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June 2016 Briefing – Pulmonology

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Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for June 2016. This roundup includes the latest...
For patients admitted to the intensive care unit with acute respiratory failure

Rehab in ICU for Respiratory Failure Does Not Reduce LOS

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No significant effect for handgrip, handheld dynamometer strength, physical/mental health
Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians

Knowledge of CT Risks Varies Among Health Care Providers

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Radiologists and technologists generally show better knowledge than referring physicians
In older adults

Depression Cuts Adherence to COPD Maintenance Meds

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Average monthly adherence to COPD maintenance medications low in older adults
Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork

Electronic Record Demands Are Overwhelming Many Physicians

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Survey found those who have to use EHRs/CPOEs report more burnout, job dissatisfaction
The antidepressant escitalopram may not help heart failure patients suffering from depression

Escitalopram Not Beneficial for Heart Failure Patients

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Depression in heart failure may not be same depression patients without heart failure experience
The rate of decline in cardiovascular disease mortality has decelerated

Cardiovascular Disease Mortality Progress Slowing Down in U.S.

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Mortality rates dropped less than 1 percent from 2011 to 2014
Too much or too little sleep may raise the risk of diabetes in men

Too Little, Too Much Sleep Can Impair Insulin Sensitivity in Men

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However, similar association not found in women
Guidelines have been updated for monitoring and management of pediatric patients before

Guidance Updated for Sedation of Pediatric Patients

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Safe sedation needs a systematic approach, including medical supervision, pre-sedation assessment
Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions

End-of-Life Care Received Varies Based on Type of Disease

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Cancer and dementia patients get more access to palliative care