Tiotropium Boosts Lung Function in Early COPD (CME/CE)

(MedPage Today) -- Higher FEV1 at 24 months in Chinese study, but long-term impact unclear
Source: MedPage Today Pulmonary - Category: Respiratory Medicine Source Type: news

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The objective of this study was to determine computed tomography screening uptake across ten states using 2017 Behavioral Risk Factor Surveillance System survey data.MethodsIn fall 2018, a cross-sectional analysis was performed on survey data from 4,374 low-dose computed tomography–eligible participants, as determined by Task Force recommendations. Weighted percentages were calculated to assess computed tomography screening utilization overall and by state, sociodemographic, and clinical characteristics; Wald chi-squared tests evaluated group differences.ResultsWithin the study sample, 14.4% of eligible individuals h...
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease, end-stage kidney disease, and end-stage liver disease and how palliative principles can guide decision making and symptom management in these disease states. Special considerations in advanced care planning, initiation and cessation of advanced therapies, and discussions on when to initiate hospice are included in this article.
Source: Primary Care: Clinics in Office Practice - Category: Primary Care Authors: Source Type: research
ConclusionsResistance training is a non-pharmacological treatment that can reduce tremor and improve force steadiness and dexterity in a variety of older adult populations. Future research should employ randomised controlled trials with larger sample sizes, better describe training programme methods, and align exercise prescription to current recommendations for older adults.
Source: Sports Medicine - Category: Sports Medicine Source Type: research
In COPD patients, the development of tidal expiratory flow limitation (EFLT) results in intrinsic positive end-expiratory pressure (PEEPi), leading to increased work of breathing and worsening patient-ventilator interaction. An external PEEP can mitigate these consequences but how to optimize its value it is still unknown.
Source: Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
FRIDAY, June 21, 2019 -- Geographic patterns of chronic obstructive pulmonary disease (COPD) prevalence are similar among current smokers, former smokers, and adults who have never smoked, according to research published in the June 21 issue of the...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
This study examined sociodemographic and clinical characteristics, treatment patterns, and health resource utilization among Medicare beneficiaries with chronic obstructive pulmonary disease (COPD) to identify predictors of nebulized arformoterol treatment. Using Medicare administrative data from 2010 to 2014, beneficiaries with ≥2 COPD outpatient visits ≥30 d apart or ≥1 COPD-related hospitalization(s) (ICD-9-CM 491.xx, 492.xx, and 496) were identified. Inclusion criteria required ≥1 COPD medication claim(s) and continuous enrollment in Parts A, B, and D. Four cohorts were identified: (a) 11,887 arformoterol u...
Source: COPD: Journal of Chronic Obstructive Pulmonary Disease - Category: Respiratory Medicine Tags: COPD Source Type: research
Publication date: Available online 19 June 2019Source: Academic RadiologyAuthor(s): Brett W. Carter
Source: Academic Radiology - Category: Radiology Source Type: research
Abstract Cigarette smoking is the leading cause of chronic obstructive pulmonary disease (COPD) in the United States; however, an estimated one fourth of adults with COPD have never smoked (1). CDC analyzed state-specific Behavioral Risk Factor Surveillance System (BRFSS) data from 2017, which indicated that, overall among U.S. adults, 6.2% (age-adjusted) reported having been told by a health care professional that they had COPD. The age-adjusted prevalence of COPD was 15.2% among current cigarette smokers, 7.6% among former smokers, and 2.8% among adults who had never smoked. Higher prevalences of COPD were obser...
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
Abstract Accumulating evidence has shown that toxic metals exposure can have adverse effects on children, but the effects of blood Pb, Hg, and Cd co-exposure on pulmonary function in children remains to be clarified. This cross-sectional multicenter study was conducted in Wuxi City, China. A total of 221 healthy children free from chronic obstructive pulmonary disease were recruited. The blood samples were collected while blood Pb, Hg, and Cd levels were determined. The forced vital capacity volume (FVC) and forced expiratory volume in the 1 s (FEV1) were measured. The associations between metals concentratio...
Source: Biological Trace Element Research - Category: Biology Authors: Tags: Biol Trace Elem Res Source Type: research
Those who had high fitness levels stayed healthier and had longer lives, as well -- up to 1.5 to 2 years longer, the study found.
Source: WebMD Health - Category: Consumer Health News Source Type: news
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