A randomized Phase 3 study published in JAMA found that morphine does not improve symptoms of chronic breathlessness in patients with COPD. However, clinical experience suggests that morphine can provide relief in end-of-life situations or crisis scenarios.
The November issue of CHEST journal features new guidelines for perioperative management, studies on COVID-19 treatment and COPD treatment, as well as research on sleep apnea and long COVID. These findings have significant implications for patient care and healthcare resource use.
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The study found that higher population density was associated with fewer steps taken by patients, more sedentary time, and worse exercise capacity. Longer pedestrian street lengths were associated with more steps and less sedentary time, while steeper terrain was linked to greater exercise capacity.
The October issue of CHEST journal showcases 43 clinically relevant articles on topics such as asthma, COPD, critical care, and sleep medicine. The journal also offers web and multimedia activities, including visual abstracts, to expand its reach.
Researchers found reduced lung function and scarring in mice exposed to e-cigarette vapor with or without nicotine. Female mice also showed increased body weight in adulthood. The study suggests vaping during pregnancy can have long-term health effects on offspring.
The September issue of CHEST journal features 40 articles on clinically relevant topics, including disparities in rural populations with idiopathic pulmonary fibrosis. The journal also offers complementary web and multimedia activities to expand its reach.
Research finds dual bronchodilators offer little relief to adults with smoking-related respiratory issues, but no COPD diagnosis. The study highlights the importance of spirometry testing for accurate diagnoses and calls for new therapies for patients without COPD.
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Researchers developed a mobile phone app using AI to accurately detect COVID-19 infection in people's voices, outperforming lateral flow tests. The app achieved an accuracy of 89% and can be used for remote testing, enabling rapid screening of populations.
The August issue of the CHEST journal features 47 articles on clinically relevant topics such as asthma, COPD, and pulmonary vascular disease. A highlighted article examines barriers to palliative care in interstitial lung disease.
A large multicenter study found that smaller airways in women, independent of smoking status, are associated with a higher risk of COPD. Women's airways were found to be narrower and less efficient than men's airways, leading to poorer lung function and increased symptoms.
Chronic lung disease (COPD) is a major public health problem worldwide, affecting 212 million people, primarily due to smoking and air pollution. The study reveals that while age-adjusted rates have declined, absolute counts are rising, with COPD expected to become an even greater issue in the future.
Despite electronic health records, gaps in communication between primary care physicians and specialist physicians persist. The study found that 22% of PCPs report sending clinical information to specialists at the time of referral, and less than 35% receive information back after consultation.
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A study of 17,000 US primary care patients with COPD found 49.9% experiencing multiple exacerbation episodes despite treatment. Patients reported high symptoms and breathlessness, highlighting the need for non-pharmacologic treatments and improved physician education.
A secondary analysis of the CARDIA Lung study found that a substantial proportion of middle-aged adults with normal spirometry findings had emphysema on CT scan. Race-specific interpretations of spirometry may underestimate respiratory symptom burden and risk for death in Black adults, perpetuating structural racial inequities.
The July issue of CHEST journal features 62 articles on clinically relevant topics, including asthma and COPD. The journal has received an Impact Factor of 10.262, an increase from 2020's Impact Factor of 9.410.
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University of Missouri researchers develop wearable smart bioelectronic devices, including a 'smart' face mask that can monitor physiological status and detect respiratory problems. The masks also use laser-assisted fabrication to provide breathable soft electronics for better real-time health monitoring.
The American College of Chest Physicians' flagship journal CHEST published its June issue featuring 58 articles on various chest medicine topics, including asthma and COPD. The journal is set to expand with two new open-access journals, CHEST Pulmonary and CHEST Critical Care.
African Americans with chronic obstructive pulmonary disease (COPD) are more likely to experience flare-ups due to inadequate sleep, which may boost their risk by up to 95%. The study, published on June 6, 2022, suggests that poor sleep quality may partially explain why African American patients tend to fare worse than white patients. ...
A recent study published in Pharmaceutics suggests that berberine can suppress the proliferation of lung cancer cells, reduce airway inflammation, and modulate genes involved in inflammation. The researchers used liquid crystalline nanoparticles to enhance safety and effectiveness.
A world-first study reveals why people with COPD are at higher risk of developing severe COVID-19. Researchers found that COPD airway cells had a 24-fold greater infection with SARS-CoV-2, leading to increased viral load and inflammatory responses.
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Researchers found that COPD leads to premature senescence of the immune system, reducing CD4+ and CD8+ T cells. This disruption impairs the immune system, making COPD patients more susceptible to infections.
The US Preventive Services Task Force (USPSTF) recommends against routine screening for chronic obstructive pulmonary disease (COPD) in asymptomatic adults who do not recognize or report respiratory symptoms. This decision is based on a lack of evidence showing the benefit of screening in preventing future cardiovascular events.
Researchers found that hypoxia can activate immune cells called ILC2s, which respond to harmless environmental allergens and drive mucus production and inflammation in the lungs. The study identifies adrenomedullin as a new target for treating inflammatory and allergic lung diseases.
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The May issue of the CHEST journal features 56 articles on clinically relevant topics such as asthma, COPD, and critical care. The journal also includes a special Adult Cystic Fibrosis Series with latest epidemiologic data and challenges in managing CF.
A new study from Norway found that COPD patients have a higher degree of coronary artery calcification and narrower coronary arteries. The researchers discovered an increased risk of coronary disease in COPD patients, independent of disease severity, emphasizing the importance of early detection.
A study published in The Lancet Respiratory Medicine found that astegolimab reduced exacerbation rates by 22% and improved quality of life in patients with moderate-to-severe COPD. Benefits were seen in those with specific inflammatory signals and genetic markers.
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Researchers developed a novel drug to reduce airway mucus that exacerbates common lung diseases. The treatment works by blocking the secretion of mucins, which can block airways and cause life-threatening symptoms.
The American College of Chest Physicians journal features cutting-edge original research on various chest medicine topics, including asthma, COPD, critical care, and sleep. The March issue includes a special series on nontuberculous mycobacterial pulmonary disease, offering insights into clinical epidemiology, risk factors, and diagnosis.
A new study published in Menopause found that obesity and abdominal obesity significantly increase the risk of chronic obstructive pulmonary disease (COPD) and asthma in premenopausal and postmenopausal women. Maintaining a healthy body weight is key to preventing these conditions.
A study by Baylor College of Medicine, Yale University and others found altered gene expression and cell interactions in epithelial, endothelial and macrophage cells in COPD. The research provides new insights into cellular injury and inflammation in the disease.
A mixed-method review and meta-analysis found that integrated palliative care in ambulatory settings has limited effect on reducing symptom burden, but improves health care utilization for U.S. adults with non-cancer related chronic illnesses. The models were also effective in increasing advanced directive documentation.
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A large population-based study found a significant association between lifetime workplace exposure to pesticides and an increased risk of COPD. The study, which included over 500,000 participants, controlled for other risk factors and found that even low levels of pesticide exposure were linked to a heightened risk of COPD.
A large-scale international study found that simple health assessments can identify people with chronic lung conditions like COPD. The screening tools were effective in diverse low- and middle-income settings, highlighting a pressing need for global awareness and early diagnosis.
Patients with idiopathic pulmonary fibrosis (IPF) have a different microbiome composition in their lower airways than those with COPD or healthy individuals. The study found that IPF patients share similarities between their oral cavity and lower airway microbiomes, suggesting microaspiration as a potential cause.
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A recent study published in the American Journal of Respiratory and Critical Care Medicine found that using race-based equations to evaluate lung disease can lead to under-treatment of Black patients. The research, conducted by a team at the University of California - San Francisco, used data from SPIROMICS, a multi-center cohort of ev...
A long-term epidemiologic study found that a race-based formula for diagnosing lung disease is no better than a race-neutral equation, which could lead to more accurate diagnoses and treatments. The study used data from thousands of patients and compared the two formulas, finding that the race-neutral equation yielded better predictions.
Scientists identified a genetic mutation in the CHRNA5 gene as a predisposing factor for COPD, independent of smoking. The mutation affects airway epithelium inflammation and remodeling, leading to symptoms similar to COPD.
Research found that individuals with chronic obstructive pulmonary disease (COPD) experience cardiac autonomic dysfunction, which is improved by regular vigorous physical activity. The study assessed participants' ability to increase heart rate during exercise and recover afterwards, finding a relationship between vigorous physical act...
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Researchers at University of Technology Sydney identified microRNA-21 as a potential therapeutic target for chronic obstructive pulmonary disease (COPD). Inhibition of microRNA-21 using antagomir-21 reduced inflammation and improved lung capacity in experimental models.
A team of researchers has created a detailed map of the proteins in human lungs, shedding light on how the organs develop and function. The study found that the immune system in the lungs continues to mature after birth, providing new avenues for understanding diseases such as asthma and COVID-19.
A University at Buffalo study explores how social and economic characteristics influence hospital readmissions and health inequity in the US. The research found that patients with lower household income, male gender, or treated in urban hospitals have a higher risk of being readmitted within a month of discharge.
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The November issue of CHEST journal includes 69 articles on topics such as asthma, COPD, critical care and thoracic oncology. The journal also offers complementary web and multimedia activities to expand the reach of its research.
High air pollution exposure worsens COPD patients' quality of life, while living far from green spaces also reports negative effects. Access to blue and green spaces improves mental and physical health through increased physical activity.
Researchers at Technical University of Munich have developed a new X-ray method for respiratory diagnostics using dark-field chest imaging, allowing for early detection and treatment follow-up of respiratory ailments. The technology reduces radiation dose by a factor of fifty compared to traditional computed tomography.
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Researchers identified a protein leakage related to chronic airway diseases, which restricts breathing. Decreasing this leakage could improve asthma and COPD management by relaxing airways.
Nurses who worked in operating rooms for 15 or more years are at increased risk of developing chronic obstructive pulmonary disease. Long-term exposure to surgical smoke and disinfectants can lead to a higher risk of COPD.
Researchers discovered a simple questionnaire and airflow measurement test can identify adults with undiagnosed chronic obstructive pulmonary disease (COPD) in China. The Chinese symptom-based questionnaire combined with microspirometry could provide the most efficient way to identify patients needing treatment for COPD.
Researchers comprehensively review T-cell responses to respiratory viral infections and chronic obstructive pulmonary disease (COPD), highlighting key characteristics of peptide-reactive T-cells. The review aims to improve understanding of the underlying mechanisms, leading to more effective immune protection and treatment methods.
Researchers at UNC School of Medicine discovered that MUC5AC mucin disrupts airways in individuals with chronic obstructive pulmonary disease (COPD) and asthma. The study suggests that MUC5AC could be a target for better therapeutics to address the sticky mucus associated with these conditions.
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Researchers link repeated injury to airway stem cells with chronic lung disease, suggesting that biological aging of these cells may contribute to the development of this condition. The study found that injury caused activation of a subset of stem cells, leading to their premature aging and loss of functional capacity.
A new study found a 7.6% prevalence of COPD in US Hispanics/Latinos under 50, with asthma being the most important early COPD risk factor. Chronic sinusitis and smoking status also increase the risk of developing COPD before age 50.
A new study from Brigham and Women's Hospital identifies asthma, history of smoking, and chronic sinusitis as key risk factors for early COPD among US Hispanics/Latinos. The prevalence of early COPD was found to be 7.6 percent in this population, suggesting younger individuals are also susceptible to the disease.
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Patients with nontuberculous mycobacterial disease are hospitalized sooner and more often than their age- and sex-matched counterparts, according to a study published in CHEST. The risk is higher for people with compromised immune systems or damaged airways.
A recent study found that warmer temperatures are associated with an increase in COPD exacerbations. The research analyzed data from over 1,100 smokers with COPD and discovered a 2% increased risk of exacerbations for every one-degree Celsius rise in ambient temperature.
A single-center retrospective study found that preoperative thoracic CT findings can complement preoperative clinical risk factors to improve risk assessment for the need of postoperative mechanical ventilation. Bronchial wall thickening, pericardial effusion, and anteroposterior chest diameter were identified as independent predictors...
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The study found that patients with low risk of exacerbations do not benefit from low to moderate dose inhaled corticosteroids, while high doses are associated with severe side effects. Tailoring treatment according to patient characteristics, such as age and blood cell count, can minimize over- and underuse of inhaled corticosteroids.
A new clinical study reveals that treatment with mesenchymal stromal cells reduces inflammation in patients with chronic obstructive pulmonary disease (COPD). The study provides insights into the therapeutic potential of MSCs as a novel treatment for COPD, which is a leading cause of morbidity and mortality worldwide.
Computational modeling reveals that smaller drug particles can reach the distal region of airways, improving treatment efficacy. The study aims to enhance inhaler design and reduce drug loss, benefiting patients with respiratory illnesses.
Researchers have modelled how drugs are delivered to the respiratory tract via an inhaler to better treat lung diseases. Finer drug particles of around one micron are better able to travel further into the lungs.
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Researchers found individuals with well-controlled asthma have significantly lower odds of hospitalization and ICU admission compared to those with uncontrolled asthma. Asthma patients using their medications showed a decrease in worsened COVID-19 outcomes.