Explore the latest in pulmonary medicine, including recent guidelines and advances in management of asthma, COPD, pneumonia, and more.
This UK population-based nested case-control study assesses the associations between chronic obstructive pulmonary disease (COPD) medication intensity or stage of airflow limitation and the risk of hospitalization or death in patients with heart failure.
In this Medical News & Perspectives article, experts discuss how physicians deal with increasing black lung disease cases among Appalachian miners, many at younger ages than in the past.
This study examines the FDA Adverse Event Reporting System and PubMed databases for cases of noninfectious pneumonia acquired after FDA approval of the drug ustekinumab.
This randomized clinical trial compares the effects of a program combining transition and long-term self-management support vs transition support alone on 6-month hospitalizations and emergency department visits among patients with chronic obstructive pulmonary disease (COPD).
This analysis uses hospital billing databases of inpatient discharges to compare antibiotic prescribing for community-acquired pneumonia by hospital type.
This Special Communication describes a Bayesian reanalysis of a randomized clinical trial comparing the effects on mortality of venovenous extracorporeal membrane oxygenation (ECMO) vs conventional mechanical ventilation among patients with severe acute respiratory distress syndrome, performed because of divergence between the clinical vs statistical significance of the trial’s findings and continued controversy over the benefit of ECMO.
This report of a case describes a man in his 70s with type 2 diabetes, hypertension, and hyperlipidemia who presented to the emergency department with 4 days of progressive dizziness, shortness of breath, and chest pain on exertion.
This Special Communication, the fifth annual update on medical overuse, discusses 10 studies published in 2017 that are most relevant to understanding medical overuse in adults.
This systematic review evaluates randomized clinical trials to assess evidence about theory-based behavioral change programs for children and young adults with a chronic illness.
This Special Communication from the Neurosarcoidosis Consortium Consensus Group describes the clinical manifestations and process of diagnosing neurosarcoidosis as well as the efforts to establish standard definitions and diagnostic criteria for this disease.
A 38-year-old woman with a history of gastric bypass surgery and hysterectomy had acute abdominal pain. Results of routine blood testing were unremarkable; a lung biopsy revealed spindle-cell fascicles with entrapped benign alveolar tissue but no necrosis, atypia, or mitotic activity. What would you do next?
This randomized clinical trial compares the effects of high-flow nasal vs standard oxygen therapy on 28-day mortality among immunocompromised patients with acute hypoxemic respiratory failure.
This randomized trial compares the effects of protocolized weaning via early extubation to noninvasive ventilation vs standard weaning from invasive ventilation on time to liberation from mechanical ventilation among adults with respiratory failure ready to wean but with an unsuccessful spontaneous breathing trial.
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