ILD GUIDELINES

By Dr Deepu
An Official ATS/ERS/JRS/ALAT Guideline: Treatment of IPF (2015)
NICE IPF Guideline  NICE 2013

INTERVENTIONAL PULMONOLOGY GUIDELINES

By Dr Deepu
The Use of Topical Anesthesia, Analgesia, and Sedation During Flexible Bronchoscopy in Adult Patients  American College of Chest Physicians Consensus Statement on   (November 2011)
Prevention of Flexible Bronchoscopy-Associated Infection  American College of Chest Physicians and American Association for Bronchology Consensus Statement:  (September 2005)

ETHICS, HEALTH CARE POLICY AND END OF LIFE CARE GUIDELINES

By Dr Deepu

Bigger Families May Deal With More Viral Infections

By Dr Deepu

HealthDay (8/7, Preidt) reports that “being part of a big family boosts the risk of passing on viral infections that cause colds, flu and other respiratory woes,” according to a study published in Clinical Infectious Diseases journal. The study of “108 people from 26 Utah families” revealed that “people in childless households were infected with viruses an average of three to four weeks a year.” Viral infections “rose to 18 weeks a year in families with one child, and up to 45 weeks a year in households with six children,” the study found.
        Meanwhile, HealthDay (8/7, Preidt) reports, “An online program that encourages people to wash their hands reduced the spread of cold and flu viruses within families,” according to a study published online in The Lancet that involved some 20,000 UK adults. The online “program also led to fewer gastrointestinal illnesses, doctor appointments and antibiotic prescriptions,” the study found.

Lung Cancer Patients May Often Experience Delays In Treatment And Miss Diagnostic Steps Before Surgery

By Dr Deepu

The Houston Chronicle (8/7, Hawryluk) reports that research published in the Annals of Thoracic Surgery suggests that “lung cancer patients often experience delays in treatment and miss diagnostic steps before they proceed to surgery, which could reduce their already low chance of a cure.” Investigators “found many patients had to wait more than month to six months after an initial X-ray showed signs of possible lung cancer.” Meanwhile, just “one in 10 patients received all three of the diagnostic tests recommended before surgery.”

Limited Resection May Not Be Equivalent To Lobectomy When Used To Treat Older Patients With Stage IA Lung Cancer Of Invasive Cell Types

By Dr Deepu


MedPage Today (8/6, Jackson) reports that research suggests that “limited resection is not equivalent to lobectomy when used to treat older patients with stage IA lung cancer of invasive cell types, namely invasive adenocarcinoma and squamous cell carcinoma.” Rather, “these patients may be considered for completion lobectomy or for adjuvant treatments,” researchers “report online in the Journal of Clinical Oncology.”

Lung Function May Decline In Patients With Moderate To Severe COPD After Steroid Withdrawal

By Dr Deepu

                   

MedPage Today (8/5, Minerd) reports that research indicated that individuals “with moderate to severe chronic obstructive pulmonary disease (COPD) experienced significant decreases in lung function for up to 5 years after discontinuing long-term inhaled corticosteroid (ICS) treatment.” Additionally, these individuals “experienced steady worsening in airway hyperresponsiveness (AHR) and quality of life.” The findings were published in CHEST Journal.

Optical Fluorescent Molecular Real-Time Imaging During Surgery May Be Used To Differentiate Lung Adenocarcinomas From Normal Lung Parenchyma

By Dr Deepu
MedPage Today (8/4, Jackson) reports that research indicates that “optical fluorescent molecular real-time imaging during surgery can be used to differentiate lung adenocarcinomas from surrounding normal lung parenchyma.” The findings were published in The Journal of Thoracic and Cardiovascular Surgery.

Thoroughness, Accuracy Of Pre-Op Lung Cancer Evaluation Could Be Improved, Study Suggests

By Dr Deepu


Cancer Therapy Advisor (8/4) reports that research suggests “for suspected lung cancer patients, the thoroughness, accuracy, and timeliness of preoperative evaluation could be improved.” The findings were published in the Annals of Thoracic Surgery.

Companies Work To Help Employees With Insomnia

By Dr Deepu

The Washington Post (7/31, McGregor) reports research from Harvard is showing that “insomnia results in the loss of 11.3 days of productivity each year” for the average worker and represents a total national loss of $63.2 billion. As a result of the “impact on insurance costs and worker productivity,” some companies have implemented means to help their employees get better sleep.

Abatacept May Benefit Children With Common Variable Immune Deficiency

By Dr Deepu

Medscape (7/31, Kelly) reports that “enhanced understanding of immune system protein regulation led to the discovery of what might be the first effective treatment for a devastating genetic autoimmune disorder in children, and it involves a drug already approved for treating rheumatoid arthritis (RA).” The study’s “senior author Michael B. Jordan, MD...told Medscape Medical News that the researchers were both surprised and gratified to find that abatacept had ‘major positive impact’ on three patients with common variable immune deficiency (CVID) who were treated for 5 or more years.” The “treatment appeared particularly effective at reversing the devastating lymphocytic interstitial lung disease caused by CVID.” The findings were published in Science. Bernice Lo, PhD, from the National Institute of Allergy and Infectious Diseases was one of the researchers.

Opposition To Larger Health Warnings Grows In India

By Dr Deepu

The Deccan (IND) Herald (7/30) reports that opposition to health warnings covering 85% of tobacco packages in India has expanded from the tobacco industry to include 13 petitions from groups such as the CII (Confederation of Indian Industry) and ASSOCHAM (Associated Chambers of Commerce Of India) while no major hospitals have supported the measure. The piece notes that 26 petitions support larger warnings, however, as the Lok Sabha Committee on Subordinate Legislation prepares to issue a report on the matter to the House.

Lung Cancer Risk May Be Higher In People With Long Telomeres

By Dr Deepu

HealthDay (7/30, Preidt) reports that research published in Human Molecular Genetics suggests that individuals “with long telomeres are at increased risk for lung cancer but not other types of cancer.” Investigators “analyzed genetic data from more than 50,000 cancer patients and 60,000 people without cancer to learn more about the links between telomere length and the risk of five types of cancer: breast, lung, colon, ovarian and prostate.” While the researchers “found an association between long telomeres and increased risk of lung cancer,” they did not find any “significant association between telomere length and any of the other types of cancer.”