040

THURSDAY, May 9, 2019 (HealthDay News) — An estimated 15.0 million patients will require first-course chemotherapy in 2040, with delivery requiring 100,000 cancer physicians, according to a study published online May 8 in The Lancet Oncology.

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Risk for Cancer Increased in Men, Women With T2DM

THURSDAY, May 9, 2019 (HealthDay News) — Men and women with type 2 diabetes (T2D) have an increased risk for overall cancer and some site-specific cancers, according to a study published online May 9 in the Journal of Diabetes.

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Lupus Affects Emotional, Mental Well-Being of Patients

THURSDAY, May 9, 2019 (HealthDay News) — More than 60 percent of patients with lupus report that the disease has a large effect on their emotional and mental well-being, according to a report published online May 9 by the World Lupus Federation.

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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

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In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Patent Foramen Ovale Ups Ischemic Stroke in Those With PE

WEDNESDAY, May 8, 2019 (HealthDay News) — For patients with symptomatic pulmonary embolism (PE), the frequency of recent ischemic stroke is higher in those with patent foramen ovale (PFO), according to a study published online May 7 in the Annals of Internal Medicine.

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NHFOV Superior for Preventing Reintubation of Preemies

WEDNESDAY, May 8, 2019 (HealthDay News) — Nasal high-frequency oscillatory ventilation (NHFOV) reduces reintubation by more than 50 percent in preterm infants with respiratory distress syndrome (RDS), according to a study published in the April issue of CHEST.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

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Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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Cardiorespiratory Fitness Tied to Lower Risk for Lung Cancer, CRC

MONDAY, May 6, 2019 (HealthDay News) — Higher cardiorespiratory fitness (CRF) is associated with a lower risk for incident lung and colorectal cancer and with a lower risk for all-cause mortality among those diagnosed with lung and colorectal cancer, according to a study published online May 6 in Cancer.

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Microbial Toxins Found in Electronic Cigarette Products

FRIDAY, May 3, 2019 (HealthDay News) — Electronic cigarette (EC) products may be contaminated with microbial toxins, according to a study published online April 24 in Environmental Health Perspectives.

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Implementing Surgical Safety Checklist Reduces Mortality

FRIDAY, May 3, 2019 (HealthDay News) — There has been a significant reduction in surgical mortality during the last decade in Scotland that is partially attributable to the implementation of the World Health Organization Surgical Safety Checklist, according to a study published online April 16 in the British Journal of Surgery.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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Lifetime Risk for Brain Mets Up in Elderly With Three Common Cancers

FRIDAY, May 3, 2019 (HealthDay News) — Elderly patients with lung cancer, breast cancer, or melanoma are at increased risk for brain metastases (BMs) later in life, according to a study published online May 3 in Cancer Epidemiology, Biomarkers & Prevention.

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Impact of Azithromycin Studied in Acute Exacerbation of COPD

FRIDAY, May 3, 2019 (HealthDay News) — Three months of azithromycin did not significantly reduce treatment failure (TF) among patients hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), according to a study published online May 3 in the American Journal of Respiratory and Critical Care Medicine.

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Few U.S. Adults Use USB-Shaped Electronic Vapor Products

THURSDAY, May 2, 2019 (HealthDay News) — About 7.9 percent of U.S. adults reported ever use of electronic vapor products (EVPs) shaped like universal serial bus (USB) flash drives in 2018, according to a study published online April 25 in Tobacco Control.

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E-Cigarette Use Similar for Pregnant, Nonpregnant Women

WEDNESDAY, May 1, 2019 (HealthDay News) — The prevalence of current cigarette smoking is lower among pregnant women, while prevalence of current electronic cigarette smoking is equivalent for pregnant and nonpregnant women of reproductive age, according to a research letter published online April 29 in JAMA Pediatrics.

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